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MULTIPLE CHOICE 1. A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about. What action by the nurse is most appropriate? a. Assess the cause of the agitation. b. Reassure the client that he or she is safe. c. Restrain the client’s hands. d. Sedate the client immediately. ANS: A The nurse needs to determine the cause of the agitation. The inability to communicate often makes clients anxious, even to the point of panic. Pain, c...

Chapter 17: Concepts of Care for Patients with HIV Disease Chapter 18: Concepts of Care for Patients with Hypersensitivity (Allergy) and Autoimmunity Chapter 19: Concepts of Cancer Development Chapter 20: Concepts of Care for Patients with Cancer

Chapter 21: Concepts of Care for Patients with Infection Chapter 22: Assessment of the Skin, Hair, and Nails Chapter 23: Concepts of Care for Patients with Skin Problems Chapter 24: Assessment of the Respiratory System Chapter 25: Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy

Ignatavicius: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A nurse is caring for a client using oxygen while in the hospital. What assessment finding indicates that outcomes for client safety with oxygen therapy are being met? a. 100% of meals being eaten by the client b. Intact skin behind the ears c. The client understanding the need for oxygen d. Unchanged weight for the past 3 days ANS: B Oxygen tubing can cause pressure injuries, so clients using oxygen hav...

Ignatavicius: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A nurse cares for a client with chronic obstructive pulmonary disease (COPD) who appears thin and disheveled. Which question would the nurse ask first? a. “Do you have a strong support system?” b. “What do you understand about your disease?” c. “Do you experience shortness of breath with basic activities?” d. “What medications are you prescribed to take each day?” ANS: C Clients with sever...

Ignatavicius: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A nurse cares for a client who is scheduled for a total laryngectomy. What action would the nurse take prior to surgery? a. Assess airway patency, breathing, and circulation. b. Administer prescribed intravenous pain medication. c. Assist the client to choose a communication method. d. Ambulate the client in the hallway to assess gait. ANS: C The client will not be able to speak after surgery. The nurse ...

Ignatavicius: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A nurse cares for an older adult client who has a chronic skin disorder. The client states, “I have not been to church in several weeks because of the discoloration of my skin.” How will the nurse respond? a. “I will consult the chaplain to provide you with spiritual support.” b. “You do not need to go to church; God is everywhere.” c. “Tell me more about your concerns related to your skin.” d. ...

Ignatavicius: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A nurse assesses a client after a thoracentesis. Which assessment finding warrants immediate action? a. The client rates pain as a 5/10 at the site of the procedure. b. A small amount of drainage from the site is noted. c. Pulse oximetry is 93% on 2 L of oxygen. d. The trachea is shifted toward the opposite side of the neck. ANS: D A shift of central thoracic structures toward one side is a sign of a tens...

Ignatavicius: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A client contacts the clinic to report a life-long mole has developed a crust with occasional bleeding. What instruction by the nurse is most appropriate? a. “Take monthly photographs of it so you can document any changes.” b. “Wash daily with warm water and gentle soap to prevent infection.” c. “Keep the lesion covered with a bandage and triple antibiotic ointment.” d. “Please make an appointment...

Chapter 19: Concepts of Cancer Development Ignatavicius: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. The nurse caring for oncology clients knows that which form of metastasis is the most common? a. Bloodborne b. Direct invasion c. Lymphatic spread d. Via bone marrow ANS: A Bloodborne metastasis is the most common way for cancer to metastasize. Direct invasion and lymphatic spread are other methods. Bone marrow is not a medium in which cancer spreads, although c...