MEDICAL SURGICAL ASSESSMENT FORM A
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Nursing 330 Exam #1 Study Guide textbook of basic nursing Virginia CNA Skill 1: Handwashing NUR 10
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A nurse is caring for a client who is 3 days Maintain abduction of the client's right leg while in bed.
postoperative following a total right hip
arthroplasty. Which of the following actions
should the nurse take?
A nurse is caring for a client who has "You feel like you want to discontinue treatment?"
terminal pancreatic cancer. The client
states, "I don't think I can go on any longer."
Which of the following responses should
the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people
you're closest to."
"Many people who have cancer feel this
way."
"You feel like you want to discontinue
treatment?"
A nurse is contributing to the plan of care Implement recommendations from the speech-language pathologist.
for a client who is having difficulty eating
following a stroke. Which of the following
actions should the nurse take first?
Collaborate with a dietitian.
Ensure that the client is provided with a
high-ber diet.
Implement recommendations from the
speech-language pathologist.
Request a referral for an occupational
therapist.
, Keep the client in a side-lying position.
A nurse is contributing to the plan of care
for a client who was admitted to the Greatest risk to the client following a stroke is aspiration. The nurse should position
neurological unit following a stroke 3 hr the client in a lateral, or side-lying, position to allow any secretions to drain out of
ago. Which of the following interventions the mouth, decreasing the risk for aspiration. Additionally, the nurse should have
should the nurse identify as the priority? suction equipment available in the event that any secretions are present in the oral
cavity.
Herpes zoster for 60 years of age and older.
A nurse is participating in a health fair for
older adult clients. Which of the following Meningococcal vaccine to college students and military recruits who are living in
vaccines should the nurse recommend for shared housing.
this age group? HPV vaccine for clients who are 9 to 26 years of age.
MMR vaccine to clients who are 62 years of age.
A nurse is contributing to the plan of care Instruct the client to swish the medication in their mouth.
for a client who has a new prescription for
nystatin suspension for oral candidiasis.
Which of the following interventions should
the nurse include in the plan?
Use a commercial mouthwash before
taking the medication.
Instruct the client to swish the medication
in their mouth.
Discontinue the medication as soon as the
lesions are healed.
Combine the medication with applesauce
A nurse is preparing to perform intermittent straight catheter (clear tube with blue top)
intermittent urinary catheterization for a
female client who has been unable to void
following surgery 6 hr ago. Which of the
following catheters should the nurse use to
perform this procedure?
A nurse is preparing to auscultate the Hyperactive bowel sounds
bowel sounds of a client who has a
mechanical bowel obstruction in the Normal bowel sounds, the nurse should expect to hear 5-35 gurgles and clicks in 1
descending colon. When listening in the min.
left upper quadrant, the nurse should
identify this sound as which of the
following?
A nurse is contributing to the plan of care Encourage the client to complete ADLs.
for a client who has multiple sclerosis and
is taking dantrolene to manage muscle
spasms. Which of the following
interventions should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
Encourage the client to complete ADLs.
Administer valerian to promote sleep
, A nurse is assisting with the care of a client Monitor the insertion site for bleeding is
who had a cardiac catheterization via the Maintain the pressure dressing
right femoral artery. Which of the following Check the client's peripheral pulses
actions should the nurse take to prevent
postprocedure complications?
Monitor the insertion site for bleeding
Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching "Do not allow visitors to smoke cigarettes in your home."
about preventing asthma attacks with a
client who has asthma. Which of the
following instructions should the nurse
include in the teaching?
"Cover the floor of your bedroom with
carpet."
"Do not allow visitors to smoke cigarettes
in your home."
"Breathe cold air to ease feelings of
shortness of breath."
"Open the windows in your home during
the spring to increase air flow."
A nurse is caring for a client who has a Decreases pain during urination
prescription for phenazopyridine. Which of
the following findings should the nurse
identify as a therapeutic effect of the
medication?
Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder
muscle
Decreases pain during urination
A nurse is monitoring a client who is taking Abdominal cramps
acarbose. Which of the following findings
should the nurse identify as an adverse
effect of the medication?
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia
&B WITH QUESTIONS AND 100% VERIFIED
AND CORRECT ANSWERS//MEDICAL LATEST
2025-2026 ALREADY GRADED A+!!
Save
Students also studied
Nursing 330 Exam #1 Study Guide textbook of basic nursing Virginia CNA Skill 1: Handwashing NUR 10
Teacher 25 terms Teacher 25 terms Teacher 10 terms Teacher
Gabriankamau2 Preview Samuel_Chris1 Preview j26332394 Preview stan
A nurse is caring for a client who is 3 days Maintain abduction of the client's right leg while in bed.
postoperative following a total right hip
arthroplasty. Which of the following actions
should the nurse take?
A nurse is caring for a client who has "You feel like you want to discontinue treatment?"
terminal pancreatic cancer. The client
states, "I don't think I can go on any longer."
Which of the following responses should
the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people
you're closest to."
"Many people who have cancer feel this
way."
"You feel like you want to discontinue
treatment?"
A nurse is contributing to the plan of care Implement recommendations from the speech-language pathologist.
for a client who is having difficulty eating
following a stroke. Which of the following
actions should the nurse take first?
Collaborate with a dietitian.
Ensure that the client is provided with a
high-ber diet.
Implement recommendations from the
speech-language pathologist.
Request a referral for an occupational
therapist.
, Keep the client in a side-lying position.
A nurse is contributing to the plan of care
for a client who was admitted to the Greatest risk to the client following a stroke is aspiration. The nurse should position
neurological unit following a stroke 3 hr the client in a lateral, or side-lying, position to allow any secretions to drain out of
ago. Which of the following interventions the mouth, decreasing the risk for aspiration. Additionally, the nurse should have
should the nurse identify as the priority? suction equipment available in the event that any secretions are present in the oral
cavity.
Herpes zoster for 60 years of age and older.
A nurse is participating in a health fair for
older adult clients. Which of the following Meningococcal vaccine to college students and military recruits who are living in
vaccines should the nurse recommend for shared housing.
this age group? HPV vaccine for clients who are 9 to 26 years of age.
MMR vaccine to clients who are 62 years of age.
A nurse is contributing to the plan of care Instruct the client to swish the medication in their mouth.
for a client who has a new prescription for
nystatin suspension for oral candidiasis.
Which of the following interventions should
the nurse include in the plan?
Use a commercial mouthwash before
taking the medication.
Instruct the client to swish the medication
in their mouth.
Discontinue the medication as soon as the
lesions are healed.
Combine the medication with applesauce
A nurse is preparing to perform intermittent straight catheter (clear tube with blue top)
intermittent urinary catheterization for a
female client who has been unable to void
following surgery 6 hr ago. Which of the
following catheters should the nurse use to
perform this procedure?
A nurse is preparing to auscultate the Hyperactive bowel sounds
bowel sounds of a client who has a
mechanical bowel obstruction in the Normal bowel sounds, the nurse should expect to hear 5-35 gurgles and clicks in 1
descending colon. When listening in the min.
left upper quadrant, the nurse should
identify this sound as which of the
following?
A nurse is contributing to the plan of care Encourage the client to complete ADLs.
for a client who has multiple sclerosis and
is taking dantrolene to manage muscle
spasms. Which of the following
interventions should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
Encourage the client to complete ADLs.
Administer valerian to promote sleep
, A nurse is assisting with the care of a client Monitor the insertion site for bleeding is
who had a cardiac catheterization via the Maintain the pressure dressing
right femoral artery. Which of the following Check the client's peripheral pulses
actions should the nurse take to prevent
postprocedure complications?
Monitor the insertion site for bleeding
Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching "Do not allow visitors to smoke cigarettes in your home."
about preventing asthma attacks with a
client who has asthma. Which of the
following instructions should the nurse
include in the teaching?
"Cover the floor of your bedroom with
carpet."
"Do not allow visitors to smoke cigarettes
in your home."
"Breathe cold air to ease feelings of
shortness of breath."
"Open the windows in your home during
the spring to increase air flow."
A nurse is caring for a client who has a Decreases pain during urination
prescription for phenazopyridine. Which of
the following findings should the nurse
identify as a therapeutic effect of the
medication?
Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder
muscle
Decreases pain during urination
A nurse is monitoring a client who is taking Abdominal cramps
acarbose. Which of the following findings
should the nurse identify as an adverse
effect of the medication?
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia
