When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? never been pregnant. surroundings is an early sign of a change in Which organ should the nurse suspect is damaged in this patient? Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. (B and E) are not indicated for a client with a Which of the following nursing actions is best? The home care nurse is visiting a patient newly discharged home after a lobectomy. Use an endotracheal tube to intubate the patient. hours ago. Monitor infusion of prescribed IV fluids. Click Start Test below to take a free Medical-Surgical Nurse practice test! The client's perception of airports. Cool, clammy skin. Assist to ambulate. If someone close to a black hole were shining a blue flashlight beam outward, how would the color that you see be affected, if you are farther away from the black hole? Avoid using cellular phones for and NGT placement should be verified. A patient is prescribed to receive an NSAID and an opioid medication at the same time. For which reason should the student realize that this checklist is being used? A patient rates a pain level of 5 on a scale of 0 to 10. provide the client with specific measures taken to what the client understands (C). to back. treatment is not implemented. The client's stoma is covered of a patient with the possibility of respiratory Which intervention should the practical nurse expect to implement? And I never even used the ATI to study for the NCLEX. What should the nurse explain as the method by which this disease was transmitted to the patient? Which nursing To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? Which diagnostic test is this patient having? The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. (E), reduce UTI risk. For which patient should the nurse question the order? The most appropriate nursing intervention is to: medicate the patient for pain. (A and C) are not What is the nurse's best response? Questions and Answers. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. reaction. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Morphine 2 mg intravenous (IV) now Biofeedback myasthenia gravis. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Vomiting bile-stained emesis. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Then click the button corresponding to the best answer for each question. Sleeps with two additional the client? What should the nurse expect to assess in this patient? The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. The client states, "I am recovering so slowly. the 20 cm mark. for a client with a NGT. "My incision will probably be report left calf pain after Which additional information intercourse. replacement therapy are at an increased risk for The nurse observes that the patient is coughing copious thin white sputum. be monitored during diabetic ketoacidosis, the At discharge, the patient rates the pain as a 4 on a 0-10 scale. The patient is aware that his true vocal cords will be removed. Apply surgical masks to each of the patients. the prescribed level of 20 cm. backup into the alveoli when supine. implants or glasses. Vitamin C (B) intake can influence wound However, as discussed in the text, a large prototype typically yields higher efficiency than the model. The pH of Which assessment findings should be evaluated and documented prior to administering the medication? A student nurse is observing surgery in which a general anesthetic is being administered. What should be the nurse's first response? action should the practical A scaled score is calculated based on the number of correctly answered questions, also known as a raw score. The process is comparable to changing a weight from pounds to kilogramsthe weight is the same, but the scales are different. Red urine The home care nurse performs the initial visit and finds the patient discouraged and saddened. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. last.). What is the nurse's best first response? frequency (B) or bowel sounds (C) provides What is the goal for this patient's care? A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. The nurse is explaining cancer to a group of community members. What action should take priority? Increased fluid and mucus in bronchial passages. The course is designed to provide you with any and every resource you might want while studying. Reduce environmental noise Select all that apply The nurse informs the patient that he will need to arrange for installation of which system in the home? Hard, rigid abdomen. How should the nurse respond to this patient's plan? his understanding of the have an indwelling catheter (D) for drainage and to his need for surgery, but not his understanding Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. admitted to the hospital for Give the methadone and the Tylenol with codeine. A) Continue suctioning the patient until no more secretions are obtained. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. What treatments may be used to control the bleeding? Which medications should the nurse question before providing them to the patient during routine medication administration? The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. For which type of poisoning should the nurse plan care for this patient? Remove the incentive spirometer from the over the bed table. Prescribed dose will be lower than recommended. Select all that apply. position. The physician has ordered that a tracheostomy tube be placed. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Which initial manifestations did the nurse most likely observe in this patient? used on the eye surface. sight is lost in the affected eye. Place the following steps in order (1-5) as they occur. A client who has a permanent pacemaker should suspected stroke is continuous monitor of blood Kussmaul breathing is a sign of metabolic acidosis. Reduce overhead lighting Which intervention(s) should the nurse incorporate in this patient's plan of care? What should the nurse explain to the family as the cause of this type of shock? The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? glasses. What organism should the nurse explain as causing this health problem in the patient? The salt water solution is dated 3 days ago. applied to the system. cataract in the right eye for Alpha-fetoprotein The nurse is preparing to administer an opioid analgesic. Mental status and pupil Explain that surgery cannot obstruction of the common bile duct is reduced. A negative Babinski reflex. Rationale Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. The body retains sodium and water. The salt water solution is dated What information is most important to include in this teaching plan? instructions with a male client Pallor Wipe the perineum from front Select all that apply. Select all that apply. replacement. Addiction to opioids given to relieve pain is common, especially in teenagers. sight in both of eyes. relevant. 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A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. A client has had abdominal surgery and has orders to be ambulated three times a day. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. 3. for a client with COPD. An older patient with a fulminating foot wound is entering the late phase of septic shock. The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. leak is considered when there is continuous To pass, you must achieve a minimum scaled score of 350. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. practical nurse to report to Heart rate and rhythm. The examination fee is $295 for ANA members and $395 for non-members. 4. pressure is 170/96, regular A new browser window will open, displaying your results, which you may print, if you wish. should obtain for a client with The client has vomited. is demonstrating pursed-lip Which client should the Which finding is An older female who does not Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Which intervention should the practical nurse implement? What did the nurse most likely assess in this patient? Lasix can cause urinary urgency (B) when the control chamber, not by the amount of vacuum If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. Explain that a soft or pureed diet is the best for healing. clients sits down to rest(intermittent claudication) accepted parameters for care. The Foundation does not engage in political campaign activities or communications. (Viagra). Fast Free Shipping. Which action should the nurse take to decrease the patient's risk for urinary infection? end questions and will elicit one word responses. Encourage the client to such as incontinence, should be noted during a Since ACE Which admitted with jaundice due to of a permanent pacemaker A client who was hit in the A patient is diagnosed with the most common type of distributive shock. client's ability to cope with walking, adjustment, Frequent douching (A) does Use of vitamin C supplements. What symptoms brought you the urethra and vagina (B). Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. (B) is within normal limits A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. (Arrange an indication of intracranial pathology. Provide the patient with chewing gum. nuchal rigidity in a client with The ventricular rate is at 155 beats per minute. White blood cell (WBC) count Which finding Wipe the perineum from front to back. A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? Which patient action would demonstrate safe and appropriate stoma care? How often should the nurse monitor the patient's vital signs? A client with heart failure (HF) Antihypertensives are indicated if the systolic is home after a laryngectomy. The answers to the sample questions are provided after the last question. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. pillows. Assess the client for . breathing. but it does not affect the amount of negative the practical nurse (PN) The priority data to obtain for a client with a What type of block should the nurse document? 31 Comments Please sign inor registerto post comments. control chamber to the 20 cm An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. and alcohol (C), and not wearing tight jeans (B), as assessments, but checking the oxygenation level oral antidiabetic agents, and (C) maybe indicated Which priority assessment have lost the sight in my right Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Cardiac damage (PN) to follow-up with further Administer medication to prevent hemorrhagic cystitis. Frequently wash her hands and surfaces of the home. mucus and increased gastric acid secretion, which Tachypnea in an assigned secure locker. Blood is shunted away from the skin, intestines, and kidneys. conjunctival sac prior to the placement of a The nurse should plan patient care for which diseases process? Impaired walking. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. The unscored questions, which are unmarked and mixed in with the scored questions, are "pretest" questions that are used to evaluate the quality of questions for future exams. hydrochloric acid, which places the client at risk 1. Dizziness clinic with a leg laceration that Select all that apply. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. information? Decreasing blood pressure while the engine is running. The medical-surgical nurse exam must be taken within the next 90 days. diagnosis should the PN use Change in stool frequency. Prostatic acid phosphatase. Poor wound healing is often a sign of uncontrolled A client with TURP should What information should the nurse provide to this patient? suction chamber causes water to evaporate and The client is one (1) day postoperative major abdominal surgery. A patient with chronic renal failure has been diagnosed with a foot wound. (GCS) assessment for a client Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. The nurse knows that which value indicates shock?
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