RN Adult Medical Surgical Online Practice 2019 Graded A+ For NGN Answers
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RN Adult Medical Surgical
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RN Adult Medical Surgical
RN Adult Medical Surgical Online Practice 2019 Graded A+ For
NGN Answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the
following actions should the nurse take?
Check that one finger fits between the cast and the leg.
To make su...
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RN Adult Medical Surgical Online Practice 2019 Graded A+ For
NGN Answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the
following actions should the nurse take? Check that one finger fits between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is
not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after
application.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation
therapy. Which of the following statements should the nurse identify as an indication that the client
understands the teaching? "I will use my hands rather than a washcloth to clean the radiation
area."
The client should gently wash the radiation area with their hands using warm water and mild soap to
protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
Remind the client to scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of
the visual field, to use visual scanning to look over their complete range of vision during ambulation.
This practice can accommodate for the loss of vision and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients. Which of the following clients
should the nurse assess first? A client who had a myocardial infarction (MI) 4 days ago and is
asking for a PRN sublingual nitroglycerin tablet
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to the provider? Hgb 8 g/dL
A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew
to prevent headaches. The nurse should identify that which of the following client medications
interacts with feverfew? Naproxen
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? Urine specific gravity 1.045
, A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the
following items at the client's bedside? Suction machine
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which
of the following findings should indicate to the nurse that the client is experiencing an adverse
reaction to this medication? Report of a night cough
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The
client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at
how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies.
Do not use a trailing zero.) 167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the following interventions is the
nurse's priority? Turn the client to the side.
A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy.
Which of the following interventions should the nurse include in the plan? Monitor the client's
temperature every 4 hr.
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to
treat endometrial cancer. Which of the following actions should the nurse include in the client's plan
of care? Wear a lead apron while providing care to the client.
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions
should the nurse take? Remain with the client for the first 15 min of the infusion.
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which
of the following prescribed medications should the nurse instruct the client to withhold for 48 hr
prior to cardioversion? Digoxin
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough.
Which of the following actions should the nurse take first? Initiate airborne precautions.
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