kaplan medical surgical integrated test actual exa
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Test Bank for Medical Surgical Nursing, 7th Edition by Adrianne Dill Linton; Mary Ann Matteson| All chapters | graded A+
Medical Surgical Nursing Assessment and Management of Clinical Problems (Chapter-44)
Test Bank For Medical Surgical Nursing 7th Edition By Adrianne Dill Linton: Questions & Answers: Guaranteed A+ Guide
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KAPLAN MEDICAL SURGICAL INTEGRATED TEST ACTUAL
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
The nurse evaluates the laboratory results of several clients. For which client would
the nurse expect a decreased serum albumin?
1. The client who is underweight with a BMI of 19 kg/m2
2. The client with a superficial thickness burn
3. The client with severe liver disease
4. The client who is dehydrated - ANSWER: 3. The client with severe liver disease
Albumin is a protein formed in the liver
A middle-age client is admitted to the hospital for hematuria. The client has no
previous history of illness, is married, and has 3 children in high school. Which task of
middle adulthood is most likely to be disturbed by a physical disability?
1. Assisting the children to grow to adulthood
2. Coping with a role transition
3. Renewing earlier relationships
4. Developing adult leisure time activities - ANSWER: 1. Assisting the children to grow
to adulthood
Middle adulthood is the time is guiding the next generation
The nurse provides care for an older adult client with a diagnosis of constipation. The
nurse understands which factor contributes to the development of constipation in
the older adult? Select all that apply
1. Older adult clients may eat a diet with inadequate fluids and bulk.
2. Older adults experience slowed peristalsis and decreased muscle tone.
3. Older adults have neurological changes in the GI tract.
4. Older adults may ignore the sensation to defecate.
5. Older adults are typically more sedentary and less likely to exercise. - ANSWER: 1,
2, 4, 5
The nurse teaches a client with a new diagnosis of eczema. Which common foods are
likely contributing factors of eczema the client should eliminate in the diet?
,Eczema is caused by an immune response. Those are common allergens associated
with eczema
The nurse provides care for a client at risk for developing a pressure injury. The
nurse knowns which factor puts the client at risk? Select all that apply
1. Decreased skin moisture
2. Ambulation with an assistive device
3. Bony prominences
4. Early stage Alzheimer disease
5. Immobility
6. Low serum albumin - ANSWER: 3, 5, 6
Low serum albumin level contributes to poor wound healing
The nurse identifies a staff member is using standard precautions appropriately if
which action is observed?
1. The staff member wears gloves when taking the blood pressure of a client
diagnosed with AIDS.
2. The staff member places contaminated linens in a leak-proof bag
3. The staff member irrigates an abdominal wound wearing a gown and gloves
4. The staff member removes gloves after bathing a client and puts on a clean pair of
gloves to bathe another client - ANSWER: 2. The staff member places contaminated
linens in a leak-proof bag
This prevents contact with skin and mucous membranes with any contaminated
linen
Which nonverbal behavior observed by the nurse indicates the client may be
experiencing acute pain? Select all that apply
The nurse documents a Nurse's Note. The nurse enters the client's room to perform
an assessment and change the client's abdominal dressing. Which 3 observations
does the nurse address immediately?
1. Visitors conversing and laughing loudly
, 2. Television turned on with volume high
3. Client crying and states "it hurts to take a deep breath or cough"
4. Pain medication in the IV is making the client dizzy and sleepy
5. Client last medicated for pain 6 hours ago
6. Client states need to wait for pain medication until after dressing change
7. Spouse concerned client will become addicted to pain medication - ANSWER: 3, 6,
7
For each goal in the client's plan of care, click to indicate appropriate nursing
interventions. Each goal may support more than 1 potential nursing intervention.
The clients pain will be controlled during the dressing change
1. Pull tape around soiled dressing from client's skin rapidly
2. Position the client in low Fowler position with knees slightly bent
3. Administer pain medication 15-30 minutes prior to dressing change - ANSWER: 2
&3
For each goal in the client's plan of care, click to indicate appropriate nursing
interventions. Each goal may support more than 1 potential nursing intervention.
The surgical incision is healing without further infection
1. Apply split gauze around Penrose drain with clean gloves
2. Monitor client's vital signs and lab results daily
3. Report any increase in redness or drainage to physician - ANSWER: 2 & 3
For each goal in the client's plan of care, click to indicate appropriate nursing
interventions. Each goal may support more than 1 potential nursing intervention.
The client will demonstrate use of non-pharmacologic pain relief techniques
1. Teach the client to splint incision with a rolled blanket or pillow
2. Encourage client to hold breath when changing position
3. Educate client about meditation during procedures - ANSWER: 1 & 3
The nurse explains to the nursing student that a client has a new diagnosis of
psoriasis. Which best describes psoriasis?
The nurse prepares for a urinary catheterization procedure for a client. Which action
by the nurse is most important?
1. Places all supplies close to the edge of the table
2. Keeps the field holding the supplies in front of the nurse
3. Sets up the field below the nurse's waist level
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