Med-surge 2

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1. The nurse is caring for a client with severe RA. She becomes combative and abusive to the staff when she is unable to perform personal care independently. What is the best statement the nurse can make at this time?
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2. A client returns to the med-surge unit after a total hip replacement with a large wedge pillow between his legs. The client's daughter asks the nurse why the pillow is in place. What is the nurse's best response?
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3. The nurse is caring for a young woman at a primary health clinic. Which assessment finding leads the nurse to question the client about risk factors for HIV
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4. When obtaining a sexual history from a client in the clinic, the nurse notes that the client appears uncomfortable and pauses for a long time before answering the questions. What is the nurse's best response?
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5. The nurse is teaching a community health class about health promotion techniques. Which statement by a student indicates a strategy to help prevent the development of osteoarthritis?
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6. The nurse is caring for a patient who has had hip replacement surgery 2 days before. The patient reports sever pain at the surgical site despite having received 2 vicodin 2 hours previously. The client is requesting IV pain meds. What is the priority intervention?
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7. A client with angioedema of the lower face needs the nurse to assess what next?
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8. A client comes to the ED with a fever, diarrhea, and general malaise. What info does the nurse give immediately to the health care provider?
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9. The home care nurse is making a follow up visit to a client who had a total hip replacement surgery 2 weeks ago. Which client statement indicates a need for clarification regarding post-op routine?
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10. The nurse is working with a client who will be taking 20 mg of prednisone daily for RA. Which precautions does the nurse give the client taking this med?
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11. A client with selective IgA deficiency has an order for an infusion of IV IgG. What is the nurses best action?
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12. The nurse asks a young adult client if she is sexually active. The client asks why she needs to know. What is the best response?
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13. What client is most at a increased risk of developing an infection?
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14. The nurse is caring for a client who is 1 day post-op from total hip replacement. The nurse is instructing the client about how to perform quadriceps-setting exercises correctly. Which direction does the nurse provide to the client?
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15. A client with chronic had a total knee replacement this morning and has a continuous passive motion machine. What activity related to CPM does the nurse delegate to the UAP?
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16. The nurse is working with a client who has severe RA in her hands. The clients states she is frustrated at mealtime because it is difficult  for her to manage cups and silverware. What is the best response?
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17. What intervention does the nurse implement to provide for client safety during intradermal allergy testing?
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18. The nurse is caring for an older client who had his hip replaced 2 days prior. Which assessment is the best indicator that he does not need pain meds at this time?
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19. Which intervention is most important for the nurse to teach the client who is recovering from an allergic reaction to a bee sting?
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20.  A client is scheduled to undergo radiation therapy for breast cancer asks why 6 weeks of daily treatment is necessary. What is the best response?
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21. A client has late-stage colon cancer with metastasis to the spine and bones. What nursing intervention is best to add the the care plan  to address a priority problem?
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22. The nurse is teaching a client with RA about joint protection principles. What info is included?
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23. An older adult client is admitted with an infection. Upon assessment the client is slightly confused. VS are as follows: T 99.2 BP 100/60 HR 100 RR 20. What action is most appropriate?
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24. A client undergoing radiation therapy says "I will be glad when this is over and I don't have to worry about my skin". What is the most appropriate response?
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25. The nurse provides discharge teaching for a client to prevent gout attacks. Which statement indicates that additional teaching is required?
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26. The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis. What is the best intervention for this client?
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27. The nurse is teaching a client how to reduce the pain that she often experiences with fibromyalgia. Which statement does the nurse include?
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28. The nurse is caring for an older adult client who will be discharged after being hospitalized for a total hip replacement. Which statement indicates that arrangements may have to be made to have the client's meds supervised at home?
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29. The nurse prioritizes which intervention in a client with xerostomia secondary to radiation therapy to the neck area?
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30. A mother brings her child to the clinic requesting genetic testing to determine whether her child suffers from the same multiple allergies as herself. What is the nurse's most appropriate response?
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31. A client has be admitted for the second time to treat TB. Which referral does the nurse initiate?
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32. The nurse is caring for a patient who has right total knee replacement surgery 3 days ago. During the assessment, the nurse notes that the client's right lower leg is twice the size of the left. What is the nurse's priority intervention?
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33. A client is suspected to have RA. Which manifestations does the nurse assess most carefully for?
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34. The nurse is caring for a female client who has a history of chronic fatigue syndrome. Which finding is the nurse surprised to see in the client's record?
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35. The nurse is teaching a client with AIDS how to avoid infection at home.  Which statement indicates additional teaching is needed?
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36. The nurse is caring for an HIV patient. The client has become confused over the shift and the pupils are no longer  reacting to light. The nurse anticipates an order for which med?
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37. A client has scabies. In addition to standard precautions which info is most important to communicate with visitors and health care providers?
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38. The nurse is caring for a client newly diagnosed as HIV+ who will be taking Fuzeon. Which precaution is most importnant for the nurse to communicate to this patient?
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39. A client is receiving an IV infusion of an antibiotic. The client calls the nurse about feeling uneasy and uncomfortable owing to congestion. Which action by the nurse is most appropriate?
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40. How does the type V hypersensitivity reaction differ from other reactions?
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41. A client with chronic gout takes Benemid and comes to the clinic with frequent severe headaches and a new gout flare. The client is frustrated because the gout was previously controlled. What question is most helpful?
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42. A client with AIDS has been admitted with fever, night sweats, and weight loss of 6 pounds in 2 weeks. His PPD test placed 3 days ago is negative. What action is most appropriate?
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43. The nurse is teaching a client how to prevent transmitting HIV to his partner. Which statement indicates further teaching is needed?
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44. A nurse suspects a client to have serum sickness. For which manifestation does the nurse assess the client?
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45. What is the priority problem for a client experiencing chemo-induced anemia?
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46. A client and his family are waiting on results determining if a client has an infection. They are becoming anxious. What is the most important assessment the nurse should make of the client and his family?
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47. The nurse caring for a patient with a sealed radiation implant for cervical cancer. What activities are appropriate?
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The nurse is caring for a client with severe RA. She becomes combative...
A client returns to the med-surge unit after a total hip replacement...
The nurse is caring for a young woman at a primary health clinic....
When obtaining a sexual history from a client in the clinic, the nurse...
The nurse is teaching a community health class about health promotion...
The nurse is caring for a patient who has had hip replacement surgery...
A client with angioedema of the lower face needs the nurse to assess...
A client comes to the ED with a fever, diarrhea, and general...
The home care nurse is making a follow up visit to a client who had a...
The nurse is working with a client who will be taking 20 mg of...
A client with selective IgA deficiency has an order for an...
The nurse asks a young adult client if she is sexually active. The...
What client is most at a increased risk of developing an...
The nurse is caring for a client who is 1 day post-op from total hip...
A client with chronic had a total knee replacement this morning and...
The nurse is working with a client who has severe RA in her hands. The...
What intervention does the nurse implement to provide for client...
The nurse is caring for an older client who had his hip replaced 2...
Which intervention is most important for the nurse to teach the client...
 A client is scheduled to undergo radiation therapy for breast...
A client has late-stage colon cancer with metastasis to the spine and...
The nurse is teaching a client with RA about joint protection...
An older adult client is admitted with an infection. Upon assessment...
A client undergoing radiation therapy says "I will be glad when...
The nurse provides discharge teaching for a client to prevent gout...
The nurse is caring for a client with AIDS who has just been diagnosed...
The nurse is teaching a client how to reduce the pain that she often...
The nurse is caring for an older adult client who will be discharged...
The nurse prioritizes which intervention in a client with xerostomia...
A mother brings her child to the clinic requesting genetic testing to...
A client has be admitted for the second time to treat TB. Which...
The nurse is caring for a patient who has right total knee replacement...
A client is suspected to have RA. Which manifestations does the nurse...
The nurse is caring for a female client who has a history of chronic...
The nurse is teaching a client with AIDS how to avoid infection at...
The nurse is caring for an HIV patient. The client has become confused...
A client has scabies. In addition to standard precautions which info...
The nurse is caring for a client newly diagnosed as HIV+ who will be...
A client is receiving an IV infusion of an antibiotic. The client...
How does the type V hypersensitivity reaction differ from other...
A client with chronic gout takes Benemid and comes to the clinic with...
A client with AIDS has been admitted with fever, night sweats, and...
The nurse is teaching a client how to prevent transmitting HIV to his...
A nurse suspects a client to have serum sickness. For which...
What is the priority problem for a client experiencing chemo-induced...
A client and his family are waiting on results determining if a client...
The nurse caring for a patient with a sealed radiation implant for...
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