Questions and Answers
What condition is the client experiencing due to the x-ray results?
What is the appropriate intervention for the client experiencing hypovolemia?
Which assessment finding should the nurse expect in a client with a potassium level of 3 mEq/L?
What is the appropriate action for the nurse regarding the client after an open reduction internal fixation of the right ankle?
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What should the nurse monitor for a client who has neutropenia due to chemotherapy?
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What type of transmission precautions should the nurse initiate for a client with active tuberculosis?
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A client should sign an informed consent before receiving a placebo during a research trial.
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Which instruction should the nurse give a client to prevent urinary tract infections?
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What is the appropriate action after administering IV fluids to a client with full-thickness burns?
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The nurse should first address the client's __________ follow by the client's blood pressure.
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What action should the nurse take for a client receiving total parenteral nutrition (TPN) when a new bag is not available?
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What should the nurse instruct the client receiving omeprazole to relieve gastric ulcer symptoms?
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What does suppressing gastric acid production refer to?
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Which of the following actions should the nurse take when irrigating and dressing a clean, granulating wound for a client with a pressure injury?
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What should the nurse include in teaching a client with cancer about opioid analgesic pain management?
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What finding should indicate to the nurse that a client taking propranolol may be experiencing an adverse reaction?
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Ibuprofen can cause gastrointestinal bleeding in older adult clients.
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Following hemodialysis, which finding should the nurse report to the provider?
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Which finding is a priority for a postoperative client following a thyroidectomy?
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Family members in the household of a tuberculosis (TB) patient should undergo TB testing.
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What should a nurse instruct a client to do following an upper gastrointestinal series with barium contrast?
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What finding should the nurse monitor for after administering sumatriptan?
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What is a characteristic symptom of a detached retina?
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Which dietary alteration should be recommended to a client with a family history of colorectal cancer?
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Study Notes
NGN Flashcard Study Notes
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Continuous ambulatory peritoneal dialysis (CAPD) client with cloudy dialysate and abdominal pain likely manifesting peritonitis; peritoneal access area shows redness and purulent drainage.
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Postoperative client with incisional pain, restlessness, cool extremities, and low urine output suggests hypovolemia; immediate intervention includes initiating fluid challenge.
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Low potassium level (3 mEq/L) anticipated findings include hypoactive bowel sounds.
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Client experiencing upper left abdominal pain radiating to the back, febrile, and nauseous may indicate pancreatitis; check enzyme levels (amylase, lipase) for confirmation.
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For patient undergoing treatment with an arteriovenous fistula (AVF), symptoms like warmth, nausea, and confusion require positioning in Trendelenburg and administering IV fluids.
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Client with full-thickness burns at risk for hypovolemia and respiratory failure; symptoms include labored breathing and soot in mouth, necessitating oxygen assistance.
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Client rights include requiring informed consent before participating in placebo research trials.
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Vital signs indicating adjudged fluid volume deficit in a client with vomiting and diarrhea include a heart rate of 110/min.
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Neutropenic patient plan of care should include monitoring temperature every 4 hours to detect infections.
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For a client with full-thickness burns over 20% TBSA, priority after ensuring airway is to provide IV fluids.
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Postoperative complications in extremity surgeries noted through cooler extremities need immediate reporting.
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Placing a pillow between legs is crucial for clients post total hip arthroplasty to maintain joint stability.
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Exophthalmos noted in Graves' disease can be identified through visual signs, such as bulging eyes.
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Teaching about preventing urinary tract infections should include urinating before and after intercourse.
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Post-knee arthroplasty instructions should emphasize hourly foot flexing when awake to enhance circulation.
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Assessing for dysphagia is priority in suspected stroke cases as it increases risk for aspiration.
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Signs of a hemolytic transfusion reaction include low back pain and feelings of apprehension.
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In older adults with wrist fractures and blurred vision warning of possible neurologic issues, checking neurologic status is paramount.
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Revision of care plan needed for a postoperative abdominal surgery client reporting a feeling of "popping" during coughing, indicating potential complications.
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Following extracorporeal shock wave lithotripsy (ESWL), expect presence of stone fragments in urine as part of monitoring.
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Client undergoing brachytherapy for cervical cancer requires education on remaining still during treatments for safety and efficacy.
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Patients with chronic glomerulonephritis should be monitored for hyperkalemia as a significant complication.
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Active tuberculosis patients necessitate airborne precautions to prevent spread.
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Clients receiving epoetin alfa need to be informed to monitor blood pressure due to potential side effects.
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Client wishes to discontinue treatments for terminal cancer should be respected as a personal choice.
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Initiate airborne precautions for client with infections presenting with cough and night sweats to prevent TB transmission.
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For an aplastic anemia client, a low WBC count (2,000/mm3) indicates risk for infection, requiring close monitoring.
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Client with penetrating chest wound manifests hemothorax, evidenced by diminished lung sounds and respiratory distress.
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First monitor oxygenation and subsequently address blood pressure for a client with chest wounds.
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Common outcomes after thoracentesis include reduced dyspnea in advanced lung cancer patients.
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In TPN administration, if a new bag is unavailable, administer dextrose 10% in water to maintain glucose levels.
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Omeprazole is effective through suppressing gastric acid production to relieve symptoms of gastric ulcers.
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For clean, granulating wounds, irrigation should utilize a 30-mL syringe to ensure proper technique.
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Opioid analgesic education must include the need for clients to void regularly to prevent urinary retention.
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Adverse effects of propranolol, such as a night cough, should be closely monitored in patients with hypertension.
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Understand that Ibuprofen poses risk of gastrointestinal bleeding, particularly in older adults.
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Post-hemodialysis patient experiencing restlessness requires immediate provider notification.
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Post-thyroidectomy patients with a fever (38.9°C) should be closely monitored for potential complications such as infection.
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Instruct family members of clients with tuberculosis to undergo TB testing to prevent infection spread.
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Following upper gastrointestinal series with barium, ensure patients are informed of needed measures to aid in the excretion of barium contrast.### Client Presentation and Symptoms
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Client presented to the ED with visual disturbances, expressive aphasia, and numbness/tingling of the lips, beginning 30 minutes prior.
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Reports flashing lights in right peripheral vision; difficulty in word-finding noted by partner.
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Noted to be alert, oriented x3, anxious, with no facial drooping; weaker right hand grasp compared to left.
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45 minutes later, symptoms of flashing lights and numbness resolved, but developed throbbing pain behind left eye, photophobia, and nausea.
Pain Management and Discharge Instructions
- Client rated pain as 7/10, later reported it decreased to 2/10; nausea resolved.
- Discharge instructions provided regarding the use of sumatriptan and identification of migraine triggers.
- Correct recommendations include avoiding tyramine foods, maintaining a food and headache diary, and applying a cool cloth for relief.
Monitoring and Interventions
- Following sumatriptan administration, monitor for potential chest pain due to risk of myocardial ischemia.
- Important nursing actions include dimming lights in the patient's environment to alleviate discomfort and administering sumatriptan as prescribed.
Identifying Migraine Symptoms
- Client's symptoms likely indicate a migraine; addressing and managing pain is a priority for nursing intervention.
- Manifestations consistent with migraine include visual disturbances, numbness, and expressive aphasia, which can overlap with stroke signs.
Vital Signs and Assessment
- Vital signs documented: Temperature 36.8°C, HR 98/min, RR 18/min, BP 134/75 mmHg, oxygen saturation 98% on room air.
- Notable clinical signs include visual disturbances, tingling of lips, and expressive aphasia correlated with possible neurological issues.
Nursing Actions for Other Conditions
- In cases of IV fluid therapy necessity and changes, assess BUN levels for evaluation of renal function.
- Anticipated ABG results for advanced COPD would show elevated PaCO2 around 56 mm Hg.
- Essential pre-blood transfusion action is to check blood type and units of blood to be administered.
- For clients undergoing nephrostomy, report any back pain as a potential complication.
- Increased respiratory secretions in ALS should be prioritized in assessment due to risk of respiratory failure.
Postoperative Care and Monitoring
- After procedures like cardiac catheterization, apply firm pressure to insertion sites if hematoma formation is noted.
- Educate clients post-hip arthroplasty about potential low hemoglobin levels indicating bleeding or complications to be reported.
- Use of supportive community resources should be included in preoperative education for clients undergoing surgeries like mastectomy.
General Health Teaching
- Include dietary recommendations for clients with family history of colorectal cancer, e.g., adding cabbage to diet.
- Discuss non-pharmacological pain management strategies for conditions like rheumatoid arthritis, such as alternating heat and cold therapy.
Emergency Preparedness
- In emergencies like anaphylactic reactions, after securing the airway, administer epinephrine as a priority intervention.
- For clients experiencing seizures, turning them to the side is crucial to maintain an open airway and reduce aspiration risk.
Laboratory Values and Signs of Improvement
- Unexpected findings like increased sedimentation rates may indicate osteomyelitis post-fracture.
- Improvement in diabetic ketoacidosis can be indicated by decreasing glucose levels, e.g., 272 mg/dL.
- Symptoms of detaching retina typically present as visual obstruction, e.g., “a curtain closing over vision.”
Education on Medications and Supplements
- Advise clients on herbal supplements (e.g., ginkgo biloba) about potential increased bleeding risks.
- For clients with stress incontinence, obesity is a recognized risk factor and should be communicated during teaching sessions.
Vital Signs and Postoperative Condition
- Monitor and report any changes in urinary output in postoperative clients, indicating potential complications.
- Post-radiation therapy education for clients with laryngeal cancer should include avoiding direct sunlight exposure.
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Description
Test your knowledge with these RN Adult Medical Surgical flashcards for 2023 focusing on NGN concepts. This quiz highlights important scenarios and assessments, such as patient symptoms and dialysis complications. Perfect for nursing students and professionals preparing for their exams or improving their understanding of adult care.
