Exam (elaborations)
Detailed Answer Key For Medical Surgical
Exam, A+ Solutions
An adult client who is hospitalized after surgery reports sudden onset of chest
pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the
nurse should further assess the client for which condition? - ✔✔ANSWER✔✔-
>>Pulmonary embolism
which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (select all that apply) - ✔✔ANSWER✔✔->>Quality of the
pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis? - ✔✔ANSWER✔✔->>Joint pain is worse in the morning and involves
symmetric joints
,Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)? - ✔✔ANSWER✔✔-
>>Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate? - ✔✔ANSWER✔✔->>Bilateral lower leg stasis
dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client? -
✔✔ANSWER✔✔->>Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that
further education is needed? - ✔✔ANSWER✔✔->>I will cut back on smoking
cigarettes daily
The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply) - ✔✔ANSWER✔✔->>Do not
leave the diaphragm in place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse provide?
- ✔✔ANSWER✔✔->>Two weeks before menstruation
A postmenopausal client asks the nurse why she is experiencing discomfort
during intercourse. Which response is best for the nurse to provide? -
✔✔ANSWER✔✔->>Estrogen deficiency causes the vaginal tissue to become
dry and thinner
, Which discharge instruction is most important for a client after a kidney
transplant? - ✔✔ANSWER✔✔->>Use daily reminders to take
immunosuppressants
A male client who smokes two packs of cigarettes a day states he understands
that smoking cigarettes is contributing to the difficulty that he and his wife are
having in getting pregnant and wants to know if other factors could be
contributing to their difficulty. Which information is best for the nurse to
provide? (Select all that apply). - ✔✔ANSWER✔✔->>Alcohol consumption can
cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric tube
(NGT) cannister. Which assessment finding should the RN report as early signs
of hypovolemic shock? - ✔✔ANSWER✔✔->>lethargy
the registered nurse (RN) is assessing a male client who arrives at the clinic
with severe abdominal cramping, pain, tenesmus, and dehydration. the RN
discovers that the client has had 14 to 20 loose stools with rectal bleeding.
When taking the client's medical history, which information is most for the
nurse to obtain? - ✔✔ANSWER✔✔->>Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
assessing the client's basic knowledge about the disease process. Which
statement by the client conveys an understanding of the etiology of
diverticula? - ✔✔ANSWER✔✔->>Chronic constipation causes weakening of
colon wall which results in out pouching sacs
Detailed Answer Key For Medical Surgical
Exam, A+ Solutions
An adult client who is hospitalized after surgery reports sudden onset of chest
pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the
nurse should further assess the client for which condition? - ✔✔ANSWER✔✔-
>>Pulmonary embolism
which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with a
painful ankle injury? (select all that apply) - ✔✔ANSWER✔✔->>Quality of the
pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis? - ✔✔ANSWER✔✔->>Joint pain is worse in the morning and involves
symmetric joints
,Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)? - ✔✔ANSWER✔✔-
>>Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate? - ✔✔ANSWER✔✔->>Bilateral lower leg stasis
dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client? -
✔✔ANSWER✔✔->>Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that
further education is needed? - ✔✔ANSWER✔✔->>I will cut back on smoking
cigarettes daily
The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply) - ✔✔ANSWER✔✔->>Do not
leave the diaphragm in place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse provide?
- ✔✔ANSWER✔✔->>Two weeks before menstruation
A postmenopausal client asks the nurse why she is experiencing discomfort
during intercourse. Which response is best for the nurse to provide? -
✔✔ANSWER✔✔->>Estrogen deficiency causes the vaginal tissue to become
dry and thinner
, Which discharge instruction is most important for a client after a kidney
transplant? - ✔✔ANSWER✔✔->>Use daily reminders to take
immunosuppressants
A male client who smokes two packs of cigarettes a day states he understands
that smoking cigarettes is contributing to the difficulty that he and his wife are
having in getting pregnant and wants to know if other factors could be
contributing to their difficulty. Which information is best for the nurse to
provide? (Select all that apply). - ✔✔ANSWER✔✔->>Alcohol consumption can
cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric tube
(NGT) cannister. Which assessment finding should the RN report as early signs
of hypovolemic shock? - ✔✔ANSWER✔✔->>lethargy
the registered nurse (RN) is assessing a male client who arrives at the clinic
with severe abdominal cramping, pain, tenesmus, and dehydration. the RN
discovers that the client has had 14 to 20 loose stools with rectal bleeding.
When taking the client's medical history, which information is most for the
nurse to obtain? - ✔✔ANSWER✔✔->>Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
assessing the client's basic knowledge about the disease process. Which
statement by the client conveys an understanding of the etiology of
diverticula? - ✔✔ANSWER✔✔->>Chronic constipation causes weakening of
colon wall which results in out pouching sacs
