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California State University, Long Beach - TTT 67777 MedSurg2

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TTT 67777

ATI - MED SURG EXAM 2

 

1.      The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?

    1. Hyperglycemia
    2. Diarrhea
    3. Constipation
    4. Hypoglycemia- You taper it off to avoid this!!!

Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated. An abrupt rate change can alter blood glucose levels significantly.

Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia

 

2.      A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will give him an electric shock. Which of the following is an appropriate response by the nurse?

    1. The machine only senses and records electrical currents coming from your heart – pg.170

ØElectrocardiography uses an electrocardiograph to record the electrical activity of the heart over time.

    1. The lead wires and cables are insulated for your safety
    2. The electrode pads will prevent the conduction of electricity to your skin
    3. The machine voltage delivery is low enough that you won’t feel any discomfort

 

3.      A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about which of the following medications in the client’s medication administration record?

    1. Potassium chloride 
    2. Levothyroxine
    3. Acetaminophen
    4. Metformin

 

4.      A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective? 

    1. Elevation in blood pressure
    2. Adventitious breath sounds
    3. Weight loss of 1.8 kg (4 lb) in the past 24 hr
    4. Respiratory rate of 24/min

 

  1. Couldn't paste the picture on here. But it asked where u can hear pericardial friction rub the best at…Erb’s Point (3rd Intercostal, Central)

 

  1. A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the nurse indicates an understanding of the teaching?
    1. I will increase the amount of fresh veggies
    2. I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash
    3. I will need to take my clothes to the dry cleaners to sterilize them
    4. I will be sure to wear gloves and wash my hands when I change my cat’s litter box

 

7.      A nurse is performing a venipuncture on an older adult client whose veins are difficult. Which of the following actions should the nurse take?

    1. Apply cool compresses 
    2. Elevate the client’s extremity using a pillow 
    3. Tap the skin around the insertion site 
    4. Raise the angle of the catheter to 30 degrees above the insertion site

 

8.      A nurse is caring for a client in the ER following a myocardial infarction. which of the following actions should the nurse anticipate if the client develops asystole?

    1. Administer atropine
    2. Defibrillate with 200 joules
    3. Starts a continuous lidocaine infusion 

d.      Begin CPR – first line of medical management is CPR and ACLS.

 

  1. A nurse is caring for a client with severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock?
    1. Potassium 5.2 mEq/L 
    2. Capillary refill 1.5 seconds
    3. Urine output 45 mL/hr 
    4. PaCO3 37 mmHg 

 

  1. A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow coma scale scores should the nurse assign the client?
    1. 2
    2. 10
    3. 13

 

  1. A nurse is teaching a client who has heart failure about self-management techniques. Which of the following statements by the client indicates an understanding of the teaching?
    1. I will keep an exercise diary
    2. I will take ibuprofen for mild pain
    3. I will expect swelling in my feet and ankle
    4. I will weigh myself every other day

 

12.  A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching

a.       I’ll insert the obturator after cleaning my stoma

    1. I’ll cut a slit in a clean gauze pad to use as a stoma dressing
    2. I’ll cleanse the cannula with half strength hydrogen peroxide
    3. I’ll remove the soiled tracheostomy ties prior to cleaning my stoma

 

13.  A nurse is caring for a client who has a sealed radiation implant which of the following actions should the nurse take?

    1. Limit family member visits to 30 min per day – pg. 583

ØLimit visitors to 30‑min visits, and have visitors maintain 6 feet distance from the source

    1. Give the dosimeter badge to the oncoming nurse at the end of the shift
    2. Apply second pair of gloves before touching the clients implant if it dislodges
    3. Remove soiled linens from the room after each change

 

14.  A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect?

a.       WBC count 15,000/mm

    1. Hematocrit 35%
    2. Sodium 130 mg/dl
    3. BUN 8 mg/dl

 

15.  A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care?

a.       Instruct the client to avoid lifting the right arm for 72 hr

    1. Check blood pressure in the right arm
    2. Palpate the site for thrill 
    3. Insert a saline lock into a site 10 cm (4in) distal to the graft

 

16.  A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen. which of the following should the nurse take first?

    1. Check the color of the client’s skin – Assessment first
    2. Prepare the client’s clothing
    3. Remove all the clients clothing
    4. Administer an opioid analgesic

 

17.  A nurse is assessing a client who has an arteriovenous (AV) fistula in the left forearm. Which of the following findings should the nurse identify as an indication of a complication at the vascular access site?

    1. Presence of palpable thrill
    2. 2 + left radial pulse
    3. Absence of bruit – pg. 367
    4. Dilated appearance of the AV site

 

18.  A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports spasms and the nurse observes decreased urinary output. Which of the following actions should the nurse take?

    1. Decrease traction on the catheter
    2. Remove the indwelling urinary catheter
    3. Flush the catheter manually with 0.9% sodium chloride
    4. Administer ibuprofen 400 mg for pain relief

 

19.  A nurse is caring for a client who has contusion of the brainstem and reports thirst. The client’s urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?

    1. Desmopressin – pg.500

ØDesmopressin, which is a synthetic ADH, or aqueous vasopressin administered intranasally, orally, or parenterally. Results in increased water absorption from kidneys and decreased urine output.

    1. Epinephrine
    2. Furosemide
    3. Nitroprusside 

 

20.  A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold?

    1. Valproic acid
    2. Metformin – pg.530
    3. Metoprolol

d.      Fluticasone 

Stop Metformin for 48 hr before any type of elective radiographic test with iodinated contrast dye and restart 48 hr after (can cause lactic acidosis due to acute kidney injury).

 

21.  A nurse is preparing a client who is to undergo a thoracentesis. The nurse should place the client in which of the following positions?

    1. On her affected side with her head lowered
    2. In high-Fowler’s position with her arms at her side
    3. Prone position with her arms above her head
    4. Upright on the edge of the bed leaning over the bedside table

 

22.  A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?

    1. Position the mouthpiece 2.5 cm (1in) from the mouth
    2. Hold breaths 3 to 5 seconds before exhaling
    3. Place hands on the upper abdomen during inhalation
    4. Exhale slowly through pursed lips 

 

23.  A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a prescription for opioid analgesia. Which of the following actions should the nurse implement to help facilitate the client’s recovery?

    1. Provide analgesic medication prior to physical activities
    2. Inform the client to monitor for loose stools while taking opioid analgesia
    3. Withhold analgesic medication unless the client reports pain
    4. Administer naloxone if the client’s respiratory rate is greater than 24/min

Give analgesic to relieve pain before getting involved in any physical activity

 

24.  A nurse is preparing to assist the provider with thoracentesis for a client who has left pleural effusion. Which of the following interventions is the priority for the nurse?      

a.       Describe the sensation the client will feel during the procedure

    1. Reinforce the importance of lying still during the procedure
    2. Administer a sedative medication
    3. Determine whether the client has an allergy to local anesthetics - Assessment

 

25.  A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect?

    1. Decreased serum lipid levels
    2. Proteinuria
    3. Hypoalbuminemia
    4. Decreased coagulation

Nephrotic syndrome is a kidney disorder characterized by massive proteinuria, hypoalbuminemia, edema, and elevated serum lipids, anorexia, and pallor.

 

26.  A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take?

    1. Limit the client’s fluid intake to 1 L per day
    2. Keep the client on bed rest for 24 hr
    3. Change the client’s dressing every 8 hr
    4. Maintain the client’s affected extremity in extension 

 

27.  A nurse is caring for a client who has a traumatic brain injury. The client, who has been quiet and cooperative, becomes agitated and restless. Which of the following assessments should the nurse perform first? 

    1. Urinary output
    2. Motor responses – pg.75
    3. Blood pressure
    4. Blood glucose

 

28.  61. A nurse is providing discharge teaching to a client who has systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)

    1. I will use NSAIDS to treat aches and pains – pg.561
    2. I will use cosmetics without moisturizer
    3. I will disinfect skin lesions with rubbing alcohol
    4. I will wear long sleeve when outdoor
    5. I will increase my intake of sodium

CLIENT EDUCATION

●● Avoid UV and prolonged sun exposure. Use sunscreen when outside and exposed to sunlight. ●● Use mild protein shampoo and avoid harsh hair treatments.

●● Use steroid creams for skin rash.

●● Report peripheral and periorbital edema promptly.

●● Report evidence of infection related to immunosuppression.

●● Avoid crowds and individuals who are sick, because illness can precipitate an exacerbation.

●● Educate client of childbearing age regarding risks of pregnancy with lupus and treatment medications

 

29.  A nurse is reviewing the laboratory results of a client who has COPD and severe dyspnea. Which of the following ABG values should the nurse expect?

a.       PaCO2 50 mmHg

    1. pH 7.4
    2. PaO2 95 mmHg
    3. HCO3 20 mEq/L

 

30.  A nurse is caring for a client who has atrial fibrillation. Which of the following should the nurse expect to administer?

    1. Dobutamine
    2. Lidocaine
    3. Atropine
    4. Amiodarone – ACLS Class. Pg. 171

 

31.  A nurse is caring for a client who is receiving epidural analgesia. Which of the following findings is the nurse’s priority?

    1. Bladder distention
    2. Weakness to lower extremities
    3. Hypotension – pg. 626
    4. Hypoactive bowel sounds

 

32.  A nurse is planning care for a client who has chest drainage system set to low suction following a thoracotomy. Which of the following nursing actions is appropriate to include in the plan of care?

a.       Check for bubbling in the water seal chamber – pg.104

    1. Empty the collection
    2. Keep the water seal chamber at chest level
    3. Loop excess tubing below the chest wall

Continuous bubbling in the water seal chamber indicates an air leak in the system

 

33.  A nurse is caring for an older adult client who is prescribed packed RBCs. Which of the following actions is appropriate for the nurse to take?

    1. Obtain vital signs every hour during transfusion
    2. Administer the transfusion over a 4-hr period
    3. Infuse lactated Ringer’s solution while transfusing the blood product
    4. Use a 24-gauge needle for the transfusion

 

34.  A nurse in the intensive care unit is caring for a client who has the following ABG results: pH 7.30; HCO3 19 mEq/L, PaCO2 with the expected reference range.

    1. Respiratory alkalosis
    2. Respiratory acidosis
    3. Metabolic acidosis
    4. Metabolic alkalosis

 

35.  68. A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?

    1. Change the pet’s litter box daily
    2. Change the water in your drinking glass every 4 hours
    3. Wash your toothbrush in the dishwasher once each month
    4. Wash your perineal area two times each day with antimicrobial soap – pg.90

 

36.  A nurse in the emergency department is caring for a client who is in hypovolemic shock. Which of the following actions should the nurse take first?

    1. Administer IV therapy
    2. Insert a large bore IV catheter
    3. Monitor urine output
    4. Obtain a blood specimen for type and crossmatch

 

37.  A nurse is providing a discharge teaching for a client who has heart failure and is to start therapy with digoxin. Which of the following statements by the client indicates an understanding of the teaching?

a.       “I will notify my provider if I experience muscle weakness.” – pg. 366: sign of toxicity

b.      “I will take my digoxin if my pulse is less than 50 beats per minute.”

    1. “I will increase my dose if my vision becomes blurred.”
    2. “I will take this medication with fiber to constipation.”

 

38.  A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax?

    1. Diminished breath sounds
    2. Distended neck veins
    3. Irregular heart rate
    4. Itching over the incision

S/S of pneumothorax

●        Signs of respiratory distress (tachypnea, tachycardia, hypoxia, cyanosis, dyspnea, and use of accessory muscles)

●        Tracheal deviation to the UNAFFECTED side (tension pneumothorax)

●        REDUCED or ABSENT breath sounds on the affected side

 

39.  A nurse is caring for a client who is 2 days postoperative following below the knee amputation and asks about the purpose of maintaining an elastic bandage around residual limb of the extremity. Which of the following is an appropriate response by the nurse?         

a.       The elastic bandage will prevent a postoperative wound infection

b.      The elastic bandage will prevent excessive edema – pg.442

    1. The elastic bandage will keep you from seeing the surgical site
    2. The elastic bandage will keep the sutures from loosening

 

40.  A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

    1. Hyperproteinemia
    2. Cachexia
    3. Diplopia
    4. Hypermagnesemia

muscle wasting syndrome is loss of weight, muscle atrophy, fatigue, weakness, and significant loss of appetite in someone who is not actively trying to lose weight

 

41.  A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?

a.       Lymphedema

    1. Urticaria
    2. Mouth sores
    3. Headaches

 

42.  A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching?

a.       I will take a laxative when I am constipated

b.      I will expect my stools to be loose – pg.533

    1. I will eat a higher-fiber diet
    2. I will empty my bag when it is full

 

43.  A nurse is providing instructions about foot care for a client who has peripheral disease. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?

    1. I soak my feet in hot water before trimming my toenails
    2. I rest in my recliner with my feet elevated for about an hour every afternoon
    3. I use my heating pad on low setting to keep my feet warm.
    4. I apply a lubricating lotion to the cracked area on the soles of my feet – NOT CORRECT

 

44.  A nurse is planning care for a client who has a pulmonary embolism and a prescription for enoxaparin via subcutaneous injection. Which of the following interventions should the nurse include?

a.       Assess the client’s tools for occult blood

    1. Massage the injection site
    2. Instruct the client to limit vitamin K intake
    3. Monitor the client's PT levels

 

45.  A nurse is caring for a client who is receiving total parenteral nutrition through central line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy. Which of the following actions should the nurse take?

    1. Discontinue the infusion and flush the line.
    2. Decrease the rate of the infusion to last until the new bag is available.
    3. Switch the infusion to a 10% dextrose solution.

d.      Start an infusion of 0.45% sodium chloride solution.

 

46.  A nurse is providing teaching to a client who has tuberculosis. Which of the following is appropriate for the nurse to include in the teaching?

    1. “You will need to continue to have yearly tuberculosis skin tests.”
    2. “You should expect to take the prescribed medication therapy for 2 months.”
    3. “You should avoid consuming fresh fruits and vegetables during therapy.”
    4. “You will no longer be contagious after three consecutive negative sputum specimens.”

 

47.  A nurse is teaching a client who has Graves’ disease about recognizing the manifestation of thyroid storm. Which of the following findings should the nurse include in the teaching?

    1. Lethargy
    2. Increased temperature – thyroid problem.
    3. Decreased heart rate
    4. Hypotension

 

48.  A nurse is caring for a female client who has toxic shock syndrome. Which of the of findings should the nurse expect?

    1. Hypertension
    2. Generalize rash
    3. Elevated platelet count
    4. Decreased total bilirubin

 

49.  A nurse is caring for a client who is 5 days post op ff a total abdominal hysterectomy. Which of the ff findings indicated wound dehiscence?

    1. Incisional pain when coughing or breathing deeply
    2. Increased serosanguineous drainage from the wound
    3. Serous crusting along the incision line 
    4. Inflammation of incision edges

 

50.  A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suctioning. The nurse should recognize these assessment findings as indicating which of the ff?

    1. Pleural Effusion
    2. Increased Cardiac Output
    3. Fluid Volume Excess
    4. Aspiration

 

51.  A nurse is preparing instructions for a client who is prescribed metoprolol. Which of the following should the nurse plan to include in the teaching?

a.       Monitor for hyperglycemia when taking the medication

b.      Expect excess production of saliva after taking the medication

c.       Take radial pulse before administering the medication

d.      Notify the provider if hearing loss occurs.

 

52.  A nurse is caring for a client who develops third-degree heart block with a heart rate of 30/min. Which of the following actions should the nurse take?

    1. Instruct the client to perform the Valsalva Maneuver. 
    2. Prepare the client for temporary pacing
    3. Perform carotid sinus massage 
    4. Administer digoxin by IV bolus 

temporary pacing is an electrical cardiac stimulation to treat bradyarrhythmia or tachyarrhythmia.

 

53.  A nurse is caring for a client who is receiving TPN. Which of following nursing actions are appropriate? (Select all that apply).

    1. Increase the rate of infusion if administration is delayed.
    2. Monitor serum blood glucose during infusion
    3. Infuse 0.9% sodium chloride if the solution is not available.
    4. Obtain the client weight daily
    5. Verify the solution with another RN prior infusion.

 

  1. A nurse is providing discharge teaching about foot care to a client who is newly diagnosed with type 1 DM. Which of the ff information should the nurse include?
    1. Apply lotion between the toes.
    2. Trim the toenails straight across. Pg/532
    3. Inspect the feet every other day.
    4. Soak the feet twice a day.

 

55.  A nurse reviewing the medical record of the client who is 1 day postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?

    1. Hemoglobin 10 mg/dL  - pg.444
    2. Serosanguineous exudate noted on dressing change
    3. Reports pain of 4 on a scale when coughing 
    4. WBC count 8400/mm 

 

56.  A nurse is reviewing medications taken at home with a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?

    1. I should withhold my metoprolol if my heart rate is above 100 bpm
    2. I should place a nitroglycerin tablet under my tongue every 10min for up to four doses
    3. I should lie down before taking dose of isosorbide dinitrate 
    4. I should take my daily aspirin on an empty stomach 

 

  1. A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day rules. Which of the following statements by the client indicates an understanding of the teaching?

a.       “I will monitor my blood glucose every 8 hours.”

b.      “I will consume 250 grams of carbohydrates daily while I’m sick.”

c.       “I will check my urine for ketones if my blood glucose is greater than 240 mg/dL.”

d.      “I will not take my diabetes medications while I am sick.”

 

  1. A nurse is caring for a client who has thrombocytopenia. Which of the following laboratory results should the nurse expect?

a.       Platelets 70,000/mm3

b.      aPPT 40 seconds

c.       INR of 1.0

d.      PT 11 seconds

 

  1. A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?

a.       An older adult client who was admitted with aspiration pneumonia

b.      A client who reports having fever, night sweats, and cough for 2 days

c.       A client who has diabetes mellitus and is presenting with acute ketoacidosis

d.      A client who has a compound fracture of the right femur

 

  1. A nurse is caring for a client who has ulcerative colitis and was admitted to the medical surgical unit for management of diarrhea. Which of the following food items should the nurse select for the client’s breakfast tray?

a.       Whole grain toast

b.      Poached egg

c.       Oatmeal

d.      Fresh peaches

 

  1. A nurse in a long-term care facility is caring for a bedridden client. Which of the following findings should alert the nurse to a potential complication of the client’s immobility?

a.       Confusion

b.      Polyuria

c.       Blurred vision

d.      Diarrhea

 

  1. A nurse is providing teaching to a client who has diabetes mellitus. Which of the following instructions should the nurse provide to the client to help prevent the development of nephropathy?

a.       Limiting protein intake

b.      Voiding every 2 hr

c.       Decreasing potassium intake

d.      Controlling hypertension

Nephropathy: damaged kidney r/t hyptertension\

 

  1. A nurse is teaching a client who has asthma about the use of a peak flow meter. After setting the meter to the zero baseline, what is the sequence of steps the nurse should instruct the client to take? (Use all steps)    
    1.  “Stand upright.”1

b.      “Fill your lungs with a deep breath.”3

c.       “Seal your lips around the mouthpiece.”2

d.      “Exhale forcefully and quickly.”4

e.       “Record the highest of three consecutive readings.”5

 

  1. A nurse is caring for a client who has rheumatoid arthritis and reports increasing fatigue. The nurse should instruct the client to take which of the following actions to conserve energy?

a.       Avoid using large muscle groups

b.      Allow others to perform her self-care activities

c.       Determine priority activities to accomplish

d.      Limit iron intake

 

  1. A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation? 

a.       Place two bed pillows between the legs when in bed.

b.      Encourage the client to lean forward when attempting to stand.

c.       Elevate the knees higher than the hips when sitting.

d.      Remove the wedge device when turning.

 

  1. A nurse working in the emergency department is assessing a client admitted with atrial fibrillation. Which of the following findings should the nurse report to the provider immediately?

a.       Ventricular rate 120/min

b.      Syncope

c.       Atrial rate of 350/min

d.      Shortness of breath

 

67.  A nurse is caring for a client who is admitted with heart failure. Which of the following laboratory findings should the nurse report to the provider?

a.       Hematocrit 24% - pg.444

b.      Sodium 137 mEq/L

c.       Glucose 112 mg/dL

d.      BUN 19 mg/dL

 

 

 

 

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[Solved] California State University, Long Beach - TTT 67777 MedSurg2

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TTT 67777 ATI - MED SURG EXAM 2 1. The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects? a. Hyperglycemia b. Diarrhea c. Constipation d. Hypoglycemia- You taper it off to avoid this!!! Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated. An abrupt rate change can alter blood glucose levels significantly. Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia 2. A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment will give him an electric shock. Which of the following is an appropriate response by the nurse? a. The machine only senses and records electrical currents coming from your heart – pg.170  Electrocardiography uses an electrocardiograph to record the electrical activity of the heart over time. b. The lead wires and cables are insulated for your safety c. The electrode pads will prevent the conduction of electricity to your skin d. The machine voltage delivery is low enough that you won’t feel any discomfort 3. A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse should consult with the provider about which of the following medications in the client’s medication administration record? a. Potassium chloride b. Levothyroxine c. Acetaminophen d. Metformin 4. A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective? a. Elevation in blood pressure b. Adventitious breath sounds c. Weight loss of 1.8 kg (4 lb) in the past 24 hr d. Respiratory rate of 24/min 5. Couldn't paste the picture on here. But it asked where u can hear pericardial friction rub the best at…Erb’s Point (3rd Intercostal, Central) 6. A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the nurse indicates an understanding of the teaching? a. I will increase the amount of fresh veggies b. I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash c. I will need to take my clothes to the dry cleaners to sterilize them d. I will be sure to wear gloves and wash my hands when I change my cat’s litter box 7. A nurse is performing a venipuncture on an older adult client whose veins are difficult. Which of the following actions should the nurse take? a. Apply cool compresses b. Elevate the client’s extremity using a pillow c. Tap the skin around the insertion site d. Raise the angle of the catheter to 30 degrees above the insertion site 8. A nurse is caring for a client in the ER following a myocardial infarction. which of the following actions should the nurse anticipate if the client develops asystole? a. Administer atropine b. Defibrillate with 200 joules c. Starts a continuous lidocaine infusion d. Begin CPR – first line of medical management is CPR and ACLS. 9. A nurse is caring for a client with severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock? a. Potassium 5.2 mEq/L b. Capillary refill 1.5 seconds c. Urine output 45 mL/hr d. PaCO3 37 mmHg 10. A critical care nurse is assessing a client who has a severe head injury. In response to painful stimuli the client does not open her eyes, displays decerebrate posturing, and makes incomprehensible sounds. Which of the following Glasgow coma scale scores should the nurse assign the client? a. 2 b. 5 c. 10 d. 13 11. A nurse is teaching a client who has heart failure about self-management techniques. Which of the following statements by the client indicates an understanding of the teaching? a. I will keep an exercise diary b. I will take ibuprofen for mild pain c. I will expect swelling in my feet and ankle d. I will weigh myself every other day 12. A nurse is providing discharge teaching for a client who has new tracheostomy. Which of the following statements by the client indicates an understanding of the teaching a. I’ll insert the obturator after cleaning my stoma b. I’ll cut a slit in a clean gauze pad to use as a stoma dressing c. I’ll cleanse the cannula with half strength hydrogen peroxide d. I’ll remove the soiled tracheostomy ties prior to cleaning my stoma 13. A nurse is caring for a client who has a sealed radiation implant which of the following actions should the nurse take? a. Limit family member visits to 30 min per day – pg. 583  Limit visitors to 30‑min visits, and have visitors maintain 6 feet distance from the source b. Give the dosimeter badge to the oncoming nurse at the end of the shift c. Apply second pair of gloves before touching the clients implant if it dislodges d. Remove soiled linens from the room after each change 14. A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect? a. WBC count 15,000/mm b. Hematocrit 35% c. Sodium 130 mg/dl d. BUN 8 mg/dl 15. A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm. Which of the following actions should the nurse include in the plan of care? a. Instruct the client to avoid lifting the right arm for 72 hr b. Check blood pressure in the right arm c. Palpate the site for thrill d. Insert a saline lock into a site 10 cm (4in) distal to the graft 16. A nurse in the emergency department is caring for a client who has a gunshot wound to the abdomen. which of the following should the nurse take first? a. Check the color of the client’s skin – Assessment first b. Prepare the client’s clothing c. Remove all the clients clothing d. Administer an opioid analgesic 17. A nurse is assessing a client who has an arteriovenous (AV) fistula in the left forearm. Which of the following findings should the nurse identify as an indication of a complication at the vascular access site? a. Presence of palpable thrill b. 2 + left radial pulse c. Absence of bruit – pg. 367 d. Dilated appearance of the AV site 18. A nurse is caring for a client who is receiving continuous ...
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