Nursing · NCLEX-RN

NCLEX Medical-Surgical Nursing

Common adult medical-surgical conditions with the priority nursing assessment or intervention for each.

45 cards · basic cards · AI-written, checked twice. Edit anything.

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A patient reports sudden chest pain. What is the priority nursing action?
Obtain a 12-lead ECG immediately
What should be monitored daily in a patient with heart failure to track fluid status?
Body weight, taken at the same time each day
What position should a patient in acute pulmonary edema be placed in?
High Fowler's position
Why is oxygen given at a low flow rate (1 to 2 L/min) to a COPD patient?
To avoid suppressing the hypoxic drive to breathe
What is the priority medication during an acute asthma exacerbation?
A short-acting beta agonist such as albuterol, given by nebulizer
In diabetic ketoacidosis, what is given before insulin therapy is started?
IV fluid replacement with normal saline
What should be given first to a conscious, alert patient with hypoglycemia?
15 to 20 grams of a fast-acting oral carbohydrate
What is the priority assessment for a patient with suspected ischemic stroke?
The time the patient was last known well (symptom onset)
What head-of-bed position is used to help manage increased intracranial pressure?
Head of bed elevated 30 degrees
During a seizure, what is the nurse's priority action?
Protect the patient from injury without restraining them
Why should nothing be placed in the mouth of a patient having a seizure?
It can cause airway obstruction or dental/oral injury
What is the priority assessment for a patient with an upper GI bleed?
Vital signs, to detect early signs of hypovolemic shock
What diet order is prioritized for a patient with acute pancreatitis?
NPO status, to rest the pancreas
What should be measured daily in a patient with cirrhosis and ascites?
Abdominal girth
What medication is given to reduce ammonia levels in hepatic encephalopathy?
Lactulose

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