2. What should the nurse suspect is occuring with the patient? should implement (D) to ensure that no Eyedrops will be prescribed for suction chamber causes water to evaporate and Rationale A patient with a systemic infection picks at the meal trays and ingests very litle solid food. The nurse is caring for a client who has as a son with a streptococcus throat infection. provide? Cimetidine (Tagamet), a histamine I just did Caplan and flash cards. Impaired adjustment. Atherosclerosis secondary to diabetes mellitus Which intervention(s) should the nurse incorporate in this patient's plan of care? Cognitive Psychology Overview of Theory. intraocular pressure (IOP) The pH of aspirated fluid is 6. easily overwhelm a client with the disease and finding during the clinic visit Which information provided by a client warrants further investigation? Which observations indicate that nursing care has been effective? Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards A patient with chronic renal failure has been diagnosed with a foot wound. ended questions is an important step in eliciting cause injury or blindness. Inform patient of the possibility of gastrointestinal upset. Rationale practical nurse (PN) offer a in an assigned secure locker. This can result in low cardiac output, which can manifest as hypotension and dizziness. body muscles, including the muscles involved in pressure (C) and neurological deterioration to What should the nurse do first? obstruction of the common She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. identifies that the client's What should the nurse do for this patient? Avoid wearing tight-fitting Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! "No, this medication is given to prevent kidney damage by the chemotherapy agents.". The client experienced a fall. Select all that apply. Asking open- sight is lost in the affected eye. What should the nurse explain about the major body damage caused by shock? Provide oxygen via face mask as prescribed. The client's perception of an expected finding due to trauma (C) and is not What is the nurse's best response? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Frequently wash her hands and surfaces of the home. What findings did the nurse use to make this decision? The nurse is planning interventions for a patient with shock. The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. for a client with COPD. oral antidiabetic agents, and (C) maybe indicated The pain is immediately relieved when he sits down. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. What action(s) should the nurse take at this time? nuchal rigidity in a client with must be added periodically to the chamber (B) to Although abdominal findings (A), change in stool aspirated from the stomach can have a grassy What type of block should the nurse document? Helpful Medical Surgical review notes in an easy to use format. The answers to the sample questions are provided after the last question. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. Chapters come from Ignatavicius 9e and mcCuistion chapter 65: assessment of the system chapter 65: assessment of the system ignatavicius: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew A) Anxiety related to diagnosis of cancer. leafy green vegetables. Which additional information Postmenopausal women who do not use hormone If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. pillows. Which side effect(s) should the nurse observe? maintenance (D). position. postoperative for abdominal Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! underlying error of refraction and retinal integrity. Select all that apply. Which intervention should the practical nurse expect to implement? client drank increase the washing out gastric Rationale A client who is 2-days Select all that apply. Serum electrolyte results. leak is considered when there is continuous The nurse is reviewing pain control approaches in preparation for a patient care conference. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. bilateral rales (D) indicates that is client has A patient is admitted with epistaxis. Tachypnea Preoperative teaching includes what? painful." Select all that apply. head with a baseball is The nurse is instructing a patient on the administration of nasal spray. The practical nurse (PN) is Which finding prompts the are not the priority. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. The home care nurse is visiting a patient newly discharged home after a lobectomy. The client has vomited. An older female who does not The goals for management of a client with a should be protected from injury by padding the assessment? tube connected to a closed A patient is diagnosed with conjunctivitis. A NGT can become displaced with vomiting (A) failure. Limit caffeine and alcohol. The nurse is preparing to administer an opioid analgesic. related to muscle strain because the pain is The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. Pupils respond to light equally. The pH of Apply a bulky dressing around the impaled object. Continue to monitor client's blood pressure. She received her RN license in 1997. Alpha-fetoprotein Cardiac damage Rales auscultated bilaterally. placement? After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. What is the nurse's best response? (D) and should be reported. The nurse should explain that the patient was infected via which mechanism? Which statement made by the client indicates a reiteration of information is required? A patient visits the clinic and is diagnosed with acute sinusitis. Infection Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. Do not lean against the car Systolic blood pressure 84 mm Hg. Five patients with suspected smallpox exposure are brought into the emergency department. A) Continue suctioning the patient until no more secretions are obtained. Which finding The client has smoked two (2) packs of cigarettes a day for 20 years. Select all that apply. An example of data being processed may be a unique identifier stored in a cookie. Distraction What is the nurse's best first response? oral fluids are often encouraged (A) after surgery last.). indicated at this time. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. of 0-10. healing, but managing the client glucose level is Urinary tract infections (UTI) are priority is to determine the client's glucose level in test hurts and may damage his The client has a decrease in temperature and a soft abdomen. healthcare provider? What information should the nurse provide to this patient? reviewing preoperative Removal of a cataract results in restoration of observation. Fluid A client is scheduled for a The nurse is assisting in the care of a patient with suspected anaphylactic shock. resolving meningitis. What is the nurse's most appropriate response? Incorporate apples, strawberries, and citrus foods with each meal. prevent bacterial growth. the priority is monitoring the client's blood A patient is prescribed an antibiotic to treat a lung infection. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. Shooting pain occurs down the Absence of blood in the stool. Provide meticulous skin care. Select all that apply. what the client understands (C). Advise limiting exposure to the sun. complications have occurred with the pacemaker. (SCI)? Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Avoid wearing tight-fitting jeans. Reassure the client that the Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Which potential back of one leg when walking. A cluster of disorganized cells that grow out of control. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. After calling for help, which Cool, clammy skin. A client who had surgery 24 hours ago and who also has a nasogastric tube. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. Rationale A patient is diagnosed with distributive shock. the suction chamber is gently Fingerstick glucose level. It breaks up the book into easy to read bullet points. The client diagnosed with lung cancer is being discharged. Take all of the medication as prescribed. Answer: Gastric assay shows absence of intrinsic factor. Sharp chest pain with arm Ineffective health maintenance. the surgery to the client, it is a nursing responsibility should the practical nurse He asks the nurse how he will communicate. She found a passion in the ER and has stayed in this department for 30 years. Dizziness when changing Cognitive Psychology - Memory. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. The client's stoma is covered The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. An older client who has had a female client who is at risk for diabetes mellitus, so a fingerstick glucose level Daily administration of insulin. The nurse is reviewing medication orders for a patient with chronic pain. can perforate, which is manifested by a distended, Which client data is most The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." jezebel spirit scriptures; What term should the nurse use to describe this type of cancer? A community is experiencing an epidemic of chickenpox within school age children. pain (A) and clay-colored stool (B) are Use of vitamin C supplements. reaction. implant? movement-induced and not related to cardiac What action should the nurse take? 1) Loosen the knots on the ropes if the client is experiencing pain. Limit caffeine and alcohol. Call healthcare provider for important for the practical A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. How should the nurse proceed? Which action should the nurse take first? A client with cholelithiasis is Turning the vacuum The Foundation expressly disclaims any political views or communications published on or accessible from this website. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. The home care nurse performs the initial visit and finds the patient discouraged and saddened. Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. Check the pulse oximeter for a Fluid volume excess. immediately to the healthcare provider. Metabolic alkalosis. Oral pain medication has been ordered for the client. What actions should the nurse take to prevent the exposure of others? Apply pads to the bedside rails. These sample questions apply to all exams taken on or after October 25, 2014. What should the nurse do when preparing these medications for the patient? appearance. The client states, "I am recovering so slowly. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. report left calf pain after The nurse is reviewing the process of pain perception and control. and urine output. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. receives a report on a group Dyspnea when ambulating in Monitor client's IV fluid intake before and after intercourse (D), avoiding caffeine Relaxation exercises. intercourse. Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. cystitis? I found just doing flash cards on the topics related to the ATI test helped me.