Summary
Summary NURB 4130Med-Surg ATI NGN B
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- Northwestern State University Of Louisiana
Med-Surg ATI NGN B .
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Med-Surg NGN B A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The nurse should
recognize that an unexpected finding for which of the following laboratory values is a manifestation of
osteomyelitis and should be reported to the provider?
Sedimentation rate
o An increased sedimentation rate occurs when a client has any type of inflammatory process, such as osteomyelitis
nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation.
Which of the following values should the nurse identify as a desired outcome for this therapy?
o INR 2.5
nurse is planning a health promotional presentation for a group of African American clients at a community center.
Which of the following disorders presents the greatest risk to this group of clients?
o HTN
A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings
indicates a potential complication?
o WBC count 2,000/mm3
MY ANSWER
o A WBC count of 2,000/mm3 is below the expected reference range and indicates a risk for severe immunosuppression.
nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection. The
client is agitated and is attempting to remove their IV catheter. Which of the following actions should nurse take
to avoid restraining the client?
o Keep the client occupied with a manual activity.
The nurse should provide the client with a manual activity such as a puzzle or an art project. This can help to
distract the lclient from the IV catheter.
. nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Which of the following
interventions should the nurse include in the plan of care?
o Keep a lead-lined container in the client's room.
. nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results
should the nurse expect?
o PaCO2 56 mm Hg
A client who has COPD retains PaCO2 due to the weakening and the collapse of the alveolar sacs, which decreases
the area in the lungs for gas exchange and causes the PaCO 2 to increase above the expected reference range.
, . nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse
expect?
o Hair loss on the lower legs
, nurse is caring for a client who has breast cancer and tells the nurse that they would like to have acupuncture
because it provides greater relief than pain medication. Which of the following statements should the nurse
make?
o "I can speak to the provider about incorporating acupuncture into your treatment plan."
A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the
following information should the nurse include in the teaching?
o Increase fiber intake to avoid constipation."
nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions
should the nurse include in the plan
o Encourage the client to take deep breaths after the procedure
Nurse reviewing medical record of a client who has osteomyelitis and a prescription for gentamicin. Which of the
following findings from the client's medical record should indicate to the nurse the need to withhold the
medication and notify the provider?
o Serum creatinine
Elevated serum Cr should not receive gentamicin because the medication is nephrotoxic
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following
instructions should the nurse include?
o Flex the foot every hour when awake.
The nurse should instruct the client to flex the foot every hour to reduce risk for thromboembolism and promote
venous return.
A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the
following statements by a newly licensed nurse indicates an understanding of the teaching?
o Ibuprofen can cause gastrointestinal bleeding in older adult client.
Common adverse effect of ibuprofen is gastrointestinal bleeding and older adult clients have an increased risk for
gastrointestinal toxicity and bleeding.
A nurse is teaching a client about osteoporosis prevention. The nurse should instruct the client that which of the
following medications can increase the risk for developing osteoporosis.
o Prednisone.
The nurse should instruct the patient that Prednisone can increase the risk for developing osteoporosis due to
suppression of bone formation and an increase in bone reabsorption by osteoclasts. Prednisone can also reduce
intestinal absorption of calcium.
A nurse is caring for a patient who has homonymous hemianopsia As a result of a stroke. To reduce the risk of
falls when ambulating, the nurse should provide which of the following instructions to the client.
o Scan the environment by turning your head from side to side.
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of the following non
pharmacological interventions should the nurse suggest to the client to reduce pain?
o Alternate application of heat and cold to the affected joint.
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
o Low urine specific gravity.
A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Which of the following
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