Medical Surgical Online Practice 2023 A

RN Adult Medical Surgical Online Practice 2023 A

The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is most likely experiencing hypovolemia as evidenced by the client's restlessness, tachycardia, hypotension, decreased pulses, cool extremities, and decreased urine output.The nurse should monitor the client's urine output and blood pressure to evaluate the effectiveness of treatment. 3. A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy.Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? (Click on the "Exhibit" button for additional information about the client.There are three tabs that contain separate cate- gories of data.): Answer: BUN Rational: The client's Hct and BUN levels indicate dehydration and require an increase in the IV fluid infusion rate. 4. A nurse is assessing a client while suctioning the client's tracheostomy tube.Which of the following findings should indicate to the nurse the client is experiencing hypoxia?: The client's heart rate increases. Rational: Hypoxia related to suctioning can cause the client's heart rate to increase. If this occurs, the nurse should discontinue the suctioning and manually oxygenate the client with 100% oxygen.The nurse should instruct the client to take three or four deep breaths prior to suctioning to reduce the risk for hypoxia. 5. A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement.Which of the following statements should the nurse make?: "Ginkgo biloba can cause an increased risk for bleeding." Rational: Ginkgo biloba increases blood flow and is effective in decreasing the pain associated with peripheral artery disease.The supplement also decreases platelet aggregation, which in turn increases the risk for bleeding. Clients who have been prescribed antiplatelet medications, such as aspirin, should avoid taking ginkgo biloba without first speaking with their provider. 6. A nurse is teaching a class about client rights.Which of the following instructions should the nurse include?: A client should sign an informed consent before receiving a placebo during a research trial. Rational: A nurse should ensure a client has provided informed consent before administering a placebo. Placebos should not be used outside of approved clinical research in which the client has consented to participate. 7. A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?: Place a pillow between the client's legs. Rational: The nurse should place a pillow between the client's legs to prevent hip dislocation. 8. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole.The nurse should instruct the client that the medication provides relief by which of the following actions?: Suppressing gastric acid production Rational: Omeprazole is a proton pump inhibitor.It relieves manifestations of gastric ulcers by suppressing gastric acid production.