Med Surg Final Study Guide Edoqs
The nurse is instructing the unlicensed assistant on how to care for a client with chest tubes that are connected to water seal drainage. Which of the following instruction would be appropriate for the nurse to give the unlicensed assistant? A) Mark the time and amount of drainage collected in the container B) Raise the collection apparatus to the height of the bed to measure the fluid level. C) Milk the test tubes every 4 hours D) Attach the chest tubes to bed linen to avoid tension of the tubing. A client with type 2 diabetes has a hemoglobin A1C level of 8.8 after 6 months of oral therapy with metformin (Glucophage®). The client tells the nurse that she often forgets to take her medication and doesn't really follow her diet.
Which of the following is the nurse's best first response? 'If you don't get control of your blood sugar, you'll need to take insulin.' 'It can be hard to get used to having a disease like diabetes.
What are some of the things you find challenging about it?' 'Uncontrolled diabetes can lead to eye problems and kidneys problems.' 'Many people have diabetes.' The nurse is writing the teaching plan for a client undergoing a radioactive iodine uptake test to study thyroid function. Which of the following instructions should the nurse include? 'You need to stay at least 4 feet (1.2 m) away from other people after the test because you'll be radioactive.' 'You need to lie very still on a stretcher that is placed in a long tube for the scan' C.
'Don't take any iodine or thyroid medication before the test.' 'Schedule the bone scans before your radioactive iodine uptake test.' Correct answer: C Medications such as iodine, contrast media, and antithyroid and thyroid drugs can affect the test results and should be withheld by the client for a week or longer, as directed by the physician. During a radioactive iodine uptake test, the client receives radioactive iodine by mouth or I.V. In small doses and doesn't require isolation.
During magnetic resonance imaging-not radioactive iodine uptake testing-a client needs to lie still inside a long tube. Any test, such as a bone scan, that requires iodine contrast media should be scheduled after the radioactive iodine uptake test because the iodinated contrast medium can decrease uptake. A 64-year-old patient with newly diagnosed acute myelogenous leukemia (AML) who is undergoing induction therapy with chemotherapeutic agents tells the nurse, 'I feel so sick that I don't know if the treatment is worth completing.' The nurse's best response to the patient is a. 'I know you feel really ill right now, but after this therapy your disease will go into a remission and you will feel normal again.'
'Induction therapy is very aggressive and causes the most side effects, so when this phase is completed you won't feel so ill.' 'Your type of leukemia has an 80% survival rate if aggressive therapy is started, so the effects of treatment will be worth it to you.' 'The chemotherapy is difficult, but it is necessary to put the disease into remission and give you time to make choices about your life. A RN overhears a LPN talking with a client who is being prepared for a total colectomy with the creation of an ileoanal reservoir for ulcerative colitis. To decrease the client's anxiety, the RN should intervene to clarify the information given by the LPN when the LPN is heard saying: A.
Toyota repair manuals free. This surgery will prevent you from developing colon cancer. After this surgery you will no longer have ulcerative colitis. When you return from surgery you will not be able to eat solid food for several days. You will have an ileostomy when you return from the surgery.
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Med Surg Final Questions
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