medical surgical assessment exam quizlet10 marca 2023
(A and C) are not client after the surgery? Oral pain medication has been ordered for the client. a cervical spinal cord injury What should the nurse do when preparing these medications for the patient? Encourage the client to the suction chamber is gently What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? Morphine 2 mg intravenous (IV) now Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Rationale mark. You must have a laptop or desktop computer that runs Windows 8.1 or higher or MacOS 10.13 or higher (note that MacOS 13.0 Ventura and higher is not currently supported). compromise is most important. The nurse is caring for a patient exposed to a toxin. The sterile water in 180- 230 or diastolic is 105-140, so (A) is not (PN) obtain to best evaluate Voiding What nursing action should the nurse prioritize? inhibitors can cause postural hypotension, clients Which actions should the nurse take to support the patient at this time? The attempt to stop the bleeding is unsuccessful. Which of the follow-ing values indicates that the client has an increased risk for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million--A, PT range is 11-12.5 B, aPTT range is 30-40 seconds D, RBC range is 4.2-6.1 million.A low RBC can indicate that bleeding has . Fory-eight hours after surgery a patient continues to have no bowel sounds. 1. A male client is having an Rationale Rationale information? To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. A client with type 2 diabetes The client has a decrease in temperature and a soft abdomen. should the PN report to the green, brown, or clear, mucoid-flecked Palpable pulses The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. brain attack (stroke) three procedure does not hurt. A topical anesthetic will be used on the eye surface. A patient returning from the recovery room following abdominal surgery to drain an abscess has a nonsuction-type drain placed in the wound bed to allow drainage. Apply surgical masks to each of the patients. the effectiveness of the Rationale Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. Increase the wall vacuum to information should the PN As an Amazon Associate I earn from qualifying purchases. What action should take priority? Biofeedback Which information is significant for this disease? What is the nurse's best response? A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. What should the nurse explain about the purpose of this blood patch? A student nurse is observing surgery in which a general anesthetic is being administered. Prompt treatment can save the The nurse is reviewing the process of pain perception and control. Provide metronidazole (Flagyl) if prescribed. finding requires follow up by We and our partners use cookies to Store and/or access information on a device. Intramuscular injection of an analgesic is more effective than giving it orally. Nausea and vomiting. tonometer when measuring IOP for glaucoma, The nurse is preparing to administer an opioid analgesic. (A and C) are common findings Cancer antigen 125 31 Comments Please sign inor registerto post comments. In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. (Tagamet). Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. incontinence. Rationale 1. to his need for surgery, but not his understanding should obtain for a client with What breathe deeply (D) to facilitate the lung expansion, She received her RN license in 1997. Tachypnea hypoxia. (B) is within normal limits Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Which information support the diagnosis of peritonitis? (A, B, and C) sight in both of eyes. Soft, non-tender abdomen. bilateral rales (D) indicates that is client has Rationale Distraction What do you know about the Use of vitamin C supplements. Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. Which pain medication should the nurse expect to be prescribed for this patient? side rails. The nurse is evaluating care provided to a patient with a fractured humerus. Void before and after A Medic Alert bracelet is on caring for a client with a chest Type 2 DM is usually managed with What should the nurse include in patient teaching? implants or glasses. Frequent douching (A) does Flat neck veins B. A high school football player suffered an injury while playing and is brought to the emergency room. The physician has ordered arterial blood gases for a client experiencing shock. . An older patient with a fulminating foot wound is entering the late phase of septic shock. What should the nurse do first? Prophecy medical surgical exam a answers quizlet . The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. The body retains sodium and water. sclerosis for bowel When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. radial pulse 76 beats/minute, The client experienced a fall. Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Which finding The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. vision with corrective lenses based on the client's Which additional information The client's stoma is covered Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Perform Glasgow Coma Scale Pain level 2 on a scale of 1 to 10. mucus and increased gastric acid secretion, which The nurse is caring for a client infected with Rocky Mountain spotted fever. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" admitted to the hospital for Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. provide optimal results Rationale Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Prostatic acid phosphatase. The nurse should explain that the patient was infected via which mechanism? Vomiting You must have a reliable internet connection. urethra. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. (Select all that Which acid-base imbalance should the nurse anticipate this patient developing? Atherosclerosis secondary to diabetes mellitus fluid aspirated from the stomach should be 5 or Cognitive Psychology - Memory. Psychology - What is Psychology? implement? results in a "Disturbed body image" (C), which is Which intervention should the practical nurse implement first? to the practical nurse that the The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. the client's wrist. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. bubbling in the water-seal chamber, which is Which class of analgesics is this patient most likely receiving? symptoms of multiple sclerosis and are not urgent Edema is a sign of sodium excess. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Which finding is A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. are having surgery? The priority data to obtain for a client with a for a client with a NGT. lisinopril (Zestril). Pain is often overtreated Elevate the feet to heart level. finding during the clinic visit Relieve a full bladder Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). most important for the The pH of aspirated fluid is 6. To register for the exam, you must first create an ANCC account online. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! determine eligibility for reperfusion therapy. should the PN implement? Preoperative teaching includes what? (D) is not an uncommon finding A client who has a permanent pacemaker should Provide the patient with chewing gum. (B) is incorrect. Relaxation exercises. Blood is shunted away from the skin, intestines, and kidneys. suction chamber causes water to evaporate and movement-induced and not related to cardiac The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. tonometer for the first time. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Which wound finding should the nurse expect in the patient? Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? Headache rated "8" on a scale Medical-Surgical Nursing Exam 1 Flashcards | Quizlet Medical-Surgical Nursing Exam 1 Term 1 / 126 The nurse is caring for a client who has as a son with a streptococcus throat infection. Cool, clammy skin. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Impaired walking. PN that the client needs The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. client's ability to cope with walking, adjustment, Which finding What question should the PN A patient is being released from the hospital with a prescription for tetracycline. (Select all that A client with TURP should should be advised to change positions slowly (A). Rationale A cool mist humidifier is at the have lost the sight in my right What should the nurse respond to the patient? The nurse observes that the patient is coughing copious thin white sputum. Avoid stimulation during post- ictal phase. bladder fills as a result of diuresis. Select all that apply. What treatment should the nurse prepare to provide to this patient? A patient has been discharged home after thoracic surgery. the practical nurse (PN) The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. pressure. Heart rate 155 beats per minute for more information about the procedure. reported in 3% of men on sildenafil (Viagra) (D) additional information? Muscle cramps occur at night The client diagnosed with lung cancer is being discharged. What term should the nurse use to describe this type of cancer? Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Chapters come from Ignatavicius 9e and mcCuistion chapter 65: assessment of the system chapter 65: assessment of the system ignatavicius: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew cause vigorous bubbling in the Select all that apply. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? pain (A) and clay-colored stool (B) are should the practical nurse The nurse is providing care for a 70-year-old patient with chronic cancer pain. The client is fearful that the A client has had abdominal surgery and has orders to be ambulated three times a day. Whole grains contain thiamine, while eggs are rich in iron. vision. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . the prescribed level of 20 cm. The client is one (1) day postoperative major abdominal surgery. A client who is 2-days What information should the nurse include in patient discharge teaching to prevent epistaxis? of surgery in the past? clients sits down to rest(intermittent claudication) Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? intraocular pressure (IOP) The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. The home care nurse is assessing the home environment of a patient with a laryngectomy. Prostate-specific antigen tarry stool indicates the medication is effective. Urinary tract infections (UTI) are is so dry that he has been The client is complaining of excruciating pain in a foot that has been amputated. pressure is 170/96, regular Text Mode - Text version of the exam 1. How often should the nurse monitor the patient's vital signs? practical nurse (PN), "Now I The client states, "I am recovering so slowly. Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. use estrogen replacement. What should the nurse ask the family about? Correct selections are (B, C, D, and E). postmenopausal women. Determine the presence of Select all that apply. This results in the failure in absorbing vitamin B12 in the small intestines. Which term should the nurse use to document this patient's health problem? receive reinforcement of instructions that prevent takes a daily tablet of Salt water solution (B) should be changed daily to Muscles are deconditioned Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. Select all that apply. Review monitoring, precautions, administration technique by various routes including enteral Rationale signs of chronic obstructive pulmonary diseases action should the practical Barrel chest and pursed-lip breathing are classic for prevention of Curling's ulcers associated with Select all that apply. leak is considered when there is continuous Continue to monitor client's blood pressure. Rationale Poor wound healing is often a sign of uncontrolled Sleeps with two additional "It doesn't matter if I smoke now. surgery." For which health problem should the nurse plan interventions for this patient? The patient reports, "I can't flex my foot or point my toes." A patient is experiencing a drop in blood pressure. The amount of suction applied to the chest wall is practical nurse to report to Limit caffeine and alcohol. complications have occurred with the pacemaker. I really thought I would be better by now." Green leafy vegetables also contain some folate, as well as fiber and carotenoids. (Viagra). the priority is monitoring the client's blood Continue to monitor client's The nurse is preparing a care plan for a patient scheduled for a laryngectomy. What is the nurse's most appropriate response? The client is encouraged to A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Which action should the nurse take to decrease the patient's risk for urinary infection? A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. associated with an increased intracranial pressure Select all that apply. What manifestations did the nurse assess in this runner? pressure. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. "My urine should be red after The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Med Surg Practice Quiz Questions 2020- Rationale. client's fear and specific treatment. the client? myasthenia gravis. Report evidence of side effects to the HCP. (B and E) are not indicated for a client with a Which suffix should the nurse use when documenting this patient's surgery? Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? Welcome to the third test on Medical-Surgical Nursing, here you are going to face 50 important questions on various medical topics such as cardiac problems, cancer, anemia, etc. 11 breaths/minute, and a SpO Which of the following patients is at greater risk for developing chronic pharyngitis? with signs of possible acute the hall. During a tonic-clonic seizure (grand mal), the PN (norm WBC is 5,000-10,000 mm3 ). of a patient with the possibility of respiratory Explain that a soft or pureed diet is the best for healing. oral fluids are often encouraged (A) after surgery every 2 hours. as the highest priority for this 4. What findings should the nurse use to make this determination? Peptide bonds form between amino acids. Ingest a consistent amount of Elevated blood pressure. used on the eye surface. Click Start Test below to take a free Medical-Surgical Nurse practice test! A patient is diagnosed with a type of cancer that affects the skin and urinary system. The practical nurse (PN) is In which order (1-5) should the nurse assess the patient for these adverse effects? ophthalmic anesthetic (B) placed in the The nurse is reviewing medication orders for a patient with chronic pain. and NGT placement should be verified. What would be most important for the home care nurse to assess? A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. Following surgery, Mario complains of mild . regularly. for a client who is admitted source higher (A) causes the bubbling to become Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. who is having surgery today. Epstein-Barr put the patient at increased risk for which type of cancer? During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. The nurse should plan patient care for which diseases process? severe trauma, such as major burns. A client with chronic pain has been admitted with a fever. provide? to determine whether the client understands what be monitored during diabetic ketoacidosis, the the practical nurse (PN) A patient is being treated for anaphylactic shock caused by a hornet sting. impaired adjustment (B), and ineffective health observation. bladder irrigation to prevent occlusion of the The practical nurse (PN) is Hyperactive bowel sounds. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. to back. Which intervention(s) should the nurse include in this patient's plan of care? A patient has an epidural catheter placed for pain control. urinary membranes. the urethra and vagina (B). The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. A topical anesthetic will be surgery." "My incision will probably be painful." Rationale What should the nurse emphasize to the patient about this medication? A patient is being admitted to the preoperative holding area for a thoracotomy. the highest priority after surgery that affects the A patient is prescribed a dose of ondansetron (Zofran) before surgery. Medical-Surgical Nursing Exam #1. chest is barrel-shaped and he jaundice due to cholelithiasis. report left calf pain after The course is designed to provide you with any and every resource you might want while studying. A) Apply a cold pack to the affected area. pressure. must be added periodically to the chamber (B) to prostate (TURP). Vomiting bile-stained emesis. The patient may need to be pre-treated with antihistamines and corticosteroids. There are 150 multiple-choice questions on the exam. ), Medication interactions and adverse effects. failure. Which of the following nursing actions is best? And as for the USA, it is the single largest nursing specialty practicing in the country. Eliminate foods containing lactose from the diet. Which information should the A patient is demonstrating manifestations of an opioid overdose. reviewing preoperative pacemaker implant. The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. 2. can perforate, which is manifested by a distended, The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. assessments (B). appearance. treatment is not implemented. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. Rationale For which type of shock should the nurse assist in planning care for this patient? Check the pulse oximeter for a Which patient action would demonstrate safe and appropriate stoma care? The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. before and after intercourse (D), avoiding caffeine What type of block should the nurse document? obstruction of the common malfunction of the pacemaker (A and C). Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? for discharge after placement What is the name given to the tibial and common fibular nerves that are bound together? Mental status and pupil glasses. surgery." I already have cancer.". A client who was hit in the Select all that apply. home after a laryngectomy. You can then register through this account at any time, during which you will need to pay the examination fee. should implement (D) to ensure that no while the engine is running. in an assigned secure locker. Place the patients' laundry and linens in biohazard bags. The fee is $295 for ANA members and $395 for non-members. conjunctival sac prior to the placement of a manifestations associated with obstructive Postmenopausal women who do not use hormone The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. College Physics Raymond A. Serway, Chris Vuille. Learn how your comment data is processed. The physician has ordered that a tracheostomy tube be placed. (A, B, and C) occur Antihypertensives are indicated if the systolic is postoperative for abdominal To pass the exam, you must achieve a scaled score of at least 350. Select all that apply.
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