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Final exam 1 Med Surge

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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Question
Answer
What is the nurses first action when beginning client education   show
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Which action shows an understanding of the principle of self determination   show
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The nurse is initiating a series of teaching sessions with an older client, what is the nurses highest priority action prior to to beginning the session   show
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which action demonstrates the nurse is using critical thinking for planning a menu for a vietnamese client who is newly diagnosed with diabetes   show
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what assessment data should be collected first from a client admitted to an emergency dept with a lacerated artery   show
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the clients primary health care provider is an advanced practice nurse in an ambulatory care setting which intervention can the client expect to receive from the nurse in an ambulatory care center   show
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show the primary health care provider are advanced practice nurses  
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show client requiring deep wound management  
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a client arrives in a health clinic is concern by being assessed by a np instead of a dr the rn develops a teaching plan on the differences between np and a dr other than educational preparation what is the main difference health care provided by a np and   show
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show a collective process to promote quality and cost effective care  
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show an older woman with chronic congestive heart failure and diabetes  
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show without implementation of clinical pathways our agency could not be accredited by the TJC  
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show believe the clients report of pain  
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when is the nurse correct in decreasing the dose of pain medication in a client with end stage cancer   show
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a client with chronic pain is being discharged from the hospital when planning the clients pain of relief for the regiment for home it is most important for the nurse to communicate with which member of the healthcare team   show
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a client with arthritic pain is considering taking a herbal supplement to relive arthritic pain what teaching is most important for the nurse to carry out with the client   show
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which instruction should the nurse include in the discharge teaching plan of a client who has had a transcutaneous electronic nerve stimulation unit implanted   show
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show to ensure that pain assessment occurs on regular basis  
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a client with cholecystitis has pain in the right shoulder area and asks what is happening to me what did I do to my shoulder, what is the nurses best response   show
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show older adult client with arthritis  
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show consult with a pain controlled specialist  
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a client who is taking oxycodone for an extended period of time comes to the clinic complaining the drug no longer relieving his pain, which category would be given to the clients complaint   show
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a home care client who is taking morphine for pain management abruptly stops taking his medication which symptoms would indicate a physical dependence   show
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a home care client who is currently on hydromorphone for pain management presents to the hospital complaining of abdominal cramping, nausea, and sweating. when taking the clients history the nurse should ask which question   show
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the nurse is assessing a client with a history of arthritic pain, assessment findings reveal a heart rate of 120 bpm, bp 170/80 which intervention will the nurse carry out first   show
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show history of rheumatoid arthritis bp 110/70  
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when assessing the client which behavior most indicates that he or she is experiencing changes associated with acute pain   show
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a nurse anticipates a client who rates his pain level at a 10 on a scale of 1-10 has undergone which of the following surgical procedures   show
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show increase liver function test  
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show when was the last time you took it  
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a client has been receiving 10 mg of morphine Q4H for acute pain his discharge medication includes an oral combination of opioid and NSAIDs preparation oxycodone what dosage would be considered to be equianalgesic   show
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show drink plenty of water and eat foods high in fiber  
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a client was given 15 mg of morphine IM for post surgical pain, when the nurse checks the client for pain relief an hour later, the client is sleeping and has a respiratory rate of 8 breaths/minute, what is the nurses first action   show
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the nurse accidentally administers 15 mg of morphine to a patient who has been given another dose of morphine 15 mg IM about 30 minutes early, what initial action should the nurse be prepared to take   show
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a client is admitted to the hospital with a history of oxycodone for percodan abuse which clinical manifestation would the nurse observe the client   show
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show client with cancer patient who is nauseous  
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show rectal  
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show heart rate of 100 bpm and restless  
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the client has a history of alcohol abuse which pain relief regimen should the nurse anticipate in morphine ms contin is given for pain   show
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which instructions is the most accurate for the nurse to give a client who has client controlled has a pca after abdominal surgery   show
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show client receiving marcaine complaining of the inability to move the legs  
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because the client has an epidural analgesia with marcaine for pain relief which condition should the nurse anticipate as a potential problem   show
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show assess for gastric discomfort  
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which statement made by a nurse represents the need for further education regarding pain medication in an older adult clients   show
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show imagery  
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morphine for pain management, the family expresses concern that morphine may cause the client to stop breathing and die what is the nurses best response   show
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primary prevention interventions for older adult should include prevention of which condition   show
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show impairment of physical abnormalities and handicaps are societal values placed on individuals with impairments  
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the nurses is planning discharge teaching for rehabilitation for a client who is a paraplegic the client verbalizes he doesn't know why he should go, what is the nurses best response   show
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show assessing vital signs before during and after activity  
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show take nitroglycerin prior to activity  
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show the ability to sit on a toilet unassisted  
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show functional independence measure  
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show risk for impaired skin integrity  
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show weight gain  
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the nurse is performing passive range of joint motion exercise on a semiconscious client and meets resistance while attempting to extend the right elbow more than 45 degrees, what will the nurse do   show
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what intervention will best help the client with decrease mobility decrease the risk for fractures   show
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the nurse assess a client admitted to rehabilitation, the client has full range of motion but presents with a weak grasp, what exercise does the nurse perform   show
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which assessment finding will prevent a client from being a candidate for self catheterization   show
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which action will the nurse implement to prevent pressure ulcers in a bed ridden client   show
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show placing a cane in a clients stronger side hand and moving the cain forward followed by moving the weaker leg moving one step forward  
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which nursing intervention will the nurse implement to prevent venous stasis and thrombus formation in a client undergoing rehabilitation   show
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show scheduling energy intense activities in the morning when energy levels are high  
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which dietary modification will the nurse reinforce to reduce the risk of skin impairment in a client of impaired physical mobility   show
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show document the findings as the only action  
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show you can reuse the catheter at home clean technique rather than sterile technique is acceptable  
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the nurse teaches a client at risk for urinary tract infections to increase which juices in their diet   show
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an older adult client is getting out of bed for the first time the nurse is alert for the development of which potential problem   show
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show occupational therapist  
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the nurse performs an admission history on a client who has been transferred to a rehabilitation floor of a hospital the client asks why are you doing this again they took my history on the floor how will the nurse respond   show
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prior to ambulating a client, what information is essential for the nurse to know   show
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during the admission history intake the client with hip problems as why are you asking my bowels and bladder   show
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a client starting on a structured cardiac rehabilitation program before starting the activity what will the nurse do   show
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show use the crede manuever for the bladder every 3 hours  
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show Valsava manuever and crede manuever  
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the client is receiving the following medication synthroid 0700 and digoxin at 0900 what will be the best time to administer metamucil   show
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