NCLEX - MedSurg Test
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| A. Persons with histories of HTN, previous TIAs, cardiac disease (atrial flutter or fibrillation), diabetes, or oral contraceptive use; and older adultsB. When they begin to occur more often than once in 10 beats, occur in twos or threes, land near the T wave, or take on multiple configurationsC. Hyperthyroidism: weight loss, heat intolerance, diarrhea; Hypothyroidism: fatigue, cold intolerance, weight gainD. Handwashing technique. Avoid infected persons. Avoid crowds. Maintain daily hygiene to prevent spread of microorganisms.E. Turn off transfusion. Take temperature. Send blood being transfused to lab. Obtain urine sample. Keep vein patent with normal saline.F. difficulty articulatingG. Do not take BP or perform venipuncture on the arm with the AV shunt, fistula, or graft. Assess access site for thrill and bruit.H. loss of the ability to readI. Rapid-acting regular insulin: 2 to 4 hours; immediate-acting insulin: 6 to 12 hours; long-acting insulin: 14 to 20 hoursJ. Rectal bleeding, change in bowel habits, sense of incomplete evacuation, abdominal pain with nausea, weight lossK. 10 to 20 mg/dLL. loss of the ability to writeM. Monitor client’s respiratory status and secure connections; establish a communication mechanism with the client; keep airway clear by coughing and suctioning.N. They dehydrate the brain and reduce cerebral edema by holding water in the renal tubules to prevent reabsorption, and by drawing fluid from the extravascular spaces into the plasma.O. Irrigation of eyes PRN with sterile prescribed solution, application of ophthalmic ointment every 8 hours, close assessment for corneal ulceration or dryingP. Frequent range-of-motion exercises, frequent (every 2 hours) position changes, and avoidance of positions that decrease venous return.Q. Take prophylactic antibiotics.R. Arrange for Reach to Recovery visit. Discuss the grief process with the client. Have physician discuss with client the reconstruction options.S. Anticholinesterase drugs, which inhibit the action of cholinesterase at the nerve endings to promote the accumulation of acetylcholine at receptor sites; this should improve neuronal transmission to muscles.T. Anoxia, distended bladder, covert bleeding, or a return to consciousness |
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