Med surg ati

A nurse is teaching a client who has type 2 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

" I will make sure to wear cotton socks every day."

A nurse is providing teaching to a client who has type 2 diabetes mellitus about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching?

"My cells are resistant to the effects of insulin"

A nurse is providing teaching about exercise to a client who has type 1 diabetes mellitus. Which of the following statements should the nurse include?

"Wear a medical alert identification tag when you exercise."

A nurse is providing teaching to a client who has type 2 diabetes mellitus. The client states, "I eat pasta every day. I can't imagine giving it up." Which of the following responses should the nurse provide?

"You don't have to give up pasta; just adjust the amount you eat."

A nurse is planning to administer fluids to a client who has 25% total body surface area burns. The client has no prior medical history. Which of the following intravenous fluids is contraindicated for this client?

0.45% sodium chloride

A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?

Ask the client to identify the types of foods she prefers

The client at the recovery room is awake and alert. His oxygen saturation is 92% with 2 liters of oxygen via nasal cannula. What is the most appropriate initial nursing intervention?

Encourage deep breathing exercises.

A nurse is planning care for a client who has type 2 diabetes mellitus. Which of the following interventions should the nurse include in the plan?

Encourage the client to control weight

Which of these surgeries serves a diagnostic purpose?

Exploratory laparotomy

A nurse is checking laboratory values to determine if a client with diabetes mellitus is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination?

Glycosylated hemoglobin levels

A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings indicates the client has hyperglycemia?

Increased urination

A nurse is monitoring a client following a thyroidectomy for the presence of hypoparathyroidism. Which of the following findings should the nurse expect?

Involuntary muscle spasms

A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following findings should the nurse expect?

Kussmaul's respirations

Hepatic function is assessed prior to surgery because the liver is primarily involved with which of the following?

Metabolism of anesthesia and other medications

A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor?

Polyuria

Which of the following post-operative nursing actions is most appropriate in maintaining airway patency?

Position the client's head elevated 15-30 degrees, unless contraindicated.

Which of the following assessments should the nurse consider as priority before giving opioid analgesics intravenously in managing post-operative pain?

Respiratory rate

A nurse is providing teaching to a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following manifestations should the nurse include in the teaching?

Shakiness

A nurse is planning care for a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH) with mild manifestations. The nurse should expect the provider to prescribe which of the following medications?

Tolvaptan

A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a client who has had a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse have available at the bedside for this client?

Tracheostomy tray

A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by an adenoma. Which of the following findings should the nurse report to the provider? (Select all that apply.)

A. Tachycardia & hypertension B. Stridor & hoarseness C. Positive Trousseau's

A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. Which of the following laboratory values is consistent with diabetic ketoacidosis?

Bicarbonate level 12 mEq/L

A nurse in the emergency department is caring for a client who has a fruity breath odor, a dry mouth, and extreme thirst. Which of the following assessments should the nurse make?

Blood glucose level

A nurse is reviewing the laboratory reports of a client and notes an elevated thyroid-stimulating hormone (TSH) level. Which of the following findings should the nurse expect?

Bradycardia

A nurse is assessing a client who has Addison's disease. Which of the following skin manifestations should the nurse expect to find?

Bronze pigmentation of the skin

A nurse is caring for a client who is postoperative following a parathyroidectomy to treat hyperparathyroidism. Which of the following laboratory values should the nurse expect to decrease as a therapeutic effect of the procedure?

Calcium

A nurse is planning care for a client who has Cushing's syndrome due to chronic corticosteroid use. Which of the following actions should the nurse include in the plan of care?

Check the client's urine specific gravity

Which of the following will best help the nurse conduct an effective pre-operative teaching?

Determine the client's level of understanding and her readiness to learn.

A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect?

Diaphoresis

A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect the client to display?

Difficulty sleeping

Which of these interventions or actions is a responsibility of the circulating nurse?

Documents the progress of the surgery.

A nurse is reviewing the laboratory results of a client who has diabetes mellitus. Which of the following results indicates that the client's diabetes is controlled?

Fasting blood glucose 95 mg/dL

Which of the following is not an appropriate intervention during the pre-operative phase?

Hourly monitoring of client's vital signs

A nurse in the emergency department is caring for a client who has Addison's disease and reports nausea, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should prepare to administer which of the following medications?

Hydrocortisone

A nurse is caring for a client who has been diagnosed with an Addisonian crisis and has a blood pressure of 74/42 mmHg. Which of the following prescriptions should the nurse anticipate?

Hydrocortisone

A nurse is monitoring a client who has Graves' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider?

Hypertension

A nurse is conducting a home visit for an older adult client who has diabetes mellitus and takes regular insulin subcutaneously before each meal. The client appears disoriented and weak and has slurred speech. Which of the following conditions should the nurse consider first when responding to these manifestations?

Hypoglycemia

A nurse is assessing a client who has Addison's disease. Which of the following findings should the nurse expect?

Hypotension

A client received an epidural anesthesia during surgery. Which of the following will be the priority assessment of the nurse?

Hypotension and respiratory depression

A nurse is teaching a client who has hyperthyroidism about managing this disorder. Which of the following recommendations should the nurse include?

Increase calorie intake with meals

Which of the following assessment parameters are used to determine a client's readiness to transfer from the post-anesthesia recovery room to the surgical unit? (Select all that apply.)

Nausea and minimal vomiting Stable vital signs Pulse oximetry reading of 95% Orientation to time, place, and person

A nurse is providing teaching to a client who has Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching?

Turkey and cheese sandwich

A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a central line. Which of the following actions should the nurse perform?

Weigh the client daily