Ati Med Surg Study Guide Rated A+

A nurse in a clinic is providing preventive teaching to an older client during a Well Visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60 (select all that apply) a) human papillomavirus b) pneumococcal polysaccharide c) Meningococcal d) Influenza e) herpes zoster {Ans: b) pneumococcal polysaccharide d) Influenza e) herpes zoster}A nurse is caring for a client who has bounding pulses, crackles on auscultation, and pink frothy secretions when receiving suction. The nurse should recognize these assessment findings us indicating which of the following? a) Aspiration b) increased cardiac output c) pleural effusion d) fluid volume excess {Ans: d) fluid volume excess}A nurse is monitoring a client who is receiving two units packed RBC's. Which of the following manifestation indicates a hemolytic transfusion reaction? a) back pain b) Hypertension c) Chills d) bradycardia {Ans: a) back pain - hemolytic transfusion reaction results in chills, fever, low-back pain, tachycardia, flushing, hypotension, chest tightening or pain, tachypnea, nausea, anxiety, hemoglobinuria, and an impending sense of doom}A nurse is caring for a client who is receiving Total parenteral Nutrition (TPN) The crane infusion is almost complete and the