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A series of questions and answers related to medical surgical practice, covering topics such as fertility, surgical procedures, chronic diseases, and post-operative care. It provides insights into common medical conditions and their management, offering a valuable resource for students and professionals seeking to enhance their knowledge in this field.
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Replace the old diaphragm every 3 months A male client who smokes two packs of cigarettes a day states he understands that smoking cigarettes is contributing to the difficulty that he and his wife are having in getting pregnant and wants to know if other factors could be contributing to their difficulty. Which information is best for the nurse to provide? (Select all
that apply). - Ans>>> Alcohol consumption can cause erectile dysfunction Low testosterone levels affect sperm production Cessation of smoking improves general health and fertility Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment should the RN report as early signs of hypovolemic shock? - Ans>>> lethargy the registered nurse (RN) is assessing a male client who arrives at the clinic with severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical history, which information is most for the nurse to obtain? - Ans>>> Ulcerative colitis
Small bowl obstruction is a condition characterized by which finding? - Ans>>> Severe fluid and electrolyte imbalances Which client should the nurse recognize as most likely to experience sleep apnea? - Ans>>> Obese older male client with a short, thick neck Which milestone indicates to the nurse successful achievement of young adulthood? - Ans>>> Completes education and becomes self-supporting A client who has heart failure is admitted with a serum potassium level of 2.9 mEq/L (2.9 mmol/L). Which action is most important for the nurse to implement? - Ans>>> Initiate continuous cardiac monitoring Which postmenopausal client's complaint should the nurse refer to the HCP? - Ans>>> episodes of vaginal bleeding
The nurse is teaching a female client about the best time to plan sexual intercourse in order to conceive. Which information should the nurse provide? - Ans>>> Two weeks before menstruation A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse. Which response is best for the nurse to provide? - Ans>>> Estrogen deficiency causes the vaginal tissue to become dry and thinner Which discharge instruction is most important for a client after a kidney transplant? - Ans>>> Use daily reminders to take immunosuppressants The nurse is assessing a client with chronic kidney disease (CKD). Which finding is most important for the nurse to respond to first? - Ans>>> Potassium 6.0 mEq Which finding should the nurse identify as most significant for a client diagnosed with polycystic kidney disease (PKD)? - Ans>>> 3+ bacteria in urine
The nurse is assisting a client out of bed for the first time after surgery. Which action should the nurse do first? - Ans>>> Allow the client to sit with the bed in a high Fowler's position After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has returned from the post-anesthesia care has a dark, concentrated urinary output of 54 ml for the last 2 hours. What priority nursing action should be implemented? - Ans>>> Report the findings to the surgeon A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that liquids are allowed, which assessment action should the nurse consider a priority? - Ans>>> Check the client's gag and swallow reflexes During an interview with a client planning elective surgery, the client asks the nurse, "What is the advantage of having a preferred provider organization insurance plan?" Which response is best for the nurse to provide? -
Ans>>> An individual may select healthcare providers from outside of the PPO network The nurse is providing dietary instructions to a 69 year old client who is at high risk for development of coronary heart disease (CHD). Which information should the nurse include? - Ans>>> Increase intake of soluble fiber to 10 to 25 grams per day A male client receives a local anesthetic during surgery. During the post-operative assessment, the nurse notices the client is slurring his speech. Which action should the nurse take? - Ans>>> Evaluate his blood pressure, pulse, and respiratory status A client who is sexually active with several partners requests an intrauterine device (IUD) as a contraceptive method. Which information should the nurse provide? - Ans>>> Using an IUD offers no protection against sexually transmitted disease (STD), which increase the risk for pelvic inflammatory disease (PID).
Ans>>> Initiate a weight-reduction diet to achieve a health body weight A 58 year old client who has been post menopausal for five years is concerned about the risk of osteoporosis because her mother has the condition. Which information should the nurse offer? - Ans>>> Calcium loss from bones can be slowed by increasing calcium intake and exercise During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the nurse identify when planning care for this client? - Ans>>> muscle weakness The nurse formulates the nursing problem of urinary retention related to sensorimotor deficit for a client with multiple sclerosis. Which nursing intervention should the nurse implement? - Ans>>> Teach the client techniques of intermittent self-catheterization The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia. The client attempts to use the left hand for feeding and other self-care activities.
The spouse becomes frustrated and insists on doing everything for the client. Based on this data, which nursing problem should the nurse document for this client? - Ans>>> Disabled family coping related to dissonant coping style of significant person A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which action should the nurse implement? - Ans>>> Give an antihypertensive medication A client with a 16-year history of diabetes mellitus is having renal function tests because of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency? - Ans>>> Nocturia The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care? - Ans>>> Check for tube placement and residual volume q4 hours
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry monitoring? - Ans>>> Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line A 57 year old male client is scheduled to have a stress thallium test the following morning and is NPO after midnight. At 0130, he is agitated because he cannot eat and is demanding food. Which response is best for the nurse to provide to this client? - Ans>>> The test you are having tomorrow requires that you have nothing by mouth tonight The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular tachycardia (VT). The client has an implanted automatic defibrillator. What action should the nurse implement? - Ans>>> Shock the client with 200 joules per hospital policy In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing intervention? (Select all that apply.) - Ans>>> Set the infusion pump to infuse the albumin within four hours
Administer through a large gauge catheter Monitor hemoglobin and hematocrit levels Assess for increased bleeding after administration The nurse working in a postoperative surgical clinic is assessing a woman who had a left radical mastectomy for breast cancer. Which factor puts this client at greatest risk for developing lymphedema? - Ans>>> She sustained an insect bite to her left arm yesterday An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? - Ans>>> Pulmonary embolism which information should the nurse obtain when performing an initial assessment of a client who presents to the emergency department with a painful ankle injury? (select all that apply) - Ans>>> Quality of the pain
Which statement made by a client with chronic pancreatitis indicates that further education is needed? - Ans>>> I will cut back on smoking cigarettes daily The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for toxic shock syndrome (TSS). Which information should the nurse include? (Select all that apply) - Ans>>> Do not leave the diaphragm in place longer than 8 hours after intercourse Which intervention should the nurse implement for a female client diagnosed with pelvic relaxation disorder? - Ans>>> Encourage the client to perform Kegel exercises 10 times daily Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. The visiting nurse is discussing painting the house with the client. The nurse suggests that the edge of the steps should be painted which color? - Ans>>> Medium yellow
What types of medication should the nurse expect to administer to a client during an acute respiratory distress episode? - Ans>>> Bronchodilators and steroids A 46 year old female client is admitted for acute renal failure secondary to diabetes and hypertension. Which test is the best indicator of adequate glomerular filtration? - Ans>>> Serum creatinine Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and warmth on the lower left calf. What intervention should be most helpful to this client? - Ans>>> Advise the client to remain in bed with the leg elevated Healthcare workers must protect themselves against becoming infected with HIV. The Center for Disease Control has issued guidelines for healthcare workers in relation to protection from HIV. These guidelines include which recommendation? - Ans>>> Wear gloves when coming in contact with the blood or body fluids of any client
Which lab test result would the nurse expect this client to exhibit? - Ans>>> Elevated CK-MB The nurse is assessing a client who smokes cigarettes and has been diagnosed with emphysema. Which finding would the nurse expect this client to exhibit? - Ans>>> Normal skin coloring A splint is prescribed for nighttime use by a client with rheumatoid arthritis. Which statement by the nurse provides the most accurate explanation for use of the splints? - Ans>>> Prevention of deformities A client who was in a motor vehicle collision was admitted to the hospital and the right knee was placed in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical record: "Potential for impairment of skin integrity related to immobility from traction." Which nursing intervention is indicated based on this diagnosis statement? - Ans>>> Provide back and skin care while maintaining the traction
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy. Which finding would the nurse consider an indication of progressive hepatic encephalopathy? - Ans>>> Difficulty in handwriting A client taking furosemide (Lasix), reports difficulty sleeping. What question is important for the nurse to ask the client? - Ans>>> At what time do you take your medication A client taking a thiazide diuretic for the past six months has a serum potassium level of 3. The nurse anticipates which change in prescription for the client? - Ans>>> A potassium supplement will be prescribed A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What initial medication should the nurse anticipate administering to the client? - Ans>>> Digoxin
