STUVIA 2024/2025
1. Science
2. Medicine
3. Surgery
2019 med surg A
"I will use my hands rather than a washcloth to clean the radiation area."
wash the radiation area with their hands using warm water and mild soap to protect the skin from
further irritation. - ✔✔a nurse is providing teaching to a client who has esophageal cancer and is to
undergo radiation therapy. which of the following statements should the nurse identify as an indication
that the client understands the teaching?
"I will wash the ink markings off the radiation area after each treatment."
"I will use my hands rather than a washcloth to clean the radiation area."
"I will be able to be out in the sun 1 month after my radiation treatments are over."
"I will use a heating pad on my neck if it becomes sore during the radiation therapy."
"Take insulin even if you are unable to eat your regular diet" - ✔✔a nurse is caring for a client with
type 1 diabetes mellitus and has had acute bronchitis for the past 3 days. Which of the following
should the nurse include when instructing the client.
%
"Take insulin even if you are unable to eat your regular diet."
"It's okay if your ketone levels are temporarily high."
"Monitor your blood glucose levels every 12 hours."
"Call the provider if your glucose levels reach 170 milligrams per deciliter."
**Fever is correct.
Nonpitting edema is incorrect.
**Hypertension is correct.
**Tachycardia is correct.
Hypoglycemia is incorrect. - ✔✔A nurse in an emergency department is caring for a client who is
experiencing a thyroid storm. Which manifestations should the nurse expect?(SATA)
Fever
Nonpitting edema
Hypertension
Tachycardia
Hypoglycemia
**Sleepiness exhibited by the client is correct.
**Widening pulse pressure is correct.
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**Decerebrate posturing is correct - ✔✔A nurse is caring for a client who has a closed head
injuryand an intraventricular catheter placed. which finding indicates the client is experiencing
increased intracranial pressure?
Flat jugular veins
A Glasgow Coma Scale score of 15
Sleepiness exhibited by the client
Widening pulse pressure
Decerebrate posturing
**Visual spatial deficits is correct.
**Left hemianopsia is correct.
**One-sided neglect is correct. - ✔✔a home health nurse is assigned to a to a client who was
recently discharged from a rehabilitation center after experiencing a right hemispheric stroke. which
neurologic deficits should the nurse expect to find when assessing the patient.
Expressive aphasia
Visual spatial deficits
Left hemianopsia
Right hemiplegia
One-sided neglect
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12 almonds - ✔✔a nurse is providint dietary teaching to a client who is postoperatie following a
thyroidectomy with removal of the parathyroid glands. The nurse should instruct the client to include
which of the following foods that has the greatest amount of calcium in her diet?
12 almonds
One small banana
1 tbsp peanut butter
1/2 cup tomato juice
167 - ✔✔a nurse is caring for a client who has a new prescription for TPN. the client is to recieve
2000 kcal per day. the TPN solutionhas 500 kcal/l. the IV pump should be set at how many ml/hr.
a client should sign an informed consent before recieving a placebo - ✔✔a nurse is teaching a class
about client rights. which of the following instructions should the nurse include?
A client should sign an informed consent before receiving a placebo during a research trial.
A client cannot refuse to sign a consent form for a life-saving treatment.
A client who has a mental illness is unable to give informed consent.
An unemancipated minor needs guardian consent for substance use disorder treatment.
a client with MS that is having difficulty ambulating - ✔✔a nurse is assessing a group of clients for
indications of role changes. the nurse should identify that which of the following clients is at risk for
experiencing a role change.
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A client who has type 1 diabetes mellitus and is starting to self-monitor blood glucose
A client who had a cholecystectomy and is starting on a modified-fat diet
A client who has Crohn's disease and is experiencing diarrhea three times a day
A client who has multiple sclerosis and is experiencing progressive difficulty ambulating
add cabbage to the diet.
high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as cabbage,
cauliflower, and broccoli, are high in fiber. - ✔✔a nurse is teaching a client who has a family history
of colorectal cancer. to help mitigate this risk, which of the following dietary alterations should he
nurse recommend?
Add full-fat yogurt to the diet.
Add cabbage to the diet.
Replace butter with coconut oil.
Replace shellfish with red meat.
aged cheese - ✔✔a nurse in a community clinic is caring for a client who reports an increase in the
frequency of migraine headaches. to help reduce the risk for migraine headaches, which of the
following foods should the nurse recommend the client to avoid?
%
Shellfish
Aged cheese
Peppermint candy
Enriched pasta
apply firm pressure to the insertion site. - ✔✔a nurse is caring for a client 1 hour following a cardiac
catheterization, the nurse notes the formation of a hematoma at the insertion site and a decreased
pulse rate in the affected extremity, which of the following interventions is the nurse's priority?
Initiate oxygen at 2 L/min via nasal cannula.
Apply firm pressure to the insertion site.
Take the client's vital signs.
Obtain a stat order for an aPTT.
avoid placing plants and flowers in the patients room. - ✔✔a nurse is planning care for a client who
has extensive burn injuries and is immunocompromised. which of the following precautions should
the nurse include in the plan of care to prevent pseudomonas aeruginosa infection?
blood pressure 170/80 - ✔✔A nurse is caring for a client who has a new diagnosis of
hyperthyroidism. which of the following is a priority assessment finding that te nurse should report to
the provider?
Restlessness
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