Exam 2 Med Surg

A nurse is providing teaching to a client about measure to prevent urinary tract infections (UTIs). Which of the following client statements indicates a nurse for further teaching?

"I will need to wipe my perineal area from back to front after urination"

A nurse is providing teaching to a client who has prescription for heat therapy for treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?

"I'll wrap a warm, wet towel around my right calf every 4 hours"

MATH A nurse is preparing to administer hydrocortisone 100mg IM daily to a client. Available is hydrocortisone 250mg/2ml. How many mL should the nurse administer per dose. Round to the nearest tenth.

0.8

A nurse is reviewing information with a female client who has frequent UTis. Which of the following information should the nurse include. Select all that apply

1. Empty the bladder when there is an urge to void 2. Avoid sitting in a wet bathing suit 3. Take a shower daily

A patient is scheduled for a magnetic response imaging (MRI) scan of the pelvis. What does the nurse include when preparing this patient for the test? Select all that apply

1. Remove all medication patches. 2. Ensure all metal jewelry and hair items are removed. 3. Assess for metal implants

Which cells are produced by the red marrow of bones. Select all that apply.

1. Thrombocytes 2. Osteoblasts 3. Leukocytes

A nurse is teaching a client who has psoriasis about possible treatment options. Which of the following treatments should the nurse include in the teaching? Select all that apply

1. UV Light Therapy 2. Tar preparations 3. Corticosteroids

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hour. The client weighs 198 lbs. How many mg should the nurse administer with each dose. Round to the nearest who number

113

MATH A nurse is preparing to adminster 40 mEq of potassium chloride in 45% sodium chloride (NaCI) 500 mL IV to infuse 10 mEq/hr. The nurse should set the IV pump to deliver how many mL/hr? round to the nearest whole number

125

MATH A nurse is preparing to administer naproxen 500 mg PO BID for a client who has osteoarthritis. The amount available is naproxen 125 mg/5 mL oral suspension.How many mL should the nurse administer per dose? Round the the nearest whole number

20

MATH A nurse is preparing to administer 0.9% sodium chloride IB infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis . The nurse should expect the IV pump to infuse over how many hours? (Round to the nearest whole number)

5

A nurse in an urgent care center is caring for a client who experienced an ankle injury. Prior to examination by the provider, which of the following nursing actions should the nurse perform? Select all that apply

A. Apply a compression bandage. B. Apply ice to the affected area. C. Elevate the foot.

A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. Which of the following findings is the priority for the nurse to report to the provider?

Absent urine output for 1 hour

A nurse caring for a client who has acute osteomyelitis. Which of the following interventions is the nurses priority?

Administer antibiotics to the client

A nurse is providing teaching to a client about a new prescription for clotrimazole topical cream, Which of the following statements should the nurse include?

Apply the topical medication for up to 2 weeks after the fungal lesions are gone.

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound drainage specimen for culture?

Cleanse the would with 0.9% sodium chloride saline irrigation before obtaining the specimen.

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

Confusion

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk of renal calculi?

Dehydration

A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing material?

Dispose of the dressing in a biohazardous waste container

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Drink 3 L of fluid every day

A nurse is developing a plan of care for a client who has cellulitis of the leg. Which of the following interventions should the nurse include in the plan?

Elevate the affected leg on two pillows

A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?

Encourage intake of at least 3 L of fluids per day

A nurse is caring for a client who has a new diagnosis of urolithiasis. which of the following shoudl the nurse identify as an associated risk factor?

Family history

A nurse is caring for a client who has a large lower-leg ulcer. Which of the following foods should the nurse suggest to the client to provide the most protein for wound healing?

Grilled Salmon

A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan?

Identify effective stress reduction techniques

A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the clients affected arm?

Increased edema

A nurse is assessing a client who has a fracture of the femur. The nurse obtains vitals signs on admission and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication?

Increased respiratory rate from 18 to 44/min.

A nurse is caring for a client who has peripheral arterial disease ( PAD). Which of the following symptoms should the nurse expect to find in the early stage of the disease.

Intermittent claudication

A nurse is assessing a male client who has advanced peripheral arty disease (PAD). Which of the following findings should the nurse expect?

Leg pain at rest

A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifesting of a stage 3 pressure ulcer?

Necrotic subcutaneous tissue

A nurse is assessing a client who has a urine output of 250 mL in a 24 hour period. Which of the following descriptive terms should the nurse place in the client electronic record?

Oliguria

In providing care to a patient diagnosed with osteoporosis, the nurse correlates which pathophysiological mechanisms to the disease process?

Osteoclastic activity is greater than osteoblastic activity

A nurse is teaching a client who has a fractured femur about fat emboli syndrome. Which of the following findings should the nurse include as a manifestation of fat embolism?

Petechiae of on the chest

A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?

Protein

A nurse is teaching a group of nursing students about pyelonephritis. Which of the following statements should the nurse include in the teaching?

Pyelonephritis increases a pregnant woman's risk for preterm labor.

In evaluating a patient's musculoskeletal system, the nurse assess which parameters to determine joint mobility?

Range of Motion

A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is experiencing flank pain. Which of the following adverse effects should the nurse suspect?

Renal Stones

A nurse is providing discharge teaching to a client who has a fracture of the right tibia and a fiber glass cast. Which of the following instructions should the nurse include in the teaching?

Report any worsening or unrelieved pain

A nurse is planning care for a client who is confined to the bed. Which of the following actions should the nurse include in the plan?

Reposition the client at least every two hours

A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

Reposition the client every 2 hours

The nurse correlates which laboratory results to an increased risk for fracture in the adult patient?

Serum Calcium 7.0 mg/dL

A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize that which of the following laboratory findings will affect wound healing?

Serum albumin 3.2 g/dL

A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?

Silvery, white scales

A nurse in a client is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

Smokes 1 pack of cigarettes per day

A nurse is teaching a client who has a pelvic fracture about manifestations of far embolism syndrome. The nurse should include which of the following finds as an early manifestation?

Tachypnea

The nurse is caring for a client on a medical unit. After the shift report, Which client should the nurse assess first?

The 78-year-old client with pressure ulcers who has a temperature of 102.3

A nurse is caring for a client and observers that the client urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

Urinary tract infection

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the clients skin?

Use a transfer device to client in bed.

The nurse is unable to palpate the clients left pedal pulses. What should the nurse do first?

Use doppler ultrasound device

A nurse is reviewing the laboratory results for a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

WBC Count