Med/Surg + Pharm

A client has swallowing difficulties after a stroke. What intervention can the nurse do to prevent aspiration?

• Encourage the client to increase his/her intake of water and juice.

• Assist the client to sit up in bed for meals.

• Instruct the client to tuck their chin to their chest when swallowing.

• Request a swallowing assessment by a speech therapist

A client has acute pancreatitis. What indicates the client should be started on parenteral nutrition?

• 5% deficit in body weight compared to pre-illness weight.

• Calorie deficit and muscle wasting combined with low electrolyte levels

• Inability to take in adequate oral food or fluids within 7 days.

• Significant risk of aspiration along with decreased level of consciousness.

Which client is at the highest risk for a fluid and electrolyte imbalance?

• An 82-year-old with tube feedings & taking carvedilol and torsemide.

• A 79-year-old client admitted with a diagnosis of pneumonia.

• A 45-year-old post lap appendectomy 24 hours ago & eating a regular diet.

• A 66-year-old post cholecystectomy draining 125 mL of bile per shift

A client has risk factors for F & E imbalances. Which assessment has the highest priority for the nurse to priortize?

• Blood pressure 96/53 mm Hg

• Weight loss of 4 lb

• Mild confusion

• Irregular heart rate

Which testing will the client with RA need before RA meds are started?

• Serum electrolytes

• Renal function

• Liver function tests

• Testing for hepatitis A

A client has hepatitis B. The nurse should monitor for which finding associated with a decrease in hepatic function?

• Jaundice

• Pruritus of the arms and legs

• Fatigue during ambulation

• Irritability and drowsiness

A client with sickle cell anemia has iron overload from repeated blood transfusions. What treatment will be ordered?

• White blood cell filter

• Hepatitis B immunization

• Chelation therapy

• Red blood cell phenotyping

A client has had a fracture reduction using a cast. What is most important for the nurse to assess?

• Neurovascular status

• Sleep status

• Renal function

• Cardiac status

A client with urinary calculi complains of 10/10 pain. Which measure would be most appropriate to provide pain relief?

• Encourage the client to void every 2 to 3 hours.

• Restrict the client's sodium intake.

• Encourage frequent ambulation.

• Encourage deep-breathing exercises.

A patient has been diagnosed with myasthenia gravis. The nurse documents the initial and most common manifestation of

• Dysphoria.

• Facial muscle weakness.

• Generalized fatigue.

• Diplopia.