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RN Adult Medical Surgical Online Practice 2023 A Part 2

Nursing45 CardsCreated 4 months ago

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 evaluating the plan of care for four clients after 2 days of hospitalization.

a client who is postoperative following abdominal surgery and reports feeling that something "Popped" when they coughed.

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Key Terms

Term
Definition

a nurse is evaluating the plan of care for four clients after 2 days of hospitalization.

a client who is postoperative following abdominal surgery and reports feeling that something "Popped" when they coughed.

a nurse is caring for a client who is receiving a blood transfusion.

slow the infusion rate

a nurse is preparing to present a program about the prevention of atherosclerosis at a health fair.

following a smoking cessation program

maintain an appropriate weight

eat a low-fat diet

a nurse is assessing a client while suctioning the clients tracheostomy tube.

the clients heart rate increases.

a nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin.

i will monitor my blood pressure while taking this medication.

a nurse is caring for a client 1 hr following a cardiac catherization.

apply firm pressure to the insertion site.

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TermDefinition

a nurse is evaluating the plan of care for four clients after 2 days of hospitalization.

a client who is postoperative following abdominal surgery and reports feeling that something "Popped" when they coughed.

a nurse is caring for a client who is receiving a blood transfusion.

slow the infusion rate

a nurse is preparing to present a program about the prevention of atherosclerosis at a health fair.

following a smoking cessation program

maintain an appropriate weight

eat a low-fat diet

a nurse is assessing a client while suctioning the clients tracheostomy tube.

the clients heart rate increases.

a nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin.

i will monitor my blood pressure while taking this medication.

a nurse is caring for a client 1 hr following a cardiac catherization.

apply firm pressure to the insertion site.

a nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago.

sedimentation rate

a nurse is assessing a client who has had a suspected stroke.

dysphagia

a nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy.

numbness can occur along the inside of the affected arm.

a nurse is assessing a client following the completion of hemodialysis.

restlessness

a nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol

crackles heard on auscultation.

a nurse is assessing a client who has advanced lung cancer and is receiving palliative care. the client has just undergone thoracentesis.

dyspnea

a nurse is caring for a client who has homonymous hemianopsia as a result of a stroke.

scan the environment by turning your head from side to side

a nurse has received report on a client who is being admitted to the emergency department.

select the 3 findings that require follow-up by the nurse.

wound drainage
pain level
oxygen saturation

the nurse is caring for the client.

complete the following sentence by using the lists of options.

hemothorax
respiratory findings

the nurse is caring for the client.

2330:
report received form the ambulance crew.

Drag words from the choices below to fill in each blank in the following sentence.

oxygenation
blood pressure

the nurse is caring for the client.

for each potential providers prescription, click to specify if the potential prescription is anticipated or contraindicated for the client

Anticipated: prepare the client for chest tube insertion, initiate NPO status, transfuse packed RBCs

Contraindicated: cover the client with a cooling blanket, place the client in trendelenburg position

the nurse is caring for the client.

the nurse is caring for the client following the placement of a chest tube for a hemothorax. which of the following actions should the nurse take?

place the client in high fowlers position

place two hemostats in the clients room

palpate the chest tube insertion site for subcutaneous emphysema

ensure all chest tube connections are securely attached

the nurse is caring for the client.

the nurse is caring for the client 1 hr following the chest tube insertion.

client reports pain as 3 on a scale of 0 to 10

client reports SOB has decreased

Wound dressing is dry and intact

Respiratory rate 24/ min
Blood pressure 108/74 mm Hg
Oxygen saturation 95% on 2L/min

a nurse is providing preoperative teaching for a client who is scheduled for a mastectomy.

i will refer you to community resources that can provide support.

a nurse is caring for a client who has anorexia, low-grade fever, night sweats

initiate airborne precautions

a nurse is admitting a client who has active tuberculosis. which of the following types of transmission precautions should the nurse initiate.

airborne

a nurse is caring for a client who has portal hypertension. the client is vomiting blood mixed with food after a meal.

obtain vital signs

a nurse is reviewing the laboratory results of a client who has a history of aplastic anemia.

WBC cound 2,000/mm3

a nurse is caring for a client who is postoperative following a total hip arhtroplsty.

the clients surgical site dressing has required changing twice in 2 hr due to drainage

a nurse is caring for a client who is receiving total parenteral nutrition and is NPO.

contact the provider to clarify the prescription.

a nurse is providing education to a client who has tuberculosis and their family.

family members in the household should undergo TB testing

a nurse is providing teaching to a female client who has stress incontinence and a BMI of 32.

a risk factor for my condition is obesity.

a nurse in an acute care facility is caring for a client who is at risk for seizures.

ensure the client has a patent IV

a nurse is planning care for a client who is scheduled for a throacentesis.

encourage the client to take deep breaths after the procedure

a nurse is assessing a group of clients for indications of role changes.

a client with multiple sclerosis and is experiencing progressive difficulty ambulating

a nurse is adminstering packed RBCs to a client. which of the following assessment findings indicates a hemolytic transfusion reaction.

low back pain and apprehension.

a nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction.

administering epinephrine

a nurse is assessing a client who has a diagnosis of rheumatoid arthritis.

alternate application of heat and cold to the affected joints

a nurse is planning care for a client is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer.

wear a lead apron while providing care to the client.

a nurse is caring for a client.

1000: client is alert and orientated and reports not feeling well for a few days.

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

peritonitis
x-ray results

a nurse is performing a dressing change for a client who is recovering from a hemicolectomy.

call for help.

a nurse in the emergency department is caring for a client.

0900:
client presents with abdominal pain in the upper left quadrant for the past 2 days.

pancreatitis
amylase and lipase

a nurse is caring for a client who is postoperative.

Vital signs
temperature 37.6
heart rate 114/min
respiratory rate 22/min

Actions to take:
insert a large-gauge IV
initiate a fluid challenge

Hypovolemia

Parameters to monitor:
urine output
blood pressure

a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. which of the following statements by the client.

i should take this medication with a meal.

a nurse on a medical-surgical unit is reviewing the medical record of an older adult who is receiving IV therapy.

BUN

a nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with pneumonia.

increased respiratory secretions

a nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall.

check the client neurologic status

a nurse is providing teaching to a client who has stage II cervical cancer.

you will need to stay in the bed during each treatment session

a nurse is caring for a client who is brought to the emergency depeartment following an oil fire.

hypovolemia
respiratory failure