chapter10 med surg

a nurse is caring for a client who has a serum sodium level of 133 nEw/L and a serum potassium level of 3.4mEq/L. which of the following treatments is a risk factor for these laboratory findings

3 tap water enemas

a nurse is reinforcing teaching about menstration with an adolescent female client which of the following statement should the nurse include

a range of a typical menstrual cycle is between 23 and 35 days ovulation typically occurs around the 14th day of the menstrual cycle a menstruation period Can last as long as 9 days

a nurse is collecting data from a client who has a castic compound fracture of the femur the nurse should identify which of the following findings as a manifestation of fat emboli

altered mental status

a nurse is reinforcing discharge teaching with a client who had a wound debridement for osteomyelitis which of the following information should the nurse include

antibiotic therapy should continue for 3 months

a nurse is collecting data from a client who has hypomagnesmia which of the following techniques should the nurse use to check the chvostek sign

tap lightly on the clients cheek.

a nurse is assisting with a preoperative teaching plan for a client who is scheduled to have a total hip arthroplasty which of the following should the nurse include in the teaching plan

Complete Autologous blood donation use an abductor pillow when turning perform isometric exercises

a nurse is collecting data from a client who has hyperkalemia which of the following disorders is a risk factor for this electrolyte imbalance

Diabetic ketoacidosis

a nurse is collecting data from a client who has a serum potassium level of 5.4 MEq/L. which of the following manifestations should the nurse expect

ECG changes hypotension

a nurse in a clinic is reinforcing teaching with a client who has a history of migraine headaches about a new prescription for zolmitriptan. which of the following statements by the client indicates an understanding of the teaching

I should expect facial flushing when I take this medication

a nurse is reinforcing teaching with a client about how to manage an external fixation device upon discharge which of the following client statements indicate understanding

I will clean the pins twice a day I will use a separate cotton swab for each pin I will report loosening of the pins to my doctor I will report increased redness at the pin sites.

a nurse is reinforcing discharge instructions with a client who has a new diagnosis of migraine headaches which of the following instruction should the nurse include

apply a cool cloth to the face during a headache

a nurse is collecting data from a client who has a new diagnosis of multiple sclerosis which of the following findings should the nurse expect

areas of paresthesia involuntary eye movements ataxia

a nurse is reviewing the health record of a client who is to undergo total joint arthroplasty the nurse should recognize which of the following findings as a contradictation to this procedure

bronchitis

a nurse is admitting a client to the orthopedic unit following a total knee arthroplasty which of the following actions should the nurse take

check continuous passive motion device settings palpate dorsal pedal pulses Elevate heels off the bed

a nurse is assisting with planning discharge teaching for a client who had a total hip arthroplasty which of the following instruction should the nurse include

clean the incision daily with soap and water sit in a straight back armchair use a raised toilet seat

a nurse in a provider's office is collecting data from a client who has cluster headaches which of the following findings should the nurse expect

client's experience altered sleep awake cycle headache occurs at approximately the same time of day nasal congestion and drainage occurs

a nurse is reviewing the medical record of a client who is menopausal which of the following findings should the nurse expect

decreased bone density decrease skin elasticity

a nurse is reviewing the medical record of a client who has premenstrual syndrome PMS the nurse should identify that which of the following medications are used to treat PMS

fluoxetine spironolactone ethinyl estradiol/drospirenone

a nurse is caring for a client who has a nasogastric tube with low intermittent suctioning the nurse should monitor the client for which of the following electrolyte imbalances

hyponatremia and hypomagnesemia

a nurse is providing support to a client who has a new diagnosis of endometriosis the nurse should inform the client that which of the following conditions is a possible complication of endometriosis

infertility

a nurse is collecting data from a client who had an external fixation device applied 2 hours ago for a fracture of the left tibia and the fibula the nurse should identify which of the following findings as a manifestation of compartment syndrome

intense pain when the left foot is passively moved hard swollen muscle in the left leg burning and tingling of the left foot client reports of minimal pain relief following a second dose of opioid medication

a nurse is obtaining a health history from a client who is being elevated for the cause of frequent headaches which of the following questions should the nurse ask to identify the findings of migraine headaches

is there a pattern of headaches among family members

a nurse is caring for a client who has multiple sclerosis which of the following findings should the nurse expect

loss of congnitive function

a nurse in a provider's office is providing information to a client who is dysfunctional uterine bleeding dub which of the following client statement indicates understanding of the information

my heavy bleeding can be due to a hormone imbalance my doctor May perform a D&C to find out what causes my abnormal bleeding

a nurse is collecting data on a client who is scheduled to undergo a right knee Ortho plasty the nurse should expect which of the following findings

pain when bearing weight joint crepitus swelling of the affected joint limited joint motion

a nurse in a clinic is caring for a client who has frequent migraine headaches the client asks about foods that can cause headaches the nurse should recommend that the client avoid which of the following Foods

salted cashews

a nurse is caring for a client who has a right hip fracture which of the following immobilization devices should the nurse anticipate

skeletal traction

a nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen which of the following statements should the nurse include in the teaching

this medication may cause your skin to appear yellow in color.