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MED SURG Ihesi A&

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What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? I

a. I I I I I I I I ISexual activities may be resumed upon return home

b. I I I I I I I I ILight housekeeping is permitted but avoid heavy lifting

c. I I I I I I I I IUse a metal eye shield on operative eye during the day

d. I I I I I I I I Administer eye ointment before applying eye drops 

ANS:B I

3 of 55 

A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement first?

 

a. I I I I I I I I IObtain a sputum sample for culture

b. I I I I I I I I ICheck his oxygen saturation level

c. I I I I I I I I IAdminister an oral antipyretic

d. I I I I I I I I Auscultate bilateral lung sound I

ANS:A I

4 0f 55 

An elder male client tells the nurse that he is loosing sleep because he has to get up several times at night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement? I

a. I I I I I I I I Icollect a urine specimen for culture analysis

b. I I I I I I I I Iobtain a fingerstick blood glucose level

c. I I I I I I I I Ipalpate the bladder above the symphysis pubis

d. I I I I I I I I review the client fluid intake I 

ANS: C I

5 of 55

An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI) Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory value warrants the most immediate intervention by the nurse? I

a. I I I I I I I I Iblood ph of 7.30

b. I I I I I I I I Iglucose of 350 mg /dl

c. I I I I I I I I Iwhite blood cell count of 15000mm

d. I I I I I I I I potassium of 2.5 meq/l I

ANS: D

 

 6 of 55 

A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood cell. When notifying the healthcare provider what information should the nurse provide first using the SBAR communication process? 

a. I I I I I I I I Iexplain specific reason for urgent notification

b. I I I I I I I I Ipreface the report by stating the clients name and admitting diagnosis

c. I I I I I I I I Icommunicate the pre-transfusion temperatures

d. I I I I I I I I optain prn prescription for acetaminophen for fever 101f 

ANS: A

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[Solved] MED SURG Ihesi A&

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What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? I a. I I I I I I I I ISexual activities may be resumed upon return home b. I I I I I I I I ILight housekeeping is permitted but avoid heavy lifting c. I I I I I I I I IUse a metal eye shield on operative eye during the day d. I I I I I I I I Administer eye ointment before applying eye drops ANS:B I 3 of 55 A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green colored sputum. Which intervention should ...
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