Comprehensive Mastery: Medical-Surgical Nursing Concepts & Practice Exam Package

1. The nurse is caring for a client diagnosed with HIV-II. The client's CD4+ cell count is 399/mm3 (0.399 109 /L). What action by the nurse is best? a. Counsel the client on safer sex practices/abstinence. b. Encourage the client to abstain from alcohol. c. Facilitate genetic testing for CD...

On admission of a patient to the postanesthesia care unit (PACU), the blood pressure (BP) is 122/72. Thirty minutes after admission, the BP falls to 114/62, with a pulse of 74 and warm, dry skin. Which action by the nurse is most appropriate? a. Increase the IV fluid rate. b. Continue to take...

A patient who has been in the intensive care unit for 4 days has disturbed sensory perception from sleep deprivation. Which action should the nurse include in the plan of care? a. Administer prescribed sedatives or opioids at bedtime to promote sleep. b. Cluster nursing activities so that the ...

After teaching a client who has chronic pancreatitis and will be discharged with enzyme replacement therapy, a nurse assesses the client's understanding. Which statement by the client indicates a need for further teaching? (Select all that apply.) a. "I will take the enzymes between meals." ...

Evidence-based practice ☑ is the foundation of professional nursing practice. Based upon a problem-solving approach to health-care delivery, nursing care practices and protocols are based upon the best evidence from research studies and the expertise of clinicians. Steps of Evidence-based pr...

1. An emergency department nurse assesses a client who has been raped. With which health care team member would the nurse collaborate when planning this client's care? a. Primary health care provider b. Case manager c. Forensic nurse examiner d. Psychiatric crisis nurse ANS: C All oth...

1. An emergency room nurse assesses a client who has been raped. With which health care team member should the nurse collaborate when planning this clients care? a. Emergency medicine physician b. Case manager c. Forensic nurse examiner d. Psychiatric crisis nurse ANS: C All other members of...

What is a disorder of GI motility thought to result from hypersensitivity of bowel walls leading to disruption of normal function of intestinal walls? ☑ IBS What are the triggers of IBS? ☑ stress caffeine diary wheat What are the three characteristics (symptoms) that are typical in IBS?...

What is the treatment for hepatitis C? ☑ antivirals What is the presence of gallstones within the gallbladder or biliary tract? ☑ cholelithiasis What is stones lodged in the common bile duct? ☑ choledocholithiasis What factors increased the risk of developing gallstones? ☑ sedentary l...

The nurse recognizes that primary manifestations of systolic failure include: a. decreased EF and increased PAWP b. decreased PAWP and increased EF. c. decreased pulmonary hypertension associated with normal EF d. decreased afterload and decreased left ventricular end-diastolic pressure a. dec...