Quiz: Med-Surg Final

A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?

"I should check my heart rate each day."

A nurse is reinforcing teaching with a client who has stomatitis due to chemotherapy. which of the following statements by the client indicates a need for further instructions?

"I will cleanse my mouth after meals with an alcohol-based mouthwash."

A nurse is assisting with the care of a client who is to receive a transfusion of packed red blood cells (RBCs). Which of the following actions should the nurse take? (Select all that apply.)

- Check and document the client's vital signs - Verify that the blood type and Rh of the packed RBCs are checked by two other nurses - Provide the RN with IV tubing that has a filter

A nurse is preparing to care for a group of clients after receiving change-of-shift report. From which of the following clients should the nurse collect data first?

A client who has emphysema and reports dyspnea

A nurse is reinforcing teaching with a client about how to perform a breast self exam (BSE). The nurse should identify which of the following findings as an indication of breast cancer?

A nontender, hard lump that is palpated in one breast

A community health nurse is reinforcing teaching about melanoma with a group of clients. Which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching?

An irregular border

A nurse is collecting data from a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first?

Ask the client to identify the specific food allergies.

A nurse is caring for a client who is to have his chest tube removed. Which of the following actions should the nurse take?

Auscultate the lungs after removal

A nurse is contributing to the plan of care for a client who has thrombocytopenia due to chemotherapy. Which of the following interventions should the nurse include?

Avoid IM injections

A nurse in reinforcing teaching about a low-cholesterol diet with a client who has a myocardial infarction. which of the following meal selections by a client indicates an understanding of the teaching?

Chicken breast and corn of the cob

A nurse is caring for a male client who is undergoing screening tests for atherosclerosis. Which of the following laboratory findings should the nurse identify as an increased risk for this disorder?

Elevated LDL levels

A nurse is caring for a client who has thrombocytopenia and develops epistaxis. Which of the following actions should the nurse take?

Pinch the soft portion of the client's nose for 10 min.

A nurse is contributing to the plan of care for a client who has thrombophlebitis. Which of the following actions should the nurse recommend for the plan of care?

Place compression stockings on the lower extremities.

A nurse is contributing to the plan of care for a client who has cancer and is scheduled to receive internal radiation therapy. Which of the following actions should the nurse recommend?

Place the client in a private room.

A nurse is assisting with the care of a client who has a chest tube in place following a thoracotomy. Which of the following actions should the nurse take?

Place the drainage unit below the client's chest level.

A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mmHg, and HCO3- 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances?

Respiratory Alkalosis

A nurse is reinforcing teaching with a client who has a history of tonic-clonic seizures and is scheduled for a standard electroencephalogram (EEG). Which of the following instructions should the nurse include in the teaching?

Thoroughly shampoo hair prior to the EEG.

A nurse is reinforcing discharge teaching about improving gas exchange with a client who has emphysema. which of the following information should the nurse include in the teaching?

Use pursed-lip breathing during periods of dyspnea

A nurse is reinforcing teaching with a client who has a new diagnosis of multiple sclerosis (MS). The client asks the nurse about the usual course of MS. Which of the following responses should the nurse make?

"Acute episodes are usually followed by remissions, which can last varying lengths of time."