MED SURG FINAL

The nurse needs to assess the client adamant to best accomplish this the nurse directs the client to lie in which of the following positions

Supine with knees flexed

A client ask the nurse about some strategies that may be useful to slow the progression of OA in the left knee. which suggestions from the nurse are appropriate. select all that apply

1. Apply heat to the effect knee lose weight start progressive swimming program

The nurse is checking on a client with a fractured femur who is in skeletal traction. which of the following actions is necessary to determine a clients neurovascular status select all that apply

1. Ask the client to wiggle their toes on the affected leg 2. Compare the warmth of both lower extremities 3. palpate for a pulse on the affected limb

The client is diagnosed with a second-degree sprain of the left ankle when planning for the clients discharge the nurse provided instructions for care at home. From the following list select all that apply

1. Do not bear weight on the left ankle 2. Elevate left leg as much as possible 3. keep the ankle wrapped with an ace bandage 4. place an ice pack on the left ankle

The nurse is reinforcing home care instructions to a client newly diagnosed with osteomalacia. which of the following client statement indicates proper understanding of teaching. select all that apply

1. I will eat foods that are fortified with vitamin D 2. I will engage in physical activity to increase bone strength 3. I will use a cane to help me get around better

A nurse admits a client to a medical unit and begins assessment which of the following situation places a client at risk for fractures select all that apply

1. The client had decreased intake of related to cancer treatments 2. the client has a history of diabetes mellitus 3. the client periodically take steroids for a long history of asthma

The nurse is performing pin care on a client placed in skeletal traction the previous day. the pin sites are slightly reddened with a small amount of clear drainage. what is the best option for the nurse to take

Document findings including pincare was administered

A nurse is preparing a client with a long history of colitis for the first stage surgery to remove the colon which is the client statement indicates the client requires more preop education

I will have an ileostomy for the rest of my life

With no changes are made to the day or prescribed insulin which client with type one diabetes Molite us does the nurse anticipate having the highest risk for developing hypoglycemia

40 year old experience swimmer who swims an extra 10 laps

Client with a history of diverticular disease is being discharged after an episode of acute diverticulitis which instruction should the nurse reinforced to reduce the risk of future episodes select all that apply

Drink plenty of fluids exercise regularly include whole grains fruits and vegetables in the diet

The nurse is assisting a client following an episode of severe vomiting and dehydration. the client is now tolerating fluids. what food choice suggestion by the nurse is most appropriate as a client progresses with the diet

Dry toast

What is the priority nursing action in the first 24 hours for a client who has an AKA?

Elevate the affected them to reduce edema

When monitoring the client with cholelithiasis an acute cholecystitis which findings might the nurse note during the health history and physical examination select all that apply

Ingestion of high fat food before onset of pain low-grade fever with chills right upper quadrant pain radiating to the right shoulder

Before administration the contras substance oral tablets taking the evening before the procedure to client scheduled for an oral cholecystography. which question is essential for the nurse to ask?

Is the client allergic to iodine

Which of the following statements indicates to the nurse at the client needs more information related to nutritional needs during an acute attack of gout?

It is OK to have a glass of wine every day

Post operatively before treating the client with the hip prosthesis onto the non-operative side but with the nurse to do first?

Place pillow between the clients legs

After a liver biopsy on the client with cirrhosis which nursing intervention is most appropriate to add to the plan of care

Position the client on the right side

Which nursing action is most appropriate after a liver biopsy is done on a client with cirrhosis

Positioning the client on the right side

A nurse is caring for a client who is 24 hours postop free resection of the colon when auscultating the clients of them in the nurse does not hear any bell sounds what is the next best action by the nurse

Record this anticipated finding

A client presents in the emergency room with a shoulder injury after falling from the step ladder and the nurse assesses the client injuries. which findings best indicates that the client has dislocated shoulder?

The affected arm is shorter than the unaffected arm

During a routine assessment the nurse notes that the clients finger nails have a clubbed appearance . What is the nurse is most valid interpretation regarding this finding

The client may have chronic cardio pulmonary disease

Which option by the nurse best reduces the risk of transmitting the virus for a client diagnosed with HAV

The nurse performs vigorous hand washing after leaving the room

In the emergency emergency department it is determined that a burn victim has deep partial and full thickness burns over 35% of the upper body. during the nursing assessment of the burn injury, what characteristics for the nurse used to identify the initial appearance of a Full thickness burn?

White & leathery

Which of the following signs with the nurse expect when assessing a client with suspected peritonitis select all that apply

abdomen feels rigid pulse rate is elevated

The nurse repairs a community education program about health promotion strategies for postmenopausal women. which of the following teaching points are appropriate to include. select all that apply

1. Consider seeing a dietitian to help with healthy weight maintenance 2. consult with a healthcare provider for cholesterol monitoring 3. engage in a daily weight bearing exercise regimen 4. prioritize consumption of green leafy vegetables and dairy products 5. seek support to cope with any emotional symptoms

Location of the nurses collecting data on a client with acute diverticulitis which running with the nurse report immediately to the register nurse

Abd pain has progressed to left upper quadrant

What does the nurse recognized as important assessment on a 24-year-old client synonym emergency room with complaints of abdominal pain the diagnosis of rule out appendicitis select all that apply

Abdominal pain currently localized in right lower quadrant generalized abdominal pain for 24 hours WBC's of 16,500 cells/mm3

The nurse is reviewing a doctors order on a client admitted with SLE which classification of meds does the nurse expect to see on the orders

Antimalarial

Which of the following actions by the nurse promote safety for a client receiving bolus tube feedings via a NG tube select all that apply

Assess to placement according to agency policy check the residual volume prior to the bolus feeding irrigate the NG tube with 30 ML's water following the bolus

The nurse is assessing a client's abdomen, does not hear any bowel sounds in the RLQ for 5 minutes. what action is best for the nurse to do next?

Auscultate in another quadrant for a minimum of 3 minutes

While backpacking with a youth group client sustained an injury to the lower leg. the nurse who accompanies the group suspects a fracture of the tibia to mobilize the suspected fracture where is the best location to apply to split

Below the ankle to AK

The nurse is preparing to administer 40 mg of oral furosemide. prior to administering the medication the nurse should evaluate which parameters? select all that apply

Blood pressure blood urea nitrogen potassium

A client for days post Colostomy is preparing to be discharged home which findings are concerning and should be further investigated. select all that apply

Client states I will need home health to empty the poucH No bowel sounds are present & the client reports nausea skin surrounding the stoma is red and excoriated

Client is hospitalized with a fractured right hip. what is the most typical sign of an intertrochanteric fractured hip seen during the nurses admission assessment?

External rotation of the leg

The nurse reviews the results of diagnostic test for a client experiencing consist persistent indigestion, feeling of gastric fullness, and unexplained weight loss. which findings best suggest that the client symptoms are related to cancer of the stomach?

Gastric analysis shows the absence of hydrochloric acid

The client is prescribed a long-term pharmacologic therapy with hydroxychloroquine to treat SLE. the nurse should reinforce teaching about which intervention related to the drugs adverse effect

Have an ophthalmologic exam every 6 months

A nurse is providing preprocedure instructions to a client scheduled for a barium enema which of the following statements indicates that the client understands the instructions

I can only have clear liquids the day before the test

A nurse is providing discharge instructions showing an arthroscopy. which of the following statements by the client alerts the nurse to the clients lack of understanding?

I need to wait to call the doctor because a high level of pain is normal

The nurse implement the teaching plan on dumping syndrome for the client who has recently undergone a gastrojejunostomy. after the nurse provide information about restricting carbs, which additional information should the nurse plan to teach this client to help reduce the potential for experiencing the symptoms of dumping syndrome

Lie down for a short time after eating

Family members and asked what can be done to prevent pressure ulcers the nurse would be correct to include all interventions below except

Massaging bony prominences if clients skin does not blanch to promote circulation

During rounds the nurse notice is that a client who is admitted five days ago hepatic cephalopathy is sleeping in showing signs of confusion. the report included that the patient was being prepared for discharge which intervention below is not appropriate for the nurse to implement

Withhold the clients morning dose of lactulose

A client has a colonoscopy while recovering the nurse assesses the clients abdomen which sign indicates a potential complication of the colonoscopy

rebound tenderness

The client has sustained a fractured tibia and is in traction. which signs need to be reported to the primary provider? select all that apply

1. Client complains of throbbing and unrelenting pain 2. client states that the foot of the effective leg is numb 3. clients toes on the effective legs are bluish and cold to touch

With a client with shingles herpes rosters ask the nurse about what causes the disease what is the most correct reply

It is caused by the reactivation of a dormant virus