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b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Which data, for a patient with thrombocytopenia, should be reported to a PCP [Answer]
The patient is hard to arouse
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] All of these patients are waiting for an emergency room nurse. Which has priority [Answer]
A patient with chemotherapy-induced neutropenia and has a temperature of 100.8 F.
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A 24 y/o patient who uses a diuretic for blood pressure control is scheduled for abdominal surgery. Which information should be told to the surgeon prior to surgery [Answer]
A serum potassium of 3.3 mEq/L
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Gathering data to evaluate patient outcomes regarding pain control, the nurse should [Answer]
include patient complaints of pain in pre-Op
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] 26 y/o with stage 2 Hodgkins asks nurse "How long do I have to live?” [Answer]
most patients with your stage of the disease are treated successfully
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Relieve symptoms of lower UTI for patient on antibiotics. Nurse suggests phenazopyridine (Pyridium) but cautions patient that this med might? [Answer]
cause urine to turn reddish orange and can stain clothing
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Patient with acute glomerulonephritis nurse will ask about? [Answer]
recent fever or sore throat
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] HCP orders IV glucose and insulin to be given to ARF patient whose potassium is 6.3mEq/l. To evaluate effectiveness of med the nurse will? [Answer]
obtain serum potassium levels
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A client with CKD is beginning hemodialysis. What diet change is needed? [Answer]
More protein will be allowed because of the removal of urea and creatinine
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A male is hospitalized because of gross hematuria and severe colicky left flank pain that radiates to his left testicle. He has a history of kidney stones. Priority nursing diagnosis is [Answer]
Acute pain r/t irritation by the stone
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Recipient of kidney transplant is in immediate post-op period. IV fluids should be administered [Answer]
Determined hourly, based on every milliliter of urine output
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Patient with neurogenic bladder is being educated by home health nurse on how to use periodic catheterization of bladder emptying. What statement shows the patient understands? [Answer]
I will wash the catheter with soap and water before and after each catheterization
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] With a patient who has a lower UTI, the nurse will first question [Answer]
Pain with urination
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Instructions for a patient with cystitis to prevent future UTIs [Answer]
empty the bladder every 3-4 hours during the day
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Which nursing assessment is most important to report to the HCP for patient with a bladder infection [Answer]
Left-sided flank pain
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient admitted for severe crushing injury; which lab level is the nurse most concerned with [Answer]
potassium
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] ARF patient have a gradual increase to 3400 ml/day of urine output, a BUN of 92, and a serum creatinine of 4.2, the nurse should plan to [Answer]
monitor for hypotension by taking the BP
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Which order will the nurse question for a patient with renal insufficiency scheduled for IVP (intravenous pyelogram) [Answer]
Ibuprofen (Advil) 40 mg PO prn for pain
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Before administering sodium polystyrene sulfonate (Kayexalate) to patient with hyperkalemia, assess [Answer]
The patient's bowel sounds
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Before administering calcitrol (Rocaltrol) to patient with CKD, nurse should check [Answer]
Serum phosphate
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Differences between arterivenous (AV) fistula and a graft, nurse says one advantage of the fistula is that [Answer]
It is much less likely to clot
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient with CKD is thinking about using continuous ambulatory peritoneal dialysis (CAPD). The nurse informs the patient that [Answer]
Patients with diabetes who use CAPD have fewer dialysis related complications than those on hemodialysis
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Immediately post-op, nurse is caring for a patient who is a recipient of a kidney transplant would expect that fluid therapy would involve administering of IV fluids [Answer]
To be determined hourly, based on every milliliter of urine output
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A client with Chronic Kidney Disease brought all her meds from home to the hospital so the nurse could look over them. Which of the following meds that the patient is using shows that they need more teaching? [Answer]
Milk of magnesia 30 ml administered orally
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A client in ARF needs hemodialysis. She receives a temporary vascular access by placing a catheter in the left femoral vein. After assessing the client, the nurse will plan to [Answer]
Place the client on bed rest
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A client that is having an elective hysterectomy performed tells the nurse that she is not sure che can go through with the surgery because she knows she will die like her mother did during surgery. The nurse should respond by [Answer]
"Tell me more about what happened to your mom."
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] To help with venous return in the lower extremities of a patient who just had a cholecystectomy, the nurse should promote the following exercises [Answer]
dorisflexion and plantar flexion of her feet, rotation of her ankles (in circles), and pressing the back of her knees into her bed while she is lying supine.
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A female clinet has a 2nd reoccurrence of pyelonephritis. The nurse should expect the following labs [Answer]
an elevated BUN, a positive leukocyte esterase, and bacteria
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] The nurse is caring for a patient who has 20 second periods of deep and rapid breathing. The nurse should document this finding as [Answer]
Cheyne-Stokes respirations
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] As the nurse admits a patient with AIDS who has cryptococcal meningitis, the patient tells the nurse, "If my heart or breathing stops, I do not want to be resuscitated." The nurse should [Answer]
Ask the patient if these wishes have been discussed with the admitting health care provider
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Which of these patients is most appropriate for the nurse to refer to hospice care? [Answer]
A 28 year old with AIDS-related dementia who needs palliative care and pain management
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient with difficulty swallowing is started on continuous tube feedings of a full-strength commercial formula at 100 ml/hr. The patient has 6 diarrhea stools on the 1st day. The action that is most appropriate is [Answer]
Slow the tube feeding flow rate
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient who is receiving continuous tube feeding through a small-bore silicone feeding tube has a CT scan ordered and will have to be placed in a flat position for the scan. The nurse will plan to [Answer]
Shut the feeing off 30-60 minutes before the scan
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] PEG tube nursing actions that an LPN can perform [Answer]
Provide skin care around tube
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Pt. with NG tube to LIS and PCA following gastroplasty. The RN needs to [Answer]
Support incision during coughing to prevent dehiscence
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Orders for a dehydrated pt. Act first on [Answer]
Infusing normal saline at 250ml/hr
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] CVA pt. is unresponsive and unconscious with a hx of GERD. RN assesses [Answer]
Breath Sounds
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Nexium for heart burn. RN explains that the drug [Answer]
Treats GERD by decreasing stomach acid production
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Pt nauseated and vomiting blood tinged fluid is admitted with acute gastritis. Most important to ask pt about? [Answer]
frequent NSAID use
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Pt vomiting bright red blood admitted to ER, which assessment should nurse do first? [Answer]
BP and pulse
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Why is pt who suffered severe abdominal trauma receiving famotidine (Pepcid)? Nurse explains [Answer]
medication will inhibit stress ulcers
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Pt with acute GI bleed has NS infusing at 500ml/hr. Which data is most important to communicate to HCP? [Answer]
Pt lungs have audible midline crackles
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Pt has abdominal pain and watery incontinent diarrhea is diagnosed with C.diff. The nurse will? [Answer]
place pt in private room under contact isolation
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient who recently had an exploratory laparotomy w/a resection of a short segment of a small bowel is complaining of gas pains and abdominal distension. The nurse should respond by [Answer]
Assisting the client to ambulate to increase peristalsis
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A client has an acute exacerbation of ulcerative colitis and is having 14-16 bloody stools a day. Additionally, they have crampy abdominal pains associated with this diarrhea. The nurse should [Answer]
make the client NPO to rest the bowel
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient has a h/o IBD, the nurse realizes that the patient has ulcerative colitis rather than crohn’s b/c the patient tells that nurse [Answer]
they are experiencing bloody stools
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A 26 y/o client is diagnosed with crohn’s disease after having many frequent stools as well as losing 10 pounds in 2 months. The nurse should [Answer]
teach the client about oral corticosteroids
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A nursing history is being taken on a 55 y/o who is scheduled for a colonoscopy. The nurse should be concerned when the patient tells her [Answer]
he has recently had blood in his stools
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] during initial assessment of post-op stoma the nurse finds it to be red with moderate edema and small amount of bleeding. The RN should [Answer]
Document findings
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] a homeless patient with severe anorexia, fatigue, jaundice and hepatomegaly is diagnosed with viral hepatitis. RN assumes highest priority to [Answer]
maintain adequate nutrition
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] 32-year old with early alcohol cirrohis is diagnosed via liver biopsy. Priority teaching is [Answer]
abstinence from alcohol
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] during treatment of patient with Minnesota balloon tamponade for bleeding esophageal varices which nursing intervention is included? [Answer]
monitor for shortness of breath
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] RN identifies collaborative problems [Answer]
electrolyte imbalance for patient with severe acute pancreatitis. Assessment findings that alert the nurse to this is
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient with acute pancreatitis has an NG tube to suction and is NPO. What indicates therapies have been effective? [Answer]
Decrease in abdominal pain
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A client has acute pancreatitis. What finding is the priority? [Answer]
Lying BP 120/80, pulse 80. Standing BP 94/70, pulse 110
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Lab finding suggestive of hepatitis [Answer]
ALT 45 units/L
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Lab results for pt with cirrhosis have elevated ammonia levels. What diet should be ordered? [Answer]
low protein
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] RN reviewing physician’s orders for a pt with acute pancreatitis. Questions which order noted on the chart? [Answer]
morphine for pain
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Home health nurse visits a diabetic patient with infected heel wound to do a daily dressing change and wound assessment. The nurse diagnosed this patient with impaired tissued integrity and to evaluate outcome, the nurse collects data about [Answer]
the wound appearance and patient temperature
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Nursing student caring for dying patient asks the nurse how will we know when the patient has died? [Answer]
the patient is comatose, apneic and without brainstem reflexes
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient near death has a decrease in all body system functions except for a heart rate of 124 and respiratory rate of 28. Nurse explains to family that [Answer]
these are normal response before the functions decrease
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient very close to death is very restless and repeats, "I'm not ready to die." The most important intervention the nurse can do is to [Answer]
sit at bedside and ask if there is anything the patient needs
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Hospice nurse becomes very close to a terminally ill patient. Family and nurse are present when patient dies. The family cries softly and the nurse also feesl like crying. The nurse knows that [Answer]
it is acceptable and healthy to cry with family during this phase of the grief process
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] During the assessment of a patient who is a vegan the nurse observes for nutritional deficiency. The most common nutritional deficiency related to a strict vegan diet would manifest as [Answer]
pallor & changes in sensation & movement of the extremities.
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] The nurse teaches the patient who is being stabilized on therapeutic dose of warfarin (Coumadin) [Answer]
not to alter normal intake of green, leafy vegetables, dairy products, or meats because they are sources of vitamin K & may alter the action of warfarin.
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A 72 year old patient with a massive infection is 5'2" and 92 lbs. Laboratory results include hgb 10.5 g/dL & albumin 2.0 g/dL. Which information will be most useful when nurse is determining nutritional status [Answer]
The presence of edema.
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] With a nutritional screening tool, the nurse can identify a patient at nutritional risk without further assessment when the patient has [Answer]
pressure ulcers.
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A 22 year old patient has anorexia nervosa. The patient is 5'5" & 90 lbs. Labs reveal hypokalemia & iron deficiency anemia. In planning care for the patient the nurse places the highest priority on the nursing diagnosis [Answer]
at risk for decreased cardiac output related to electrolyte imbalance.
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] When taking a health hx for an obese pt, which info obtained is most helpful in seeing the pt's success c losing weight [Answer]
Pt says, "I'm ready to make changes in my lifestyle."
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Pt who has been consistently following a diet and exercise program and successfully losing 1lb weekly for several months is weighed and hasn't lost any weight for the last month. Nurse should first [Answer]
ask pt whether there have been changes in exercise/diet patterns
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Nurse is developing a wt loss program for a 21 y/o obese pt. What statement by the nurse is most likely to help the pt lose wt on the 800-calorie diet? [Answer]
"You're likely to notice changes in how you feel in just a few weeks of diet/exercise."
[]
Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] When working c an obese pt enrolled in a behavior mod program, which nursing action is appropriate? [Answer]
Suggesting the pt has a reward, like a piece of sugarless candy, p achieving wt loss goal
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A moderately obese pt has been on a 1000-calorie diet c a daily exercise routine and a prescription for sibutramine (Meridia) for 10 weeks. What info obtained by the nurse is important to report to the HCP? [Answer]
pt tells nurse about occasional palpitations
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Patient has fecal impaction resulting in bowel obstruction. Assessment consistent with large bowel obstruction is [Answer]
Abdominal distension
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient is post-op following abdominal-perineal resection w/ sigmoid colostomy & abdominal perineal incisions. Colostomy has petroleum jelly gauze & dry gauze dressings. Peri incision partially closed with 2 JP drains. Highest priority post-op day 1 is [Answer]
Assessing perineal drainage and incision
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] 69 year old patient has developed frequent, watery diarrhea following respiratory infection with 10-day course of antibiotics. Patient will need [Answer]
Bring a stool specimen in to be tested for c. difficile
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Check all that apply- Findings of biliary instruction [Answer]
Yellow sclera, clay colored stools, dark urine
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Put in correct order. Comatose patient is receiving continuous tube feeding through NG tube and has developed crackles in lungs. Which order will nurse take the following actions [Answer]
Turn off tube feeding, Obtain pt. O2 sat, check tube feeding residual volume, notify the patients health care provider (answer on the test was B-A-D-C)
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] HIV 3 years ago admitted with pneumocystitis jiroveci pneumonia. THe patient is diagnosed as having [Answer]
AIDS
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Posttest counseling for a patient who has positive testing for HIV, the patient is anxious and does not appear to hear what the nurse is saying. Most important that the nurse [Answer]
Remind the patient about the need to return for retesting to verify the results
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Interventions such as promotion of nutrition, exercise, and stress reductiong should be promoted by the nurse for patients who have HIV infection, primarily because these interventions will [Answer]
Improve the patient's immune function
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] 4. Drug therapy is being considered for an HIV-infected patient who has a CD4+ cell count of 400/ul. The nursing assessment that is most important in determining whether therapy will be used is the patients [Answer]
Willingness and ability to comply with stringent medications schedules
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] When teaching a patient with HIV infection about antiretroviral therapy, the nurse explains that these drugs [Answer]
Work in various ways to decrease viral replication in the blood.
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] To evaluate the effectiveness of ART, the RN should anticipate scheduling the patient for [Answer]
Viral load testing
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] When designing a program to decrease the incidence of HIV, and RN will educate on [Answer]
How to prevent transmission b/t sexual partners
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] The difference between a benign tumor and a malignant tumor is that benign tumors [Answer]
Do not spread to other tissues and organs
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Cancer prevention, the RN stresses promotion of exercise, normal body weight, and a low fat diet because [Answer]
Dietary fat and obesity promote cancer growth
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient is scheduled for a needle biopsy of the prostate. The RN explains that a needle biopsy is needed because [Answer]
A biopsy will help the doctor decide on what treatment to use
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] metastatic cancer of the colon experiences severe vomiting following each chemo tx important nursing intervention for the pt [Answer]
administering prescribed antiemetics 1 hr before tx
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] administering resicant chemotherapeutic agent IV important consideration [Answer]
stop infusion swelling is observed at site
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] pt receiving had & neck radiation & systemic chemo-lesions oral mucosa & tongue, ropey saliva, nurse teach intervention [Answer]
rinse mouth before and after each meal & at bedtime w/ saline solution
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] terminal cancer of liver & is cared for by family at home tells nurse "I have intense pain most of the time now," teaching regarding pain management [Answer]
take opiods around clock & use additional doses for breakthrough pain
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] reviewing lab results pt receiving chemo report to HCP when [Answer]
WBC of 1700 u/L
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Which action by a CAN when caring for a patient who is pancytopenic indicates a need for the RN to intervene? [Answer]
The CAN assists the patient to use dental floss after eating.
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL. The RN will plan to teach the patient about [Answer]
maintenance of a healthy weight.
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] When assessing the patient experiencing the onset of symptoms of type I DM, which question should the RN ask? [Answer]
“Have you lost any weight lately?”
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] During a clinic visit 3 months following a diagnosis of DM II, the patient reports following a reduced-calorie diet. The pt has not lost any weight and did not bring the glucose-monitoring record. The RN will plan to obtain a [Answer]
Hgb A1c (aka glycosylated hemoglobin).
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] A college student who has DM I normally walks each evening as part of an exercise regimen. The student now plans to take a swimming class every day at 1 [Answer]
00 pm. The clinic RN teaches the pt to
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] Which data, for a patient with thrombocytopenia, should be reported to a PCP? [Answer]
The patient is hard to arouse
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json
b6db10b6_cards_about_Med_Surg_Prev_Ques__Answer
[Question] All of these patients are waiting for an emergency room nurse. Which has priority? [Answer]
A patient with chemotherapy-induced neutropenia and has a temperature of 100.8 F.
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Flashcards about Med Surg Prev Ques
Answer
http://www.studystack.com/flashcard-327440
24/1438042986423.95_20150728002306-00009-ip-10-236-191-2_732001739_3.json