_ Kaplan Medical Surgical Integrated Test-with 100 verified solutions-2024 .docx | Exams Nursing | Docsity (2024)

Download _ Kaplan Medical Surgical Integrated Test-with 100 verified solutions-2024 .docx and more Exams Nursing in PDF only on Docsity! Kaplan Medical Surgical Integrated Test-with 100% verified solutions-2024 1. Client has vomiting and diarrhea. ABG analysis results are ph 7.48 paco2 40mmhg, hcos 35, pa02 95, sao2 98%. Which IV solution does nurse anticipate for client? Normal saline 3% Normal saline 0.9% Dextrose 5% in water Ringer solution 2. Client comes with difficultly breathing, runny nose, pulse of 100, sneezing and coughin. Diagnosis of asthma is made. Which information is most important for nurse to obtain? Select all that apply Any previous attacks like this Exposure to known allergans Family history of allergies Any symptoms while exercising Past history of psychological problems Current list of medications 3. Client reports difficultly moving right arm. Numbness and tingling in arm. Client has difficulty speaking and diagnosis of stroke is made. The nurse understands this is what type of stroke? Double hemisphere stroke Hemorrhagic stroke Lef t brain stroke R right brain stroke 4. Nurse teaches client who had stapedectomy. Teaching is understood when which client request is made. Physical therapy for vertigo Neck brace with padding Diet sheet that lists high protein foods Prescription for stool softener 5. Client diagnoses with pulmonary embolism. Which priority does nurse apply? Give supportive care during healin Cardiac monitoring Administer thrombolytic agents lOMoAR cPSD| 10027265 Client is diagnosed with glaucoma. Client asks “why do I need to take these eye drops? They hurt my eyes.” Which is the nurses best response? Drops help preserve your vision. Maybe less painful medication can be found.The eye care provider says you need to take them. I am sorry they hurt you Lets talk to your eye care provider to see if there is a medication that is less irritating. You will lose your vision if you don’t use the drops as prescibred. Client diagnosed with stroke. Nurse observes while client eats lunch. Client coughs after many bites, swallows solids very slowly, swallows liquids without difficulty. The client makes stranged movements with tongue during eating. Which action does the nurse take next? Asks client for favorite food choices Encourages client to chew slowly Requests dietary consult Rquests occupational therapy consult Nurse teaches a class about circulatory disease. Which symptom of peripheral arterial disease does tenurse include? Select all Pain in lower extremeties Yellow toe nails Numbness and tngling in toes Thin, shiny, skin on legs Pale foot when leg is elevated Chest pain and dyspnea Client diagnosed with inefetive endocarditis is discharged home on IV antibiotic therapy. The nurse knows the client understands the discharge treatment plan when the client makes which statement? When I get home, I can take off these compression stockings when I am walking I can go back to my job next week and start back traveling I will tell my dentist about this illness before havng my teeth cleaned I can help care for my grandchildren whenthey are sick and stay home from schoolClient undergoes brachytherapy. Which action is most important for the nurse to take? Werar film badge dosimeter Deliver all client care at one time lOMoAR cPSD| 10027265 Place client in neutropenic precautions Provide meals using disposable dishes Dlient is to receive 2 unites of blood. Client has an IV in the right forearm with D5W in normal saline that is used to administer an antibiotic every 4 hours. Which does the nurse do first? Insert a microdrip chamber into IV Start a second IV with isotonic saline Use a filtered tubing to administer the blood Receive the first unit of blood from the blood bank Client experiences a right-brain stroke. Which is the priorty intervention for the nruse when giving care? Assess emotional status Give range of motion exercises Keep client safe Provide communication assistance Client receives low-flow oxygen at 10 L/min at concentration of 50%. Which is the best oxygen administration for the nurse to chose. Partial non rebreathing mask Simple face mask Nasal cannula Oxygen-conserving cannula Client unresponsive after a closed-head injury. Glascow coma scle is 7. Nurse identifies the clients stateas which best description? Shows signs of visual and hearing impairment Identified as comatose Has subdural hematoma Is alert with impaired motor function Client receives information priord to having a PET scan done. Nurse recognizes further teaching isneeded when the client makes which statement? I will need to drink lots of fluid after the test I am glad I will be asleep during the test I know I must lie still and only move when told to move lOMoAR cPSD| 10027265 The IV lines in my arms will give me glucose dye Client is paraplegic because of spinal cord injury. Nurse identities nursing diagnosis “ineffective coping” based on which client statemtn How can I ever get a job now that I am in a wheelchair How long will I need physical therapy before I am discharged When can I start playing wheelchair basketball What are my limitations? I don’t want to be held back A client is discharged to home following a lung wedge resection for stage IIB lung cvancer. The nurse provides information regaridn signs and symptoms to report if they occur. Which nursing statement is best? If you have chest pain, make syre your spouse goes outside to smoke Watch for decreasing pain levels, and let the health care provider know If you have difficulty breating or eating, call the health care providr Please call the health care provider if you have hemoptysis Client diagnosed with myasthenia gravis. Client says “I am tired all the time and don’t want to live anymore. If I stop taking my medicaitons, I can stop breathing.” Which is the nurses best response? Place client on suicide watch Teach client about new medication Give client information about myasthenia gravis group Ask client about feelings of hopelessness Client is diagnoses with immune thrombocytopenia purpura. Client receives corticosteroids. Nurse knowthe treatment is effections when which observation is made? Bleeding is minimal after injectionPurpuric lesions fade to white Platelet count is 175,000 Erythrocyte count is 5.1 million A client with heart failure is to be weighed daily. Client asks why this is necessary. Which is the best information for the nurse to give? Determines the number of calories for the diet Indication of the fluid status in the body Shows activity affects activity tolerance