A nrs in a clinic is preparing to obtain a skin specimen from a client who has a suspected herpes infection. Which of the following actions should the nurse take? (select all that apply)
- scrape the site with a wooden tongue depressor
- use a razor to cut the scabbed area to obtain the specimen
...
RN Adult Medical Surgical Nursing REVIEW MODULE
EDITION 11.0 (Content Mastery Series Review Module
(ATI TESTBANK)
A nrs in a clinic is preparing to obtain a skin specimen from a client who has a
suspected herpes infection. Which of the following actions should the nurse take?
(select all that apply)
- scrape the site with a wooden tongue depressor
- use a razor to cut the scabbed area to obtain the specimen
- use a cotton-tipped application to obtain fluid from the lesion
- place specimen in a KOH solution tube
- place specimen tube on ice after obtaining sample - - use a cotton-tipped application
to obtain fluid from the lesion
- place specimen tube on ice after obtaining sample
A nurse administered midazolam IV bolus to a client before a procedure. The client's
bood pressure is 86/40, HR is 134/min. Which of the following IV med should the nurse
administer?
- naloxone
-morphine
- flumazenil
- atropine - - naloxone (revereses resp. depression resulting from an opiod med)
-morphine (relieves pain, can cause hypotension and resp depression)
- FLUMAZENIL (midazolam is a benzo. Flum reverses effects)
- atropine (treats bradycardia)
A nurse at a clinic is talking with a client who has cancer and takes extended-release
opiods twice daily. The client reports an incr in localized, achy pain over the last few
days. How should the nurse document this increase in pain?
- phantom limb pain
-mixed pain
- breakthrough pain
- neuropathic pain - - breakthrough pain
A nurse caring for a client who has contact dermatitis and has a new prescription for
diphenhydramine. Which adverse effect should the nurse monitor?
- elev. blood glucose lvls
- anorexia
- incr salivation
- insomnia - - anorexia
A nurse is assessing a client's lab values before surgery. Which to report? (select all)
- K 3.9
- Na 145
- Creatinine 2.8
- Blood Glucose 235
- WBC 17,850 - - Creatinine 2.8
A nurse is assisting an anesthesiologist who is delivering nitrous oxide by face mask to
a client during the induction of anesthesia. Which of the following is the priority nursing
action?
- assessing oxygen saturation.
- measure BP
- palpate pulse rate
- check temperature - - assessing oxygen saturation.
A nurse is caring for a client who develops a systemic toxic reaction following a regional
block. Which of the following actions should the nurse take?
- monitor blood creatinine levels
- provide airway support
- turn the client to the right side
- administer a diuretic - - provide airway support
A nurse is caring for a client who develops malignant hyperthermia. WHich of the
following actions should the nurse take? (select all that apply)
- infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- treat the complication while the surgeon continues surgery
- administer IV dantrolene - - infuse iced IV fluids
- provide 100% oxygen
- place a cooling blanket on the client
- administer IV dantrolene
A nurse is caring for a client who has a suspected viral skin lesion. WHich of the
following lab findings should the nurse expect to review to confirm this diagnosis?
- Potassium hydroxide (KOH)
- Diascopy
- Tzanck smear report
- Biopsy - - Tzanck smear report
- Biopsy (confirm or rule out malignancy)
- KOH (test for if fungal)
- Diascopy (provides incr visibility of a skin lesion by blanching the skin over the lesion,
thus eliminating erythema which can obscure findings)
A nurse is caring for a client who is experiencing mild acute pain after spraining an
ankle. Which of the following analgesics should the nurse expect to administer?
- ketorolac
A Hnurse His Hdiscussing Hpain Hassessment Hwith Ha Hnewly Hlicensed Hnurse. HWhich Hof
Hthe Hfollowing Hinformation Hshould Hthe Hnurse Hinclude?
- Hmost Hclients Hexaggerate Htheir Hlevel Hof Hpain
- Hpain Hmust Hhave Han Hidentifiable Hsource Hto Hjustify Hthe Huse Hof Hopioids
- Hobjective Hdata Hare Hessential Hin Hassessing Hpain
- Hpain His Hwhatever Hthe Hclient Hsays Hit His H- H- Hpain His Hwhatever Hthe Hclient Hsays Hit
His
a Hnurse His Heducating Ha Hclient Hon Hthe Huse Hof Hcalcipotriene Htopical Hmed Hfor Hthe
Htreatment Hof Hpsoriasis. HWHich Hlab Hvalues Hshould Hthe Hnurse Hmonitor?
, RN Adult Medical Surgical Nursing REVIEW MODULE
EDITION 11.0 (Content Mastery Series Review Module
(ATI TESTBANK)
- HK
- HCa
- HNa
- HCl H- H- HCa
A Hnurse His Hinstructing Ha Hclient Hon Hhome Hcare Hafter Ha Hculture Hfor Ha Hbacterial
Hinfection Hand Hcellulitis. HWHich Hof Hthe Hfollowing Hinfo Hshould Hthe Hnurse Hinclude?
- Hbathe Hdaily Hwith Hmoisturizing Hsoap
- Happly Hantibacterial Htopical Hmed Hto Hthe Hcrusted Hexudate
- Happly Hwarm Hcompresses Hto Hthe Haffected Harea
- Hcover Haffected Harea Hwith Hsnug-fitted Hclothing H- H- Happly Hwarm Hcompresses Hto
Hthe Haffected Harea
A Hnurse His Hmonitoring Ha Hclient Hwho His Hreceiving Hopioid Hanalgesia. HWHich Hof
Hthe Hfollowing Hshould Hthe Hnurse Hidentify Has Hadverse Heffects Hof Hopioid
Hanalgesics? H(select Hall Hthat Happly)
- Hurinary Hincontinence
- Hdiarrhea
- Hbradypnea
- Horthostatic Hhypotension
- Hnausea H- H- Hbradypnea
- Horthostatic Hhypotension
- Hnausea
a Hnurse His Hplanning Hcare Hfor Han Hadult Hclient Hwho Hsustained Hsevere Hburn
Hinjuries. HSelect Hall Hinterventions Hthat Happly.
- Hlimit Hvisitors Hin Hthe Hclient's Hroom
- Hencourage Hfresh Hvegetables Hin Hthe Hdiet
- Hincrease Hprotein Hintake
- Hinstruct Hthe Hclient Hto Hconsume H2,000 Hcal/day
- Hrestrict Hfresh Hflowers Hin Hthe Hroom H- H- Hlimit Hvisitors Hin Hthe Hclient's Hroom
- Hincrease Hprotein Hintake
- Hrestrict Hfresh Hflowers Hin Hthe Hroom
A Hnurse His Hproviding Hinformation Habout Ha Hnew Hprescription Hfor Hcorticosteroid
Hcream Hto Ha Hclient Hwho Hhas Hmild Hpsoriasis. HWhich Hof Hthe Hfollowing Hinstructions
Hshould Hthe Hnurse Hinclude? H(select Hall)
- Happly Han Hocclusive Hdressing Hafter Happlication
- Happly H3-4x Hper Hday
- Hwear Hgloves Hafter Happlication Hto Hlesions Hon Hthe Hhands
- Havoid Happlying Hin Hskin Hfolds
- Huse Hmedication Hcontinuously Hover Ha Hperiod Hof Hseveral Hmonths H- H- Happly Han
Hocclusive Hdressing Hafter Happlication
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