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Final exam 1 Med Surge

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What is the nurses first action when beginning client education   show
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show The nurse allows a post operative client to decide to take medication with fruit juice rather than water  
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show Make sure the client is wearing his glasses  
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which action demonstrates the nurse is using critical thinking for planning a menu for a vietnamese client who is newly diagnosed with diabetes   show
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show history of what medications the client is currently taking  
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show teaching the client how to change a dressing  
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show the primary health care provider are advanced practice nurses  
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which client is most likely to require transitional subacute care before being discharged to the home setting   show
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a client arrives in a health clinic is concern by being assessed by a np instead of a dr the rn develops a teaching plan on the differences between np and a dr other than educational preparation what is the main difference health care provided by a np and   show
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which statement best describes the process of nursing case management   show
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which client is best served by a case manager   show
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show without implementation of clinical pathways our agency could not be accredited by the TJC  
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show believe the clients report of pain  
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when is the nurse correct in decreasing the dose of pain medication in a client with end stage cancer   show
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show the home health care nurse  
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show informing any healthcare providers about the use of this supplement  
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which instruction should the nurse include in the discharge teaching plan of a client who has had a transcutaneous electronic nerve stimulation unit implanted   show
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show to ensure that pain assessment occurs on regular basis  
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show sometimes pain from a certain organ is referred elsewhere in the body  
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show older adult client with arthritis  
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the physician orders a dose medication that does not resolve the clients chronic pain, when the nurse questions the order the physician explains that he fears the client will develop an addiction with higher drug dosages, what is the nurses best response   show
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show tolerance  
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show abdominal cramping  
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show when did you take your last dose of hydromorphone  
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show assess if the client has developed another type of pain  
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show history of rheumatoid arthritis bp 110/70  
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when assessing the client which behavior most indicates that he or she is experiencing changes associated with acute pain   show
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a nurse anticipates a client who rates his pain level at a 10 on a scale of 1-10 has undergone which of the following surgical procedures   show
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show increase liver function test  
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during the perioperative assessment the client tells the nurse that he has been taking NSAID for years, what questions is most important for the nurse to ask   show
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a client has been receiving 10 mg of morphine Q4H for acute pain his discharge medication includes an oral combination of opioid and NSAIDs preparation oxycodone what dosage would be considered to be equianalgesic   show
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show drink plenty of water and eat foods high in fiber  
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a client was given 15 mg of morphine IM for post surgical pain, when the nurse checks the client for pain relief an hour later, the client is sleeping and has a respiratory rate of 8 breaths/minute, what is the nurses first action   show
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show administer Narcan  
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a client is admitted to the hospital with a history of oxycodone for percodan abuse which clinical manifestation would the nurse observe the client   show
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which client would the nurse suggest to try subcutaneous opioid anagelsic for pain management   show
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a client with colon cancer is discharged home with morphine for pain management is having episodes of nausea and vomiting which route of morphine administration would be most advantageous to use   show
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the nurse is caring for four clients which client assessment would be the most indicative for having pain   show
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the client has a history of alcohol abuse which pain relief regimen should the nurse anticipate in morphine ms contin is given for pain   show
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which instructions is the most accurate for the nurse to give a client who has client controlled has a pca after abdominal surgery   show
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the nurse assess several post operative patients receiving PCA epidural, which client will the nurse prioritize to assess first   show
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because the client has an epidural analgesia with marcaine for pain relief which condition should the nurse anticipate as a potential problem   show
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when assessing the client who is taking long term motrin for pain the nurse finds numerous areas of bruising what is the nurses first action   show
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which statement made by a nurse represents the need for further education regarding pain medication in an older adult clients   show
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prior to surgery the nurse observes the client listening to music on the radio based on this observation the nurse may try which non pharmacological intervention for pain relief in the post operative setting   show
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show his respirations are not affected by this morphine dosing  
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primary prevention interventions for older adult should include prevention of which condition   show
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how is a handicap different from an impaired as defined by the WHO   show
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the nurses is planning discharge teaching for rehabilitation for a client who is a paraplegic the client verbalizes he doesn't know why he should go, what is the nurses best response   show
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show assessing vital signs before during and after activity  
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show take nitroglycerin prior to activity  
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the nurse is assessing a client who has recently had a brain attack for the ability to toilet independently what should the nurse assess in establishing a level of independence for toileting   show
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what test will best assist the nurse in determining the severity of a clients disability   show
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what is the priority nursing diagnosis for a client in a rehabilitation program after a stroke that has caused excessive right sided weakness   show
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show weight gain  
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show move the joint only to the point at which resistance is met  
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show performing weight bearing activities  
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show resistant range of motion  
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which assessment finding will prevent a client from being a candidate for self catheterization   show
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show adjusting nutritional intake based on serum albumin and transferrin levels  
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the client has left sided weakness which gait training technique will the nurse and physical therapist use to assist a client with cain   show
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which nursing intervention will the nurse implement to prevent venous stasis and thrombus formation in a client undergoing rehabilitation   show
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show scheduling energy intense activities in the morning when energy levels are high  
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which dietary modification will the nurse reinforce to reduce the risk of skin impairment in a client of impaired physical mobility   show
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show document the findings as the only action  
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the client is performing intermittent self catheterization at home is concerned about the cost of the catheter, what is the nurses best response   show
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show tomato juice  
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an older adult client is getting out of bed for the first time the nurse is alert for the development of which potential problem   show
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show occupational therapist  
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the nurse performs an admission history on a client who has been transferred to a rehabilitation floor of a hospital the client asks why are you doing this again they took my history on the floor how will the nurse respond   show
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show when the client has a nitroglycerin patch  
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during the admission history intake the client with hip problems as why are you asking my bowels and bladder   show
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show determine the level of activity before shortness of breath occurs  
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show use the crede manuever for the bladder every 3 hours  
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show Valsava manuever and crede manuever  
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the client is receiving the following medication synthroid 0700 and digoxin at 0900 what will be the best time to administer metamucil   show
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