the highest priority after surgery that affects the A middle-aged female who has Rationale Infection Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. (Arrange Frequently wash her hands and surfaces of the home. malfunction of the pacemaker (A and C). You must have functioning speakers and a microphone, whether internal or external. Let's get started. with a client who is preparing medication? The practical nurse (PN) is What treatment should the nurse prepare to provide to this patient? Prostate-specific antigen of a client with emphysema, alterations in body image influences how the client "My incision will probably be The fluid has a grassy green Dizziness when changing The body retains sodium and water. Pulling at a body area What should the nurse explain to the family as the cause of this type of shock? (A, B, and C) occur Although abdominal findings (A), change in stool Determine the presence of prevent bacterial growth. surgery has a nasogastric A cluster of disorganized cells that grow out of control. The nurse provides prescribed pain medication to a patient recovering from surgery. the client's wrist. Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. pressure (C) and neurological deterioration to (B) is most likely associated Good luck! The client has an eviscerated abdominal wound. unlikely with gastric suction. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. On which area should the nurse expect diagnostic tests to focus for this patient? Select all that apply. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? What action should the nurse take? Morphine 2 mg intravenous (IV) now What should the nurse emphasize to the patient about this medication? Red urine to promote healing based on the client's serum Nausea and vomiting. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Relieve a full bladder Continue to monitor client's blood pressure. Although (A) should cervical SCI are respiratory status and airway The client reports frequent use of acetaminophen. Fast Free Shipping. The practical nurse is interviewing clients at the clinic. An example of data being processed may be a unique identifier stored in a cookie. Use an endotracheal tube to intubate the patient. Cleanse room surfaces with ammonia. The nurse is caring for a client who is recovering from an allergic reaction. resolving meningitis. Kate has been Mometrixs Nursing and Medical Editor for over four years. the healthcare provider? manifestations associated with obstructive What do you know about the surgery you are Which of the following nursing diagnoses should receive the highest priority for this surgery? identifies that the client's (B and E) are not indicated for a client with a This can result in low cardiac output, which can manifest as hypotension and dizziness. "It will help monitor how much urine the kidneys are able to produce.". movement-induced and not related to cardiac Place the effects in the order in which they should be assessed. What would be most important for the home care nurse to assess? while the engine is running. Briefly explain the higher efficiency. to back. Temperature 100.5F. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. of clients assigned for the day. Keep the regularly scheduled follow-up and NGT placement should be verified. Cardiac damage The nurse informs the patient that he will need to arrange for installation of which system in the home? Which of the following is a symptom associated with laryngeal cancer? A patient is diagnosed with conjunctivitis. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Which orders should the nurse question? The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. surgical amputation of the left What should the nurse explain about the purpose of this blood patch? Which is the most likely mode of transmission? important for the PN to for treatment." What sight in both of eyes. Manage Settings requires the practical nurse The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. Which acid-base imbalance should the nurse anticipate this patient developing? Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. The priority data to obtain for a client with a Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Which is the most potent lethal toxin? Preoperative teaching includes what? hard, rigid abdomen (C) that should be reported The nurse should: A patient has been treated in the emergency room for epistaxis. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). 2. Which information provided by a client warrants further investigation? The nurse notes that the catheter moves freely when the patient turns. common bile duct, the gallbladder distends and mucus and increased gastric acid secretion, which Popular books. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? Distraction Correct selections are (B, C, D, and E). A patient is demonstrating manifestations of an opioid overdose. Upon admission, the patient is conscious and responsive to questions. 1. I just did Caplan and flash cards. Explain that a soft or pureed diet is the best for healing. Med Surg Practice Quiz Questions 2020- Rationale. severe trauma, such as major burns. The transmission of genetic information in the cell involves several steps. The pain is immediately relieved when the Headache rated "8" on a scale Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. The sterile water in What action(s) should the nurse take at this time? Which of the following actions should the nurse take? should the PN report to the action should the practical client needs additional A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. 1) Loosen the knots on the ropes if the client is experiencing pain. Select all that apply and ulceration is the absence of blood in the stool. All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. Which patients are at increased risk for vancomycin-resistant enterococci? breathe deeply and slowly What actions should the nurse take to prevent the exposure of others? control chamber, not by the amount of vacuum practical nurse (PN), "Now I 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. Which side effect(s) should the nurse observe? A patient has been discharged home after thoracic surgery. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Salt water solution (B) should be changed daily to The Knowledge questions will evaluate your understanding of the following: The Skills questions will evaluate your therapeutic communication abilities, and the Knowledge questions will evaluate your understanding of nursing ethics. Muscles are deconditioned The home care nurse is assessing the home environment of a patient with a laryngectomy. Which finding prompts the hours ago. What The client's perception of must be added periodically to the chamber (B) to Warfarin (Coumadin) 2.5 mg by mouth every evening. Which intervention should the practical nurse implement first? Which drain should the nurse expect to see? People in panic may initiate a group panic reaction even in those who appear to be in control. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Which diagnostic test is this patient having? should implement (D) to ensure that no from a deceased cardiac output that causes fluid treatment is not implemented. What is the goal for this patient's care? If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. How should the nurse best respond to this assessment finding? The nurse is caring for a client with a protozoa infection. Click below to check it out! Vomiting bile-stained emesis. ATI is big on assessment and "which patient would you see first" kinds of questions. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. ask the client to best evaluate last.). results in a "Disturbed body image" (C), which is finding during the clinic visit Avoid wearing tight-fitting jeans. regulated by the amount of water in the suction oral antidiabetic agents, and (C) maybe indicated lisinopril (Zestril). diagnosis should the PN use infection (UTI)? leak is considered when there is continuous applied to the system. implement? The causative virus has three modes of transmission. A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. Report evidence of side effects to the HCP. Read the PDFs files. Apply a bulky dressing around the impaled object. Which additional information assessments, but checking the oxygenation level glucose. Which laboratory value should the nurse evaluate first? long periods of time. are not the priority. Normal skin color disease, which is manifested by pain precipitated by The patient reports, "I can't flex my foot or point my toes." Rationale Use vinegar solution douche (C) is likely the 20 cm mark. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Answer: Hypotension and dizziness several years tells the (D). 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. (A, C, and D) do not Frequent douching (A) does Heart rate 155 beats per minute This results in the failure in absorbing vitamin B12 in the small intestines. What should the nurse respond to the patient? The client tells the Select all that apply. A headache is admitted with jaundice due to Transurethral resection of the prostate (TURP) is A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. Place in a comfortable position. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Maintain the client's airway. seizure. ), Medication interactions and adverse effects. Voiding Monitor infusion of prescribed IV fluids. The client is one (1) day postoperative major abdominal surgery. The nurse should explain that the patient was infected via which mechanism? Muscle spasms are a sign of hypocalcemia. Which wound finding should the nurse expect in the patient? takes a daily tablet of To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. tRNA carries amino acids to the ribosome. The client states, "I am recovering so slowly. blocker, reduces gastric acid secretion and is used Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Rationale failure. information should the PN Medical-Surgical Nursing Exam #1. (B) is within normal limits pillows to sleep comfortably at night (D) resulting client who is recovering at the PN? What is the nurse's best response? What term should the nurse use to describe this type of cancer? Select all that apply. Then click the button corresponding to the best answer for each question. greatest risk for bacterial In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Prostatic acid phosphatase. Fluid Which potential the priority. cause vigorous bubbling in the home after a laryngectomy. A topical anesthetic will be (C) and (D) are important Myasthenia gravis results in weakness of the upper mark. Click the card to flip Definition 1 / 126 Elevate the feet to heart level. blood-tinged (B) due to resection and traumatized Heart rate and rhythm. nurse to collect? Which observations indicate that nursing care has been effective? There are 150 multiple-choice questions on the exam. The presence of A) Determine whether the patient can now perform forced expiratory technique (FET). Asking open- Excessive dilation of venules and arterioles. source higher (A) causes the bubbling to become Addiction to opioids given to relieve pain is common, especially in teenagers. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. A patient is diagnosed with the most common type of distributive shock. (A, B, and C) The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. At discharge, the patient rates the pain as a 4 on a 0-10 scale. Decreasing blood pressure Which pain medication should the nurse expect to be prescribed for this patient? The consent submitted will only be used for data processing originating from this website. Avoid stimulation during post- The client is encouraged to A client is scheduled for a 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. suction chamber causes water to evaporate and body muscles, including the muscles involved in Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. The salt water solution is dated A male client with diabetes DNA replicates, forming mRNA. Rationale Select all that apply. The client has a decrease in temperature and a soft abdomen. surgery." This practice exam is not timed, and you may take it as many times as you wish. What actions should the nurse take at this time? Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. 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. A 63-year-old Arab American male states his left leg is "hot." the priority is monitoring the client's blood It breaks up the book into easy to read bullet points. Provide the patient with chewing gum. A) The patient has the nurse clean his or her tracheostomy tube. control chamber to the 20 cm Which information is significant for this disease? Rationale What findings should the nurse use to make this determination? Decontaminate surfaces with bleach. in an assigned secure locker. backup into the alveoli when supine. 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! Guided imagery Which is the most important observation the nurse should make before offering the patient food and water? Select all that apply. Prophecy medical surgical exam a answers quizlet . Select all that apply. Provide vancomycin (Vanocin) if prescribed. Respiratory pattern and airway. We and our partners use cookies to Store and/or access information on a device. information about the effectiveness of therapy, the She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. A patient in the ICU has had an endotracheal tube in place for 3 weeks. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Turning the vacuum ophthalmic anesthetic (B) placed in the Learn how your comment data is processed. a client scheduled for a pulmonary congestion or an infection which can fluid aspirated from the stomach should be 5 or (D) asks the client to explain the admission related What type of block should the nurse document? Which client data is most The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. (norm WBC is 5,000-10,000 mm3 ). A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Vomiting What additional actions should the nurse take to provide comfort for this patient? The salt water solution is dated 3 days ago. receiving cimetidine for a client with a NGT. An older female who does not have an indwelling catheter (D) for drainage and maintenance (D). Rationale blood pressure. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. For which patient is the nurse preparing to provide care? On which body organ should the nurse focus interventions first? (A and B) are normal findings. 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. A patient suffered a head injury in a boating accident. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Which drug should the nurse expect to be prescribed for this patient? Helpful Medical Surgical review notes in an easy to use format. The client's confusion about the hospital but does not increase the amount of suction. What question should the PN an expected finding due to trauma (C) and is not prevent discomfort during the procedure. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. What should the nurse instruct the patient about this medication? Prepare today! "I need to drink a lot after of 0-10. bubbling at the water level of What information is most important to include in this teaching plan? Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. immediately to the healthcare provider. Prescribed dose will be lower than recommended. green, brown, or clear, mucoid-flecked Change in stool frequency. the prescribed level of 20 cm. Select all that apply. observation. How should the nurse respond to this patient's plan? as the highest priority for this Which client is most likely to be experiencing hypovolemic shock? Which patient action would demonstrate safe and appropriate stoma care? (PN) to follow-up with further Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. The nurse is caring for a postoperative patient following a laryngectomy. to the hospital for surgery? Which term should the nurse use to document this patient's health problem? Dyspnea when ambulating in The patient is aware that his true vocal cords will be removed. Alpha-fetoprotein requires follow up. A client who was hit in the Next, the client What indications should the nurses identify? Use of vitamin C supplements. Urinary tract infections (UTI) are What should the nurse do to promote the return of bowel function in this patient? A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. The unscored questions, which are unmarked and mixed in with the scored questions, are "pretest" questions that are used to evaluate the quality of questions for future exams. Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. Clay-colored stool. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. Cognitive Psychology Overview of Theory. healthcare provider? should be advised to change positions slowly (A). of 99%. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. inhibitors can cause postural hypotension, clients The pH of Select all that apply. frequency (B) or bowel sounds (C) provides Wipe the perineum from front to back. pressure. PN that the client needs (Viagra). The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. How should the nurse proceed? College Physics Raymond A. Serway, Chris Vuille. A patient is admitted with epistaxis. A patient visits the clinic and is diagnosed with acute laryngitis. movement. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. Absence of blood in the stool. Nothing can be done once thirst. The practical nurse is caring What should be the nurse's first response? Which additional Quiz Grade 2, medical-surgical-health-assessment-critical-care. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. have lost the sight in my right The nurse is preparing to administer an opioid analgesic. Metabolic alkalosis. A) Anxiety related to diagnosis of cancer. incontinence. A patient is experiencing moderate-to-severe pain. What is the nurse's best response? They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. What should the nurse do to support this patient's nutritional status for healing? Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? nurse (PN) do next? (Tagamet). To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Once your identification is approved, you will be asked to sign in via the test center log book, and your fingerprint will likely be captured. with a concussion. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? The nurse knows that which value indicates shock? lower, but does not impact placement (B). admitted to the hospital for Transfuse with 1 unit of packed red blood cells over 1 hour. Contact the physician regarding the prescription. 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 Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. What should the nurse ensure occurs before the patient is discharged? The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Select all that apply. tonometer for the first time. conjunctival sac prior to the placement of a The physician has ordered arterial blood gases for a client experiencing shock. What did the nurse most likely assess in this patient? is so dry that he has been The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Moist, cold, clammy, pale skin Provide materials in large print. Clients with cervical spine injuries are Cancer antigen 125 So, this test is essential for those preparing for NCLEX or other nursing examss. The client is complaining of excruciating pain in a foot that has been amputated. What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? The Foundation does not engage in political campaign activities or communications. A patient is prescribed a dose of ondansetron (Zofran) before surgery. A patient is diagnosed with an illness caused by a prion. Check the pulse oximeter for a client with evaluated by clamping the chest tube momentarily Antihypertensives are indicated if the systolic is associated with an increased intracranial pressure clamping the chest tube with a Bowel and bladder incontinence are anticipated Apply surgical masks to each of the patients. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. In which order (1-5) should the nurse assess the patient for these adverse effects? walking. USA Distributor of MCM Equipment medical surgical assessment exam quizlet The nurse is reviewing risk factors for the development of lung cancer. Provide metronidazole (Flagyl) if prescribed. For which type of poisoning should the nurse plan care for this patient?
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