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2024 MED SURG CAPSTONE PROCTOR EXAM LATEST TEST BANK 50 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/CAPSTONE MED SURG TEST BANK$13.99
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2024 MED SURG CAPSTONE PROCTOR EXAM
LATEST TEST BANK 50 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES/CAPSTONE MED SURG TEST BANK
Terms in this set (43)
A nurse in the critical care A, B, D
unit is completing an
admission assessment of a
client who has a gunshot
wound to the head. Which
of the following assessment
findings are indicative of
increased ICP? (Select all
that apply)
A. Headache
B. Dilated pupils
C. Tachycardia
D. Decorticate posturing
E. Hypotension
,A nurse in the ED is A
assessing a client who is
unresponsive. The client's
partner states, "He was
pulling weeds in the yard
and slumped to the
ground." Which of the
following techniques should
the nurse use to open the
client's airway?
A. Head-tilt, chin-lift
B. Modified jaw thrust
C. Hyperextension of the
head
D. Flexion of the head
A nurse in the emergency A, C, D, E
department is caring for a
client who fell through the
ice on a pond and is
unresponsive and breathing
slowly. Which of the
following actions should the
nurse take? (Select all that
apply)
A. Remove wet clothing
B. Maintain normal room
temperature
C. Apply warm blankets
D. Apply a heat lamp
E. Infuse warmed IV fluids
, A nurse is assessing a client B
for changes in the level of
consciousness using the
GCS. The client opens his
eyes when spoken to,
speaks incoherently, and
moves his extremities when
pain is applied. Which of the
following GCS scores
should the nurse
document?
A. E2 + V3 + M5 = 10
B. E3 + V4 + M4 = 11
C. E4 + V5 + M6 = 15
D. E2 + V2 + M4 = 8
A nurse is assessing a client B, C
who has a chest tube and
drainage system in place.
Which of the following are
expected findings? (Select
all that apply)
A. Continuous bubbling in
the water seal chamber
B. Gentle constant bubbling
the suction control
chamber
C. Rise and fall in the level
of water in the water seal
chamber with inspiration
and expiration
D. Exposed sutures without
dressing
E. Drainage system upright
at chest level
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