RN Adult Medical Surgical Online Practice 2019 A with options Updated Version 2023 Questions and Verified Acccurate Answers Guaranteed 100% Pass Rate a home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. which of the following neurological deficits should the nurse expect to find when assessing the client? - Correct Answervisual spatial deficits left hemianopsia one-sided neglect
a nurse and an assistive personnel are caring for a client who has bacterial meningitis.the nurse should give the AP which of the following instructions? - Correct Answerwear a mask.
Bacterial meningitis requires droplet precautions; therefore, the AP and the nurse should wear a mask when coming within 0.9 m (3 ft) of the client until 24 hr after the client has begun receiving antibiotic therapy.
a nurse has received change-of-shift report for a group of clients. which of the following clients should the nurse assess first? - Correct Answera client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet.
When using the stable vs. unstable approach to client care, the nurse should assess this client first. A client who had a myocardial infarction 4 days ago and is asking for a PRN sublingual nitroglycerin tablet could be unstable. This client might be experiencing angina or could be having another MI.
a nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. to help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - Correct Answeraged cheese
Foods that contain tyramine, such as aged cheese and sausage, can trigger migraine headaches.
a nurse in a provider's office assessing a client who has hypertension and takes propranolol. which of the following findings should indicate to the nurse that a client is experiencing an adverse reaction to this medication? - Correct Answerreport of a night cough
The nurse should recognize that a night cough is an early indication of heart failure and report this adverse reaction to the provider.
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a nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. the nurse should identify that which of the following client medications interact with feverfew - Correct Answernaproxen
Both naproxen and feverfew impair platelet aggregation and place the client at risk for bleeding.
a nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. which of the following statements should the nurse take? - Correct Answer"you will not be able to use sildenafil if you are taking nitroglycerin."
The client should not use sildenafil when taking nitroglycerin because both medications can cause vasodilation and lead to significant hypotension.
a nurse in an acute care facility is caring for a client who is at risk for seizures. which of the following precautions should the nurse implement? - Correct Answerensure that the client has a patent IV.
The nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity.
a nurse in an emergency department is assessing a client who has a detached retina.which of the following should the nurse expect the client to report? - Correct Answer"it's like a curtain closed over my eye."
A retinal detachment is the separation of the retina from the epithelium. It can occur because of trauma, cataract surgery, retinopathy, or uveitis. Clients who have retinal detachment typically report the sensation of a curtain being pulled over part of the visual field.
a nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. after ensuring a patent airways and administering oxygen, which of the following items should the nurse prepare to administer first? - Correct AnswerIV fluids
After establishing that the client's airway is secure and administering oxygen, evidence- based practice indicates that the nurse should prepare to administer IV fluids to provide circulatory support.
a nurse in an emergency department is caring for a client who is experiencing a thyroid storm. which of the following manifestations should the nurse expect? - Correct Answerfever hypertension tachycardia
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a nurse in an emergency department is caring for a client who reports visiting and diarrhea for the past 3 days. which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - Correct Answerheart rate 110/min
A client who has a 3-day history of vomiting and diarrhea is likely to have fluid volume deficit and an elevated heart rate.
a nurse in an emergency department is reviewing the providers prescriptions for a client who sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse expect? - Correct Answeradminister an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to promote comfort following a rattlesnake bite.
a nurse in an ICU is assessing a client who has a traumatic brain injury. which of the following findings should the nurse identify as a component of Cushings triad? - Correct Answerbradycardia
A client who has increased intracranial pressure from a traumatic brain injury can develop bradycardia, which is one component of Cushing's triad. The other components of Cushing's triad are severe hypertension and a widened pulse pressure.
a nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. for which of the following adverse effects should the nurse monitor? - Correct Answerrespiratory paralysis
The nurse should monitor a client who is receiving magnesium sulfate via IV bolus closely as the adverse effects can impact the CNS, the cardiovascular system, and the respiratory system. Respiratory paralysis is a life-threatening adverse effect of magnesium sulfate.
a nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6 hr ago. which of the following findings should the nurse expect? - Correct Answerstone fragments in the urine
ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the bladder, and through the urethra during voiding. Following the procedure, the nurse should strain the client's urine to confirm the passage of stones.
a nurse is assessing a client who has acute cholecystitis. which of the following findings is the nurse's priority? - Correct Answertachycardia
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is tachycardia. Tachycardia is a manifestation of
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