PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse at a rehabilitation facility is contributing to the plan of care for a client who has had a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care?

A. Ask the client to describe her feelings about the loss of the affected limb. B. Encourage the client to talk with another client who completed rehabilitation for amputation. C. Restrict visitors to family members until the client is able to wear a prosthesis. D. Suggest that family members bring clothing for the client from home. E. Instruct the client to ignore phantom pain sensations. F. Apply heat to the stump. G. Limit physical therapy.

Correct Answer: A,B,D

Rationale: Expressing feelings aids coping, peer support helps adjustment, and familiar clothing boosts morale; phantom pain should be addressed, not ignored.

Question 2 of 5

A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?

A. I will perform breast exams every other month. B. It is common for the skin on my breasts to dimple. C. I will perform breast exams the day my period begins. D. It is common for one breast to be larger than the other. E. I'll only check if I feel pain. F. I'll use lotion to make it easier. G. I'll skip exams after age 40.

Correct Answer: D

Rationale: Asymmetry in breast size is normal; exams should be monthly, post-period, and dimpling is a concern.

Question 3 of 5

A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial fibrillation. Which of the following actions should the nurse take?

A. Administer the medication with an antacid. B. Instruct the client to expect increased hair growth. C. Withhold the medication if the systolic blood pressure is less than 90 mm Hg D. Request a dosage increase if the apical heart rate is less than 60/min. E. Monitor for weight gain. F. Check respiratory rate. G. Administer with food.

Correct Answer: C

Rationale: Propranolol, a beta-blocker, should be withheld if BP is low to avoid hypotension; antacids don't interact, and hair growth isn't an effect.

Question 4 of 5

A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care?

A. Advise the client about increased dry mouth. B. Monitor the client for weight loss. C. Inform the client of the adverse effect of diarrhea. D. Check the client for increased hypopigmentation under the patch. E. Monitor for hypertension. F. Advise about insomnia. G. Check for tachycardia.

Correct Answer: A

Rationale: Dry mouth is a common side effect of clonidine; diarrhea and hypopigmentation aren't typical.

Question 5 of 5

A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?

A. Obtain blood pressure readings using the client's right arm. B. Limit range-of-motion exercises with the affected arm. C. Keep both arms below the level of the client's heart. D. Use the client's left arm to obtain blood samples. E. Elevate the right arm. F. Apply compression bandages. G. Avoid tight clothing.

Correct Answer: D

Rationale: Using the left arm prevents trauma to the right side, reducing lymphedema risk; BP on the affected arm increases risk.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN