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lOMoAR cPSD| 1 Hesi Med Surg PracticeQuestions and answers 2 of 55 What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops ANS: B 3 of 55 A male adult comes to the urgent care clinic 5 days after ...

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops - correct answersB A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and cough...

Who should explain a surgical procedure to a pt? RN should make sure that the operative permit is signed and on the chart. It is NOT the RN's responsibility to explain the procedure to the client. Good Samaritan Act? Means of protecting a nurse when he or she is performing emergency care If the nurse carries out a provider's prescription that she is not prepared for and does not inform the provider about her lack of preparation? The nurse is soley responsible for any damages. If nurse ...

pt taking ipratropium reports nausea, blurred vision, has, insominia after using the inhaler. RN action to implement - ANSWER- withhold med and report symptoms primary reason for teahing pt pursed lip breathing - ANSWER- promote CO2 elimination additional finding that RN should assess for bronchitis - ANSWER- phlegm production and wheezing lung cancer s/sx - ANSWER- hypoptysis (new cough) or changes in persistent cough tuberculosis s/sx - ANSWER- night sweats s/sx of PUD - ANSWER- - hemat...

What to check for in a general review - ANSWER- -Fever -chills -night sweats -fatigue -unexplained weight loss -weight gain Skin review - ANSWER- -pruritus -rash -hair loss -worrisome lesion -pigment change -moles -sweating -dry skin -nail change HEENT review - ANSWER- headache, dizziness, earache, hearing loss, tinnitus, vision change, eye pain/sensitivity, excessive tearing, eyeglasses/contact use, glaucoma, rhinorrhea, nasal congestion, postnasal drip, sinus pain, nosebleeds,...

The nurse is caring for a patient with chronic lower back pain. The nurse knows that the most reliable indicator of pain in this client is: The patient is reporting "6/10" pain. The patient is refusing to get out of bed. The patient is refusing to eat breakfast. The patient's heart rate is 90 beats per minute. - ANSWER- A Which of the following actions should the nurse take to ensure an accurate blood pressure (BP) reading? Ensure the width of the BP cuff is equal to 80% of the arm ci...

The nurse is caring for a patient with chronic lower back pain. The nurse knows that the most reliable indicator of pain in this client is: The patient is reporting "6/10" pain. The patient is refusing to get out of bed. The patient is refusing to eat breakfast. The patient's heart rate is 90 beats per minute. A Which of the following actions should the nurse take to ensure an accurate blood pressure (BP) reading? Ensure the width of the BP cuff is equal to 80% of the arm circumferen...

My father and I looked at her/hers. 2. I am looking forward to my birthday party next week. A. Going B. Go C. Have D. Having 3. Coffee experts feel that the coffee blend is a dark blend. A. More greater B. Great C. Best D. More greatest 4. The nurse made a error with the medication, do the doctor made notes about it in the patients file. A. About it B. A C. With D. Made 5. Finishing isn’t as important as answering correctly. lOMoAR cPSD| 3 lOMoAR cPSD| A. Quick B. As qui...

1. Adult FTT is a part of aging. 2. FTT can be associated with increased infections and diminished immunity. 3. FTT patients have often experienced multiple hospitalizations and several comorbidities. 4. FTT is complex, with many components. 5. The goal of early assessment is to prevent a decline in health. ---CORRECT ANSWER-- 2, 3, 4 A nurse practitioner is performing an annual checkup for a female patient. In the physical examination of the breast, for which of the following should th...

A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client: - ANSWER Hangs the irrigation bag on the door clothes hook during fluid insertion Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the best nursing response? - ANSWER Assess the client's ability to measure the int...

While assessing a radial artery catheter, the client complains of numbness and pain distal to the insertion site. What interventions should the nurse implement? -- CORRECT ANSWER-Promptly remove the arterial catheter from the radial artery. A client is admitted with an epidural hematoma that resulted from a skateboarding accident. To differentiate the vascular source of the intracranial bleeding, which finding should the nurse monitor? -- CORRECT ANSWER-Rapid onset of decreased level of co...

The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? - ANSWER Premedicate the client with an analgesic before ambulating. A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? - ANSWER Check the client status and lead placement. The LPN/LVN i...

Hesi exit RN Four hours following surgical repair of a compound fracture of the right ulna, the nurse is unable to palpate the client's right radial pulse. Which action should the nurse take first Elevate the client's right hand on one or two pillows After placing a 36- week- gestation newborn in an isolette and drying the infant with several blankets, what should the nurse implement next? Remove the wet blankets and linen from the isolette A client in the third trimester of pregnancy ...

The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and learns that the client has a current blood glucose level of 720 mg/dL. When assessing the client, what is the priority? A. Assess for signs of fluid volume deficit B. Observe wound drainage characteristics C. Measure the level of acute pain D. Determine when the client last ate - CORRECT ANSWER-A. Assess for signs of fluid volume deficit A male client tells the nurse that he is concerned that he may ...

The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)? A. Tachycardia and tachypnea B. Sluggish and unequal pupillary responses C. Increased head circumference and bulging fontanels D. Blood pressure fluctuations and syncope B. Sluggish and unequal pupillary responses A client with acute pancreatitis is admitted ...

The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)? A. Tachycardia and tachypnea B. Sluggish and unequal pupillary responses C. Increased head circumference and bulging fontanels D. Blood pressure fluctuations and syncope B. Sluggish and unequal pupillary responses A client with acute pancreatitis is admitted ...

Four hours following surgical repair of a compound fracture of the right ulna, the nurse is unable to palpate the client's right radial pulse. Which action should the nurse take first Elevate the client's right hand on one or two pillows After placing a 36- week- gestation newborn in an isolette and drying the infant with several blankets, what should the nurse implement next? Remove the wet blankets and linen from the isolette A client in the third trimester of pregnancy complains of f...

1. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. E rythrocyte sedimentation rate 75 mm/hr 2. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassi...

A client is receiving a continuous half strength tube feeding at 50ml/hour. To prepare enough of the solution for eight hours, how many ml of full strength feeding will the nurse need? (Enter numeric value only.) - CORRECT ANSWER 200ml . 25 ml of full strength feeding mixed with 25ml of water provided 50ml of half strength. 25ml × 8 hours= 200ml An elderly male client is experiencing urinary incontinence. What is the best initial nursing action? - CORRECT ANSWER Apply an external condom c...

1. A NUR is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. E rythrocyte sedimentation rate 75 mm/hr 2. A NUR is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium le...