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Med Surg 1 Final Exam With Questions And 100% ALL CORRECT ANSWERS
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JACKLINEMed Surg 1 Final Exam With Questions And 100%
ALL CORRECT ANSWERS Pre
Terms in this set (84)
A nurse is caring for a client who is postprocedure b,c,d
following lumbar puncture and reports a throbbing
headache when sitting upright. Which of the
following actions should the nurse take? (Select all
that apply)
a.) Use the Glasgow Coma Scale when assessing the
client
b.) Assist the client to a supine position
c.) Administer an opioid medications
d.) Encourgae the client to increase fluid intake
Med Surg 1 Final Exam
e.) Instruct the client to perform deep breathing and
coughing exercises
,8/12/24, 7:44 PM
A nurse is caring for a client who experienced a b
traumatic head injury and has an intraventricular
catheter (ventriculostomy) for ICP monitoring. The
nurse should monitor the client for which of the
following complications related to the
ventriculostomy?
a.) Headache
b.) Infection
c.) Aphasia
d.) Hypertension
A nurse is assessing a client for changes in the level b
of consciousness using the Glasgow Coma Scale
(GCS). The client opens his eyes when spoken to,
speaks incoherently, and moves his extremities
when pain is applied. Which of the following GCS
scores should the nurse document?
a.) E2+V3+M5 = 10
b.) E3+V4+M4= 11
c.) E4+V5+M6= 15
d.) E2+V2+M4= 8
,8/12/24, 7:44 PM
A nurse is developing a plan of care for a client who a,b,d,e
is scheduled for a cerebral angiography with
contrast media. Which of the following statements
by the client should the nurse report to the
provider? (Slect all that apply)
a.) "I think I might be pregnant."
b.) "I take warfarin."
c.) "I take antihypertensive medication."
d.) "I am allergic to shrimp."
e.) "I ate a light breakfast this morning."
A nurse is providing a education to a client who is to b
undergo an electroencephalogram (EEG) the next
day. Which of the following information should the
nurse include in the teaching?
a.) "Do not wash your hair the morning of the
procedure."
b.) "Try to stay awake most of the night prior to the
procedure."
c.) "The procedure will take approximately 15
minutes."
d.) "You will need to lie flat for 4 hours after the
procedure."
, 8/12/24, 7:44 PM
A nurse is assessing a client who has a seizure a,b,c,d,e
disorder. The client tells the nurse, "I am about to
have a seizure." Which of the following actions
should the nurse implement?
a.) provide privacy
b.) Ease the client to the floor if standing
c.) Move furniture away from the client
d.) Loosen the client's clothing
e.) Protect the client's head with padding
f.) Restrain the client
A nurse is caring for a client who just experienced a a
generalized seizure. Which of the following actions
should the nurse perform first?
a.) Keep the client in a side-lying position
b.) Document the duration of the seizure
c.) Reorient the client to the environment
d.) Provide client hygeine
A nurse is providing discharge instructions to a c
client who has a prescription for phenytoin. Which
of the following information should the nurse
include?
a.) Consider taking an antacid on this medication
b.) Watch the receding gums when taking the
medication
c.) Take the medication at the same time everyday
d.) Provide a urine sample to determine therapeutic
Med Surg
levels of the medication 1 Final Exam
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