Exam (elaborations)
Med/Surg Final Exam Study Guide 2020 Graded A+
- Course
- Institution
Med/Surg Final Exam Study Guide 2020 Med/Surg Final Exam Study Guide 2020 Med/Surg Final Exam Study Guide 2020
[Show more]
Content preview
Med/Surg Final Exam Study Guide 2020A nurse works in an allergy clinic. What task performed by the nurse takes priority?
a. Checking emergency equipment each morning
b. Ensuring informed consent is obtained as needed
c. Providing educational materials in several languages
d. Teaching clients how to manage their allergies - verified answer A
A client is in the preoperative holding area prior to surgery. The nurse notes that the client has
allergies to avocados and strawberries. What action by the nurse is best?
A. assess that the client has been NPO as directed
B. communicate this information with dietary staff
C. document the information in the clients chart
D. ensure the information is relayed to the surgical team - verified answer D
the nurse is caring for clients on the medical-surgical unit. What action by the nurse will help prevent
a client from having a type 2 hypersensitivity reaction?
A. administering steroids for severe serum sickness
B. correctly identifying the client prior to a blood transfusion
C. keeping the client free of the offending agent
D. providing a latex-free environment for the client - verified answer B
A nurse suspects a client has serum sickness. Wat laboratory result would the nurse correlate with
this condition?
A. blood urea nitrogen: 12 mg/dL
B. creatinine: 3.2 mg/dL
C. hemoglobin: 8.2 mg/dL
D. White blood cell count: 12,000/mm3 - verified answer B
A client calls the clinic to report exposure to poison ivy and an itchy rash that is not helped with over
the counter antihistamines. What response by the nurse is most appropriate?
A. antihistamines do not help poison ivy
,B. there are different antihistamines to try
C. you should be seen in the clinic right away
D. you will need to take some IV steroids - verified answer A
A client with Sjgrens syndrome reports dry skin, eyes, mouth, and vagina. What nonpharmacologic
comfort measure does the nurse suggest?
A. frequent eyedrops
B. home humidifier
C. strong moisturizer
D. tear duct plugs - verified answer B
A client is receiving plasmapheresis as treatment for goodpastures syndrome. When planning care,
the nurse places highest priority on interventions for which client problem?
A. reduced physical activity related to the diseases effects on the lungs
B. inadequate family coping related to the clients hospitalization
C. inadequate knowledge related to the plasmapheresis process
D. potential for infection related to the site for organism invasion - verified answer D
A nurse has educated a client on an epinephrine auto-injector (EpiPen). what statement by the client
indicates additional instruction is needed?
A. I don't need to go to the hospital after using it
B. I must carry two EpiPens with me at all times
C. I will write the expiration date on my calendar
D. this can be injected right through my clothes - verified answer A
A client having severe allergy symptoms has received several doses of IV antihistamines. What action
by the nurse is most important?
A. assess the clients bedside glucose reading
B. instruct the client not to get up without help
C. monitor the client frequently for tachycardia
D. record the clients intake, output, and weight - verified answer B
,A client is in the hospital and receiving IV antibiotics. when the nurse answers the clients call light,
the client presents an appearance as shown below:
A. administer epienphrine 1:1000, 0.3 mg IV push immediately
B. apply oxygen by facemask at 100% and a pulse oximeter
C. ensure a patent airway while calling the rapid response team
D. reassure the client that these manifestations will go away - verified answer C
A client suffered an episode of anaphylaxis and has been stabilized in the ICU. when assessing the
clients lungs, the nurse hears the following sounds. What medication does the nurse prepare to
administer? (click the audio button to hear the audio)
A. albuterol (proventil) via nebulizer
B. diphenhydramine (benadryl) IM
C. epinephrine 1:10,000 5 mg IV push
D. Methylpredniosolone (solu-Medrol) IV push - verified answer A
the nursing student is studying hypersensitivitiy reactions. which reactions are correctly matched
with their hypersensitivity types? Select all that apply
A. Type 1 examples include hay fever and anaphylaxis
B. type 2 medicated by action of immunoglobulin (IgM)
C. type 3 immune complex deposits in blood vessel walls
D. type 4 examples are poison ivy and transplant rejection
E. type 5 examples include a positive tuberculosis test and sarcoidosis - verified answer A, C, D
A client in the family practice clinic reports a 2-week history of an allergy to something. The nurse
obtains the following assessment and lab data:
physical assessment data lab results reports sore throat, runny nose, headache, posterior pharynx is
reddened, nasal discharge is seen in the back of the throat, nasal discharge is creamy yellow in color,
temperature 100.2F (37.9 C), red watery eyes, WBC count: 13,400/mm3, eosinophil count: 11.5%,
neutrophil count: 82%
About what medications and interventions does the nurse plan to teach this client? select all that
apply
A. elimination of any pets
B. chlorpheniramine (chlor-trimation)
C. future allergy scratch testing
, D. proper use of decongestant nose sprays
E. taking the full dose of antibiotics - verified answer B, C, D, E
While assessing a client, a nurse detects a bluish tinge to the clients palms, soles, and mucous
membranes, which action should the nurse take next?
A. ask the client about current medications he or she is taking
B. use pulse oximetry to assess the clients oxygen saturation
C. auscultate the clients lung fields for adventitious sounds
D. palpate the clients bilateral radial and pedal pulses - verified answer B
A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail plates.
Which question should the nurse ask to elicit useful information about the possible condition?
A. what do you do for a living?
B. are your nails professionally manicured?
C. do you have diabetes mellitus?
D. have you had a recent fungal infection? - verified answer A
a nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should
the nurse ask first?
A. are you using lotion on your skin?
B. do you have a family history of this?
C. do your arms itch?
D. what medications are you taking? - verified answer D
after teaching a client who expressed concern about a rash located beneath her breast, a nurse
assesses the clients understanding. Which statement indicates the client has a good understanding
of this condition?
A. this rash is probably due to fluid overload
B. I need to wash this daily with antibacterial soap
C. I can use powder to keep this area dry
D. I will schedule a mammogram as soon as I can - verified answer C
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectjoseph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77241 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now