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VN 22 Med Surg 1 > Med surg 1 Final-Done > Flashcards

Med surg 1 Final-Done Flashcards

1
Q

1.A nurse is collecting data from a client who is dehydrated. Which finding would the
nurse expect? (med surge ATI pg.233)

A

Tachycardia

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2
Q

2.A nurse is preparing to administer an initial dose of prednisone. The nurse should
monitor for which of the following adverse effects of this medication? Select all that
apply (pharm pg.559)

A

-hypokalemia
-fluid retention/weight gain
-increased appetite
-irritability

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3
Q

3.A nurse is assisting in the care of a client who began having chest pain 2 hrs ago and
was diagnosed with a myocardial infarction. Which laboratory finding should the
nurse identify as an indication the client has sustained injury to the heart?

A

TROPONIN I

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4
Q

4.A nurse is caring for a client who has an new prescription for oxygen therapy of
4L/min using a nasal cannula. Which action should the nurse take?

A

-provide humidication

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5
Q

5.A nurse is reinforcing dietary teaching about calcium rich foods to a client who has osteoporosis. Which of the following foods should the nurse inclue in the instructions?

A

-kale

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6
Q
  1. A nurse is caring for a client who had an above-the-knee amputatioin 1 week ago. The client reports a sharp, stabbing type pain(phantom limb pain). Which of the following actions should the nurse take?(MS ATI pg.406)
A

Administer antiepileptic medication

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7
Q

7.A nurse is assisting with the care of a client who has an SaO2 of 91% exhibits audible wheezes and is using accessory muscles when breathing. Which of the following classes of medications should the nurse prepare to admister?

A

short acting beta2 antagonist (SABA)

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8
Q
  1. A nurse is caring for a client who has a new prescription for heparin therapy. Which statement by the client should indicate an immediate concern for the nurse?
A

“I take antacids several times a day for my peptic ulcer”

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9
Q

9.A student nurse is learning the manifestations of hyperthyroidism. Which of the following findings would the student identify? Select all that apply. (MS ATI pg.469)

A

-weight loss
-heat intolerance
-palpitations

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10
Q
  1. A nurse educates a group of clients w/diabetes mellitus on the prevention of diabetic nephropathy. Which suggestions would be most important?
A

-control glucose levels

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11
Q

11.In additon to teaching a client w/constipation to iincrease a dietary fiber intake to 25g/day, what would the nurse include as important?

A

-adding fiber rich foods to the diet gradually

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12
Q

12.You are caring for a client w/chronic migraines. The client has been prescribed sumatriptan. What drug-related instructions should the nurse give the client?

A

-Take medicatioin as soon as symptoms of the migraine begin.

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13
Q
  1. Client education following a hip dislocation or replacement should include which
    instruction? Select all that apply (MS ATI pg.401)
A

-Avoid crossing the legs
-put a pillow in between the legs while sleeping
-keep the knees apart at all times (abduction)

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14
Q
  1. A client has just been diagnosed with an aneurysm. In planning discharge teaching
    for this client, what instructions should be delivered by the nurse to the client?
A

-Avoid heavy lifting

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15
Q
  1. You are taking care of a client who is taking an anticonvulsant. Why should you
    advise the client not to stop taking the drug abruptly?
A

-It may trigger status epilepticus

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16
Q
  1. A client realizes that regular use of laxatives has greatly improved his bowel pattern.
    However, the nurse cautions this client against the prolonged use of laxatives for
    which reason?
A

The clients natural bowel function may become sluggish

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17
Q
  1. A client who is suspected of urinary tract infection is asked to collect a 24-hour urine
    specimen for culture. What measure can the nurse suggest to the client that may
    help prevent the urine specimen from becoming contaminated?
A

refrigerate the specimen until it is taken to the laboratory

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18
Q
  1. A client is being treated for prolonged diarrhea. Which foods should the nurse
    encourage the client to consume?
A

potassium-rich foods

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19
Q
  1. A client with type 2 diabetes asks the nurse why he can’t have a pancreatic
    transplant. Which of the following would the nurse include as a possible reason?
A

Underlying problem is insulin resistance

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20
Q
  1. A client with anorexia complains of constipation. What nursing measure would be
    most effective in helping the client reduce constipation?
A

Assist client to increase dietary fiber

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21
Q
  1. The nurse is providing information about foot care to a client with diabetes. Which
    of the following would the nurse include?
A

“be sure to apply a moisturizer to feet daily”

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22
Q
  1. A client is admitted to the unit with diabetic ketoacidosis (DKA). Which insulin would
    the nurse expect to be administered intravenously for the treatment of DKA?
A

Regular

23
Q
  1. A nurse is caring for a client with hyperglycemia. Which of the following would the nurse identify as a symptom of hyperglycemia? (MS test 1 flashcards)
A

excessive thirst

24
Q
  1. The nurse is reviewing a client’s history which reveals that the client has had an
    oversecretion of growth hormone (GH) that occurred before puberty. The nurse
    interprets this as which of the following?
A

gigantism

25
Q
  1. A client is found to be comatose and hypoglycemic with a blood sugar of 30mg/dL.
    What would the nurse expect the primary care provider to order first?
A

Order (D5W) 50% glucose IV to be given immediately

26
Q
  1. Which of the following would the nurse expect the physician to order for a client
    with hypothyroidism?
A

Levothyroxine

27
Q
  1. A client with type 1 diabetes is to receive a short-acting insulin and an intermediate-
    acting insulin subcutaneously before breakfast. The nurse would administer the
    insulin at which site as the preferred site?
A

Abdomen

28
Q
  1. A client is scheduled for an esophagogastroduodenoscopy (EGD) to detect lesions in the gastrointestinal tract. The nurse would observe for what while assessing the
    client during the procedure?
A

Clients tolerance for pain and discomfort

29
Q
  1. You are caring for a client admitted with a stroke. Imaging studies indicate an
    embolus partially obstructing the carotid artery. What type of stroke is this client
    experiencing?
A

Ischemic

30
Q
  1. What part of the nervous system is responsible for digesting food and eliminating
    body waste?
A

Parasympathetic

31
Q
  1. Which nervous system regulates the expenditure (use) of energy?
A

Sympathetic

32
Q
  1. A 52-year-old female client presents at the walk-in clinic complaining of feeling like a
    mask is on her face. While doing the initial assessment, the nurse notes the
    demonstration of a pill-rolling movement in the right hand and a stooped posture.
    Physical examination shows bradykinesia and a shuffling gait. What would the nurse
    suspect is the causative factor for these symptoms?
A

Parkinsons disease

33
Q
  1. A nurse is reinforcing teaching for a client who has a new diagnosis of hypertension.
    The client has a new prescription for furosemide 40mg PO daily. The nurse should
    instruct the client to take this medication at which of the following times of day?
A

Morning

34
Q
  1. A nurse is collecting data from a client who has increased intracranial pressure (ICP).
    Which of the following is an expected finding in a client with increased ICP?
A

Change in the level of conscioussness

35
Q
  1. A nurse is collecting data from a client who has diabetic ketoacidosis and ketones in
    the urine. The nurse would expect what findings?
A

fruity odor of breath

36
Q
  1. A nurse is caring for a client who has heart failure and reports increased shortness of
    breath. Which action should the nurse take first?
A

Assist the client into a high fowlers positon

37
Q
  1. A nurse is caring for a client who has a blood glucose of 52 mg/dL. The client is
    lethargic but arousable. Which of the following actions should the nurse perform
    first?
A

provide 15g of simple carbohydrate

38
Q
  1. A nurse is assisting the charge nurse with the administration of a blood transfusion.
    Which actions by the nurse indicates an understanding of the procedure? Select all
    that apply
A

-obtains VS frequently throughout the transfusion per protocol
-observes for fluid overload and transfusion reactions

39
Q
  1. A nurse on an orthopedic floor is caring for a client following a knee arthroscopy.
    Which of the following actions by the nurse are appropriate? Select all that apply (ATI pg.400)
A

-palpate dorsal pedal pulses
-elevate heels off the bed
-check CPM passive motion device settings

40
Q
  1. A nurse is caring for a client with anemia and has a new prescription for ferrous
    gluconate. Which laboratory value will the nurse be most concerned about
    monitoring?
A

hemaglobin

41
Q

41.A client is caring for a client with Cushing’s Syndrome (Oversecretion of
mineralcorticoids). Which of the following is an expected finding for a client with
Cushing’s Syndrome?

A

moon face and buffalo hump

42
Q
  1. A nurse is caring for a client with cancer who has had several rounds of
    chemotherapy. The client’s latest WBC is 2,000 mm3 or 2.0. Which of the following
    should the nurse be most concerned about?
A

Clients risk for infection

43
Q
  1. A nurse is collecting data from a client who is suspected of having an endocrine
    disorder and is scheduled for diagnostic testing that involves the use of a contrast
    medium. The nurse would inform the physician if the client stated which of the
    following?
A

“I have an allergy to shrimp & shellfish”

44
Q
  1. The nursing instructor is discussing cerebral aneurysms with the junior nursing class.
    The instructor is talking about medications given to clients with aneurysms. What
    substances would the instructor tell the students should not be administered to
    clients with an aneurysm who experience pain?
A

Opioid analgesics

45
Q
  1. You are caring for a male client who is scheduled for a neurologic examination that
    uses a radiopaque dye. Before the test, you assess the allergy history of the client
    and find the client is allergic to seafood. What does the nurse relate the allergy to
    seafood as?
A

an allergy to iodine

46
Q
  1. A client is scheduled for a diagnostic examination for gastrointestinal disorder
    tomorrow morning. The client is given polyethylene glycol/electrolyte solution as a
    part of the test preparation. Which of the following measures should the nurse take
    once the solution is administered? (quizlet)
A

-permit the client to drink only clear liquids the evening before & NPO after midnight

47
Q
  1. The nurse is providing care to a client who has had a percutaneous liver biopsy. The
    priority action the nurse should monitor for in this client is what?
A

-signs & symptoms of bleeding

48
Q
  1. A critical care nurse is caring for a client with a neurologic disorder. The nurse
    observes a change in the vital signs of the client. What would be a priority action for
    the nurse to take when a change in the vital signs is observed?
A

inform the physician immediatley

49
Q
  1. When administering insulin to a client with type I diabetes, which of the following
    would be most important for the nurse to consider? Select all that apply
A

-type of insulin administered
-duration of the insulin
-accuracy of the dosage
-expiration date on the vial

50
Q
  1. A nurse is assisting a client with a neurological deficit to have a bowel movement.
    What nursing action encourages defecation and regulates the bowel to function on a
    regular basis?
A

schedule bowel training for the same time every day

51
Q
  1. In preparing a client with appendicitis for surgery, the nurse should anticipate which
    interventions? Select all that apply
A

-maintain NPO status
-obtain surgical consent
-start an IV as ordered

52
Q
  1. A critical care nurse is caring for a client with a cerebrovascular accident (CVA) The
    client is prescribed heparin for treatment. The nurse knows to monitor the client for
    what adverse effects?
A

hemorrhage

53
Q
  1. A nurse is caring for a client following a below-the-knee amputation 1 day ago.
    Which of the following actions should the nurse take? Select all that apply (MSATI pg.406)
A

-inspect for presence and amount of drainage
-palpate the residual lumb for warmth
-monitor for feelings of body image changes
-maintain shrinkage intervention of the residual limb (ace wrap)

54
Q
  1. A nurse is collecting data from a client for Chevostek’s sign. Which technique should
    the nurse use to perform this test?
A

Tap lightly on the clients cheek area

VN 22 Med Surg 1 (15 decks)

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