NURSING 221 - Kaplan Med Surg 2

1. The nurse instructs a client who had a subtotal gastrectomy. Which statement should be included in the

instructions?

-Eat a low carbohydrate diet every day

2. The nurse is caring for a client who had a tracheostomy performed the previous day. Which finding most

concerns the nurse?

-The client’s secretions are thick, yellow and dry

3. The nurse cares for a client with a diagnosis of acute adrenal insufficiency (adrenal crises). What will the nurse

expect to observe?

-Muscle cramps, fatigue and hypotension

4. A client reports that the migraine headaches have become more severe. Which clinical manifestations will the

nurse expect the client to report?

-Pain in one eye and one side of the face

5. The nurse instructs a client diagnosed with systemic lupus erythematosis (SLE). Which statement by the client

indicates understanding of the instructions?

-“Stress and fatigue may make my symptoms worse.”

6. The nurse cares for a client 24 hours after a cast application to the right leg from the groin to the foot. Which

findings require an immediate intervention by the nurse?

-The client reports the right toes are tingling

7. The nurse cares for a client recently diagnosed with a tumor in the frontal lobe of the brain. Which statement

would the nurse expect the client to make?

-“I feel like my concentration is not very good.”

8. The nurse cares for a client diagnosed with asthma. The client is taking 20mg of oral prednisone daily. Which

statements should be included in the teaching? (select all that apply)

-You may experience some stomach upset when taking prednisone

-The medication will need to be slowly decreased before it is disconnected

-You are at greater risk for infection while you are taking this medication

9. The nurse cares for a client in the emergency room diagnosed with a traumatic amputation of the leg and

hypovolemic shock. What is the most appropriate action the nurse should take?

-Administer Lactated Ringer’s solution intravenously

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