Adult Med-Surg-Integ/Musc

A nurse is reinforcing teaching with a client who has genital herpes caused by herpes simplex virus type 2(HSV 2). Which statement by the client indicates understanding of the teaching?

" I can transmit the infection to another person even when I don't have symptoms."

A nurse is reinforcing teaching with a client who has rheumatoid arthritis.Which of the following statements by the client indicates understanding of the information?

" I can use heat or cold to help relieve my pain."

A nurse is reinforcing teaching with a client who is postoperative following the insertion of a femoral head prosthesis. Which of the following client statements should indicate to the nurse the need for further instructions?

" I will bend from my hip to tie my shoes."

A nurse is reinforcing teaching about Russell's traction with a newly licensed nurse> Which of the following statements should the nurse make?

" Russell's traction uses a sling under the knee to treat a fracture of the femur."

A nurse is reviewing discharge instructions with a client who has pruritus following treatment for scabies. Which of the following instructions should the nurse include?

" Wear loose fitting clothing while you are experiencing itching."

A nurse is reinforcing teaching with a client who has a skin lesion and is scheduled for an excisions skin biopsy. Which of the following information should the nurse include in the teaching?

" You will need to change the dressing daily."

A nurse is reinforcing preoperative teaching with a client who is scheduled to have a hip arthroplasty. Which of the following information should the nurse provide in the teaching?

"Bending the hip within 90 degrees is allowed."

A nurse is evaluating understanding of medicated baths for a client who has psoriasis. Which of the following client statements should the nurse identify as understanding of the information?

"I will remain in the tub for 25min"

A nurse provides teaching to a client who is being fitted for a prosthetic leg. Which of the following statements indicate tot he nurse a need for further instructions?

"I'll learn to balance well on one leg so I don't have to use crutches."

A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements from the client indicates an understanding of teaching?

"Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint'"

A nurse is collecting data from a client who sustained severe burn injuries. The nurse notes a diagram indicating the burned surfaces. What percentage of the clients body surface area should the nurse estimate has been burned?

54%

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

A client who has swelling and tenderness around the wound

A nurse in a clinic is collecting data from an older adult client who has a new diagnosis of osteoarthritis. Which of the following medications should the nurse anticipate the provider will initially prescribe the client?

Acetaminophen

A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. Too prevent postoperative complications which of the following actions should be reinforced during the teaching?

Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises.

A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?

Antibiotic Therapy

A nurse collecting data from an older adult client who has a hip fracture and is in Buck's traction. The nurse notes the client has a sudden decrease in level of consciousness, dyspnea, and crackles to the lungs upon auscultation. Which of the following actions should the nurse take?

Apply high-flow oxygen

A nurse is reinforcing teaching with a client prescribed celecoxib to treat osteoarthritis symptoms. The nurse should remind the client to monitor for and report which of the following findings?

Black, tarry stools

A nurse is caring for a client who has a new cast in place for a fractured tibia. The nurse should recognize that which of the following interventions is a priority?

Check for capillary refill distal to the client's cast

A nurse in a provider's office is collecting data from a client who reports pruritus and reddened, fluid-filled vesicles on her lower leg. The nurse should suspect which of the following disorders?

Contact dermatitis

A nurse ic completing a neurovascular check for a client who had an open reduction internal fixation surgery. Which of the following findings should the nurse identify as possible manifestations of compartment syndrome? (select all that apply)

Cool skin Absence of pulse Altered sensation of toes

A nurse is planning to change an abdominal dressing for a client who has an incision with a drain. Which of the following actions should the nurse plan to take?

Don clean gloves to remove the dressing

A nurse is reinforcing teaching about prothesis care for a client following a below-the-knee amputation. Which of the following statements should the nurse include in the teaching?

Dry the prothesis socket completely before applying it to the limb.

A nurse is collecting data on a client who has manifestations of osteoporosis. The nurse anticipates the provider will prescribe which of the following diagnostic tests?

Dual-energy absorptiometry

A nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine. Which of the following actions should the nurse take?

Elevate the head of the bed.

A nurse is assisting with the care of a client who has frostbite on both legs after prolonged exposure to outdoor temperatures around 12.2 decrees C (10 degrees F). Which of the following actions should the nurse plan to take?

Elevate the lower extremities.

A nurse is contributing to the plan of care for a client who has a long leg cast to treat a femoral fracture. Which of the following interventions should the nurse include in the plan?

Encourage a high-fiber diet

A nurse is caring for a client who has widespread psoriasis.The nurse should prepare the client for which of the following treatments?

Exposure to photochemotherapy

A nurse is caring for a client who has a large wound that has a vacuum-assited closure device placed over it. Which of the following findings by the nurse indicates healing of the wound?

Granulation tissue on the surface of the wound

A nurse is collecting data from a client who has scleroderma. which of the following findings should the nurse expect?

Hardened skin

A nurse is caring for a client who is 2 days post operative following an above-the-knee amputation. Which of the following is an appropriate nursing intervention for the client at this time?

Have the client lie prone several times each day.

A nurse is in a provider's office is collecting data from an older adult client who has type 2 diabetes mellitus. Which of the following findings is a manifestation of hyperglycemia?

History of poor wound healing

While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. Which of the following findings should the nurse identify as a complication to the client's condition?

Infection

A nurse is reviewing the prescriptions for a client who had total hip arthroplasty. Which of the following prescriptions should the nurse verify with the provider?

Instruct the client to restrict flexion at the hip past 120 degrees.

A nurse is reinforcing teaching with a client who is 2 days postoperative following a left hip arthroplasty. Which of the following information should the nurse include in the teaching?

Maintain foam wedge between the legs

A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (select all that apply)

Monitor peripheral pulses in the affected extremity Examine the skin under the traction splint Assess the temperature of the affected extremity

A nurse is reinforcing teaching about dietary measures with a client who is at risk for developing osteoporosis. Which of the following food choices should the nurse recommend to increase the clients calcium level?

One cup of cooked spinach

A nurse is caring for a client who has balanced skeletal traction with a Thomas splint for the treatment of a fracture of the femur. Which of the following actions should the nurse take to prevent skin breakdown?

Pad the top of the splint with protective dressings.

A nurse is collecting data from a client who has herpes zoster (shingles). Which of the following is an expected finding?

Painful vesicles following a nerve pathway

A nurse is collecting data from an older adult client who had femoral head fracture 24 hour ago and is in the Buck's traction. Which of the following findings is an indication of fat embolism syndrome?

Petachiae of the chest

A client who has a lower-leg cast reports skin irritation around the upper edge of the cast. Which of the following actions should the nurse take?

Petal the edges of the cast

A nurse is caring for a client who has a surgical wound. Which of the following factors places the client at risk for dehiscence?

Poor nutrition state, Obesity, Wound infection

A nurse in a clinic is collecting data from a client who reports wrist pain caused by carpal tunnel syndrome. The nurse should expect which of the following findings?

Positive Phalen's sign

A nurse is reinforcing teaching with a client who has herpes zoster. The nurse should include which of the following statements in teaching?

Recurrence of infection can be triggered by stress or trauma.

A client who is postoperative returns to the unit in skeletal traction. When collecting data from the client, the nurse should expect which of the following findings? (select all that apply)

Redness at the pin sites Warmth at the pin sites

A charge nurse is observing a nurse who is caring for a client who has continuous skeletal traction of a lower extremity. For which of the following actions should the nurse intervene?

Removes the traction weights for a brief period each day.

A nurse is planning preventive care for client who is at risk por pressure ulcers and requires bed rest. Which of the following actions should the nurse take?

Reposition the client at least every 2 hrs.

A nurse in a provider's office is reinforcing teaching with a female client about risk factors for osteoporosis. Which of the following factors should a nurse include in the teaching? (select all that apply)

Sedentary lifestyle Aging Caffeine intake

A nurse is reviewing the medical record of a client who haas osteoarthritis. Which of the following findings should the nurse expect?

Stiffness of the joints

A nurse is reinforcing instructions with a client who has contact dermatitis and reports pruritus during the winter months. Which of the following information should the nurse include?

Stroke itchy skin with the palm of the hand.

A nurse is assisting with the care of a client who has multiple facial injuries. Which of the following equipment should the nurse place at the client's bedside?

Suction catherer

A nurse is collecting data on a client who has major burn injury. The nurse should recognize which of the following findings as a priority?

The client produces black colored sputum.

Upon inspection of a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum. Which of the following statement by the nurse describes a stage 3 pressure ulcer?

There is full-thickness skin loss with a crater.

A nurse is reinforcing teaching about ergonomic principles with a group of assertive personnel. Which of the following strategies should the nurse include in the teaching?

Tighten the abdominal muscles when lifting objects, Flex the knees and hips periodically when standing for a period of time, enlarge the distance between the front door and the back foot when pulling a client towards you

A nurse is contributing to the plan of care for a client who has a spinal cord injury and paralysis. Which of the following actions should the nurse include in the plan to decrease the client's risk of skin breakdown? (select all that apply)

Use pillows to keep heels off the bed surface Minimize skin exposure to moisture

A nurse is reinforcing discharge teaching to a client about nutrition therapy foe wound healing following major surgery. Which of the following vitamins should the nurse include in the teaching as promoting wound healing? (select all that apply)

Vitamin A Vitamin C

A nurse at a provider's office is reviewing information about management of osteoarthritis with a client. Which of the following interventions should the nurse recommend? (select all that apply)

Weight management Aerobic exercise Massage Therapy Isometric exercise

A nurse is talking with a client who has osteoporosis and needs to increase her vitamin D intake as part of her treatment plan. Which of the following recommendations should the nurse reinforce with the client to help ensure adequate intake of vitamin D?

increase her daily amount of sunlight exposure