MEDSURG

c. Placing patient in semi fowlers position knees.

1. A client with peripheral arterial disease complains of leg pain when walking and reports relief when in rest. The nurse's correct intervention for the client will include a. Elevating legs above the heart level when sleeping. b. Massaging legs 3x a day. c. Placing patient in semi fowlers position knees. d. Applying warm compress 10x a day.

d. 360 joules

10. How many joules is the maximum electricity output that is needed for defibrillation? a. 300 joules b. 50 joules c. 150 joules d. 360 joules

a. CPR and epinephrine IV push

11. The client becomes pulseless with a monitored rhythm ventricular tachycardia following a motor vehicle accident and a fracture right femur. The nurse should prepare for: a. CPR and epinephrine IV push b. Mechanical ventilation and administration of sodium bicarbonate c. atropine IV and intubation with mechanical ventilation d. Isoproterenol (Isuprel) followed by CPR.

a. six months

12. Discharge teaching for a client with angina includes a complete review of nitroglycerine usage. The nurse tells the client that sublingual nitroglycerine can be used after the vial has been opened for up to: a. six months b. one week c. one month d. four months

b. take another tablet sublingually

13. What advice should the nurse give a client who takes sublingual nitroglycerin tablet without relief of pain? a. Go to emergency department b. take another tablet sublingually c. take two more tablets orally d. double the strength of the next dose

d. Troponin I and T

14. Which of the following is the most accurate and sensitive cardiac enzyme to confirm MI? a. CK-MB b. Myoglobin c. LDH d. Troponin I and T

a. CK MB

15. What cardiac enzyme is specific to myocardial damage? a. CK-MB b. Myoglobin c. LDH d. Troponin I and T

b. Drinking alcoholic beverages of 5-6 cans/day.

2. Which of the following activities will constitute to primary hypertension? a. Smoking marijuana 3x a week. b. Drinking alcoholic beverages of 5-6 cans/day. c. eating canned foos every other day. d. Consuming 2-3 cups of coffee per day.

a. BP

3. A patient with a history of hypertension, admitted due to social withdrawal and decrease ADL. Which to assess first? a. BP b. Lifestyle and sleep patterns c. Level of cognition d. Social life

b. "Have you experienced any childhood sickness?"

4. Which of the following is appropriate to ask in obtaining the history of a client with mitral valve stenosis? a. "Are you taking any long term drug?" b. "Have you experienced any childhood sickness?" c. "Do you engage yourself in smoking?" d. "Are you consuming high fat fods?"

a. "I will avoid sexual intercourse because it might dislodge my pacemaker"

5. A patient with pacemaker was assigned to the nurse. When dose the nurse need to intervene? a. "I will avoid sexual intercourse because it might dislodge my pacemaker" b. "I will remind the airport security for having a pacemaker" c. "I need to avoid contact sports" d. "I should come back to my health care provider about 10 years to have a battery change"

D. Tall peaked T waves ( HYPERKALEMIA ) P- waves are flat/ prolonged PR interval Widened QRS complex T- tall, peak, heightened T waves

7. A nurse reviews the electrolyte results of an assigned client and notes that the potassium level is 6.4 mEq/L. Which of the following would the nurse expect to note on the electrocardiogram as a result of the laboratory value? a. Inverted T waves b. Prominent U waves c. ST depression d. Tall peaked T waves

a. bed rest with elevation of the affected extremity.

8. A client is diagnosed with varicose veins. A nurse develops a plan of care for the client and includes which client position/ activity in the plan? a. bed rest with elevation of the affected extremity. b. bed rest with the affected extremity in a dependent position. c. out-of-bed activities as desired. d. bed rest with the affected extremity kept flat.

c. "you are concerned your loved one receives the best care."

9. A client is admitted to a medical unit with nausea and bradycardia. The family hands a nurse a small white envelope labeled "heart pill". The envelope is sent to pharmacy and reveals digoxin (lanoxin). A family member states, "that doctor doesn't know how to take care of my family." The most therapeutic response by the nurse would be a. "You're right> I've never seen a doctor put pills in an envelope" b. I think you are wrong. that physician has been in practice over 30 years." c. "you are concerned your loved one receives the best care." d. "Don't worry about this. I'll take care of everything."

c. place precaution signs on the client's room

A client with cervical cancer is prescribed with an internal radiation implant. When caring for this client, the nurse should observe which of the following actions? a. limit time with the client for 1 hour per shift. b. pregnant nurse can be assigned to the client as long as she is wearing dosimeter bandage. c. place precaution signs on the client's room d. individuals 16 years old and below may be allowed to visit as long as they maintain 6 feet distance from the client.

b. prone

A nurse assists a physician in performing a liver biopsy. After the biopsy the nurse plans to place the client in which of the following positions? a. supine b. prone c. A left side-lying position with a small pillow or folded towel under the puncture site. d. a right side-lying position with a small pillow or folded towel under the puncture site.

5-10 years

Battery lifespan (in years) of LITHIUM PACEMAKER

10-20 years

Battery lifespan (in years) of NUCLEAR PACEMAKER

b. 1 week after menstruation begins.

The community health nurse is instructing a group of female clients about breast self-examination. the nurse would instruct the client to perform the examination a. at the onset of menstruation b. 1 week after menstruation begins. c. every month during ovulation d. weekly at the same time of day `

b. to avoid the use of deodorants, powders, or creams on the day of the test

The nurse is preparing a client for a mammography. The nurse tells the client a. that mammography takes about 1 hour. b. to avoid the use of deodorants, powders, or creams on the day of the test. c. that there is no discomfort associated with the procedure. d. to maintain a nothing-by-mouth status on the day of test

c. weight daily

Which is a correct understanding regarding MI? a. Administer Digoxin to prevent cardiac dysrhythmias b. Use salt substitutes c. weight daily d. Sexual activity can be resumed after the patient can step a flight of stair.

3.5 - 5 mEq/liter

normal potassium level

c. flushing urine in the toilet twice

oral radioactive iodine is prescribed as a mode of treatment for a client with thyroid cancer. the nurse understands the mechanism of this treatment and includes which of the following action i the care plan? a. limit client's visitors per day. b. wearing dosimeter film bandage when caring the client c. flushing urine in the toilet twice d. prepare long-handled forceps in the client's bed side

a. a superficial injury to tissue from the radiation.

the client is undergoing radiation therapy to treat lung cancer. Following the treatment, the nurse notes erythema on the client's chest and neck, and the client is complaining of pain at the radiation site. The nurse interprets this assessment data as a. a superficial injury to tissue from the radiation. b. an allergic reaction to the radiation c. a muscular reaction to products formed by the of lysis of the neoplastic cells. d. an ischemic injury, much like decubitus formation, caused by pressure from the linear accelerator.

a. "that's important to report even though it might not be serious."

the client reports to the nurse that when performing testicular self-examination, he found a lump the size and shape of a pea. the most appropriate response to the client is which of the following? a. "that's important to report even though it might not be serious" b. "that could be cancer. I'll ask the doctor to examine you." c. "let me know if it gets bigger next month" d. "lumps like that are normal; don't worry."

c. alopecia

the community health nurse conducts a health promotion program regarding testicular cancer to community members. the nurse determines that further information needs to be provided if a community member states that which of the following is a sign of testicular cancer? a. painless testicular swelling b. heavy sensation in the scrotum c. alopecia d. back pain

b. that the best time for the examination is after a shower.

the nurse is instructing the client to perform a testicular self-examination. the nurse tells the client a. to examine the testicles while lying down b. that the best time for the examination is after a shower c. to gently feel the testicle with one finger to feel for a growth. d. that the testicular examinations should be done at least every 6 months.