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MED SURG EXAM 4 WITH COMPLETE SOLUTIONS 100% 2023/2024
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MED SURG EXAM 4 WITH COMPLETE SOLUTIONS 100% 2023/2024 MED SURG EXAM 4 WITH COMPLETE SOLUTIONS 100% 2023/2024
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MED SURG EXAM 4 WITH COMPLETESOLUTIONS 100% 2023/2024
A nurse assesses clients on a medical-surgical unit. Which client should the nurse identify as having the
greatest risk for cardiovascular disease
A An 86-year-old man with a history of asthma
B A 32-year-old Asian-American man with colorectal cancer
C A 45-year-old American Indian woman with diabetes mellitus
D A 53-year-old postmenopausal woman who is on hormone therapy - correct answer C
A nurse assesses an older adult client who is experiencing a myocardial infarction. Which clinical
manifestation should the nurse expect
A Excruciating pain on inspiration
B Left lateral chest wall pain
C Disorientation and confusion
D Numbness and tingling of the arm - correct answer C
A nurse assesses a client who is scheduled for a cardiac catheterization. Which assessment should the
nurse complete prior to this procedure
A Client's level of anxiety
B Ability to turn self in bed
C Cardiac rhythm and heart rate
D Allergies to iodine-based agents - correct answer D
A nurse cares for a client who has an 80% blockage of the right coronary artery (RCA) and is scheduled
for bypass surgery. Which intervention should the nurse be prepared to implement while this client waits
for surgery
,A Administration of IV furosemide (Lasix)
B Initiation of an external pacemaker
C Assistance with endotracheal intubation
D Placement of central venous access - correct answer C
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at high risk for
coronary artery disease. Which statement related to nutrition should the nurse include in this client's
teaching
A "The best way to lose weight is a high-protein, low-carbohydrate diet."
B "You should balance weight loss with consuming necessary nutrients."
C "A nutritionist will provide you with information about your new diet."
D "If you exercise more frequently, you won't need to change your diet." - correct answer B
A nurse cares for a client who has advanced cardiac disease and states, "I am having trouble sleeping at
night." How should the nurse respond
A "I will consult the provider to prescribe a sleep study to determine the problem."
B "You become hypoxic while sleeping; oxygen therapy via nasal cannula will help."
C "A continuous positive airway pressure, or CPAP, breathing mask will help you breathe at night."
D "Use pillows to elevate your head and chest while you are sleeping." - correct answer D
A nurse cares for a client who is recovering from a myocardial infarction. The client states, "I will need to
stop eating so much chili to keep that indigestion pain from returning." How should the nurse respond
A "Chili is high in fat and calories; it would be a good idea to stop eating it."
B "The provider has prescribed an antacid for you to take every morning."
C "What do you understand about what happened to you"
D "When did you start experiencing this indigestion" - correct answer C
, An emergency department nurse triages clients who present with chest discomfort. Which client should
the nurse plan to assess first
A A 42-year-old female who describes her pain as a dull ache with numbness in her fingers
B A 49-year-old male who reports moderate pain that is worse on inspiration
C A 53-year-old female who reports substernal pain that radiates to her abdomen
D A 58-year-old male who describes his pain as intense stabbing that spreads across his chest - correct
answer D
A nurse is caring for a client with a history of renal insufficiency who is scheduled for a cardiac
catheterization. Which actions should the nurse take prior to the catheterization (Select all that apply.)
A Assess for allergies to iodine.
B Administer intravenous fluids.
C Assess blood urea nitrogen (BUN) and creatinine results.
D Insert a Foley catheter.
E Administer a prophylactic antibiotic.
F Insert a central venous catheter. - correct answer A B C
An emergency room nurse assesses a female client. Which assessment findings should alert the nurse to
request a prescription for an electrocardiogram (Select all that apply.)
A Hypertension
B Fatigue despite adequate rest
C Indigestion
D Abdominal pain
E Shortness of breath - correct answer B C E
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