PN Adult Medical Surgical Online Practice 2017 A

BUN

A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should the nurse review prior to the procedure?

Keep the client in a side-lying position.

A nurse is contributing to plan of care for a client who was admitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority?

Encourage abdominal breathing.

A nurse is contributing to the plan of care for a client who has chronic obstructive pulmonary disease(COPD) and is dyspneic. Which of the following interventions should the nurse include in the plan?

Recommend a referral for a speech language pathologist.

A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke. Which of the following interventions should the nurse plan to implement first?

"You should have a pneumococcal immunization every 10 years."

A nurse is discussing health screening guidelines with an older adult client. Which of the following statements should the nurse include?

Thrombophlebitis

A nurse is examining a client IV site and notes a red line up his arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the clients manifestations indicate which of the following complications of IV therapy?

Herpes zoster

A nurse is participating in a health fair for older adult clients. Which of the following immunizations should the nurse recommend for this age group?

Apply a mask on the client if transport is needed.

A nurse is planning to implement droplet precautions for a client who has manifestations of pertussis. Which of the following interventions should the nurse include when contributing to the plan of care?

Ventilate with 100% oxygen

A nurse is preparing to suction a client who has a tracheostomy. Which of the following actions should the nurse take first?

"Avoid bending your hips more than 90 degrees."

A nurse is reinforcing discharge instruction with a client who is postoperative following a right hip arthroplasty. Which of the following statements should the nurse make?

Rephrase client instructions when not understood.

A nurse is reinforcing discharge teaching with a client client who has hearing loss. Which of the following actions should the nurse take when communicating with the client?

Increase intake of fiber-rich foods.

A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of the following should the nurse include in the teaching?

"I never forget to rinse my mouth after using my budesonide inhaler" "Between office visits, I keep a record of how many times I used my albuterol inhaler" "I use my albuterol inhaler before I go swimming."

A nurse is reinforcing teaching with a client who has asthma. Which of the following statements indicates an understanding of the use of budesonide and albuterol inhalers?

"I should call my doctor if my ankles swell."

A nurse is reinforcing teaching with a client who has mitral valve disease. Which of the following statements by the client indicates an understanding of the disease process?

"Limit contact with large groups of people."

A nurse is reinforcing teaching with a client who has systemic lupus erythematous(SLE) and is to begin taking methylpresnisolone orally. Which of the following statements should the nurse include in the teaching?

"I understand that testicular cancer is painless."

A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of the statements by the client demonstrates an understanding of the teaching?

Change the sheepskin liner weekly.

A nurse is reinforcing teaching with the family a client who has cervical injury and has a halo vest in place. Which of the following safety precautions should the nurse include in the teaching?

Hgb 11 g/dL

A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving epoetin alfa. The nurse should identify that which of the following laboratory values indicates the treatment is effective?

Prealbumin 12mg/dL

A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse should identify that which of the following laboratory values indicates the client is at risk for delayed wound healing?

Creatinine 1.9 mg/dL

A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure?

Urinary retention

A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the following findings should the nurse report to the provider?

Decreased shortness of breath.

A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the following outcomes from the medication should the nurse expect?

Stop the infusion.

A nurse enters the room of a client whose transfusion of packed RBC's was initiated 15 min ago by the RN. The client reports dyspnea and urticaria. Which of the following action should the nurse perform first?

Small liquid stools

A nurse in a long term care facility is collecting data from a client who reports fullness in the rectum and abdominal cramping. Which of the following findings should indicate to the nurse that the client might have a fecal impaction?

Mohs surgery is a horizontal shaving of thin layers of the tumor.

A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin cancer. Which of the following information should the nurse include in the teaching?

Determine the clients daily elimination habits.

A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical spinal cord injury. Which of the following interventions should the nurse plan to implement first?

Dispose of radiation implants in a lead container.

A nurse is assisting the charge nurse with developing an in-service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include?

Monitor the insertion site for bleeding. Maintain the pressure dressing. Check the clients peripheral pulses

A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral artery. Which of the following actions should the nurse take to prevent post procedure complications?

Obtain a raised toilet seat.

A nurse is assisting with the discharge planning for a client who is postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the discharge plan?

Allow for 30 min of rest before meals.

A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the risk for aspiration?

Into-abdominal bleeding

A nurse is caring for a client who has acute pancreatitis. While providing care, the nurse observes ecchymosis around the umbilicus. The nurse should identify that this is a manifestation of which of the following?

Encourage the client to use an incentive spirometer every hour while awake.

A nurse is caring for a client who is 24 hr postoperative following abdominal surgery and has an NG tube. Which of the following actions should the nurse plan to take to decrease the risk of postoperative complications.

Position pillows between the bony prominences.

A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions should the nurse take?

Minimize the time the head of the bed is elevated.

A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of the following actions should the nurse take?

History of treatment for blood clots.

A nurse is collecting data from a 55-year old female client who reports vaginal dryness and hot flashes. The client is interested in trying hormone replacement therapy(HRT). Which of the following should the nurse recognize as a contraindication to HRT?

A nurse is preparing to administer scheduled medications to a client. Which of the following

Ceftriaxone

Bradycardia

Nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. Which of the following findings should the nurse expect to related to hyperkalemia?