1. A nurse is assessing for compartment
syndrome in a client who has a short
leg cast. Which of the following findings
should the nurse identify as a manifesta
tion of this condition?
Pain that increases with passive
movement
Rationale: The nurse should
identify that a client who has...
RN Adult Medical Surgical Online Practice 2019 B
Study online at https://quizlet.com/_9ktp81
1.A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifesta-
tion of this condition?Pain that increases with passive movement
Rationale: The nurse should identify that a client who has compartment syndrome experi-
ences pain that increases with passive movement. Compart-
ment syndrome results from a decrease in blood flow in the extremity caused by a decrease in the muscle compartment size due to a cast that is too tight.
2.A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following state-
ments made by the client reflects an un-
derstanding of the teaching?My joints ache because I have Lyme disease
Rationale: Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in three stages beginning with joint and mus-
cle pain in stage I. If left un-
treated, these symptoms contin-
ue throughout stage II and, by stage III, become chronic. Oth-
er chronic complications include memory problems and fatigue.
3.A nurse is preparing to administer pheny-
toin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)24
4. place a pressure bag around the flush solution RN Adult Medical Surgical Online Practice 2019 B
Study online at https://quizlet.com/_9ktp81
A nurse is caring for a client who has an arterial line. Which of the following ac-
tions should the nurse take?
Rationale: The nurse should place a pressure bag around the flush solution of 0.9% sodium chloride because the pressure from an artery is greater than that of the line.
An arterial line is not appropri-
ate access for administering an-
tibiotics. The nurse should use the arterial line to obtain arterial blood gas samples and monitor hemodynamic pressures.
5.A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the nurse identify as the priority?Report of sore throat
Rationale: When using the ur-
gent vs. nonurgent approach to client care, the nurse should de-
termine that the priority finding is a report of a sore throat, which could be a manifestation of an infection. The client is at risk for neutropenia due to myelosup-
pression; therefore, an infection could lead to sepsis.
6.A nurse is reviewing the medical record of a client who has systemic lupus ery-
thematosus (SLE). Which of the following findings should the nurse expect?Facial butterfly rash
Rationale: A butterfly rash is a manifestation of SLE. It appears as a dry, red rash on the client's cheeks and nose and can disap-
pear during times of remission.
7.A nurse is planning care for a client who is postoperative following a parathy-
roidectomy. Which of the following ac-Place tracheostomy tray at the bedside
Rationale: The priority action the RN Adult Medical Surgical Online Practice 2019 B
Study online at https://quizlet.com/_9ktp81
tions should the nurse identify as the pri-
ority?nurse should take when using the airway, breathing, circulation approach to client care is to place a tracheostomy tray at the client's bedside in case of air-
way obstruction.
8.A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?Low urine specific gravity
Rationale: An expected finding for a client who has diabetes in-
sipidus is a urine specific gravity between 1.001 and 1.005. De-
creased water reabsorption by the renal tubules is caused by an alteration in antidiuretic hor-
mone release or the kidneys' re-
sponsiveness to the hormone.
9.A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include?You will need to stay still in the bed during each treatment ses-
sion."
Rationale: The nurse should in-
struct the client that they will need to remain on bed rest with very limited movement because excessive movement can cause the radioactive source to be-
come dislodged.
The nurse should instruct the client that there is not excreted radiation between treatments.
The nurse should instruct the client that there will likely be be-
tween two and five treatments, once or twice each week.
The nurse should instruct the client that blood in the urine is an
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