med surg 1 module questions

The nurse is teaching a patient with iron-deficiency anemia about ferrous gluconate therapy. Which statement, if made by the client, would indicate a correct understanding of the teaching?

" I will take the medication on an empty stomach with orange juice."

you have a patient that needs a urine sample obtained. Please arrange the steps in the correct order.

1. Wash hands 2. Don gloves 3. ID patient x2 & obtain specimen 4. Doff gloves and wash hands

A nurse has taken a client's blood glucose level and obtained a reading of 53 mg/dL and confirmed a second reading of 53mg/dl. The client is appropriately responsive to questioning, but is drowsy and appears pale. What intervention should the nurse prioritize in response to this proven assessment finding?

Administer 15 g of a fast-acting carbohydrate or Dex 4

Clear liquid diet

Liquids that leave little residue

The nurse is assessing a patient with diarrhea. Which outcome would indicate that fluid rescucitation has been successfull?

The patient exhibits firm skin turgor.

The nurse is teaching a client about the risk factors for developing osteoporosis. What is the most important information for the nurse to include? Select all that apply.

Family history Smoking Inadequate dietary intake of calcium

Which of the following statements indicate the patient with iron deficiency anemia understands the nurse's instructions for taking iron?

"I will take the iron on an empty stomach."

Mr. Smith, a 1-hour post op (femoral) heart catherization patient states that he would like to get up to use the restroom, what is the nurses appropriate response?

"You may get up now"

sift diet

Low in fiber, easy to digest​

The nurse is caring for a patient on total parenteral nutrition (TPN). What is the nurse's priority intervention for the client?

Monitoring electrolytes

What symptoms would the nurse expect to find for a patient with appendicitis? Select all that apply.

Right lower quadrant pain Anorexia Nausea

Active-artificial immunity

develops when a vaccine is given.

Active-natural immunity

develops when the body produces antibodies in response to an exposure

A nurse is assigned to four patients. Which patient should the nurse see first?

A patient who is being prepared for a major surgery receiving clopidogrel.

The nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which patient task should the nurse delegate to the UAP?

A patient who needs assistance with food tray

full liquid diet

Clears + liquid dairy products, all juices​

A middle-aged female patient has been diagnosed with hyperthyroidism and admitted to the hospital for treatment. When providing care for this patient, the nurse should prioritize

D. Providing a calm, low-stimulation environment

A patient who suffered a brain injury after falling off a ladder has recently developed Syndrome of Inappropriate Antidiuretic Hormone (SIADH). Which findings indicate that the treatment being received for SIADH is effective? Select all that apply.

Decrease in body weight Rise in blood pressure and drop in heart rate Absence of wheezing Increase in urine output Decrease in urine osmolarity

Which of the following is an example of a result from autonomic neuropathy in a Diabetic patient?

Delayed gastric emptying resulting in poor glucose control, nausea, and vomiting

Ms. Smith underwent a cholecystectomy early this morning and has returned to your medical surgical unit post-operatively. Ms. Smith is grandly obese and complaining of severe abdominal discomfort. In addition to anticoagulant therapy, what other care strategies would be essential for Ms. Smith to avoid a possible deep vein thrombosis (DVT)? Select all that apply.

Early ambulation SCDs/TED Hose Leg excercises

Which of the following conditions would the nurse consider the cause of a fluid and electrolyte or acid-base imbalance?

Eating 3 grams of salt daily Weight being the same each day Gastroenteritis Burn victim Continuous use of furosemide (Lasix) Foley catheter use

For which type of anesthesia is the client intubated with an endotracheal tube?

General anesthesia

occurs when antibodies are passed from the mother to the fetus/newborn.

Passive-natural immunity

A patient comes to the clinic verbalizing a weight loss of 20lbs. over the last month, even with an increased appetite and no change in activity level. The patient is diagnosed with Graves' Disease. Which other signs and symptoms of Graves' Disease would the nurse assess? Select all that apply.

Rapid, bounding pulse Bradycardia Heat intolerance Mild tremors Nervousness

Interpret the following ABG: pH 7.5 PaCO2 27 HCO3 19 Metabolic acidosis Metabolic alkalosis Respiratory acidosis Respiratory Alkalosis

Respiratory Alkalosis

Passive-artificial immunity

occurs after antibodies in the form of immune globulins are administered for immediate protection after exposure has occured.