MED SURG REMEDIATION QUIZ please explain with

MED SURG REMEDIATION QUIZ please explain with rationale 3 The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common sign or symptom of this type of cancer? Frequency of urination Hematuria Urgency on urination Dysuria Rationale:this is the most common symptom patient can also experience irritative voiding symptoms such as frequency urgency and dysuria. IncorrectQuestion 4 0 / 2 pts Laboratory studies are performed for a client suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? Elevated hemoglobin level Elevated red blood cell count Decreased reticulocyte count Red blood cells that are microcytic and hypochromic Rationale: 6 0 / 2 pts The nurse is teaching a client with hyperparathyroidism about how to manage the condition at home. Which response by the client indicates the need for additional teaching? “I should consume less than 1 liter of fluid per day.” “I should follow a moderate-calcium, high-fiber diet.” “My alendronate helps keep calcium from coming out of my bones.” “I should use my treadmill or go for walks daily.” Rationale: IncorrectQuestion 7 0 / 2 pts A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which assessment findings would be consistent with acute pancreatitis? Select all that apply. Hyperactive bowel sounds Left upper quadrant pain with radiation to the back Diarrhea Gray-blue color at the flank Black, tarry stools Abdominal guarding and tenderness Ans:4,5,6 Rationale: I should have added gray blue color of the flanck , which is the GREY TURNER Sign and occurs as a result of pancreatic enzyme leakage to cutaneous tissue from the peritoneal cavity.and tarry black stools is not a symptom od acute pancreatitis 9 0 / 2 pts The nurse provides instructions to a client about measures to treat inflammatory bowel syndrome (IBS). Which statement by the client indicates a need for further teaching? “I need to eat regular meals and chew my food well.” “I need to drink plenty, at least 8 to 10 cups daily.” “I will take the prescribed medications because they will regulate my bowel patterns.” “I need to limit my intake of dietary fiber.” Rationale: IncorrectQuestion 12 0 / 2 pts The nurse is assessing a client with epididymitis. The nurse anticipates which findings on physical examination? Diarrhea, groin pain, testicular torsion, and scrotal edema Fever, diarrhea, groin pain, and ecchymosis Nausea, painful scrotal edema, and ecchymosis Fever, nausea, vomiting, and painful scrotal edema Rationale:signs of epididymitis are scrotal pain and edema which are usually accompanied by fever , nausea , vomiting and chills. The disease is caused by trauma or by infection. 13 0 / 2 pts A week after kidney transplantation, a client develops a temperature of 101° F (38.3° C), the blood pressure is elevated, and there is tenderness over the transplanted kidney. The serum creatinine is rising and urine output is decreased. The x-ray indicates that the transplanted kidney is enlarged. Based on these assessment findings, the nurse anticipates which treatment? Removal of the transplanted kidney Peritoneal dialysis Antibiotic therapy Increased immunosuppression therapy Rationale: 14 0 / 2 pts Tonometry is performed on a client with a suspected diagnosis of glaucoma. The nurse looks at the documented test results and notes an intraocular pressure (IOP) value of 23. What should be the nurse’s initial action? Contact the primary health care provider (PHCP). Apply normal saline drops. Note the time of day the test was done. Instruct the client to sleep with the head of the bed flat. 15 0 / 2 pts The nurse is evaluating the neurological signs of a client in spinal shock following spinal cord injury. Which observation indicates that spinal shock persists? Positive reflexes Flaccid paralysis Hyperreflexia Reflex emptying of the bladder 19 1.5 / 2 pts Which interventions apply in the care of a client at high risk for an allergic response to a latex allergy? Select all that apply. Place the client in a private room only. Use nonlatex gloves. Avoid the use of medication vials that have rubber stoppers. Use a blood pressure cuff from an electronic device only to measure the blood pressure. Keep a latex-safe supply cart available in the client’s area. Use medications from glass ampules. 21 0 / 2 pts The nurse inspects the color of the drainage from a nasogastric tube on a postoperative client approximately 24 hours after gastric surgery. Which finding indicates the need to notify the primary health care provider (PHCP)? Green-tinged drainage Light yellowish-brown drainage Dark brown drainage Dark red drainage 24 0 / 2 pts A home care nurse is visiting a client to provide follow-up evaluation and care of a leg ulcer. On removing the dressing from the leg ulcer, the nurse notes that the ulcer is pale and deep and that the surrounding tissue is cool to the touch. The nurse should document that these findings identify which type of ulcer? A stage 1 ulcer An arterial ulcer A vascular ulcer A venous stasis ulcer IncorrectQuestion 25 0 / 2 pts The nurse is performing a health screening on a 54-year-old client. The client has a blood pressure of 118/78 mm Hg, total cholesterol level of 190 mg/dL (4.9 mmol/L), and fasting blood glucose level of 184 mg/dL (10.2 mmol/L). The nurse interprets this to mean that the client has which modifiable risk factor for coronary artery disease (CAD)? Glucose intolerance Age Hyperlipidemia Hypertension 26 0 / 2 pts The nurse is listening to a lecture about angina. Which statement by the nurse indicates that the teaching has been effective? “Stable angina is chronic.” “Intractable angina rarely limits the client’s lifestyle.” “Variant angina is caused by emotional stress.” “Unstable angina is not a life-threatening condition.” 28 0 / 2 pts A nursing student who is researching a medication at the nurses’ station asks the registered nurse (RN) what the function of an alpha-adrenergic receptor is, and where the receptors are primarily found. The RN educates the nursing student. Which statement by the nursing student indicates that teaching has been effective? “The heart; when stimulated it causes an increase in heart rate, atrioventricular node conduction, and contractility.” “The peripheral arteries and veins; when stimulated they cause vasoconstriction.” “Several tissues; when stimulated they cause contraction of smooth muscle, inhibition of lipolysis, and promotion of platelet aggregation.” 29 0 / 2 pts The nurse is concerned about the adequacy of peripheral tissue perfusion in the post-cardiac surgery client. Which action should the nurse include within the plan of care for this client? Use the knee gatch on the bed. Encourage the client to cross the legs when sitting in a chair. Provide pillows for the client to place under the knees as desired. Cover the legs lightly when sitting in a chair. 30 0 / 2 pts A client complains of calf tenderness, and thrombophlebitis is suspected. The nurse should next assess the client for which finding? Increased calf circumference Coolness and pallor of the affected limb Bilateral edema Diminished distal peripheral pulses 31 0 / 2 pts The nurse is assessing a client’s legs for the presence of edema. The nurse notes that the client has mild pitting with slight indentation and no perceptible swelling of the leg. How should the nurse define and document this finding? 2+ edema 4+ edema 1+ edema 3+ edema 35 0 / 2 pts The nurse monitors the client for which condition as a complication of polycythemia vera? Cardiomyopathy Pulmonary edema Hypotension Thrombosis 39 0 / 2 pts The nurse is performing an assessment on a client with pheochromocytoma. Which assessment data would indicate a potential complication associated with this disorder? A coagulation time of 5 minutes A blood urea nitrogen level of 20 mg/dL (7.1 mmol/L) A urinary output of 50 mL/hour A heart rate that is 90 beats/minute and irregular 41 0 / 2 pts The nurse is caring for a client with a diagnosis of Addison’s disease and is monitoring the client for signs of Addisonian crisis. The nurse should assess the client for which manifestation that would be associated with this crisis? Severe abdominal pain Agitation Restlessness Diaphoresis IncorrectQuestion 42 0 / 2 pts The nurse is reviewing the primary health care provider’s (PHCP’s) prescriptions for a client with a diagnosis of diabetes mellitus who has been hospitalized for treatment of an infected foot ulcer. The nurse expects to note which finding in the PHCP’s prescriptions? An increased amount of NPH insulin daily insulin A decreased amount of NPH insulin daily insulin A decreased-calorie diet An increased-calorie diet 46 0 / 2 pts The nurse is planning discharge teaching for a client diagnosed and treated for compartment syndrome. Which information should the nurse include in the teaching? “The fascia expanded with injury, causing pressure on underlying nerves and muscles.” “Bleeding and swelling caused increased pressure in an area that couldn’t expand.” “A bone fragment has injured the nerve supply in the area. ” “An injured artery caused impaired arterial perfusion through the compartment.” 47 0 / 2 pts The nurse is caring for a client who had surgery to repair a fractured left-sided hip using a posterior approach. In implementing hip precautions, which action should the nurse teach the client to avoid? Placing a pillow between the legs Keeping the legs abducted from the midline Using an elevated toilet seat Crossing legs at the ankle SCIENCE HEALTH SCIENCE NURSING NURS 4343

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