RN Learning System Medical-Surgical

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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


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