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Med Surg vati assessment questions and answers A+ grade guaranteed 2024/2025
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Med Surg vati assessment questions and answers A+ grade guaranteed 2024/2025
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Med Surg vati assessmentA nurse is preparing to discharge a client who is postoperative following a total hip
arthroplasty. Which of the following equipment should the nurse ensure that the client has
available at home prior to discharge?
Continuous passive motion device
Elevated toilet seat
Trapeze bar
Compression garment - ANSElevated toilet seat
A client who is postoperative following a total hip arthroplasty is at risk for dislocation of the
hip prosthesis. Limitations on hip flexion and adduction decrease the risk. The client should
avoid flexing the hip greater than 90° and should avoid using toilet seats that are low to the
ground. An elevated toilet seat should be in place in the client's home prior to the client's
discharge.
A nurse is assessing a client who has suspected appendicitis. Which of the following
manifestations should the nurse expect? (select all that apply)
Elevated WBC count
Elevated amylase level
Rebound tenderness
Ascites
Anorexia - ANSElevated WBC count
A client who has acute appendicitis will show a moderate elevation of the WBC count from
10,000 to 18,000/mm3. If the WBC count is greater than 20,000/mm3, it can indicate a
perforated appendix.
Rebound tenderness
A client who has appendicitis develops localized pain over the right lower quadrant of the
abdomen. When the area is palpated, pain occurs during release of pressure on the client's
abdomen.
Anorexia
A client who has acute appendicitis experiences nausea, vomiting, and reduced appetite.
A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus. Which of
the following statements by the client indicates an understanding of the teaching?
"I am aware that my diabetes is caused by an autoimmune disorder."
"I know that my diabetes developed slowly over several years."
"If I lose weight, I may be able to stop taking insulin."
"I have developed a resistance to insulin." - ANS"I am aware that my diabetes is caused by
an autoimmune disorder."
,Type 1 diabetes mellitus is an autoimmune disorder that destroys pancreatic beta cells. This
autoimmune reaction is often triggered by a viral infection.
A nurse is caring for a male client who has a new prescription for cyclosporine following a
kidney transplant. Which of the following findings should the nurse identify as an adverse
effect of this therapy?
WBC count 8,000/mm3
RBC count 6 million/mm3
BUN 24 mg/dL
Potassium 3.5 mEq/L - ANSBUN 24 mg/dL
A BUN of 24 mg/dL is above the expected reference range of 10 to 20 mg/dL, indicating
renal impairment. An adverse effect of cyclosporine is nephrotoxicity. The nurse should
monitor the client for increases in BUN and creatinine and report any elevation to the
provider. A rise in BUN could indicate transplant rejection.
A nurse in a long-term care facility is caring for a client who has dementia. Which of the
following actions should the nurse take?
Give detailed directions when addressing the client.
Provide finger food at mealtime.
Use written signs to redirect the client.
Seat the client at a large table for meals. - ANSProvide finger food at mealtime.
The nurse should provide the client who has dementia with fingers foods. Clients who have
dementia can have difficulty sitting still and tend to wander, which makes weight loss and
malnutrition a concern. Therefore, foods that the client can hold while ambulating are ideal.
A nurse is caring for a client immediately following intubation with an endotracheal (ET) tube.
Which of the following methods should the nurse identify as the most reliable for verifying
placement of the ET tube?
Feel for exhaled air emerging from the endotracheal tube.
Assess for bilateral breath sounds.
Observe for symmetric chest movement.
Check for end-tidal carbon dioxide levels. - ANSCheck for end-tidal carbon dioxide levels.
According to evidence-based practice, the most reliable method for verifying ET tube
placement is checking for end-tidal carbon dioxide levels by using capnometry. A chest x-ray
is another reliable method for verifying placement.
A nurse is providing teaching for a client who has neutropenia and is receiving
chemotherapy. Which of the following client statements indicates an understanding of the
teaching? (select all that apply)
"I will avoid crowds."
"I will wash my toothbrush weekly."
"I will change my cat's litter box twice weekly."
"I will take my temperature daily."
, "I will eat plenty of fresh fruits and vegetables." - ANS"I will avoid crowds."
The client who is immunocompromised should avoid crowds while undergoing
chemotherapy to reduce the risk of infection.
"I will take my temperature daily."
The client who is immunocompromised should take daily temperature readings and report an
elevated temperature to the provider.
A nurse is planning care for a. client who has a lump in their right breast. Which of the
following findings increases the client's risk of developing breast cancer?
Menarche started at age 15
First born child was at 20 years of age
History of a fibrocystic breasts
Menopausal obesity - ANSMenopausal obesity
During menopause, increased fat tissue can lead to higher stores of estrogen. Higher levels
of estrogen in the body increase the risk for postmenopausal breast cancer.
A nurse is teaching a client who is scheduled to receive radioactive iodine therapy for
treatment of hyperthyroidism. Which of the following instructions should the nurse include in
the teaching?
Remain 0.3 m (1 ft) away from children.
Limit the time spent around women who are pregnant to 10 min daily.
Use disposable utensils for meals.
Use an absorbent pad if incontinent. - ANSUse disposable utensils for meals.
The client who receives radioactive iodine has radioactivity in the body fluids, including
saliva, for several weeks following treatment. The nurse should instruct the client to use
disposable utensils, plates, and cups during this time period to decrease the risk for radiation
exposure to other members of the household.
A nurse is providing discharge teaching to a client following a loop electrosurgical excision
procedure (LEEP) for the treatment of cervical cancer. Which of the following statements by
the client indicates an understanding of the teaching?
"I can resume sexual intercourse in 48 hours."
"I can expect some heavy vaginal bleeding for 24 hours."
"I can use tampons when my period comes in a week."
"I may have mild cramping for several hours." - ANS"I may have mild cramping for several
hours."
The client should expect very little discomfort from the LEEP procedure, which is performed
in ambulatory care using a painless electrical current.
A nurse is providing teaching to a client who has a new prescription for cephalexin oral
suspension. Which of the following statements by the client indicates an understanding of
the teaching?
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