Adult health medical surgical

A nurse is reinforcing postoperative discharge teaching with a client following a panhysterectomy for uterine cancer. Which of the following pieces of information should the nurse provide?

"You might experience manifestations of menopause"

A charge nurse is observing a newly licensed nurse provide care for a client. This client is receiving internal radiation therapy for the treatment of cervical cancer. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?

Borrowing a dosimeter film badge from another nurse before entering the clients room.

A nurse is preparing to assist a provider in withdrawing arterial blood from a clients radial artery for ABG measurement. Which of the following actions should the nurse plan to take?

Check the circulation in the clients ulnar artery prior to obtaining the specimen.

A nurse in a dermatology clinic is using the ABCDE method while screening several of a clients skin lesions for skin cancer. Which of the following findings should the nurse report to the provider?

Color variation within a lesion

A nurse is reinforcing dietary teaching with a client who has a history of kidney stones. Which of the following instructions should the nurse include in the teaching?

Drink 3.8L (4 quarts) of water throughout the day

A nurse is assisting with the care of a client who has a history of cirrhosis and was recently admitted with manifestation of hepatic encephalopathy. The nurse should anticipate a prescription for which of the following laboratory tests to determine the possibility of recent excessive alcohol use?

Gamma-glutamyl transferese (GGT)

A nurse is caring for a client who has acute lymphocytic leukemia and reports a fever, chills, fatigue, and pallor over the past week. When checking the clients laboratory results, which of the following values should the nurse identify as contributing to the clients fatigue and pallor?

Hub 6.5g/dL (expected range for men 14-18 and for woman 12-16)

A nurse is on a medical unit is collecting data from a client who recently transferred from the ICU following endotracheal extubation. Which of the following findings should the nurse identify as a possible manifestion of tracheal stenosis and report to the charge nurse?

Increased coughing

A nurse is reinforcing teaching with a client who is preoperative for cataract surgery. The nurse should include in the teaching that which of the following is an adverse effect of cataract surgery?

Intraocular hemorrhages

A nurse is assisting with the planning of an in service training session regarding nutrition. Which of the following minerals should the nurse include as a factor in oxygen transportation?

Iron

A nurse is contributing to the plan of care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following interventions should the nurse recommend?

Offer the client a bedpan every 2 hours

A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should the nurse recommend for the clients plan of care?

Offering the client a diet high in fluid and fiber

A nurse in an acute care facility is preparing to admit a client who has myasthenia gravis. Which of the following supplies should the nurse place at the clients bedside?

Oral-nasal suciton equipment

A nurse is contributing to the plan of care for a client who has cancer and is scheduled to receive internal radiation therapy. Which of the following actions should the nurse recommend?

Place the client in a private room

A nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins. Which of the following actions should the nurse take?

Position the client supine with his legs elevated when in bed.

A nurse is caring for a client who is scheduled to undergo a live biopsy for a suspected malignancy. Which of the following laboratory findings should the nurse monitor prior to the procedure?

Prothrombin time

A nurse is reinforcing dietary teaching with a client who has ulcerative colitis. Which of the following food selections by the client indicates an understanding of the teaching?

Roasted chicken and white rice

A nurse is assisting with the admission of a client who is bedridden and was admitted form home. The nurse notes a shallow crater in the epidermis of the clients sacral area. The nurse should document that the client has a pressure ulcer at which of the following stages?

Stage II

A nurse is evaluating the injection site for a client who had a mantoux skin test 48 hours ago. The nurse finds 10 mm of induration with sight redness. Which of the following conclusions should the nurse make?

The client has been exposed to tuberculosis

A nurse is caring for a client with clostridium difficile who has contact isolation precautions in place. Which of the following actions should the nurse take?

Use dedicated equipment for the client

A nurse is assisting with the admission of a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?

Vasopressin

A nurse is caring for a client who has acute diverticulitis. Which the client has active inflammation, the nurse should instruct the client to include which of the following foods in her diet?

White bread and plain yogurt

A nurse is preparing a client for a magnetic resonance imaging (MRI) of the spine. Which of the following pieces of information should the nurse give the client prior to the procedure?

You can have a mild sedative before the procedure.

A nurse is assisting with preparing a client for a bone marrow biopsy. Which of the following pieces of information should the nurse include in the preoperative instructions?

You'll feel a painful, pulling sensation when the doctor withdrawals the marrow.