Med surg Final
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | Increased, blood pressure, increased heart rate , increased respiratory rate
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| A nurse is assessing an older adult client who is receiving VI therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (select all that apply) | show 🗑
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| show | Dehydration due to cellular damage, shift of fluid from the intra cellular to extra cellular.
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| A nurse is in the emergency department is caring for a client who has a 30% burn injury to her lower extremities. Which following interventions should the nurse perform first? | show 🗑
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| show | Lacted Ringer's
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| show | Heart rate
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| show | The client who has gastroenteris and is febrile
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| show | Paralytic ileus
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| A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolis (VTE). The nurse should instruct the client to avoid which of the following unsafe actions? | show 🗑
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| A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). the client tells the nurse, I" can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up " Which of the following actions sh | show 🗑
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| A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy of breast cancer. Which of the following findings should the nurse report of the provider? | show 🗑
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| A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? | show 🗑
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| A nurse is reviewing the diagnostic test results of an older adult female client who is preoperative for ankle arthroplasty. the nurse should notify the surgeon of which of the following results? | show 🗑
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| A nurse is reviewing the laboratory findings for a client who has idiopathic thrombocytopenic purpura (ITP) Which of the following findings should the nurse expect to be decreased? | show 🗑
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| A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productie cough and is SOB. The nurse should anticipate which of the following assessment finding f | show 🗑
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| show | Dyspnea, Barrel chest, clubbing of the fingers
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| show | Albuterol via jet nebulizer
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| A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse' s highest priority? | show 🗑
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| show | Administer a shor-acting B2 agonist (SABA)
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| A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effect? | show 🗑
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| A nurse is admitting a client who having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications? | show 🗑
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| show | Adrenocortical insufficiency
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| A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to client ? | show 🗑
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| show | Decreased platelet count, Decreaed leukocyte count, Decreased erythrocyte count
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| A nurse is assigned to care or a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP). When receiving the client, the nurse should recognize that the priority concern in caring for a client is to monitor for | show 🗑
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| show | Surgical excision
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| show | Malignant melanoma
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| show | Facial rash
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| A nurse is preparing a presentation at a community center about systemic lupus erythematous (SLE).The nurse should plan to include which of the following findings as a manifestation of SLE? | show 🗑
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| show | Classikc Kaposi sarcoma
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| A nurse is caring for a client who has a history o exposure to TB and symptoms of night sweats and hemoptysis. Which of the following test should the nurse realize is the most reliable to confirm the diagnosis of actie pulmonary TB? | show 🗑
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| A nurse is caring for a client who has a mild traumatic brain injury TBI. Which of the following manifestations should the nurse immediately report to the provider? | show 🗑
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| A nurse is receiving a transfer report for a client who has a head injury the client has a Glasgow Coma Scale (GCS) score of 3 for eye opening. 5 for best verbal response, and 5 for best motor reponse .Which of the following is an appropiate conclusion ba | show 🗑
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| show | Brudzinki's sign
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| A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech. Which of the following action should the nurses take? | show 🗑
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| show | Call emergency services
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| show | Evaluate the clinet's neurological status
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| show | Severe headache
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| A nurse in the emergency department is caring for a client who has myasthenia gravis and is in crisis. Which of the following factors should the nurse identify as a possible cause of myasthenic crisis? | show 🗑
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| show | weakness
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| A nurse is assessing a client who has a suspected diagnosis of Guillain-Barr'e syndrome (GBS) Which of the following questions should the nurse ask the client? | show 🗑
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| show | Fresh flower and poted plants in the rooom
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| A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge istruction? | show 🗑
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| A nurse is caring for a client who has aT-4 spinal cord injury. Which of the following client findings should the nurse identify as an indication the client at risk for experiencing autonomic dysreflexia? | show 🗑
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| A nurse is providing dischage teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatietn radiation therapy the next day. Which of the following instruction about maintaning skin integrity should the nurse i | show 🗑
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| show | Resperiatory rate 8 min.
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| show | Orthostatic hypotension
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| A nurse is caring for a client who had total hip arthroplasty 1 day ago and is receiving morphine sulfate by PCA pump for pain control. The client reports nausea and vomiting. Which following actions should the nurse take? | show 🗑
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| A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan? | show 🗑
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| A nurse is assignee to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura(ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should recognize that the priority concern in caring for the | show 🗑
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| A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manisfestations most appropriate for the nurse to monitor? | show 🗑
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| A nurse is reviewing the laboratory findings for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following findings should findings should the nurse expect to be decreased? | show 🗑
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| A nurse is reviewing a client's CBC findings and dicovers that the client's platelet count is 9,0000/mm3. The nurse should monitor the client for which of the following? | show 🗑
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| show | Fresh flowers and potted plants in the room
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| show | Uniteral leg edema
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| A nurse is caring for a client is postoperative following vascular surgery. Which of the following signs and symptoms indicates that the patient had developed a thrombus? | show 🗑
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| A nurse is providing discharge instructions to a client who developed deep-vein thrombosis (DVT) postoperatively and is prescribed anticoagulant therapy. Which of the following instructions should the nurse include? | show 🗑
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| show | Encourage the client to walk.
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| A nurse is planning care for a client who has deep vein thrombosis of the lower leg. Which of the following interventions should the nurse include in the plan of care? | show 🗑
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| A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions? | show 🗑
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| During a routine physical examination, a nurse observes a 1 cm (0.4 in)Lesion on a client's chest . The lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this findings is suggestive of which of the following typ | show 🗑
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| A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include? | show 🗑
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| A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings? | show 🗑
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| show | Serum Creatinine
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| A nurse is leading a health promotion workshop that is focusing on cancer prevention. What action is most likely to reduce participants risks of basal cell carcinoma (BCC)? | show 🗑
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| A nurse is teaching a client about risk factor for skin cancer. Which of the following statements by the client indicates an understading of the teaching? | show 🗑
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| show | Reposition the client every 2 hr
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| show | Difficulty swallowing
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| show | Inspect the mouth for signs of inhalation injuries
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| A nurse is caring for a client who has herpes zoster. Which of the following findings should the nurse expect? | show 🗑
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| show | History of chronic skin irritation
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| A nurse is caring for an adult client who has atopic dermatitis Which of the following findings should the nurse expect? | show 🗑
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| show | Administer analgesics for pain
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| show | Prepare to administer acyclovir
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| show | " Many clients experencience pain in the affected are for weeks after the lesion have resolved
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| Findings when you assess a patient with psoriasis. A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings? | show 🗑
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| A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan? | show 🗑
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| A nurse is providing teaching to a client who has psoriasis and a new prescription for the topical corticosteroid cream betamethasone valerate. Which of the following information should then nurse include in the teaching? | show 🗑
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| show | Use bath oils to soften and soothe the skin.
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| show | Malignant melanoma
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| show | Irregular borders
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| A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion? | show 🗑
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| show | Surgical excision
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| While performing an initial assessment of patient admitted with appendicitis, the nurse observes an elevated blu-black lesion on the patient ear. The nurse knows that this lesion consistent with what type of skin cancer? | show 🗑
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| show | skin biopsy
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| A nurse is assessing a client who has viral rhinitis and a history of herpes simplex virus type 1 (HSV-1 lesions. The nurse should assess which of the following areas of the body for the recurrence of HSV-1 lesions? | show 🗑
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| A nurse is teaching a cliet who has herpes simples virus type 2 disease transmission. Which of the following statements by the client indicates understanding of the teaching? | show 🗑
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| A nurse in a provider's office is assessing a client who has AIDS. The nurse notes that the client has multiple and widespread raised, purplish brownskin lesions. The nurse should recognize that these findings indicate which of the following condition? | show 🗑
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| show | Use the cream for a few days after the area has healed
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| show | Administer an antiemetic prior to the procedure
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| show | I will eat foods that are served at room temperature
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| A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements shluld th enurse include in the teaching? | show 🗑
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| A patient arrives in the emergency department after being burned in a house fire. The patients burn cover the face and the left forearm. What extent of burns does the patient most likely have? | show 🗑
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| show | 54 percent
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| A nurse in a emergency department is caring for a client who has deep partial and full thickness burns to his chest, abdomen, and upper arms. What is the nurse 's priority intervention for this client during the resuscitation of phase of injury? | show 🗑
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| A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect? | show 🗑
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| show | Tuberculosis
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| show | Have the client wear mask.
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| A nurse is admitting a client who has tuberculosis and a productive cough. Which of the following types of isolation precautions should the nurse initiate for the client? | show 🗑
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| A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client 's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82 min, r | show 🗑
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| show | Manifestations preceed by a severe headache WORSE
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| If you are in certain place, and you are out of duty, and you find a person that suddenly has a stroke and collapsed, What are you going to do? | show 🗑
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| A nurse is receiving a transfer repotr for a client who has a head injury. The client has Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response and 5 for best motor response. Which of the following is an appropriate conclusion b | show 🗑
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| show | Evaluate the client's neurological status
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| show | Developing a respiratory infection
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| show | The client needs total nursing care.
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| show | Iron-deficiency anemia
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| show | The client's bladder becomes distended.
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| A nurse is caring for client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 m Hmg and suspects the client is experiencing autonomic dysreflexia. Which of the follo | show 🗑
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| show | Scaling and redness between client's toes.
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| show | " Your provider may recommend a daily anthistamine to help control your symptoms"
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| A nurse is planning care for a client who requires airborne precaution. Which of the following actions should the nurse take? | show 🗑
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| A nurse is caring for a client who had total hip arthroplasty 1day ago and is receiving morphine sulfate by PCA pump for pain control. The client reports nausea and vomiting. Which of the following actions should the nurse take? | show 🗑
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| show | a self report paint rating scale
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| show | Respiratory Acidosis
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| show | Pacemaker spikes before each QRS complex
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| show | Fatigue
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| show | Spike before atrium contraction before P, Packemaker will do the SA nod job, AV node before QRS: problem contraction of the ventricle is before QRS
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| show | Reduction of T-wave a,mplitude
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| A nurse is caring for a client 1 day postoperative who has developed atelectasis. Which of the following manifestations is an expected finding for this condition? | show 🗑
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| show | Output of brugundy colored urine
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