NR 452 Week 2 Med Surg Questions Only

a. Avoid fa琀椀gue and ensure adequate rest periods Answer: b. Administer hepa琀椀琀椀s B immunoglobulin. c. Eat a well-balanced diet and maintain hydra琀椀on. d. Avoid alcoholic beverages. e. Instruct on an琀椀viral therapy schedule. Rationale: A client with acute pancrea琀椀琀椀s has a nasogastric (NG) tube to suc琀椀on and First choice: reports 10/10 pain. What manifesta琀椀ons indicate the condi琀椀on is improving? (Select all that apply) a. Bowel sounds are present. Answer: b. Vital signs are within normal limits. c. Electrolyte and glucose levels are normal. d. Abdominal pain has diminished. e. Nasogastric (NG) tube drainage has increased. Rationale: The nurse is caring for four clients. Which client should be assessed 昀椀rst? First choice: a. The client who is two-thirds of the way through a blood transfusion and has had no complaints. b. The client diagnosed with leukemia who has a hematocrit of 18%, Answer: and petechiae on the legs. c. The client with pep琀椀c ulcer disease who called the nurse to say he is vomi琀椀ng blood. d. The client diagnosed with Crohn’s disease who is complaining of perineal discomfort. Rationale: Which interven琀椀ons are included in the plan of care for a client experiencing First choice: A nurse is caring for a client with diabetes. Which 昀椀nding indicates a poten琀椀al First choice: complica琀椀on? a. Blood pressure of 138/88 mm Hg b. Absent sensa琀椀on in the feet Answer: c. Blood glucose 142 d. Hemoglobin 12 g/dl Rationale: The nurse is caring for a client with heart failure. On assessment, the nurse First choice: notes that the client is dyspneic, and crackles are audible on ausculta琀椀on. What addi琀椀onal manifesta琀椀ons would the nurse expect to note in this client if excess 昀氀uid volume is present? Answer: a. Weight loss and dry skin b. Flat neck and hand veins and decreased urinary output c. An increase in blood pressure and increased respira琀椀ons d. Weakness and decreased central venous pressure (CVP) Rationale: The nurse is assigned to care for a group of clients. On review of the clients’ First choice: medical records, the nurse determines that which client is most likely at risk for a 昀氀uid volume de昀椀cit? a. A client with an ileostomy Answer: b. A client with heart failure c. A client on long-term cor琀椀costeroid therapy d. A client receiving frequent wound irriga琀椀ons Rationale: On review of the clients’ medical records, the nurse determines that which First choice: client is at risk for 昀氀uid volume excess?