RN Learning System Medical-Surgical
Type 1 DM- Exercise
Always wear med alert ID
Addison's disease- snack foods
American cheese with saltine crackers
A nurse plans to teach a group of young adults health promotion techniques to reduce the risk of skin cancer. Which of the following should the nurse include?
Avoid exposure to the midday sun.
Diabetes Mellitus- lab work for diabetic ketoacidosis
Bicarbonate level of 12 mEq/L
Addison's disease- skin manifestations
Bronze pigmentation of exposed and unexposed skin
Pathophysiology of Acromegaly
Somatropin
A client is admitted for treatment of a malignant melanoma of the left upper leg. Initially, the nurse plans to prepare the client for which of the following?
Surgical excision
Select all- Hyperthyroidism
Tachycardia and hypertension Laryngeal stridor/hoarse voice Positive Trousseau's sign
A nurse is caring for a client who sustained a thermal burn 4 days ago. Most of the burns are superficial partial-thickness and deep partial-thickness, but there are large areas of full-thickness burns as well. Which assessment finding should the nurse report to the client's provider?
Temperature of 39.1 C (102.4 F)
A client has had a basal cell carcinoma removed by surgical excision. The nurse instructs the client to watch for indications of potential malignancy in other moles, including which of the following?
Ulceration
Type 1 DM- Manifestations of hypoglycemia
Urinary frequency
Pheochromocytoma
Vanillylmandelic (VMA)
To promote healing for a client with a large wound healing by secondary intention, the nurse recommends a diet high in protein and which of the following?
Vitamin C
A 15 year old girl was admitted with burns of her face and hands. Which statement indicates to the nurse that the client has adapted to her changed body image?
"Can I go with my family to the visitor's lounge."
A client is being discharged after surgical excision of a malignant melanoma. Which statement indicates to the nurse an understanding of the danger of ultraviolet light?
"I'll reapply my sunscreen every 2 hours when I'm out in the sun."
Type 2 DM- Pathophysiology
"My cells are resistant to the effects of insulin."
A nurse teaches a wheelchair bound client to reduce the risk of pressure ulcer formation by instructing the client to do which of the following?
"Shift your weight in the wheelchair every 15 min."
Hyperparathyroidism- surgical removal of parathyroid glands
Calcium
When targeting a group of clients for health teaching, the nurse should be aware that which group is at greatest risk for developing malignant melanoma?
Clients who are fair-haired, fair-skinned, and of Celtic descent
Adrenalectomy
Compensate for decrease after surgery
Grave's disease- manifestation
Difficulty sleeping
A client with a large healing deep partial-thickness burn of the forearm and wrist is being discharged from the burn treatment clinic. Which of the following should the nurse tell the client to avoid for a year?
Exposure to the sun
A nurse on a surgical unit is caring for four clients with healing wounds. Which of the four clients' wounds should the nurse anticipate will heal by primary intention?
Gastroplasty incision
Diabetes Mellitus- non compliant w/treatment plan
Glycoslated hemoglobin levels
Grave's Disease- thyroid storm
Hypertension
SIADH- monitoring
Hyponatremia
When assessing a bedridden client admitted from home, the nurse notes a shallow crater in the epidermis of the client's sacral area. The nurse documents the presence of a pressure ulcer, noting that it is stage
II
A client arrives at the emergency department with a snakebite of the lower left leg. What should the nurse do?
Immobilize the limb below the level of the heart
Type 2 DM- Hyperglycemia
Increased urination
A client is prescribed 1% silver sulfadiazine cream (Silvadene) to be applied to her burn wounds twice daily. After 3 days of treatment, the nurse suspects an adverse reaction to the medication when the client develops which of the following?
Leukopenia
High risk for Type 2 DM
Men and women who are obese
Somogyi effect
Monitor night time blood glucose levels
Cushing's Syndrome
Osteoporosis
A client comes to the clinic reporting skin lesions. The nurse assesses the lesions and notes that they are 0.5 cm in size, elevated and solid, with very distinct borders. Based on the findings, which of the following should the nurse document the presence of?
Papules
Diabetes Insipidus
Polyuria
A client is brought to the emergency department with severe frostbite. The nurse assessing the client knows the burned appearance of frostbitten tissue is a direct result of which of the following?
Red blood cell aggregation with microvascular occlusion
A client with an un-diagnosed lesion on his right hand is concerned about the possibility of skin cancer. When the client asks what the most serious type of skin cancer is, the nurse responds based on knowledge that most malignant tumors are
melanomas
A nurse is bathing a client with burn injuries in a hydrotherapy tub. The nurse limits the client's hydrotherapy session to no more than 30 min to
minimize sodium loss
A client is hospitalized with extensive full thickness burns of both legs. In response to the client's questions, the nurse explains that the acute phase of burn injury, biological dressings are used primarily to
promote healing
A client is about to undergo a biopsy of a 6-mm, bluish-red lesion. In addition to a thorough skin examination, the nurse knows the most critical assessment to be made at this time is the status of the client's
regional lymph nodes
