PN Adult Medical Surgical Online Practice 2020 B

A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. Which of the following interventions should the nurse include in the plan of care? Keep bed linens o of the affected areas. Position a heat lamp over the lower extremities. Apply warm, moist compresses to the affected areas. Initiate droplet isolation precautions. - ANS Keep bed linens o of the affected areas. A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include to promote comfort? Sleep on a firm mattress. Try jogging in place when joints feel stiff. Use a soft chair or recliner for sitting. Apply ice packs to painful joints - ANS Sleep on a firm mattress. A nurse is caring for a client who has an intestinal obstruction and reports a new onset of nausea. The client has an NG tube set at low intermittent suction and is receiving continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take first? Check for kinks in the NG tube. Increase the IV uid rate. Provide ice chips. Administer an antiemetic - ANS Check for kinks in the NG tube. A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the GRADED A+ following findings should indicate to the nurse that the client's therapeutic regimen is effective? Adventitious lung sounds Decrease in exertional dyspnea Respiratory rate of 26/min while sitting in a chair Elevation of the head of the bed is required to sleep - ANS Decrease in exertional dyspnea A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports increased pain at the site of the fracture. Which of the following actions should the nurse take? Massage the area. Remove the weights. Loosen the ropes. Reposition the client - ANS Reposition the client A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Lower the client to the floor. Loosen the clothing around the client's neck. Place a pad beneath the client's head. Time the length of the client's seizure. Reorient and reassure the client. - ANS Lower the client to the floor. Place a pad beneath the client's head. Loosen the clothing around the client's neck. Time the length of the client's seizure.