A patient rates a pain level of 5 on a scale of 0 to 10. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. If you leave this page, your progress will be lost. Nurse Joy assesses for which sign and symptom that indicates complication associated with crutch walking? Nurse Rachel teaches a client who has been recently diagnosed with hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. What should be the nurse's first response? Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from myocardial infarction. Yellow sclera A 4.5 pound weight loss equals to approximately 2L. A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. Which of the following is best recommended for the client? You have not finished your quiz. Which term should the nurse use to document this patient's health problem? Food sources of beta-carotene include dark green vegetables, carrots, mangoes and tomatoes.Question 4In reducing the risk of endocarditis, good dental care is an important measure. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter that the other leg. Nitroglycerin Frequently monitor client’s apical pulse and blood pressure B. Liver inflammation and obstruction block the normal flow of bile. For which patient is the nurse preparing to provide care? Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by:AEpisodic vasospastic disorder of small veinsBEpisodic vasospastic disorder of the aortaCEpisodic vasospastic disorder of the small arteriesDEpisodic vasospastic disorder of capillariesQuestion 6 Explanation:  Raynaud’s disease is characterized by vasospasms of the small cutaneous arteries that involves fingers and toes.Question 7A client suffered from a lower leg injury and seeks treatment in the emergency room. Discomfort or pain is a problem that originates in the kidney. A client suffered from a lower leg injury and seeks treatment in the emergency room. You have completed Please visit using a browser with javascript enabled. Which of the following nursing assessment findings indicates hypovolemic shock?ARespiratory rate of 4 breath/minBPupils unequally dilatedCSystolic blood pressure less than 90mm HgDPulse rate less than 60bpmQuestion 34 Explanation:  Typical signs and symptoms of hypovolemic shock includes systolic blood pressure of less than 90 mm Hg.Question 35Which of the following compilations should the nurse carefully monitors a client with acute pancreatitis.APeptic ulcerBMyocardial InfarctionCPneumoniaDCirrhosisQuestion 35 Explanation:  A client with acute pancreatitis is prone to complications associated with respiratory system.Question 36Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. Leadership is the ability to direct or motivate an individual or group to achieve set goals. The exam content outlines and blueprints from the ANCC and MSNCB were used to develop this program. The procedure involves the neck, the anesthesia may have affected the swallowing reflex or the inflammation may have closed in on the airway leading to ineffective air exchange.Question 13A female client is experiencing painful and rigid abdomen and is diagnosed with perforated peptic ulcer. A. It is not influenced by drugs You have not finished your quiz. What should the nurse expect to assess in this patient? The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be:AWheezesBFriction rubsCStridorDCracklesQuestion 16 Explanation:  Left sided heart failure causes fluid accumulation in the capillary network of the lung. Your performance has been rated as %%RATING%% Chest pain The nurse is reviewing the process of pain perception and control. When diuretics are taken in the morning, client will void frequently during daytime and will not need to void frequently at night. – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. By the 2nd day of hospitalization after suffering a Myocardial Infarction, Clients are able to perform care without chest pain You scored %%SCORE%% out of %%TOTAL%%. The client reports frequent use of acetaminophen. D. Most peptic ulcer is caused by Helicopter pylori which is a gram negative bacterium. On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. Neutropenic client is at risk for infection especially bacterial infection of the gastrointestinal and respiratory tract. Blood pressure Position client laterally with the neck extended View Answers There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter that the other leg. Complications of acute appendicitis are peritonitis, perforation and abscess development. Performing oral hygiene after every meal Smoking cessation is critical strategy for the client with Burgher’s disease, Nurse Jasmin anticipates that the male client will go home with a prescription for which medication? A community is experiencing an epidemic of chickenpox within school age children. Myoclonic seizure Which of the following is an expected outcome? Obtaining infusion pump for the medication Learn med surg exam 1 with free interactive flashcards. 36. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Place the following steps in order (1-5) as they occur. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter that the other leg. Need tips on passing medical-surgical nursing? The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?ABile greenBDark brownCCloudy whiteDBright redQuestion 40 Explanation:  12 to 24 hours after subtotal gastrectomy gastric drainage is normally brown, which indicates digested food.Question 41A 68 year old client is diagnosed with a right-sided brain attack and is admitted to the hospital. Weak biceps brachii Which wound finding should the nurse expect in the patient? A. Protamine Sulfate is used to prevent continuous bleeding in client who has undergone open heart surgery. The nurse should be aware that the ascites is most likely the result of increased…. Electric toothbrush What additional bodily function should the nurse monitor in this patient? Total Questions on Quiz Which action by the nurse is best? Which acid-base imbalance should the nurse anticipate this patient developing? Nurse Jenny is instilling an otic solution into an adult male client left ear. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Which of the following nursing assessment findings indicates hypovolemic shock?ASystolic blood pressure less than 90mm HgBPulse rate less than 60bpmCRespiratory rate of 4 breath/minDPupils unequally dilatedQuestion 17 Explanation:  Typical signs and symptoms of hypovolemic shock includes systolic blood pressure of less than 90 mm Hg.Question 18Kris with a history of chronic infection of the urinary system complains of urinary frequency and burning sensation. If loading fails, click here to try again. The one that should be reported immediately to the physician is:AClay- colored stoolsBYellow urineCRestlessnessDNauseaQuestion 10 Explanation:  Clay colored stools are indicative of hepatic obstructionQuestion 11A female client is taking Cascara Sagrada. 8. Nurse Hilary would recognize that the dietary teaching was well understood when the client tells a family member that: The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. Secretion of bile salts Kris with a history of chronic infection of the urinary system complains of urinary frequency and burning sensation. What should the nurse do to promote the return of bowel function in this patient? John suddenly experiences a seizure, and Nurse Gina notice that John exhibits uncontrollable jerking movements. In which group of chemical substances should the nurse find prostaglandins and substance P? The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. D. Raynaud’s disease is characterized by vasospasms of the small cutaneous arteries that involves fingers and toes. Which client problem is a priority? Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom? Credential Awarded: RN-BC. Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be: 2. B. The nurse teaches the client that excellent food sources of both of these substances are: The reason for this is to help…AExcrete excessive fluids accumulated at nightBRetard rapid drug absorptionCPrevents sleep disturbances during nightDPrevention of electrolyte imbalanceQuestion 49 Explanation:  When diuretics are taken in the morning, client will void frequently during daytime and will not need to void frequently at night.Question 50A 64 year old male client with a long history of cardiovascular problem including hypertension and angina is to be scheduled for cardiac catheterization. The nurse interprets that the client is experiencing: Common signs and symptoms of fracture include pain, deformity, shortening of the extremity, crepitus and swelling. The left side of the body will be affected in a right-sided brain attack. Severe chest pain Sodium bicarbonate 44. 27. What other test should the nurse anticipate being ordered? A surgery has been scheduled and a nasogastric tube is inserted. A 64 year old male client with a long history of cardiovascular problem including hypertension and angina is to be scheduled for cardiac catheterization. The nurse is explaining cancer to a group of community members. Hepatitis 4. Altered level of consciousness
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