PN Adult Medical Surgical Online Practice 2020 B

PN Adult Medical Surgical Online Practice 2020 B PN Adult Medical Surgical Online Practice 2020 B 1. A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. Which of the following interventions should the nurse include in the plan of care? Keep bed linens o of the affected areas. Position a heat lamp over the lower extremities. Apply warm, moist compresses to the affected areas. Initiate droplet isolation precautions.: Keep bed linens o of the affected areas. 2. A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include to promote comfort? Sleep on a firm mattress. Try jogging in place when joints feel stiff. Use a soft chair or recliner for sitting. Apply ice packs to painful joints: Sleep on a firm mattress. 3. A nurse is caring for a client who has an intestinal obstruction and reports a new onset of nausea. The client has an NG tube set at low intermittent suction and is receiving continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take first? Check for kinks in the NG tube. Increase the IV uid rate. Provide ice chips. Administer an antiemetic: Check for kinks in the NG tube. 4. A nurse is assisting in the care of a client who has AIDS-related pneumo- nia. The client is receiving antibiotic therapy and albuterol nebulizer treat- ments daily. Which of the following findings should indicate to the nurse that the client's therapeutic regimen is effective? Adventitious lung sounds Decrease in exertional dyspnea Respiratory rate of 26/min while sitting in a chair Elevation of the head of the bed is required to sleep: Decrease in exertional dyspnea 5. A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports increased pain at the site of the fracture. Which of the following actions should the nurse take? Massage the area. Remove the weights. Loosen the ropes. Reposition the client: Reposition the client 6. A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Lower the client to the floor. Loosen the clothing around the client's neck. Place a pad beneath the client's head. Time the length of the client's seizure. Reorient and reassure the client.: Lower the client to the floor. Place a pad beneath the client's head. Loosen the clothing around the client's neck. Time the length of the client's seizure. Reorient and reassure the client. 7. A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular and NPH insulin. Which of the following instructions on preparing the insulins should the nurse include? Withdraw both types of insulin and then add 0.2 mL of air to the syringe Gently shake the NPH insulin prior to withdrawing the dose. Withdraw the regular insulin before withdrawing the NPH insulin. Inject air into the NPH vial after withdrawing regular insulin.: Withdraw the regular insulin before withdrawing the NPH insulin. 8. A nurse is reinforcing teaching with a client who has type 1 diabetes mel- litus about glycosylated hemoglobin (HbA1c) testing. Which of the following information should the nurse include in the teaching? The expected therapeutic reference range for HbA1c for a client who has diabetes mellitus is 9.5% to 10%. An HbA1c level below the expected reference range indicates ineffective glucose control HbA1c results measure glucose control for the prior 3 months. HbA1c testing is used to provide a diagnosis of diabetes mellitus: HbA1c results measure glucose control for the prior 3 months. 9. A nurse is collecting data from a client who has 30% body surface area deep partialthickness and full-thickness burns. Which of the following find- ings indicates that fluid resuscitation is adequate? Granulation tissue is present. Urine output is 50 mL/hr. Lung sounds are clear. Oxygen saturation level is 95%.: Urine output is 50 mL/hr. 10. A nurse is planning care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse plan to see first? A client who had a colectomy 2 days ago and has a nasogastric tube attached to low suction A client who is dehydrated, has mental confusion, and has tried to get out of bed several times during the night A client who had a right lower lobectomy 4 days ago and has 50 mL/hr of serous drainage from a chest tube A client who has pneumonia, has an elevated oral temperature, and is requesting medication for a cough: A client who is dehydrated, has mental confusion, and has tried to get out of bed several times during the night 11. A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. Which of the following information should the nurse include? "Use barrier methods for sexual contact when lesions are present." "Look for lesions that have a wart-like appearance." "The virus can be transmitted without lesions being present." "The lesions resolve in 2 weeks and usually do not recur.": "The virus can be transmitted without lesions being present." 12. A nurse is collecting data from a client who has an obstructive pulmonary disorder. The nurse should document the sound as which of the following? (Click on the audio button to listen to the clip.) Pleural friction rub Wheezes Vesicular Crackles: Wheezes 13. A nurse is reviewing the medication record of a client who is taking digoxin. Which of the following medications should the nurse identify as increasing the risk for the client to develop digoxin toxicity? Potassium chloride Famotidine Levothyroxine Furosemide: Furosemide 14. A nurse is changing the dressing for a client who has an abdominal incision and a closed-suction drain. Which of the following actions should the nurse take? Secure the drainage tube to the client's bedding. Wear sterile gloves to empty the drainage system. Cut an absorbent gauze dressing to t around the drainage tube. Cleanse the drainage plug with alcohol swabs.: Cleanse the drainage plug with alcohol swabs. 15. A nurse is caring for a client who has end-stage liver disease and just underwent an abdominal paracentesis. For which of the following manifes- tations should the nurse monitor as an adverse effect of the procedure? Changes in the client's sputum Decreased blood pressure Changes in neurological status Increased urinary output: Decreased blood pressure 16. A nurse is reinforcing teaching with a client who has chronic kidney disease about disease management. Which of the following statements by the client indicates an understanding of the teaching? "I will add a banana to my morning cereal." "I will decrease my intake of carbohydrates." "I will limit my daily intake of protein." "I will season my foods with a salt substitute.: "I will limit my daily intake of protein." 17. A nurse is reinforcing instructions with a client who has a new hearing aid. Which of the following instructions should the nurse include? "Change the batteries if you hear a whistling sound." "Adjust the volume to a level where you can hear others speak at a distance of 3 feet." "Keep the hearing aid in place while showering." "Clean the hearing aid with a bristle brush to remove excess cerumen.": - "Adjust the volume to a level where you can hear others speak at a distance of 3 feet." 18. A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain in the absent portion of the limb. The client received an opioid analgesic 1 hr prior. Which of the following actions should the nurse take? Recommend a referral for a mental health provider to begin lithium therapy. Remind the client that the portion of the limb where they feel pain is gone. Ask the provider to increase the frequency of the client's opioid medication. Collaborate with the physical therapist to initiate alternative pain therapies- : Collaborate with the physical therapist to initiate alternative pain therapies 19. A nurse is caring for a client who has restricted movement of the chest due to a burn injury. The nurse should anticipate preparing the client for which of the following procedures? Fasciotomy Escharotomy Skin grafting Hyperbaric oxygen therapy: Escharotomy 20. A nurse is caring for a client who is 2 hr postoperative following the amputation of a foot. Which of the following actions should the nurse take first? Obtain the client's temperature. Observe for phantom pain. Measure urinary output. Check the incisional dressing: Check the incisional dressing 21. A nurse is assisting with the care of a client who had a stroke and is unable to speak. The nurse should identify that the client's injury occurred in which of the following lobes of the brain? (You will nd hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.): A is correct. Injury to the frontal lobe can result in alterations to motor function or voluntary movement. This involves the ability to speak and the ability to move purposefully. 22. A nurse is repositioning a client who has low back pain. Which of the following positions is should the nurse place the client in? Semi-Fowler's with knees flexed Orthopneic Dorsal recumbent Prone with legs straight: Semi-Fowler's with knees flexed 23. A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new diagnosis of COPD. The nurse should identify that which of the following client statements indicates an understanding of the teaching?