ADV Medsurg

A nurse is teaching a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following adverse effects? a. Diarrhea b. Difficulty voiding c. Excess salivation d. Slow pulse

B. Difficulty voiding

A nurse is caring for a client immediately following a procedure that required spinal anesthesia. Which of the following findings indicates the client is experiencing a complication of the anesthesia? a. Numbness in the legs b. Hiccups c. Absence of urge to void d. Headache

D. Headache

A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines, the nurse should document burns to which percentage of the client's total body surface area (TBSA)? a. 54% b. 9% c. 8% d. 36%

A. 54%

The nurse is teaching a client with right-sided heart failure about home care safety measures. The nurse should address with the client which most important measure to ensure client safety? a. Moving slowly from a sitting to standing position b. Avoid OTC medications c. Administering vasodilators d. Assessing pain

A. Moving slowly from sitting to standing

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment? a. 65 years of age b. Alcohol use disorder c. Breast cancer survivor for 8 years d. Pacemaker

B. Alcohol use disorder

A nurse is caring for a client who has end-stage kidney disease and reports having shortness of breath and swelling to his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations? a. Hyperkalemia b. Hypervolemia c. Hypovolemia d. Hyponatremia

B. Hypervolemia

A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right - sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take? a. Strip the client's chest tube b. Reposition the client c. Clamp the client's chest tube d. Increase the clients wall suction

B. Reposition the client

A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? a. NPH insulin b. Insulin glargine c. Regular insulin d. Insulin detemir

C. Regular insulin

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases reveal the following values. Which of the following is an appropriate analysis of the ABGs? pH 7.22 PaCO2 68mmHg Base Excess -2 PaO2 78mmHg Saturation 80% HCO3- 26mEq/L a. Metabolic acidosis b. Metabolic alkalosis c. Respiratory acidosis d. Respiratory alkalosis

C. Respiratory Acidosis

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload? a. Return of skin to previous position when the client skin is palpated b. Oxygen saturation 93% c. Flattened nectarines d. The client has a 5 lb weight gain since yesterday

D. 5lb weight gain

A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens. Which of the following actions should the nurse take first? a. Obtain a medical history b. Raise the side rails on the bed c. Start intravenous fluids d. Administer diazepam

D. Administer diazepam

A nurse in an emergency room is caring for a client who sustained partial thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take? a. Insert an indwelling urinary catheter b. Draw blood for a complete blood cell (CBC) count c. Administer intravenous pain medication d. Inspect the mouth for signs of inhalation injury

D. Inspect the mouth for signs of inhalation injury