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NUR 265 MED SURG 2 Neuro - shock & Burns practice Detailed Answer Key 1. A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex Rationale: <b>Hypotension is correct.</b> Lack of sympathetic input ca...

A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority for this client? A. Loss of interest in diversional activity. B. Social isolation. C. Refusal to address nutritional needs. D. Low self-esteem. The RN is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? a. Lithium. (Lithotabs)...

1. A male client develops oral candidiasis. He has MRSA-positive sputum, is dyspneic, and is receiving oxygen per facemask and linezolid (Zyvox) 600 mg BID IV. In planning care for this client, the nurse identifies which factor as the probable cause of the stomatitis? 2. A 38-year-old male client collapsed at his outside construction job in Texas in July. His admitting vital signs to ICU are: BP 82/70, heart rate 140 beats/minute, urine output 10 ml/hr, skin cool to the touch. Pulmonary ar...

NSG 6020 / NSG6020 WEEK 4 QUIZ 2 CARDIAC STUDY GUIDE QUESTIONS AND ANSWERS Question 1 (1.25 points) A 68-year-old woman with hypertension and diabetes is seen by the nurse practitioner for a dry cough that worsens at night when she lies in bed. She has shortness of breath, which worsens when she exerts herself. The patient’s pulse rate is 90/min and regular. The patient has gained 6 lbs over the past two months. She is on a nitroglycerine patch and furosemide dai...

a client with stage IV bone cancer is admitted to the hospital for a 1 to 10 scale. 1. Which intervention should the nurse implement During spring break, a young adult presents at the urgent care clinic and report headache. Which intervention is most important for the nurse to implement? After a colon resection for colon cancer, a male client is moaning while being transported 2. to unit (PACU). Which intervention should the nurse implement first? Which nursing problem has the highest ...

1. What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops 2. A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green co...

A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make? A nurse is teaching a client who has bipolar disorder and a prescription for lithium. Which of the following instructions should the nurse include in the teaching A nurse is planning care for four clients in a mental health facility. Which of the following clients is at the greatest risk for injur...

Endtroacheal tube extubate what would you report immedatiely? Why is stridor bad? What is heart rate like in someone who has a low fluid volume? What is normal unrine gravity? What is positive pressure doing? Would you recomened exercise for a pt who has been discharged with heart failure? How often should exercise be in heart failure pt? Should you consume milk with iron supplements? Would you take iron with antacids? Would you tell the pt to lower red meat intake with iron deficiency?...

A nurse is interviewing a client at a temporary shelter after surviving the destruction of her home by a tornado. When assessing the client, the nurse should ask which of the following questions to determine the client's ability to cope with this situation? A) "Don't you think you'll get through this in time?" B) "To whom do you talk when you feel overwhelmed?" C) "Have you thought about rebuilding your home on the same site?" D) "Would you like me to find a therapist for you to sp...

What are some expected findings of theophylline toxicity? How is breast engorgement treated? What do you do if your patient experiences bowel protrusion? What are the side effects of estradiol? What should you NOT do when ambulating with a quad cane? What statement should the client make if they understand teaching related to warfarin therapy? What are some expected findings in a client with increased ICP? What should you teach a client regarding preeclampsia? When performing CPR on a...