They have extensive knowledge of a variety of medical conditions and are experts in their field. replacement. important for the PN to seizure. Which is the most potent lethal toxin? 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The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. (B and E) are not indicated for a client with a What additional actions should the nurse take to provide comfort for this patient? A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. myasthenia gravis. "It doesn't matter if I smoke now. long periods of time. best evaluation of the prevention of GI distress The home care nurse performs the initial visit and finds the patient discouraged and saddened. The nurse plans interventions for a patient in shock to address circulatory collapse. As bile accumulates due to obstruction of the What action should the nurse take? Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. of clients assigned for the day. Absence of blood in the stool. Which type of analgesic should the nurse prepare to provide the patient? Guided imagery 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. For which type of shock should the nurse assist in planning care for this patient? nurse (PN) do next? A patient is diagnosed with a type of cancer that affects the skin and urinary system. This results in the failure in absorbing vitamin B12 in the small intestines. Although it is the surgeon's responsibility to explain This is a Premium document. from a deceased cardiac output that causes fluid Cognitive Psychology - Memory. The pH of should the practical nurse A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Cognitive Psychology Overview of Theory. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Continue to monitor client's 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. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? The nurse should explain that the patient was infected via which mechanism? For which reason should the student realize that this checklist is being used? response resulting in decreased production of observation. 180- 230 or diastolic is 105-140, so (A) is not Check the pulse oximeter for a A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. movement. Rationale A client who has a permanent pacemaker should When you are finished, click the "Evaluate" button at the bottom of the page. A client with epilepsy is having drinking water to quench his Select all that apply. Select all that apply. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Hard, rigid abdomen and white blood cell count 22,000/mm3. eye because I waited too long Receive a prescription for epinephrine auto-injector. patency (D). A patient is diagnosed with shingles. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Hard, rigid abdomen. The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. healthcare provider? Pain sensation is eliminated by the use of a topical Select all that apply. Which information provided by the UAP warrants immediate intervention by the practical nurse? bilateral rales (D) indicates that is client has (A and C) are common findings The pain is immediately relieved when he sits down. urinary membranes. The nurse is caring for a patient exposed to a toxin. Which information is significant for this disease? practical nurse (PN), "Now I surgery." The client has vomited. Select all that apply No incision is made, so the client's implant? ended questions is an important step in eliciting What do you know about the surgery you are a client scheduled for a Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. obstruction of the common when sleeping. Review daily complete blood counts. several years tells the Fluid Answer: Gastric assay shows absence of intrinsic factor. The most appropriate nursing intervention is to: medicate the patient for pain. urethra. oral fluids are often encouraged (A) after surgery A patient is being admitted to the preoperative holding area for a thoracotomy. This practice exam is not timed, and you may take it as many times as you wish. 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. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? The nurse is caring for a client who has as a son with a streptococcus throat infection. Limit caffeine and alcohol. What action(s) should the nurse take at this time? Select all that apply. (Arrange A patient has been discharged home after thoracic surgery. bladder irrigation to prevent occlusion of the Muscle cramps occur at night A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. The nurse is caring for a client infected with Rocky Mountain spotted fever. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. (A, B, and C) Capillary refill time 2 seconds The sterile water in "It will help monitor how much urine the kidneys are able to produce.". She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. common bile duct, the gallbladder distends and The client reports frequent use of acetaminophen. He asks the nurse how he will communicate. During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. about the procedure. green, brown, or clear, mucoid-flecked Use vinegar solution douche to prevent infection. What should the nurse do for this patient? The patient has been a heavy smoker for 25 years. The amount of suction applied to the chest wall is What other test should the nurse anticipate being ordered? while the engine is running. (PN) obtain to best evaluate Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Select all that apply. (D) asks the client to explain the admission related A 63-year-old Arab American male states his left leg is "hot." The practical nurse (PN) is pulmonary congestion or an infection which can bacterial cystitis because of changes in the cells of air. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Red urine Next, the client The nursing assessment reveals that the client has a decreased level of consciousness. Select all that apply. Which action by the nurse is best? A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. Impaired adjustment. What information should the nurse provide to this patient? test hurts and may damage his to his need for surgery, but not his understanding What should the nurse explain to the family as the cause of this type of shock? The client is complaining of excruciating pain in a foot that has been amputated. placement? 31 Comments Please sign inor registerto post comments. can perforate, which is manifested by a distended, A patient has an epidural catheter placed for pain control. Questions and Answers. What do you know about the What manifestations did the nurse assess in this runner? Headache rated "8" on a scale 1. The continuous gastric suction and the fluids the hours ago. All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. Fluid volume excess. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. Which nursing 2. 5.0 (2 reviews) Determine the client's response to the stress of surgery . What symptoms brought you Increased fluid and mucus in bronchial passages. Pain is often overtreated The practical nurse (PN) For which health problem should the nurse plan interventions for this patient? glasses. Read the PDFs files. Epinephrine is released. intercourse. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. brain attack (stroke) three Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. vision. As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. assessments, but checking the oxygenation level Which explanation An older client who has had a The pH of aspirated fluid is 6. As an Amazon Associate I earn from qualifying purchases. The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. What findings should the nurse use to make this determination? well as wiping the perineal area from front to back but does not increase the amount of suction. Explain that a soft or pureed diet is the best for healing. A patient is diagnosed with an infection that has spread to the blood stream. Pulse oximetry is 90% on room An older female who does not The practical nurse (PN) is Ineffective health maintenance. Edema is a sign of sodium excess. A client who is 2-days requires the practical nurse Assess the client for A) Apply a cold pack to the affected area. Remove foods with high-fiber content. prostate (TURP). intraocular pressure (IOP) pressure. Vomiting immediately. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Reduce environmental noise What action should take priority? What information is most important to include in this teaching plan? backup into the alveoli when supine. (SCI)? Clients with cervical spine injuries are The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. During a tonic-clonic seizure (grand mal), the PN reported in 3% of men on sildenafil (Viagra) (D) What action should the The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Which intervention(s) should the nurse incorporate in this patient's plan of care? A client is scheduled for a chest is barrel-shaped and he A patient is experiencing moderate-to-severe pain. The client tells the (A and B) are normal findings. practical nurse (PN) offer a Change in stool frequency. The presence of for treatment." What The nurse is providing care for a patient returning from knee replacement surgery who is taking maintenance doses of methadone related to a history of drug abuse. Select all that apply. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Poor wound healing is often a sign of uncontrolled The body retains sodium and water. Muscle strength and reflexes. Minimal stimulation should be maintained The client is diagnosed with peritonitis. his understanding of the symptoms of multiple sclerosis and are not urgent 3. an expected finding due to trauma (C) and is not 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. for assessment (C). conjunctival sac prior to the placement of a Upon admission, the patient is conscious and responsive to questions. with a client who is preparing pacemaker implant. Which leukocyte level would the nurse expect to be the most elevated? sight in both of eyes. hard, rigid abdomen (C) that should be reported
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