RN Adult Medical Surgical Online Practice 2023 A Part 1
This flashcard set highlights appropriate nursing actions and critical thinking in post-op care and dialysis management. It focuses on prioritizing interventions, recognizing what is and isn't indicated, and promoting client safety and recovery.
A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm.
Indicated: Notify the provider immediately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via nasal cannula, Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
Key Terms
A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm.
Indicated: Notify the provider immediately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via nasal cannula, Position th...
A nurse is caring for a client who is postoperative following abdominal surgery.
1100: Client received from PACU; initial vital signs recorded.
Instruct the client to splint the abdomen with a pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary ...
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not available when the current infusion is nearly completed.
Administer dextrose 10% in water until the new bag arrives.
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago.
The client reports back pain.
A nurse is caring for a client who is having a seizure.
Turn the client to the side.
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol.
Reports of a night cough.
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| Term | Definition |
|---|---|
A nurse is caring for a client who is receiving dialysis treatment. | Indicated: Notify the provider immediately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via nasal cannula, Position the client's legs elevated |
A nurse is caring for a client who is postoperative following abdominal surgery. | Instruct the client to splint the abdomen with a pillow for coughing. |
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not available when the current infusion is nearly completed. | Administer dextrose 10% in water until the new bag arrives. |
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. | The client reports back pain. |
A nurse is caring for a client who is having a seizure. | Turn the client to the side. |
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. | Reports of a night cough. |
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. | Use a 30 mL syringe. |
A nurse is assessing a client who has graves disease. Which of the following images should indicate to the nurse that the client has exophthalmos | Choose the one that's not a guy. It should be one with big bulging eyes staring at you. |
A nurse is caring for a client who has DKA. Which of the following findings indicate improving? | Glucose 272 mg/dL |
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect? | Constipation |
A nurse is preparing to administer a blood transfusion to a client who has anemia. | check for the type and number of units of blood to administer. |
a nurse is caring for a client who has a leg cast and is returning to demonstrate on the proper use of crutches while climbing stairs. | Place body weight on the crutches |
A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. | Ibuprofen can cause gastrointestinal bleeding in older adult clients. |
A nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this risk, | Add cabbage to the diet |
a nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. After ensuring a patent airway and adminstering oxygen, | IV Fluids |
a nurse is caring for a client who has terminal cancer. the client tells the nurse, "I wish I could stop these treatments" | Discontinuing with the treatments is your choice if it is your wish to do so. |
a nurse is providing teaching to a client who has cancer and a new prescription for an opioid analgesic for pain management. | you should void every 4 hours to decrease the risk of urinary retention |
A nurse is teaching a class about clients rights. | a client should sign an informed consent before receiving a placebo during a research trial. |
A nurse is reviewing the ABG results of a client who has advanced COPD. | PaCO2 56 mm Hg |
a nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. | Heart rate 110/min |
a nurse is caring for a client who is experiencing a tonic-clonic seizure. | Loosen restrictive clothing |
A nurse is planning a care for a client who is postoperative following a laparotomy and has a closed-suction drain. | Compress the drain reservoir after emptying. |
a nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. | demonstrate ways to deep breathe and cough. |
a nurse is providing teaching for a female client who has recurrent urinary tract infections. | void before and after intercourse |
a nurse is caring for a client who has an arterial line. | place a pressure bag around the flush solution. |
a nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. | tell the client that it is possible to return to similar previous levels of activity. |
a nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. | monitor the clients temperature every 4 hr. |
a nurse is providing postoperative teaching for a client who had a total knee arthroplasty. | flex the foot every hour when awake |
a nurse is providing to a client who has a gastric ulcer and a newly prescription for omeprazole. | suppressing gastric acid production. |
a nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. | place a pillow between the clients legs. |
a nurse is caring for a client who has a chronic glomerulonephritis with oliguria. | hyperkalemia |
a nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. | extremity cool upon palpation |
a nurse in an emergency department is assessing a client who has a detached retina. | it's like a curtain closed over my eye. |
a nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement | gingko biloba can cause an increased risk for bleeding. |
a nurse is caring for a client in the emergency department (ED). | visual disturbances |
a nurse is caring for a client in the emergency department (ED). | Migraine: hand grasps, numbness, aphasia, visual changes, family history |
a nurse is caring for a client in the emergency department (ED). | a migraine |
a nurse is caring for a client in the emergency department (ED). | adminster sumatripatan |
a nurse is caring for a client in the emergency department (ED). | chest pain |
a nurse is caring for a client who has a migraine. | foods that contain tyramine might trigger my headaches |
a nurse is caring for a client who has a potassium level of 3 mEq/L | hypoactive bowel sounds |
a nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. | i will avoid direct exposure to the sun. |
a nurse is assessing a client who had extracorporeal shock wave therapy (ESWL) 6 hr ago. | stone fragments in the urine |
a nurse is assessing a client who is postoperative following a thyroidectomy. | temperature 38.9 C |
a nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. | increase fluid intake |