Med Surg 1

HERZING UNIVERSITY MED-SURG 130 FINAL EXAM 2024 The client is admitted into the ED with diaphoresis, pale, clammy skin, and BP of 90/70. Which intervention should the nurse implement first? a. start an IV w/ an 18-gauge catheter b. administer dopamine intravenous infusion c. obtain arterial blood gases (ABGs) d. Insert an indwelling urinary catheter - correct answer a. start an IV w/ an 18 gauge catheter there are many types of shock but the one common intervention which shou...

HERZING UNIVERSITY NCLEX MED/SURG FINAL EXAM 2024 WITH 100% CORRECT ANSWERS A student nurse is preparing blood for an A Positive patient who needs to receive a blood transfusion. The nurse intervenes after which statement? A. " Since you are A positive, you are considered a "universal recipient", therefore you can receive any type of blood. B. "A positive blood types can receive A+, A-, O+ and O-" C. "Testing your blood type helps us determine what type of blood you need. Not al...

HERZING UNIVERSITY MEDSURG FINAL EXAM 2024 A client who has septic shock is admitted to the hospital. What priority intervention does the nurse implement first? a. Obtain two sets of blood cultures. b. Administer the prescribed IV vancomycin (Vancocin). c. Obtain central venous pressure (CVP) measurements. d. Administer the prescribed IV norepinephrine (Levophed) - correct answer a. Obtain two sets of blood cultures. Blood cultures should be obtained before IV antibiotics are start...

HERZING UNIVERSITY MEDICAL-SURGICAL NURSING EXAM 1 2024 WITH 100% CORRECT ANSWERS The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? - correct answer Frequently wash her hands and surfaces of the home. The nurse is caring for a client infected with Rocky Mountain spotted fever. The nurse should ask if the client has experienced which of th...

HERZING UNIVERSITY MED-SURG EXAM 1 2024 What laboratory findings does the nurse determine are consistent with hypovolemia in a female patient? (Select all that apply.) 1. BUN : serum creatinine ratio of >12.1 2. Urine positive for blood 3. Hematocrit level of >47% 4. Urine specific gravity of 1.027 5. Urine osmolality of >450 mOsm/kg - correct answer Correct answer: 3. 4. and 5. More than half of students who answered this question in Wolters Kluwer's adaptive learning ...

HERZING UNIVERSITY MED SURG EXAM 1 2024 WITH 100% ACCURATE ANSWERS Which patients are at risk for fluid volume excess? A. 64 year old male with a diagnosis of kidney failure B. 46 year old male who is training for a marathon C. 35 year old male with diarrhea and vomiting for the past 2 days D. 83 year old female with a diagnosis of a stroke and has trouble talking - correct answer A Which solution is considered a hypertonic IV solution? A. 0.9% sodium chloride B. Total parenteral...

HERZING UNIVERSITY MED SURG 1 FINAL EXAM 2024 WITH 100% CORRECT ANSWERS A nurse is caring for a client who is postprocedure 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 e.) In...

HERZING UNIVERSITY MED SURG 1 EXAM 2024 WITH 100% CORRECT ANSWERS 1. A patient is being admitted to the hospital on the day before a scheduled surgery. What is the most appropriate initial question for the nurse to ask this preoperative patient? a) "What did your surgeon say to you about the type of surgery you are having?" b) "What questions do you have about your surgery?" c) "What type of surgery are you having and why are you having it done?" d) "What do you know about what w...

The nurse instructs a client about how to increase folic acid in the diet. The nurse determines teaching is effective if the client makes which statement? a) "I like oatmeal for breakfast." b) "My favorite lunch is a spinach salad." c) "I will eat more grapes, apples, and bananas each day." d) "I will eat more chicken." - b) "My favorite lunch is a spinach salad." spinach contains 108 mg of folic acid per half-cup serving; other folate-rich sources include organ meats, broccol...