Exam (elaborations)
Kaplan Medical Surgical Comp IEN_A
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Kaplan Medical Surgical Comp IEN_A Kaplan Medical Surgical Comp IEN_A Kaplan Medical Surgical Comp IEN_A
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Kaplan Medical Surgical Comp IEN_AA client is diagnosed with HTN. The client says, "I have trouble remembering to take my medications,
but I am now only smoking 5 cigarettes a day instead of 2 packs." Which response by the nurse is best?
a. "Ask your spouse to help you remember the medications. The smoking needs to be reduced even
more."
b. "It is good that your smoking has decreased. Let's talk about ways to remember the medication."
c. "You must take the medication, and the smoking habit needs to stop very soon."
d. "It sounds like you are trying to adhere to the plan. Tell me about your current diet." - CORRECT ANS
b. "It is good that your smoking has decreased. Let's talk about ways to remember the medication."
A client is diagnosed with myasthenia gravis. The client says, "I am tired all the time and I don't want to
live any more. If I stop taking my medication, I can stop breathing." Which is the nurse's best response?
a. Ask client about feelings of hopelessness
b. Give client information about a myasthenia gravis group
c. Place client on suicide watch
d. Teach client about the new medication - CORRECT ANS a. Ask client about feelings of hopelessness
The nurse suctions a client's tracheostomy. Which technique does the nurse use? (select all)
a. Routinely instills sterile normal saline before suctioning
b. Applies suction when inserting the catheter
c. Suctions the client every hour
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
, f. Uses intermittent suctioning - CORRECT ANS a. Routinely instills sterile normal saline before
suctioning
d. Uses sterile technique when suctioning
e. Rotates the catheter when withdrawing
f. Uses intermittent suctioning
A client is diagnosed with epilepsy following a series of seizures. The nurse identifies which client goal as
the priority?
a. Client will maintain optimal mental functioning
b. Client will have no injuries during a seizure
c. Client will meet with a counselor as needed
d. Client will take all medications as directed - CORRECT ANS d. Client will take all medications as
directed
A client just had an upper GI X-ray procedure. Which information is most important for the nurse to give
the client?
a. Save stool specimen after 48 hours
b. Take a laxative after 72 hours if no stool
c. Clear liquid diet only for 24 hours then a regular diet
d. Drink large amounts of fluid for 72 hours - CORRECT ANS d. Drink large amounts of fluid for 72 hours
A client experiences anaphylactic shock caused by a reaction to a medication. IV diphenhydramine is
administered, and the client appears to be recovering. Which VS is the most important for the nurse to
monitor for the next several hours?
a. Respirations
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