Adult Medical Surgical Practice A exam 2024 with 100% correct answers
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Course
Adult Medical Surgical Practice A
Institution
Adult Medical Surgical Practice A
A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the following findings should the nurse expect? correct answersFacial butterfly rash.
R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients cheeks and nose and...
A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the
following findings should the nurse expect? correct answersFacial butterfly rash.
R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients cheeks and nose
and can disappear during times of remission.
A nurse is caring for a client who is receiving plasmapheresis through a venous access site. Which of the
following actions should the nurse take? correct answersCheck electrolyte levels before and after
therapy.
R: Plasmapheresis can cause citrate induced hypocalcemia. Therefore the nurse should monitor the
clients electrolyte levels before and after therapy.
A nurse is assessing a client who has Graves disease. Which of the following images should indicate to
the nurse that the client has exophthalmos? correct answersThe nurse should identify an outward
protrusion of the eyes is exophthalmos a common finding of graves disease. An overproduction of the
thyroid hormone causes edema of the extraocular muscle and increases fatty tissue behind the eye
which results in the eyes protruding outward. Exophthalmos can cause the client to experience problems
with vision including focusing on objects as well as pressure on the optic nerve.
A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago.
Which of the following actions should the nurse take first after hearing the following sound? correct
answersListen with the client on his left side. When providing nursing care the nurse should first use the
least invasive intervention. Therefore after auscultating a murmur the first action the nurse should take
is to place the client on his left side and listen to his heart again.
A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of
32. Which of the following statements by the client indicates an understanding of the teaching question
mark correct answersI am dieting to lose weight. Excess weight cut creates increased abdominal
pressure that can result in stress incontinence.
, A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results
should the nurse expect? correct answersPaco2 of 56. A client who has COPD retains paco2 due to the
weakening and the collapse of the alveolar sacs which decreases the area and lungs for gas exchange
and causes the paco2 to increase above the expected reference range.
A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone
replacement therapy. For which of the following adverse effects should the nurse instruct the client to
notify the provider? Select all that apply. correct answersCalf pain, numbness in the arms and intense
headache. Calf pain is an indication of DVT and the client should report this finding to the provider
immediately. Numbness in the arms can indicate cerebrovascular accident which is an adverse effect of
hormone replacement therapy and an intense headache can indicate a cerebrovascular accident.
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for
erythropoietin. Which of the following statements by the client indicates an understanding of the
teaching? correct answersI am taking this medication to increase my energy level. The goal of
erythropoietin therapy is to increase the level of hematocrit and clients who have anemia. When the
medication is effective the client should have a decreasing fatigue and an improvement and activity
tolerance.
A nurse is teaching a client who has venous insufficiency about self-care. Which of the following
statements should the nurse identify as an indication that the client understands teaching? correct
answersI will wear clean graduated compression stockings everyday. The client should apply a clean pair
of graduated compression stockings each day and clean soiled stockings with mild detergent and warm
water by hand.
A nurse is preparing to present a program about atherosclerosis at a health fair. Which of the following
recommendations should the nurse plan to include? Select all that apply. correct answersFollow a
smoking cessation program maintain an appropriate weight eat a low-fat diet and increase fluid intake.
Smoking cessation is an important lifestyle modification to prevent Arthur sclerosis and preventing
obesity through diet and exercise can help prevent atherosclerosis. Eating a low fat diet decreases LDL
cholesterol and can prevent atherosclerosis.
A nurse is caring for a client who is 12 hours post-operative following a total hip arthroplasty. Which of
the following actions should the nurse take? correct answersPlace a pillow between the clients legs. The
nurse should place a pillow between the clients legs to prevent hip dislocation.
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