NURS 480 MED SURGE FINAL EXAM<\/p>\n\n\n\n
1 A nurse is assessing for early signs of compartment syndrome
for a client who has a short-leg fiberglass cast. Which of the
following findings should the nurse expect? – ANSWER\u0002Intense pain with movement
2 A nurse is monitoring a client who is receiving 2 units packed
RBCs. Which of the following manifestations indicates a
hemolytic transfusion reaction? – ANSWER- Chills
3 A nurse is caring for a client who had a total hip arthroplasty.
Which of the following actions should the nurse take to prevent
hip dislocation? – ANSWER- Place two bed pillows between the
legs when in bed
4 A nurse is assessing a client who is preoperative and reports an
allergy to bananas. The nurse should recognize that the client is
at risk for an allergic cross-reactivity to which of the following
substances – ANSWER- Latex<\/p>\n\n\n\n
5 A nurse is teaching a client about the use of an incentive
spirometer. Which of the following instructions should the nurse
include in the teaching? – ANSWER- Hold breaths about 3 to 5
seconds before exhaling
6 A nurse is caring for a client who arrives at the emergency
department and reports vomiting and diarrhea for the past 3
days. The client’s serum potassium level is 2.8mEq\/L. Which of
the following interventions should the nurse implement first? –
ANSWER- Initiate cardiac monitoring for the clients
7 A nurse is preparing to administer peritoneal dialysis to a
client. Which of the following actions should the nurse take? –
ANSWER- Hang the drainage bag below the client’s abdomen
8 A nurse is preforming a cranial nerve assessment on a client
following a head injury. Which of the following findings should
the nurse expect if the client has impaired function of the
vestibulocochlear nerve (cranial nerve VIII)? – ANSWER\u0002Disequilibrium with movement
9 A nurse is planning care for a client who is one day
postoperative Following an open cholecystectomy. Which of the
following interventions should the nurse include in the plan of
care? – ANSWER- apply compression stockings to the lower
extremities<\/p>\n\n\n\n
10 A nurse is caring for a male client who has an exacerbation
of heart failure. Which of the following prescriptions should the
nurse expect to receive from the provider? (click on the
“exhibit” button for additional information about the client.
There are 3 tabs that contain separate categories of data.) –
ANSWER- Furosemide 40mg IV bolus every 6 hr
11 A nurse is providing a discharge teaching to a client
following a modified left radical mastectomy with breast
expander. Which of the following statements by the client
indicates an understanding of the teaching? – ANSWER- ” I
should expect less than 25 mL of secretions per day in the
drainage devices”
12 A nurse is teaching a client about using a metered-dose
rescue inhaler. Which of the following statements should the
nurse include I the first teaching? – ANSWER- “Exhale Fully
before bringing the inhaler to your lips “
13 A nurse is caring for a client who has been receiving total
parental nutrition (TPN) for 1 week. For which of the following
findings should the nurse notify the provider? – ANSWER\u0002Calcium level 11.5 mg\/dL<\/p>\n\n\n\n