Medical-Surgical: Final Practice (50 questions) 2023
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Medical-Surgical:
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Medical-Surgical:
Medical-Surgical: Final Practice (50
questions) 2023
a nurse is planning care for a client who has AnsA nurse is monitoring a client following a thyroidectomy. Which of the following findings should the
nurse identify as an indication of hypoparathyroidism? Ans- Involuntary muscle spasms
(o...
Medical-Surgical: Final Practice (50
questions) 2023
a nurse is planning care for a client who has Ans-
A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the
nurse identify as an indication of hypoparathyroidism? Ans- Involuntary muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy. Muscle twitching
and paresthesias can result due to decreased parathyroid hormone levels and calcium deficiency.)
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of
the following statements by the client indicates an understanding of the teaching? Ans- "I should check
my heart rate each day."•
A nurse is reinforcing discharge teaching about improving gas exchange with a client who has
emphysema. Which of the following information should the nurse include in the teaching? Ans- Use
pursed-lip breathing during periods of dyspnea.
A nurse is reinforcing teaching with a client who has a new diagnosis of multiple sclerosis (MS). The
client asks the nurse about the usual course of MS. Which of the following responses should the nurse
make? Ans- "Acute episodes are usually followed by remissions, which can last varying lengths of time."
a nurse in an emergency department is caring for a client who reports developing severe right eye pain
with a gritty sensation while sawing wood. Whats priority? Ans- Ask the client about first aid performed
at the scene
A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When instilling the
medication, which of the following actions should the nurse take? Ans- Apply pressure to puncta after
instillation of the medication.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to irrigate the
wound, which of the following actions should the nurse take rst? Ans- Check the client's pain level
, A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at the
bedside. Which of the following actions should the nurse take first? Ans- Lower the client to the floor.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48
mg/dL. Which of the following findings should the nurse expect? Ans- Diaphoresis
A client who has a blood glucose level below 70 mg/dL to exhibit indications of hypoglycemia. Including
weakness, hunger, diaphoresis, nausea, shakiness, and confusion.
A nurse is reinforcing teaching with a client who is scheduled for a sigmoid colon resection with
colostomy. Which of the following statements by the client indicates a need for further teaching? Ans-
"My diet will have to change to a soft diet after surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not any food restrictions.)
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO 32 mm HG, and
HCO 24 mEq/L. The nurse should determine that the client has which of the following acid-base
imbalances? Ans- Respiratory alkalosis
(The nurse should identify that the client's pH is elevated above the expected reference range of 7.35 to
7.45, indicating alkalosis. The nurse should then identify that the client's PaCO is low, below the
expected reference range of 35 to 45 mm Hg, which indicates a respiratory origin. The nurse should
conclude that the client's elevated pH and decreased PaCO indicate respiratory alkalosis.)
A nurse in an urgent care clinic is collecting data from a client who sustained a fall. Which of the
following findings should the nurse identify as an indication of a skull fracture? Ans- Clear fluid coming
from the nares.
(cerebrospinal fluid)
A nurse is reinforcing teaching with a client about preventing the transmission of hepatitis A. The nurse
should identify that hepatitis A is transmitted by which of the following routes? Ans- Fecal-oral
contamination
A nurse is reinforcing teaching with a client who has tuberculosis (TB) and a prescription for isoniazid.
Which of the following instructions should the nurse include? Ans- "Your provider will monitor your liver
function while you are taking this medication."
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