Med Surg 2 Proctored Exam

A client with circumferential full thickness burns of both legs develops a decrease in dorsalis pedis pulse strength and numbness in the toes. Which action should the nurse take?

On admission to the burn unit, a client with an appropriate 25% total body surface area (TBSA) burn has the following initial laboratory results: Hct 59%, Hgb 19.2 mg/dL, Serum K 5.0 mEq/L and serum N

A client with severe burns had crystalloid fluid replacement ordered using the Parkland formula. The initial volume of fluid to be administered in the first 24 hours is 30,000 ml. The initial rate of

A client with liver failure has a serum sodium level of 160 mEq/L. With just the information provided, what intervention would the nurse anticipate to implement?

When assessing a pregnant client with eclampsia who is receiving IV magnesium sulphate, which finding should the nurse report to the health care provider immediately?

A client who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should alert the health care provider immediately that the

A client has been diagnosed with hyponatremia and is confused. Which intervention does the nurse include in the client's plan of care to relieve the confusion?

A client who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate effectiveness of the prescribed calcium gluconate IV?

Which lab value would be most likely to cause the following dysthymia?

A nurse leaves a coffee shop and sees a man lying on the ground. He is unresponsive and has no pulse and the nurse begins chest compressions. EMS arrives and connects the cardiac monitor displaying th

The nurse observes the following EKG. Which tab would the nurse correlate with this finding?

The post anesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client would the nurse assess first?

A client has peripheral arterial disease (PAD). What statement by the client indicates misunderstanding about self-management activities?

A client with genital herpes has painful blisters on her vulva. After teaching the client self-care measures, which statement indicates the need for further education?

A client is admitted and is placed on fall precautions. The nurse teaches the client and family about fall precautions. Which action will the nurse take to promote client safely?

After teaching a client who has an Implantable cardioverter-defibrillator (ICD), a nurse assesses the client's understanding. Which statement by the client indicates a correct understanding of the tea

A transgender client is taking transdermal estrogen. What assessment finding does the nurse report immediately to the primary health care provider?

A client in the hospital after suffering a myocardial infarction and has bathroom privileges. The nurse assists the client to the bathroom and notes the client's 02 saturation to be 96%, pulse 88 beat

A nurse assesses a client after administering the first dose of a nitrate. The client reports a headache. What action would the nurse take?

A nurse is reviewing the chart of a new client in the family medicine clinic and notes that the client is identified as "George Smith". The nurse enters the room and finds a woman in a skirt. What act

The nurse assesses a client who just returned to the recovery area after undergoing a balloon angioplasty to improve circulation to the left leg. What assessment finding is the most concerning?

A client admitted with possible sepsis. Which action will the nurse perform first.

A nurse cares for many clients with pressure injuries. What actions by the nurse are considered best practice? (Select all that applies)

A nurse supervises assistive personnel (AP) applying electrocardiographic monitoring. Which statement would the nurse provide to the AP related to this procedure?

A nurse is carrying for four clients. Which one would the nurse see first?