1. Question: A nurse is caring for a client with a burn injury who has been prescribed hydrotherapy. How is hydrotherapy instituted and what actions should the nurse take during this therapy?
2. Question: The nurse is providing the discharge education to a client newly diagnosed with Chronic Obstructive Pulmonary Disease (COPD). The client states “I have always enjoyed exercising with my friends, but I guess I won’t be doing that anymore.” How will the nurse best respond to promote optimal nutrition and exercise for this client?
3. Question: A nurse is caring for a client with a new ileostomy. What should the nurse instruct the client to expect in the post-operative period?
4. Question: A nurse is caring for a client who has hyponatremia. Identify three (3) complications of hyponatremia. What are three (3) nursing interventions to manage this electrolyte imbalance?
5. Question: A nurse is caring for a client with dysrhythmias. Identify what cardioversion is and its application to manage dysrhythmias. Identify dysrhythmias that can be cardioverted.
6. Question: List three (3) client teaching points following permanent pacemaker insertion.
7. Question: The nurse is administering 6 AM medications to a client with Gastroesophageal Reflux Disorder (GERD). The client states, “I don’t want to take that Protonix, it never helps my heart burn. I like taking TUMS better!” How will the nurse educate this client on the difference of Proton Pump Inhibitors and Antacids to treat GERD.
8. Question: What are expected findings of a client experiencing cardiac tamponade?
9. Question: Following a hernia repair the client is instructed to avoid increasing intra-abdominal pressure. List three (3) things the nurse will educate the client to avoid increasing intra-abdominal pressure.
10. Question: After providing AM care to a client receiving mechanical ventilation via an endotracheal tube, the nurse notes a sudden decrease in the pulse oximetry reading. How will the nurse assess endotracheal tube placement?
11. Question: A nurse is caring for a client who has just been admitted following surgical evacuation of a subdural hematoma. Which of the following is the priority assessment?
12. Question: Compare and contrast the manifestations of left-sided and right sided heart failure.
13. Question: A client diagnosed with nephrotic syndrome is experiencing increasing edema. What abnormal laboratory values does the nurse expect that is causing the edema?
14. Question: The nurse is performing a focused gastrointestinal assessment on a client who complains of fever and abdominal pain for 2 days. What additional assessment findings alert the nurse to the possibility of appendicitis?
15. Question: Which of the following are expected symptoms of multiple sclerosis? Select all that apply.
16. Question: The nurse is performing a physical assessment on a client who recently had a hip arthroplasty. List five (5) physical assessment findings associated with the development of a pulmonary embolism.
17. Question: A nurse is caring for a client prescribed enoxaparin (Lovenox). Identify three (3) adverse effects of this anticoagulant. Provide three (3) nursing education teaching points to discuss with the client regarding this medication therapy.
18. Question: The nurse is educating a client post lumbar laminectomy. What are three (3) potential complications of this procedure?

Please complete the 3 Medical Surgical Learning System Practice Quiz based on topics you missed on the assessment.

• {Respiratory)
• (Cardiovascular and Hematology)
• (Gastrointestinal)

Assessment A

1. Meningitis
2. Respiratory Diagnostic and Therapeutic:
3. Increased Intracranial Pressure Disorders/Manifestations
4. Safety

Assessment B

5. Contraindications of Ciprofloxacin
6. Hypokalemia Risk Factors
7. Peripheral Artierial Diseases  
8. Diabetes insipidus