Advanced Med Surg/Health And Wellness Proctored Exam(Massachusetts College Of Pharmacy And Health Sciences)

A nurse is caring for a client admitted to the emergency department with a hemothorax. Lung sounds are clear on the right, diminished on the left. Trachea is midline. Oxygen saturation 92% on room air

The nurse is assessing a client with an endotracheal tube for readiness to have the tube removed. Which assessment finding is most likely indicative that the client is ready for extubation?

The nurse works in the emergency department (ED) and is out of IV pumps. Fluids are being administered via gravity. A client is to have 1000 mL of normal saline to be infused over 10 hours. Available

The nurse is evaluating a client's response to hemodialysis. Which laboratory values will indicate the dialysis was effective?

Which dietary modification would the nurse implement for a client with end stage renal failure?

A client with a history of receiving peritoneal dialysis is brought to the emergency department. When assessing the client, which clinical finding would require immediate intervention by the nurse?

A nurse is assessing clients who are at risk for acid-base imbalance. Which acid-base imbalance is correctly paired with the client at risk?

A client in the intensive care unit is on continuous renal replacement therapy (CRRT). Which finding requires immediate action by the nurse?

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. Which intervention would the nurse implement during the dialysate exchange?

The nurse is caring for four clients with chronic kidney disease (CKD). Which client would the nurse assess first upon initial rounding?

Which assessment finding would the nurse expect to document for a client with an open pneumothorax?

The client on long-term mechanical ventilation becomes very frustrated when they try to communicate. What intervention would the nurse implement to assist the client?

Which of these clients is a priority to assess?

The nurse is to administer a subcutaneous injection of erythropoietin 100 units/kg three times a week for a client on dialysis. The client weighs 156 lbs. Erythropoietin comes from the pharmacy in a v

A client sustained a chest injury and is experiencing a pleural effusion. What would the nurse expect as assessment findings? Select all that apply.

A client is having a peritoneal dialysis treatment. The nurse notes an opaque color to the effluent. What is the priority action by the nurse?

The nurse is caring for a post operative client with the following arterial blood gas (ABG) results. Which intervention would the nurse implement based on the results? PH 7.48 PaCO2 36 HC03 29 Pa02 98

The nurse's assessment of the client includes rapid, shallow respirations, respiratory acidosis, and inspiratory crackles. Which additional assessment finding would confirm a diagnosis of acute respir

A client becomes extubated while being turned, and becomes cyanotic with bradycardia. Which action would be the highest priority while waiting for the provider to arrive?

A nurse is assessing a client who is two weeks postoperative following a live donor kidney transplant. Which assessment finding would the nurse identity as possible organ rejection?

The nurse is caring for a client with chronic kidney disease after hemodialysis. Which action would the nurse delegate to the unlicensed assistive personnel (UAP)?

A client with acute respiratory distress syndrome following infection by COVID-19 is on a mechanical ventilator. What are the priority nursing interventions to prevent ventilator associated pneumonia

The nurse is providing discharge teaching to a client recovering from a kidney transplant. Which client statement indicates understanding?

A client with end stage renal disease is refusing to take medications and has missed two hemodialysis appointments in the past week. What is the best initial action for the nurse?

The nurse is teaching a client how to increase the flow of dialysate into the peritoneal cavity during dialysis. Which statement by the client demonstrates a correct understanding of the teaching?