Nursing / Couse : Med surge Med Surge assignment 1.A nurse is…

Question Answered step-by-step Nursing / Couse : Med surge Med Surge assignment 1.A nurse is… Nursing / Couse : Med surgeMed Surge assignment1.A nurse is caring for a client who has COPD and the following ABG values: pH 7.30, PaO2 75 mm Hg, PaCO2 52 mm Hg. HCO3- 27 mEq/L, SaO2 86°. The nurse should identify that these values indicate which of the following acid-base imbalances?1.Resoiratory alkalosis2.Resoiratory acidosis3.Metabolic alkalosis4.Metabolic acidosis2.A nurse is assisting the care of client who is receiving a heparin infusion to treat deep vein thrombosis. Which of the following laboratory value should the nurse monitor to evaluate effectiveness of the medication?HgbINRWBC countaPTT3.A nurse is contributing to the plan of care for a client who is postoperative following an appendectomy. Which of the following actions should the nurse include the plan?Limit the client’s fluid intake to 1500 ml per day Instruct the client to splint the surgical incision when coughing and deep breathing Encourage the client to use the incentive spirometer every 4 hr while awake.Reposition the client every 4 hr.4.A nurse is assisting with triage following a local natural disaster. Which of the following traige tag should the nurse assign to a client who has a close fracture of the tibia?NonurgentUrgentEmergentMinor5. A nurse is reinforcing discharge teaching with a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching?  1. “I will avoid napping during the day.””2.I will take ibuprofen to manage my pain.3. “I will spend at least 30 minutes each day in the sunlight.”4.  “I will use alcohol-based astringents when cleaning my face.”6. A nurse is monitoring a client who is receiving a unit of packed RBCs. The client reports sudden chills, anxiety, and muscle pain. Which of the following actions should the nurse take first? 1. Administer acetaminophen to the client.2.Check the client’s vital signs.3. Notify the charge nurse4.Stop the blood transfusion.7.A nurse in a clinic is implementing cardiac monitoring for a client who reports dizziness and palpitations. The nurse should identify that which of the following ECG findings indicates that the client is experiencing atrial fibrillation? 1 Regular QRS complexes with clearly defined P waves2.Three or more PVCs in a row3.Absence of P waves wit h irregu lar QRS complexes4.Two P waves for every QRS complex  8.A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERO). Which of the following instructions should the nurse include?  1.Lie down for 30 min after meals.2.Elevate the head of the bed when sleeping.3. Use a straw when consuming liquids.4. Sip peppermint tea when experiencing heartburn.   9.A nurse is caring for a client who has COPD and the following ABG values: pH 7.30, Pa02 75 mm Hg, PaCO2 52 mm Hg, HC03 27 mEq/L, Sa02 86%. The nurse should identify that these values indicate which of the following acid-base imbalances?1. Metabolic acidosis 2.Respiratory acidosis3. Metabolic alkalosis4. Respiratory alkalosis10.A nurse is reinforcing teaching with a client who has a new prescription for a transcutaneous electrical nerve stimulation (TENS) unit for pain management. Which of the following statements by the client indicates an understanding of the teaching?”I will need to see my provider if the pain control settings need to be changed.” 2. “I shouldn’t feel any vibrating or tingling when using this device.” 3. ‘The unit should be plugged into a grounded outlet when I am using it.” 4. “This device uses electrical pulses to block the pain I have been feeling.”11.A nurse is preparing to administer megestrol to a client who is receiving chemotherapy. The nurse should identify that megestrol has which of the following therapeutic effects?  1. Decreased mouth sores 2.Increased urinary output3. Increased appetite4. Decreased constipation 12.A nurse is reinforcing teaching with a client about the prostate-specific antigen (PSA) test for prostate cancer. Which of the following statements should the nurse make?  1.”You should have your PSA level checked beginning at age 60.” 2. “You can engage in sexual activity up to 12 hours before your PSA test. 3.”‘The PSA test will be drawn before the provider performs a digital rectal exam.”4. “Low levels of PSA are an in dication of prostate cancer.”   13.A nurse is assisting with the care of a client who is 3 hr postoperative following an above-the-knee amputation. Which of the following findings is the priority for the nurse to report to the provider?  Anxiety Low -grade fever 3. Phantom limb pain 4.Fresh bleed ing on dressing 14.A nurse is monitoring a client who has Crohn’s disease. Which of the following laboratory values should the nurse report to the provider?  1.Hgb 9.8 g/dl2. Erythrocyte sedimentation rate [ESR) 12 mm/hr3. WBC 8,500/mm 34.Albumin 4.5 g/dl   15.A nurse is caring for a client who has HIV. Which of the following findings should indicate to the nurse that the client has developed AIDS?1. The client’s CD4-T-cell count is less than 200 cells/µL. 2.The client is experiencing flu-like symptoms.3. The client has experienced an unintentional weight loss of 5%.4. The client has a positive enzyme-linked immunosorbent assay test.  15.A nurse is reinforcing teaching about the use of a budesonide metered-dose inhaler with an adolescent client. Which of the following statements by the client indicates an understanding of the teaching?  1. “I should store my unused canisters in the refrigerator.” 2. “I will rinse my mouth after each use.” 3. “I should take three puffs from the inhaler in rapid succession.” 4. “I should tilt my head forward while depressing the canister.”  16.A nurse is reinforcing teaching with a client who has multiple sclerosis. Which of the following instructions should the nurse include? 1. Avoid taking a hot shower or bath.2.Plan activities for the late afternoon.3. Limit weight-bearing exercise.4. Consume a low-calcium diet.17.A nurse enters a client’s room and discovers that the client is experiencing a tonic-clonic seizure on the floor. Which of the following actions should the nurse take?  1. Place a padded tongue blade in the client’s mouth.2. Transfer the client to the bed.3. Restrict the client’s movement.4.Place a rolled blanket under the client’s head. Health Science Science Nursing NURSING MEDSURGE Share QuestionEmailCopy link Comments (0)