Medical-Surgical: Final Practice (50 questions)
Assured A+
A community health nurse is reinforcing teaching about melanoma with a group of clients. Which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching? - ans...
Medical-Surgical: Final Practice (50 questions)
Assured A+
A community health nurse is reinforcing teaching about melanoma with a group of clients. Which of the
following characteristics of lesions associated with melanoma should the nurse include in the teaching? -
ansAn irregular border.
A home health nurse enters a client's home and finds a used insulin syringe, without a cap, on the table.
Which of the following actions should the nurse take? - ansPlace the syringe in a puncture-proof disposal
container.
A nurse in a provider's office is caring for a client who has blepharitis. Which of the following actions should
the nurse take first? - ansInspect the eyes for drainage or redness.
( blepharitis-inflammation of the eyelid)
a nurse in an emergency department is caring for a client who reports developing severe right eye pain with
a gritty sensation while sawing wood. Whats priority? - ansAsk the client about first aid performed at the
scene
A nurse in an urgent care clinic is collecting data from a client who has extensive burns, including on her face.
Which of the following data should the nurse collect first? - ansCharacteristics o cough and sputum
A nurse in an urgent care clinic is collecting data from a client who sustained a fall. Which of the following
findings should the nurse identify as an indication of a skull fracture? - ansClear fluid coming from the nares.
(cerebrospinal fluid)
A nurse is assisting with the care of a client who has a chest tube in place following a thoracotomy. Which of
the following actions should the nurse take? - ansPlace the drainage unit below the client's chest level.
A nurse is assisting with the care of a client who is to receive a transfusion of packed red blood cells (RBCs).
Which of the following actions should the nurse take? (Select all that apply.) - ans1) Check and document the
client's vital signs is correct.
, 2) Verify that the blood type and Rh of the packed RBCs are checked by two nurses is correct.
3) Provide the RN with IV tubing that has a filter is correct.
A nurse is caring for a client following a hip arthroplasty. The nurse should place an abduction pillow on the
client for which of the following purposes? - ansPreventing dislocation of the hip during position changes or
movement.
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at the bedside.
Which of the following actions should the nurse take first? - ansLower the client to the floor.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to irrigate the
wound, which of the following actions should the nurse take rst? - ansCheck the client's pain level
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the
prostate (TURP). Which of the following actions should the nurse take? - ansReport viscous drainage with
clots to the provider.
A nurse is caring for a client who has thrombocytopenia and develops epistaxis. Which of the following
actions should the nurse take? - ansPinch the soft portion of the client's nose for 10 min. (epistaxis-nose
bleed)
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48
mg/dL. Which of the following findings should the nurse expect? - ansDiaphoresis
A client who has a blood glucose level below 70 mg/dL to exhibit indications of hypoglycemia. Including
weakness, hunger, diaphoresis, nausea, shakiness, and confusion.
A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following actions
should the nurse take? - ansMonitor the client's blood glucose level.
A nurse is caring for a client who is scheduled to receive intermittent peritoneal dialysis. Which of the
following actions should the nurse take? - ansWeigh the client before and after each dialysis treatment.
(monitor I & O closely)
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