Med-Surg Practice Questions Week 7

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes? a.) To prevent fluid accumulating in the wound b.) To limit the amount of bleeding from the surgical site c.) To provide a means for medication administration d.) To eliminate the need for wound irrigations

a.) To prevent fluid accumulating in the wound

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect? a.) pH 7.25, HCO3- 19mEq/L, PACO2 30 mm Hg b.) pH 7.30, HCO3 - 26 mEq/L, PACO2 50 mm Hg c.) pH 7.50 7.50, HCO3-20 mEq/L, PaCO2 32 mm Hg d.) pH 7.55, HCO3 - 30 mEq/L, PaCO2 31 mm Hg

a.) pH 7.25, HCO3- 19mEq/L, PACO2 30 mm Hg

A nurse is caring for a client who has chemotherapy - induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms? a.) Extremities that turned blue when exposed to cold b.) Tingling feeling in the extremities c.) Jerking movements of the extremities d.) Spasms of the extremities

b.) Tingling feeling in the extremities

A nurse is caring for a client who has Addisons' disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take? a.) Provide a low-carbohydrate diet b.) Weigh the client daily c.) Administer oral corticosteroids d.) Restrict fluid intake

b.) Weigh the client daily

A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was a.) dysphagia b.) hoarseness c.) dyspnea d.) weight loss

b.) hoarseness

A nurse is caring for a client who has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor? a.) Confusion b,} Weakness c.) Increased intracranial pressure d.) Increased urinary output

b.) weakness

A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations? a.) Kussmaul respirations b.) Apneustic respirations c.) Cheyne-Stokes respirations d.) Stridor

c.) Cheyne-Stokes respirations

A nurse is providing discharge instructions to a client who developed deep-wein thrombosis (DVT) postoperativel and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include? a.) Applying cool compresses to her legs b.) Wearing loose, non-constricting stockings c.) Flexing her knees and feet frequently d.) Taking an NSAID tablet daily

c.) Flexing her knees and feet frequently.