med surg nclex questions

A client weighing 158 lb is ordered to receive 5 mg/kg of cyclosporine daily. How many milligrams should the client receive? Record your answer using a whole number.

359 or 360

A patient presents with a Stage 3 pressure ulcer to the sacrum. The wound has a large amount of exudate. What type of dressing would be utilized for this type of wound?

Absorptive

An obese patient is admitted with intertrigo between the abdominal skinfolds. The physician treats the patient for the presence of C. albicans. Which interventions are used for this condition?

Apply antifungals and corticosteroids as ordered

Which of the following nurse actions is appropriate to maintain integrity of the skin when providing care?

Apply topical medications after cleansing in skin folds and drying thoroughly

A patient with a minor skin infection has orders to apply which of these topical medications?

Bacitracin and polymyxin B (Polysporin)

A patient comes to the outpatient clinic and is diagnosed with gonorrhea. What initial treatment would the nurse anticipate will be initiated?

Ceftriaxone (Rocephin) and azithromycin

Which STI can be manifested by infant inclusion conjunctivitis?

Chlamydia

Which infections are classified as curable sexually transmitted infections?

Chlamydia, gonorrhea, syphilis, and trichomonas

Which nursing interventions are effective in preventing pressure ulcers?

Clean the skin with warm water and a mild cleaning agent; then apply a moisturizer.

The physician orders hourly urine output measurement for a postoperative client. The nurse records the following amounts of output for 2 consecutive hours: 50 ml (8 a.m.)(0800), 60 ml (9 a.m.) (0900). Based on these amounts, what should the nurse do?

Continue to monitor and record hourly urine output

The nurse is working in the postoperative area and just received a patient recovering from a blepharoplasty. For which possible complications should the nurse monitor? (Select all that apply.)

Corneal injury hematoma

A patient is diagnosed with Chlamydia. What should the nurse recognize as the priority for optimizing the patient's health?

Diagnostic testing for other STIs

Read over the patho of burns p1129 place steps in order

Fluid shifts from bloodstream to extracellular tissue, hypoproteinemia

The nurse is caring for a patient who sustained a burn injury 1 week ago and has been transferred to the nursing unit. The patient has a bounding pulse and hypertension. This would signify which condition?

Fluid volume excess

The nurse will be administering Penicillin G to a patient who has a recent diagnosis of syphilis. What should the nurse remember about this treatment? (Select all that apply.)

Have the patient watch for headache, fever, muscle aches A single dose is usually sufficient.

What medical treatment is appropriate for the care of minor burns?

Hold the burned area under cool running water, apply a cool wet compress

Which signs and symptoms would the nurse expect for a patient in hypovolemic shock

Hypotension, tachypneic, tachycardic, decreased urine output

Which of the following is true regarding Herpes Zoster

In some people who have had chickenpox the virus remains latent in nerve tissue until the infection is activated in the form of shingles.

The nurse is understands that necrotizing fasciitis is described by which statement?

Infection of deep fascial structures under the skin, organisms excrete enzymes that destroy blood vessels that supply the affected area

A school nurse is scheduled to talk to a group of college students about sexually transmitted infections. The nurse would caution the students to avoid which unsafe practices? (Select all that apply.)

Insertion of hand into vagina or rectum Ingestion of urine or semen Oral sex without a condom

Nursing care for management of wound vac for a patient

Maintain suction intermittently or continuously per physician order

The LVN/LPN is preparing to change a dressing on a patient with negative pressure wound therapy. Which of these is the most important nursing intervention?

Medicate the patient about 1 hour before the procedure.

The nurse is determining the presence of jaundice in a dark-skinned patient. Observation of which areas would assist in the visual evaluation? (Select all that apply.)

Oral mucous membranes Palms of hands Conjunctivae Soles of feet

The nursing supervisor becomes concerned after overhearing a nurse state, "People who get sexually transmitted infections (STIs) deserve whatever happens to them. They shouldn't have been engaging in promiscuous behavior." Which statement best describes the reason the nursing supervisor is concerned?

Patients may be reluctant to seek care when they fear being judged.

A patient presents for a shave biopsy of a skin lesion on the shoulder. What type of excision is done with this procedure?

Specimen obtained from the dermis with a scalpel

A client is brought to the emergency department with partial-thickness and full-thickness burns over 15% of the body. Admission vital signs are as follows: blood pressure, 100/50 mm Hg; heart rate, 130 beats/minute; respiratory rate, 26 breaths/minute. Which nursing interventions are appropriate for this client?

Start an IV, administer IV morphine, Administer tetanus prophylaxis, as ordered

A wound culture has been ordered; proper technique includes which of the following

Swab from the inside of the wound outward to collect drainage

A patient reveals the use of angelica as an alternative therapy. Which instruction should the nurse provide for this patient?

The agent can cause a skin rash if a patient is exposed to sunlight.

A patient with bacterial vaginosis is being treated with metronidazole (Flagyl). A few days after beginning the treatment, the patient begins to experience vomiting and has a blood pressure of 90/60 mm Hg and a pulse of 110 beats/min. What would the nurse suspect?

The patient has consumed alcohol and is experiencing a disulfiram-like reaction.

An older adult patient is complaining about her wrinkled skin. How could the nurse explain this occurrence to her?

This is caused by thinning of the skin and degeneration of elastin fibers.

A patient has received an order for ketoconazole (Nizoral). The nurse knows that this medication is used for which purpose?

To treat a fungal infection

Which of these are accurate descriptions of basal cell carcinomas? (Select all that apply.)

Treated with surgical excision Related to sun exposure Pearly appearance

A woman of childbearing age is to begin taking Soriatane. Which instructions should the patient receive concerning this medication?

Use reliable contraception during therapy and for 3 years after therapy with Soriatane.

Which of the following are classic symptoms of Impetigo usually seen in the pediatric population?

Vesicle or pustule that ruptures leaving a thick crust

The nurse is reinforcing prior education for a client on how to prevent development of basal cell epithelioma. Which information is most important for the nurse to tell the client?

avoid exposure to sun

Which should be included in the patient teaching for STIs? pt teaching box p 1097

avoid sexual activity until your infection is cured

Patients who are pregnant, malnourished, immunosuppressed, or taking antibiotics are among those who are at risk for which condition?

candidiasis

Which of the following is not an age related change of the integumentary system?

decrease in puritus and dryness

A client returns from the operating room with a partial-thickness skin graft on the left arm. The donor tissue was taken from the left hip. In planning immediate postoperative care, which interventions should the nurse include?

elevate the left arm and provide complete rest of the grafted area

appropriate measures to prevent pressure ulcer formation

encourage active and passive rom every 8 hours

which of the following is inaccurate regarding cellulitis

fever is a common sign or symptom

s/s of hypovolemia (fluid volume deficit)

hypotension and decreased urinary potput

Which of these is a general term used to document a wound, sore, tumor, or other tissue damage?

lesion

A nurse is caring for a client who is at risk for skin breakdown. To decrease the risk, the nurse must help ensure that the client remains adequately hydrated. Which action can the nurse take to help determine the client's fluid needs?

measure i&O

which of the following is appropriate for a patient with atopic dermatitis (eczema)

nails should be cut short and kept clean

Which medications are appropriate topical antifungals used to treat fungal infections

nystatin and clotrimazole

The LVN/LPN is conducting an assessment on a patient with anxiety and notes that the patient has white lips, mucous membranes, and nail beds. How is this documented?

pallor

Medical treatment focus for a burn client during the emergent phase does not include which of the following

providing rehabilitation resources to the client

A patient is being treated with intravenous amphotericin B for a severe fungal infection. This drug treatment is highly toxic to which body system?

renal

An older adult patient is admitted to the hospital with multiple large, purplish bruises on the arms. When questioned further, the patient states "these happen when I barely bump into something". How are these lesions documented?

senile purpura

Which task can a licensed practical nurse (LPN) safely delegate to a nursing assistant?

turn client every 2 hours

A patient had a deep skin biopsy. How should the nurse respond to the patient's concern about postprocedure care?

"An appointment will be made for you to return for suture removal."

A male patient is newly diagnosed with HIV and is informed that he needs to wear condoms. Which statement by the patient would suggest that further education is required?

"I am not going to be able to use spermicidal agents."