Medsurg week 1-2

The client with tuberculosis is to be discharged home with nursing follow-up. Which aspect of nursing care will have the highest priority? 1. Offering the client emotional support. 2. Teaching the client about the disease and its treatment. 3. Coordinating various agency services. 4. Assessing the client's environment for sanitation.

2.

What answer contains 3 good food sources of calcium? 1. Canned Tuna, Yogurt, & Whole Grains 2. Canned salmon, Spinach, & Yogurt. 3. Whole Grains, Spinach, & Mushrooms 4. Chicken, Cereal, & Whole Grains

2. Canned Salmon, Spinach, & Yogurt

The nurse is assessing the client diagnosed with COPD. Which data requires immediate intervention by the nurse? 1. Large amounts of thick white sputum. 2. Oxygen flowmeter set on eight liters. 3. Use of accessory muscles during inspiration. 4. Presence of a barrel chest and dyspnea.

2. O2 flowmeter set on eight liters.

The nursing manager is making assignments for the OR. Which case should the manager assigns to the inexperienced nurse? 1. A client having open-heart surgery 2. A client having a biopsy of the breast. (Tissue collection) 3. The client having laser-eye surgery. 4. The client having a laparoscopic knee repair.

2. The client having a biopsy of the breast

The client diagnosed with iron-deficiency anemia is prescribed ferrous gluconate orally. Which should the nurse teach the client. 1. Take Imodium, an antidiarrheal, OTC for diarrhea. 2. Limit exercise for several weeks until a tolerance is achieved. 3. The stools may be very dark, and this can mask blood. 4. Eat only red meats and organ meats for protein.

3.

The nurse is caring for a male client scheduled for abdominal surgery. Which interventions should the nurse include in the plan of care? Select all that apply. -Perform passive range-of-motion exercises. -Discuss how to cough and deep breathe effectively -Tell the client he can have a meal in the PACU -Teach ways to manage postoperative pain. -Discuss events which occur in the post-anesthesia care unit

Discuss how to cough and deep breathe effectively Teach ways to manage postoperative pain. Discuss events which occur in the post-anesthesia care unit.

The surgical client's vital signs are T 98 F, P 106, R 24, and BP 88/40. The client is awake and oriented times three (3) and the skin is pale and damp. Which intervention should the nurse implement first? 1. Call the surgeon and report the vital signs 2. Start and IV of D5RL with 30 mEq KCl at 125 mL/hr. 3. Elevate the feet and lower the head. 4. Monitor the vital signs every 15 minutes.

Elevate the feet and lower the head.

Which activities are the circulating nurse's responsibilities in the operating room? 1. Monitor the position of the client, prepare the surgical site, and ensure the client's safety. 2. Give preoperative medication in the holding area and monitor the client's response to anesthesia. 3. Prepare sutures; set up the sterile field; and count all needles, sponges, and instruments. 4. Prepare the medications to be administered by the anesthesiologist and change the tubing for the anesthesia machine.

Monitor the position of the client, prepare the surgical site, and ensure the client's safety.

What is the goal of nursing in regards to care for a client freshly admitted to the hospital?

Preventative care.

The client is being admitted with folic acid deficiency anemia. Which would be the most appropriate referral? 1. Alcoholics anonymous 2. Leukemia society of America. 3. A hematologist 4. A social worker.

Alcoholics Anonymous

The post operative client is transferred from the PACU to the surgical floor. Which action should the nurse implement first? 1. Apply anti-embolism hose to the client 2. Attach the drain to 20 cm suction 3. Assess the client's vital signs. 4. Listen to the report from the anesthesiologist.

Assess the client's vital signs

The nurse is planning the care of the surgical client having procedural sedation. Which intervention has highest priority? 1. Assess the client's respiratory status. 2. Monitor the client's urinary output. 3. Take a 12-lead ECG prior to injection 4. Attempt to keep the client focused.

Assess the respiratory rate, rhythm, and depth is the most important action.

A nurse is completing the health history for a client who has been taking Echinacea (herbal product) for a head cold. The client asks, "Why isn't this helping me feel better?" Which response by the nurse would be the most accurate? 1. "There is limited information as to the effectiveness of herbal products." 2. "Antibiotics are the agents needed to treat a head cold." 3. "The head cold should be gone within the month." 4. "Combining herbal products with prescription antiviral medications is sure to help you."

1. There is limited information as to the effectiveness of herbal products.

A Client admitted with pneumonia and dementia has attempted several times to pull out the IV and Foley catheter. After trying other options, the nurse obtains a prescription for bilateral soft wrist restraints. Which nursing actions is the most appropriate? 1. Perform circulation checks to bilateral upper extremities each shift. 2. Attach the ties of the restraints to the bed frame. 3. Reevaluate the need for restraints and document weekly. 4. Ensure the restraint prescription has been signed by the health care provider within 72 hrs.

2.

A client newly diagnosed with TB is being admitted with the prescription for "isolation precautions for tuberculosis." The nurse should assign the client to which type of room? 1. A room at the end of the hall for privacy. 2. A private room to implement airborne precautions. 3. A room near the nurses' station to ensure confidentiality. 4. A room with windows to allow sunlight.

2.

A nurse instructs a client with allergic rhinitis about the correct technique for using an intranasal inhaler. Which statement indicates that the client understands the instructions? 1. "I should limit the use of the inhaler to early morning and bedtime use." 2. "It is important to not shake the canister because that can damage the spray device." 3. "I should hold one nostril closed while I insert the spray into the other nostril." 4. "The inhaler tip is inserted into the nostril and pointed towards the inside nostril wall."

3.

The nurse is completing a preoperative assessment on a male client who states, "I am allergic to codeine." Which intervention should the nurse implement first? 1. Apply an allergy bracelet on the client's wrist. 2. Label the client's allergies on the front of the chart. 3. Ask the client what happens when he takes the codeine. 4. Document the allergy on the medication administration record.

3. Ask the client what happens when he takes the codeine.

A client with allergic rhinitis asks the nurse what to do to decrease rhinorrhea. Which instruction would be appropriate for the nurse to give the client? 1. "Use your nasal decongestant spray regularly to help clear your nasal passages." 2. "Ask the health care provider for antibiotics. Antibiotics will help decrease the secretion." 3. "It is important to help increase your activity. A daily brisk walk will help promote drainage." 4. "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks."

4.

The nurse is caring for a client with lab values indicating dehydration. Which clinical symptom is consistent with dehydration? 1. Cool and Pale Skin 2. Crackles in the lung fields. 3. Distended Jugular Veins. 4. Dark, Concentrated Urine.

4.

To improve the oxygenation of a client with ARDS who is receiving mechanical ventilation, the nurse should place the client in which position? 1. Supine. 2. Semi-fowler's 3. Lateral side 4. Prone.

4. Prone

The nurse is assessing the client with COPD. Which health promotion information is most important for the nurse to obtain? 1. Number of years the client has smoked. 2. Risk factors for complications. 3. Ability to administer inhaled medication. 4. Willingness to modify lifestyle.

4. Willingness to modify lifestyle.

The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicated further teaching is needed? 1. "I will be glad when this is over so I can go home today." 2. "I will not be able to eat or drink anything prior to my surgery." 3. "I can practice relaxing by listening to my favorite music." 4. "I will need to get up and walk as soon as possible."

A. Client will be stuck in hospital for a few days.

What are the signs and symptoms of infection in the respiratory system? Select from the following -Bright Red skin color -Very hot or very cold -Smell (Putrid due to infection) -Purulent stinky drainage. -Compensatory mechanisms to assist breathing (posture, position, etc)

A: All of them.