Advanced Med Surg Proctored Exam (Mchps)

When accessing an unconscious client, the nurse applies a painful, noxious stimulus to the nail beds. The client's response is arms stiffly extended, adducted, and hyperpronated along with hyperextens

The client is receiving total parental nutrition (TPN). Which prescription would the nurse administer if it is 0730? Client: M.G. MR# 1234567 Date: Today Age: 35 years Allergies: NKDA Diagnosis: Medic

The nurse is caring for a client diagnosed with Crohn's disease who just returned from surgery for a placement of a permanent colostomy. Which assessment finding requires immediate intervention?

The nurse is caring for a 58-year-old client who was admitted to the medical unit with liver cirrhosis. Highlight three findings that require immediate follow up. History and Physical The client is a

The nurse is caring for a 58-year-old client who was admitted to the medical unit with liver cirrhosis. Select the five complications for which this client is at risk.

The nurse is caring for a 58-year-old client who was admitted to the medical unit with liver cirrhosis. Based on the client’s assessment findings, laboratory results, and vital signs, the nurse should

The nurse is caring for a 58-year-old client who was admitted to the medical unit with liver cirrhosis. The nurse reviews the client history physical, vital signs and laboratory findings. Indicate whe

The nurse is caring for a 58-year-old client who was admitted to the medical unit with liver cirrhosis. The nurse is continuing with patient care, select all anticipated actions in the care of this pa

The nurse is caring for a 58-year-old client who was admitted to the medical unit with liver cirrhosis and had a blood transfusion and endoscopic procedure for esophageal varices three days ago. The n

The nurse is discussing palliative care with the client with amyotrophic lateral sclerosis (ALS). The client responds, "I'm not ready to give up. I want to keep fighting this disease." Which response

The nurse is caring for a 51-year-old client admitted to the Emergency Department (ED). The nurse is caring for the client. Which nursing intervention is the priority?

The nurse is caring for the following clients. Which client would the nurse assess first after receiving report?

Which client assessment warrants immediate intervention from the nurse on the medical unit?

The nurse is educating a client with chronic pancreatitis about diet modification. Which statement by the client indicates a further need for education?

The nurse is caring for the client with a head injury. Which findings indicate that the intracranial pressure is rising?

The nurse is admitting a client with Guillain-Barre syndrome to the nursing unit. The client has complaints of inability to move both legs and reports a tingling sensation above the waistline. Which s

The nurse is delegating personal hygiene of a client with myasthenia gravis to the unlicensed assistive personnel. When would be the best time for the client to participate in personal hygiene?

What assessment findings would the nurse expect to find in a client diagnosed with myasthenia gravis? Select all that apply.

A client who suffered a spinal cord injury is exhibiting flaccid paralysis and loss of reflexes below the level of injury. The nurse recognizes the client is exhibiting signs of which condition.

The nurse is caring for a hospitalized client with Crohn's Disease with a suspected fistula. Which assessment would the nurse report to the health care provider (HCP) immediately?

A client with hydrocephalus is admitted to the neurological intensive care unit with increased intracranial pressure. Which nursing interventions would the nurse include in the plan of care? Select al

The nurse is caring for a client with peritonitis. What assessment finding would the nurse expect?

The client diagnosed with a traumatic brain injury (TBI) is experiencing increased intracranial pressure (ICP). The provider orders mannitol. For each intervention, specify if the intervention is indi

Which clinical manifestations does the nurse expect to find on the assessment of client diagnosed with an acute exacerbation of ulcerative colitis?

Mannitol 25% osmotic diuretic solution 0.5 g/kg intravenous (IV) is ordered for a client who weighs 172 pounds over 30 minutes. Available supply is 25 g/100 mL. What rate would the nurse set the intra