NUR 1211 Medical Surgical Final Midterm Exam (BRAND NEW) 2023/2024 Rated A+.

NUR 1211 Medical Surgical Final Midterm Exam (BRAND NEW) 2023/2024 Rated A+. 1. A CLIENT WHO HAD A TOTAL KNEE REPLACEMENT 2 WEEKS AGO REPORTS SEVERE PAIN AT THE SITE. WHICH RESPONSES BY THE NURSE ARE MOST APPROPRIATE AT THIS TIME WITH 10 BEING THE WORST POSSIBLE PAIN ? (SELECT ALL). A. Please rate your pain on a scale of 1-10, with 40 being the worst possible pain. B. Could you describe the pain in your knee? C. ,,,,,,,, D. Which positions make the pain feel worse or better? 2. AN OLDER ADULT TAKES IBUPROFEN 1600 FOR OSTEO-ARTHRITIS. WHICH HEALTH TEACHING WILL THE NURSE PROVIDE FOR THE CLIENT REALATED TO THEI MEDICATION? (Select all) A. Be sure and take your medication with food to prevent stomach ulcers. B. . ,,,,,,, C. Avoid any over the counter medication that might contain ibuprofen D. Take your blood pressure daily because Ibuprofen can cause your blood pressure to go up E. You might have to take acetaminophen because it has fewer side effects than ibuprofen. 3. A NURSING TECHNICIAN REPORTS THAT A CLIENT WHO IS RECEIVING IV PCA IS VERTY DROWSY, UNABLE TO COMPLETE A SENTENCE WITHOUT FALLING ASLEEP, AND AS HAS A RESPIRATORY RATE OF 10 BRETHS PER MINUTE WHAT IS THE NURSE’S PRIORITY ACTION? A. Wake up the client and raise the bed to a 90 degrees angle. 4. A CLIENT HAS A ONE TIME PRESCRIPTION FOR MORPHINE 1 MG IV PUSH, THE DRUG IS AVAILABLE IN 5MG /ML. THE NURSE WILL ADMINISTER HOW MANY, L PER HOUR? 5mg = 1ml 1 ml= 1ml x1 = 1= 0.2 5mg 1 5APPROPRAITE FOR THE NURSE 5. AN OLDER CLIENT WITH ADVANCED DEMENTIA AND SEVERE OSTEOARTHRITIS IS UNRESPONSIVEBUT GRIMACES AND MOANS WHEN REPOSITIONED. WHICH INTERVENTION IS THE MOST APPROPRIATE FOR THE NURSE TO IMPLEMENT FOR THIS PATIENT? D. Obtain an order for transdermal fentanyl 6. A CLIENT RECEIVING PALLIATIVE CARE ASKS THE NURSE WHY IS THIS HAPPENING TO ME? WHAT IS THE NURSES’ BEST RESPONSE? B. I’m sorry, I know that this is a very difficult time for you. 7. WHAT IMMEDIATE RESPONSE DOES THE NURSE EXPECT AS A RESULT OF INFUSING 1 LITER OF ISOTONIC INTRAVENOUS SOLUTION INTO A CLIENT OVER A 3 HOUR TIME PERIOD IF URINE OUTPUT REMAINS AT 100 ML /HOUR C. Extracellular fluid (ECF) osmolarity is unchanged, body weight increases NUR 1211 FINAL MED-SURGE MIDTERM 8. WHEN EVALUATING THE HYDRATION STATUS OF A NEW 84-YEAR-OLD NURSERY HOME CLIENT, THE NURSE OBSERVES TENTING OF THE SKIN ON THE BACK OF THE CLIENTS’ HAND. WHAT IS THE NURSES BEST ACTION? A. Assess the skin turgor on the client’s forehead. 9. FOR WHICH CLIENT IS IT MOST IMPORTANT TO CHECK FREQUENTLY FOR HYDRATION? B. 42-Year-old client who has diabetes insipidus C.68-Year-old client with poorly controlled type 2 diabetes mellitus. E.72-Year-old client taking furosemide daily D. 74-Year-old undergoing a bowel preparation with multiple enemas before colon surgery 10. A CLIENT RECEIVING A 250 ML OF A 3 % SODIUM CHLORIDE SOLUTION INTRAVENOUSLY FOR SEVERE HYPONATREMIA. WHICH SIGNS OR SYMPTOMS INDICATE TO THE NURSE THAT THIS THERAPY IS EFFECTIVE? D. Blood pressure has increased from 100/50 mm Hg to 112/70 mm Hg. 11. WHICH FOOD ITEM SELECTED BY A CLIENT WHO MUST RESTRICT POTASSIUM BECAUSE OF A CONTINUINING RISK FOR HYPERCKALEMIA INDICATES TO THE NURSE THAT MORE TEACHING IS NNEDED? B. Canteloupe , broccoli , and sweet potatoes 12. HOW ARE BLOOD HYDROGEN LEVELS AND CARBON DIOXIDE LEVELS RELATED? D. Blood hydrogen ions and blood carbon dioxide levels are directly related so when level of one increases the level of other increases in the same degree. 13.WHICH BLOOD LABORATORY VALUES DOES THE NURSE NEED TO EVALUATE TO DETERMINE WHETHER THE CLIENTS ACIDOSIS HAS A RESPIRATORY ORIGIN B. HCO3 D.PACO2 E. PAO2 14. A CLIENT ASK WHY THE PROVIDER HAS RECOMMENDED THAT HE BREATHS INTO A PAPER BAG FOR SEVERAL MINUTES, WHEN HIS ANXIETY DISORDER CAUSES HIM TO HYPERVENTILATE. WHAT IS THE NURSES’ BEST RESPONSE? B. When you breath too fast you can lose too much carbon dioxide and rebreathing this air keeps it. 15. THE PRIMARY HEALTHCARE PROVIDER PRESCRIBES 1 LITER 5 % D/O 45 % NS TO BE INFUSED OVER 8 HOURS. THE NURSE SETS THE RATE AT WHAT ML PER HOUR OF IV SOLUTION? 1000 ML X 1 HR = 125 ML/HR 1 L 8HR.