PN Adult Medical Surgical Online
Practice 2023 B
The nurse should reduce the temperature in the client's room and limit visitors because the client has
manifestations of hyperthyroidism. Clients who have hyperthyroidism have heat intolerance and require
an environment with decreased stimuli. The nurse should monitor the client for an increased
temperature which can indicate a thyroid storm, as well as the client's weight daily, to monitor for
weight loss. - ANS Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client's progress.
Encourage the client to complete ADLs. - ANS A nurse is contributing to the plan of care for a client who
has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following
interventions should the nurse include?
Compartment syndrome - ANS A nurse is assisting with the care for a client who has a new cast on their
left forearm and reports severe pain in the affected arm with numbness in the fingers. The nurse finds
the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications
should the nurse suspect?
Truncal obesity - ANS A nurse is assisting with the care for a client who has Cushing's syndrome and
expresses concern regarding physical changes associated with the syndrome. Which of the following
should the nurse recognize as a physical change caused by this disorder?
"The medication should be taken before I eat breakfast every morning." - ANS A nurse is reinforcing
teaching with a client who is taking levothyroxine. Which of the following statements by the client
indicates an understanding of the teaching?
Heart rate 120/min - ANS A nurse is collecting data from a client who is being treated for hypovolemia
due to nausea and vomiting. Which of the following findings should the nurse report to the provider?
"Select foods that are low in protein." - ANS FLAG
, A nurse is assisting with the care for a client who reports stomatitis. Which of the following dietary
recommendations should the nurse make?
Notify the charge nurse of the client's blood pressure. - ANS A nurse is reviewing the medical record for a
client who is experiencing nausea and vomiting. Based on the client data, which of the following actions
should the nurse take? (Click on the exhibit tabs for additional information about the client. There are
three tabs that contain separate categories of data.)
Remind the client to avoid watching their feet when walking. - ANS A nurse is reinforcing discharge
teaching for the caregivers of a client who has Parkinson's disease. Which of the following information
should the nurse include in the teaching?
A is correct. - ANS A nurse is assisting with the care of a client who had a stroke and is unable to speak.
The nurse should identify that the client's injury occurred in which of the following lobes of the brain?
(You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your
answer.)
Loosen clothing around the client's neck. - ANS A nurse observes a client who is lying in bed and
experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
Intra-abdominal bleeding - ANS A nurse is assisting with the care for a client who has acute pancreatitis.
While providing care, the nurse observes ecchymosis around the umbilicus. The nurse should identify
that this is a manifestation of which of the following?
"Use a bronchodilator 30 minutes before your meal." - ANS A home health nurse is assisting with the
care for a client who has COPD. The client reports shortness of breath while eating, despite the use of
home oxygen. Which of the following recommendations should the nurse make?
Cleanse the drainage plug with alcohol swabs. - ANS A nurse is changing the dressing for a client who has
an abdominal incision and a closed-suction drain. Which of the following actions should the nurse take?
Practice 2023 B
The nurse should reduce the temperature in the client's room and limit visitors because the client has
manifestations of hyperthyroidism. Clients who have hyperthyroidism have heat intolerance and require
an environment with decreased stimuli. The nurse should monitor the client for an increased
temperature which can indicate a thyroid storm, as well as the client's weight daily, to monitor for
weight loss. - ANS Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client's progress.
Encourage the client to complete ADLs. - ANS A nurse is contributing to the plan of care for a client who
has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following
interventions should the nurse include?
Compartment syndrome - ANS A nurse is assisting with the care for a client who has a new cast on their
left forearm and reports severe pain in the affected arm with numbness in the fingers. The nurse finds
the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications
should the nurse suspect?
Truncal obesity - ANS A nurse is assisting with the care for a client who has Cushing's syndrome and
expresses concern regarding physical changes associated with the syndrome. Which of the following
should the nurse recognize as a physical change caused by this disorder?
"The medication should be taken before I eat breakfast every morning." - ANS A nurse is reinforcing
teaching with a client who is taking levothyroxine. Which of the following statements by the client
indicates an understanding of the teaching?
Heart rate 120/min - ANS A nurse is collecting data from a client who is being treated for hypovolemia
due to nausea and vomiting. Which of the following findings should the nurse report to the provider?
"Select foods that are low in protein." - ANS FLAG
, A nurse is assisting with the care for a client who reports stomatitis. Which of the following dietary
recommendations should the nurse make?
Notify the charge nurse of the client's blood pressure. - ANS A nurse is reviewing the medical record for a
client who is experiencing nausea and vomiting. Based on the client data, which of the following actions
should the nurse take? (Click on the exhibit tabs for additional information about the client. There are
three tabs that contain separate categories of data.)
Remind the client to avoid watching their feet when walking. - ANS A nurse is reinforcing discharge
teaching for the caregivers of a client who has Parkinson's disease. Which of the following information
should the nurse include in the teaching?
A is correct. - ANS A nurse is assisting with the care of a client who had a stroke and is unable to speak.
The nurse should identify that the client's injury occurred in which of the following lobes of the brain?
(You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your
answer.)
Loosen clothing around the client's neck. - ANS A nurse observes a client who is lying in bed and
experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
Intra-abdominal bleeding - ANS A nurse is assisting with the care for a client who has acute pancreatitis.
While providing care, the nurse observes ecchymosis around the umbilicus. The nurse should identify
that this is a manifestation of which of the following?
"Use a bronchodilator 30 minutes before your meal." - ANS A home health nurse is assisting with the
care for a client who has COPD. The client reports shortness of breath while eating, despite the use of
home oxygen. Which of the following recommendations should the nurse make?
Cleanse the drainage plug with alcohol swabs. - ANS A nurse is changing the dressing for a client who has
an abdominal incision and a closed-suction drain. Which of the following actions should the nurse take?
