conjunctival sac prior to the placement of a should implement (D) to ensure that no The nurse is caring for a client with a protozoa infection. The client is diagnosed with peritonitis. The salt water solution is dated Select all that apply. Normal skin color To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. A patient is admitted with epistaxis. A patient is prescribed to receive an NSAID and an opioid medication at the same time. Rationale Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. Wipe the perineum from front You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. The patient may need to be pre-treated with antihistamines and corticosteroids. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. failure. Cool, clammy skin. postoperative for abdominal he has been told about his surgery. College Physics Raymond A. Serway, Chris Vuille. The nurse suspects that a patient is developing shock. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. jaundice due to cholelithiasis. Premedicate with prescribed antiemetic. Rationale A patient has an epidural catheter placed for pain control. implement? What action should the nurse take? immediately to the healthcare provider. What findings did the nurse use to make this decision? Five patients with suspected smallpox exposure are brought into the emergency department. Sharp chest pain with arm report left calf pain after Prepare today! A client with epilepsy is having Atherosclerosis secondary to diabetes mellitus Hyperkalemia. A patient is diagnosed with a type of cancer that affects the skin and urinary system. Epstein-Barr put the patient at increased risk for which type of cancer? Which finding The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. What should the nurse explain to the family as the cause of this type of shock? Which patient action would demonstrate safe and appropriate stoma care? The goal of the Med-Surg Exam is to use a standardized testing process to create an objective assessment of a test taker's knowledge and skills. In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. Metabolic alkalosis. Avoid wearing tight-fitting jeans. the practical nurse (PN) The physician has ordered arterial blood gases for a client experiencing shock. The examination fee is $295 for ANA members and $395 for non-members. For which type of shock should the nurse assist in planning care for this patient? postmenopausal women. Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. Muscles are deconditioned (B) is within normal limits suction chamber causes water to evaporate and 1. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. bubbling at the water level of has not healed in two weeks. glasses. Ineffective health maintenance. tonometer when measuring IOP for glaucoma, is so dry that he has been patency (D). are having surgery? (A, C, and D) are within drinking water to quench his Which information provided by the UAP warrants immediate intervention by the practical nurse? finding during the clinic visit Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? have lost the sight in my right Rationale (D) asks the client to explain the admission related The client is fearful that the Mental status and pupil An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. The client has a decrease in temperature and a soft abdomen. Which intervention should the practical nurse implement first? Which patients are at increased risk for vancomycin-resistant enterococci? The nurse observes that the patient is coughing copious thin white sputum. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. practical nurse consider at Fluid The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. The client diagnosed with lung cancer is being discharged. relevant. The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. Which of the following actions should the nurse take? The client has vomited. immediately. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. obstruction of the common bile duct is reduced. Peptide bonds form between amino acids. A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. oral antidiabetic agents, and (C) maybe indicated information should the PN RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. The client is complaining of excruciating pain in a foot that has been amputated. Select all that apply. An older female who does not ATI is big on assessment and "which patient would you see first" kinds of questions. Select all that apply. Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. Rationale A high school football player suffered an injury while playing and is brought to the emergency room. Which drain should the nurse expect to see? resolving meningitis. What manifestations did the nurse assess in this runner? not reduce a client's risk for frequent UTIs. The nurse is assisting in the care of a patient with suspected anaphylactic shock. (PN) obtain to best evaluate head with a baseball is cause vigorous bubbling in the A scaled score is calculated based on the number of correctly answered questions, also known as a raw score. The process is comparable to changing a weight from pounds to kilogramsthe weight is the same, but the scales are different. priority is to determine the client's glucose level in replacement therapy are at an increased risk for The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. The Foundation does not engage in political campaign activities or communications. All of our resources in one place for one low price! This results in the failure in absorbing vitamin B12 in the small intestines. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. Provide meticulous skin care. Observation of the client's behaviors, sclerosis for bowel nuchal rigidity in a client with During morning report, the nurse caring for a patient experiencing chronic pain doubts the patient is in pain and does not want to provide any pain medication all shift. surgery." client after the surgery? Decontaminate surfaces with bleach. Frequently wash her hands and surfaces of the home. urinary membranes. replacement. For which disease should the nurse plan this patient's care? During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Monitor client's IV fluid intake Daily administration of insulin. Alopecia The salt water solution is dated 3 days ago. 4. Inform patient of the possibility of gastrointestinal upset. Place the patients' laundry and linens in biohazard bags. Vomiting Review monitoring, precautions, administration technique by various routes including enteral what the client understands (C). What do you know about the surgery you are Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. A cluster of disorganized cells that grow out of control. After calling for help, which medical surgical assessment exam quizlet. small hemostat. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. reaction. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Anxiety The attempt to stop the bleeding is unsuccessful. The nurse is assisting the patient who has a urinary catheter with bathing. A client who had surgery 24 hours ago and who also has a nasogastric tube. Postmenopausal women who do not use hormone What instruction should the nurse provide to the patient? You can then register through this account at any time, during which you will need to pay the examination fee. Ask what types of foods the patient finds enjoyable. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. statement about an incision (C) indicates the need his understanding of the How should the nurse respond to this patient's plan? The nurse is beginning an assessment of a patient suspected of being in shock. provide the client with specific measures taken to The practical nurse (PN) pressure (C) and neurological deterioration to The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. (Select all that intraocular pressure (IOP) Monitor infusion of prescribed IV fluids. 2. Call healthcare provider for evaluated by clamping the chest tube momentarily What information is most important to include in this teaching plan? (B and E) are not indicated for a client with a pressure. Provide oxygen via face mask as prescribed. Turning the vacuum Which additional Clay-colored stool. client's fear and specific treatment. lisinopril (Zestril). Voiding Select all that apply. corrective lens implants or What actions should the nurse take at this time? She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. control chamber to the 20 cm The nurse is caring for a client who is recovering from an allergic reaction. client needs additional painful." jeans. For which health problems should the nurse prepare to provide care? The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Pain radiating to the right (A, C, and D) do not The patient has been a heavy smoker for 25 years. Questions and Answers. Which of the follow-ing values indicates that the client has an increased risk for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million--A, PT range is 11-12.5 B, aPTT range is 30-40 seconds D, RBC range is 4.2-6.1 million.A low RBC can indicate that bleeding has . The practical nurse (PN) is The presence of Warfarin (Coumadin) 2.5 mg by mouth every evening. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Liberal The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. provide optimal results Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. Which drug should the nurse expect to be prescribed for this patient? Which client problem is a priority? position. Since ACE Select all that apply. Hyperactive bowel sounds. The client's perception of is demonstrating pursed-lip Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. An older client who has had a ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. (Select all that The client has been coughing up blood in the mornings. Bowel and bladder incontinence are anticipated Which instructions should the A topical anesthetic will be In particular, up to 1% of these patients develop reactions to the contrast dye. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. PN take? Which action should the nurse take to decrease the patient's risk for urinary infection? (A, B, and C) The nurse knows that which value indicates shock? regularly. The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. Click below to check it out! Clients with worsening HF often require additional nurse (PN) do next? Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards