PN Adult Medical Surgical Practice A with NGN
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of
the following interventions should the nurse identify as the priority? - correct
answersDetermine the client's understanding of the procedure.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the
lower extremities. Which of the following interventions should the nurse include? - correct
answersDangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke.
Which of the following actions should the nurse include in the plan? - correct answersUse
simple verbal cues when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the nurse
include? - correct answersIncontinence of the bowel and bladder
A nurse is preparing to remove a client's NG tube. Which of the following interventions should
the nurse take to decrease the risk for aspiration? - correct answersPinch the NG tube.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten
minutes after beginning the infusion, the client reports intense itching. Which of the following
actions should the nurse take first? - correct answersStop the medication infusion.
A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following
instructions should the nurse include? - correct answers"Consume foods that are low in
sodium."
A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test.
Which of the following instructions should the nurse include in the teaching? - correct
answersAvoid eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an
INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer?
, (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.) - correct answers0.7 mL
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following
information should the nurse include in the teaching? - correct answers"This type of insulin
should be given at the same time every day."
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA)
infection in a surgical wound. Which of the following information should the nurse plan to share
with visitors? - correct answersVisitors must don a gown and gloves prior to entering the client's
room.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot
flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the
following should the nurse recognize as a contraindication to HRT? - correct answersHistory of
treatment for blood clots
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the teaching? -
correct answersIncrease intake of fiber-rich foods.
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription
for baclofen. Which of the following instructions should the nurse include in the teaching? -
correct answersAvoid stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential breakdown over the sacrum.
Which of the following actions should the nurse take? - correct answersMinimize the time the
head of the bed is elevated.
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous
IV infusion. The client reports pain and swelling at the IV site. In which order should the nurse
perform the following steps? (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps.) - correct answersCheck IV site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
Drag words from the choices below to fill in each blank in the following sentence.
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of
the following interventions should the nurse identify as the priority? - correct
answersDetermine the client's understanding of the procedure.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the
lower extremities. Which of the following interventions should the nurse include? - correct
answersDangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke.
Which of the following actions should the nurse include in the plan? - correct answersUse
simple verbal cues when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the nurse
include? - correct answersIncontinence of the bowel and bladder
A nurse is preparing to remove a client's NG tube. Which of the following interventions should
the nurse take to decrease the risk for aspiration? - correct answersPinch the NG tube.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten
minutes after beginning the infusion, the client reports intense itching. Which of the following
actions should the nurse take first? - correct answersStop the medication infusion.
A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following
instructions should the nurse include? - correct answers"Consume foods that are low in
sodium."
A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test.
Which of the following instructions should the nurse include in the teaching? - correct
answersAvoid eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an
INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer?
, (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing
zero.) - correct answers0.7 mL
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following
information should the nurse include in the teaching? - correct answers"This type of insulin
should be given at the same time every day."
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA)
infection in a surgical wound. Which of the following information should the nurse plan to share
with visitors? - correct answersVisitors must don a gown and gloves prior to entering the client's
room.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot
flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the
following should the nurse recognize as a contraindication to HRT? - correct answersHistory of
treatment for blood clots
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the teaching? -
correct answersIncrease intake of fiber-rich foods.
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription
for baclofen. Which of the following instructions should the nurse include in the teaching? -
correct answersAvoid stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential breakdown over the sacrum.
Which of the following actions should the nurse take? - correct answersMinimize the time the
head of the bed is elevated.
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous
IV infusion. The client reports pain and swelling at the IV site. In which order should the nurse
perform the following steps? (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps.) - correct answersCheck IV site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
Drag words from the choices below to fill in each blank in the following sentence.
