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VATI MEDICAL SURGICAL ASSESSMENT
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VATI MEDICAL SURGICAL ASSESSMENT
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VATI MEDICALSURGICAL
ASSESSMENT
,A nurse is preparing to discharge a client who is postop following a hip arthroplasty. Which of
the following equipment should the nurse ensure that the client has available at home prior to
discharge?
Elevated toilet seat.
A nurse is assessing a client who has suspected appendicitis. Which of the following
manifestations should the nurse expect? SATA
Elevated WBC
Rebound tenderness Anorexia
A nurse is teaching a client who has a new diagnoses of type 1 DM. Which of the following
statements by the client indicates an understanding of the teaching?
"I am aware that my diabetes is caused by an autoimmune disorder."
A nurse is caring for a male client who has a new prescription for cyclosporine following a
kidney transplant. Which of the following findings should the nurse identify as an adverse
effect of this therapy?
BUN 24 mg/dL
A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy.
Which of the following client statements indicates an understanding of the teaching? SATA
"I will avoid crowds"
"I will take my temperature daily"
A nurse is providing teaching to a client who has a new prescription for cephalexin oral
suspension. Which of the following statements by the client indicates an understanding of the
teaching?
"I will keep the medication refrigerated."
A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the
following mechanisms should the nurse identify as responsible for this acid-base imbalance?
Retention of carbon dioxide
A nurse is providing teaching for a client who has constipation-predominant irritable bowl
syndrome (IBS-C). Which of the following statements should the nurse include in the teaching?
"Take psyllium in the evening."
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the
following statements should the nurse include in the teaching?
"You will not be able to eat or drink after the procedure until you are able to cough." A
nurse is providing preoperative teaching to a client who is scheduled for a radical
prostatectomy. Which of the following information should the nurse include in the
teaching?
A PCA pump will be used for postop pain control.
A nurse is providing discharge teaching about infection control at home for a client who has TB.
Which of the following statements by the client indicates an understanding of the teaching?
"I will place my used tissues in a plastic bag."
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings
should the nurse expect?
,Osteoporosis
A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage
system. Which of the following findings should the nurse report to the provider?
Constant bubbling in the water seal chamber.
A nurse is assessing a client who takes salmeterol to treat moderate asthma. Which of the
following findings should indicate to the nurse that the medication has been effective?
The client's daily peak expiratory flow (PEF) measures 85% above personal best. A nurse is
assessing a client's ECG strip and notes an irregular heart rate of 98 pbm with no clear p
waves. Which of the following cardiac dysrhythmias should the nurse document?
A fib
A nurse is assessing a client who has an exacerbation of diverticular disease. In which of the
following quadrants should the nurse anticipate the client to be experiencing abdominal pain?
LLQ
A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone
ointment. The nurse should assess the client to monitor for which of the following adverse
effects?
Thinning of the skin.
A nurse is performing a risk assessment for a client. Which of the following factors should the
nurse identify as increasing the client's risk for falls?
The client had cataracts surgery 1 day ago.
A nurse is caring for a client who is receiving vancomycin intermittent IV bolus therapy for
methicillin-resistant Staphylococcus aureus (MRSA). Which of the following findings is an
indication to the nurse that the client is experiencing an adverse effect of the medication?
The client is becoming flushed.
A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following
findings should the nurse identify as a manifestation of cardiac tamponade?
Paradoxical pulse.
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should
identify which of the following lesion characteristics on the client's skin.
A pearly, waxy nodule.
A nurse is caring for a client who is receiving a transfusion of packed RBCs. The nurse notes
that the client's blood type is AB positive an the blood transfusing is labeled type B negative.
Which of the following actions should the nurse take?
Monitor the client for any adverse reactions?
A nurse is caring for a client who has multiple leg fractures and is 24 hr post op following
placement of skeletal traction. Which of the following actions should the nurse take?
Inspect the pin sites at least every 8 hours.
A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the
following medications should the nurse instruct the client to avoid? SATA
, Aspirin
Naproxen
A nurse is caring for a client who is receiving mechanical ventilation. Which of the following
actions should the nurse implement to decrease the client's risk for ventilatorassociated
pneumonia (VAP)?
Monitor for oral secretions every 2 hrs
Provide oral care evert 2 hrs
Assess the client daily for readiness for extubation
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse identify as a manifestation of left-sided HF?
Frothy sputum
A nurse is assessing a client who is undergoing radiation therapy for breast cancer. Which of the
following findings is an indication to the nurse that the client is experiencing an adverse effect
of the therapy?
Skin Changes
A nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which
of the following actions should the nurse plan to take?
Place monitoring cords and tubes in a stockinette
A nurse is teaching a client about self-management of their halo fixator device. Which of the
following information should the nurse include in the teaching?
Place a small pillow under the head while lying supine.
A nurse is monitoring a client following a lumbar laminectomy. The client has a drain and
indwelling urinary catheter. The nurse should identify which of the following findings as an
indication of a complication of the surgery?
Clear drainage on the dressings.
A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following actions
should the nurse take?
Report cloudy dialysate drainage to the provider.
A nurse is caring for a client who had a surgical repair of an abdominal aortic aneurysm 3 days
ago. The client's vital signs are: temp 38.3 degrees celcius, HR 80 bpm, RR 16 bpm, BP 128/76
mmHg. Which of the following actions is the nurse's priorirty?
Assess the surgical incision for signs of infection.
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