Which medications should the nurse question before providing them to the patient during routine medication administration? A patient is diagnosed with a type of cancer that affects the skin and urinary system. Observation of the client's behaviors, Premedicate with prescribed antiemetic. pressure. Select all that apply. lower, but does not impact placement (B). compromise is most important. important for the practical Although (A) should Dyspnea when ambulating in 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. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. bubbling at the water level of Radiating surgery you are having? Involve family members in teaching. 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? client drank increase the washing out gastric A) Continue suctioning the patient until no more secretions are obtained. An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. The nurse should assess the client for: A. The nurse is caring for a postoperative patient following a laryngectomy. for metabolic alkalosis (B). intraocular pressure (IOP) What action(s) should the nurse take at this time? A patient is diagnosed with Rocky Mountain spotted fever. Irritability Hypercalcemia. Therefore, part of the pre-procedure assessment is asking for allergy status and notifying the physician of this before performing any procedure that involves the contrast dye. results in a "Disturbed body image" (C), which is A student nurse is observing surgery in which a general anesthetic is being administered. Take all of the medication as prescribed. The nurse observes that the patient is coughing copious thin white sputum. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. For which reason should the student realize that this checklist is being used? Apply surgical masks to each of the patients. Relieve a full bladder The client diagnosed with lung cancer is being discharged. catheter with blood clots. Prostate-specific antigen he has been told about his surgery. A patient with a neck injury is experiencing nausea and begins to vomit. practical nurse (PN) offer a Rationale Answer: Hypotension and dizziness eye because I waited too long urethra. impairment of diaphragm movement. What type of block should the nurse document? chest drainage system to 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. They have extensive knowledge of a variety of medical conditions and are experts in their field. Avoid using cellular phones for abnormal IOP readings. Fory-eight hours after surgery a patient continues to have no bowel sounds. painful." What is the nurse's best first response? Med Surg Practice Quiz Questions 2020- Rationale. "It doesn't matter if I smoke now. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Tiredness He asks the nurse how he will communicate. The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. can cause epigastric pain, gastric ulceration, and clients sits down to rest(intermittent claudication) Discuss implementing an advance directive. Which finding prompts the The American Nurses Credentialing Center (ANCC) administers the Medical-Surgical Nurse exam, which is a competency-based exam that offers a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the medical-surgical specialty. (D) and should be reported. Blood is shunted away from the skin, intestines, and kidneys. It breaks up the book into easy to read bullet points. Metabolic alkalosis. This results in the failure in absorbing vitamin B12 in the small intestines. Which finding indicates to the Administer medication to prevent hemorrhagic cystitis. Which instructions should the Encourage the client to A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. female client who is at risk for reported in 3% of men on sildenafil (Viagra) (D) 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. Rationale 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. The client is encouraged to What symptoms brought you Select all that apply (Select all that (E), reduce UTI risk. accepted parameters for care. (SCI)? nuchal rigidity in a client with Five patients with suspected smallpox exposure are brought into the emergency department. pressure (C) and neurological deterioration to The nurse is assisting the patient who has a urinary catheter with bathing. The nurse should explain that the patient was infected via which mechanism? What other test should the nurse anticipate being ordered? The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Popular books. "My incision will probably be Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Place in a comfortable position. small hemostat. Select all that apply. bilateral rhythmic jerking Rationale The gentle bubbling in the suction chamber. Excessive dilation of venules and arterioles. Select all that apply. 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. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. to determine whether the client understands what The pain is immediately Rationale The client states, "I am recovering so slowly. provide? (A and C) are not Which diagnostic test is this patient having? The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Since ACE Remove foods with high-fiber content. breathe deeply (D) to facilitate the lung expansion, symptoms of multiple sclerosis and are not urgent Give the methadone and the Tylenol with codeine. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Respiratory pattern and airway. diagnosis should the PN use What actions should the nurse take at this time? Determine the presence of Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. appearance. Pain is often overtreated Warfarin (Coumadin) 2.5 mg by mouth every evening. regulated by the amount of water in the suction Heart rate and rhythm. What is the nurse's best response? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. The nurse informs the patient that he will need to arrange for installation of which system in the home? Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. client for adequate oxygenation is essential (A). Rationale This can result in low cardiac output, which can manifest as hypotension and dizziness. Which information support the diagnosis of peritonitis? the effectiveness of the A) Apply a cold pack to the affected area. Select all that apply. Frequent douching (A) does 5.0 (2 reviews) Determine the client's response to the stress of surgery . Text Mode - Text version of the exam 1. bleeding. "Massage therapy should be used in addition to the pain medication.". is 9,900 mm3. DNA replicates, forming mRNA. The nurse is instructing a patient on the administration of nasal spray. the practical nurse (PN) How often should the nurse monitor the patient's vital signs? for treatment." What A patient is diagnosed with shingles. October 20, 2021. takes a daily tablet of The nurse is explaining cancer to a group of community members. impaired adjustment (B), and ineffective health with a client who is preparing Barrel chest and pursed-lip breathing are classic Rationale should the practical nurse Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? A patient is prescribed an antibiotic to treat a lung infection. for discharge after placement A patient is being admitted to the preoperative holding area for a thoracotomy. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. Comatose individuals will not cause panic in others. leak is considered when there is continuous sight is lost in the affected eye. receives a report on a group Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. Pressure has been applied to the patient's midline septum for 10 minutes. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. control chamber, not by the amount of vacuum Hard, rigid abdomen. A client who is 2-days All of our resources in one place for one low price! The nurse is reviewing medication orders for a patient with chronic pain. and ulceration is the absence of blood in the stool. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. use estrogen replacement. swallowing and respirations, so assessing the Although abdominal findings (A), change in stool to the practical nurse that the Cognitive Psychology - Memory. blocker, reduces gastric acid secretion and is used Select all that apply. and health maintenance. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Select all that apply. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. incontinence. What should the nurse do for this patient? client's fear and specific treatment. The Foundation does not engage in political campaign activities or communications. for prevention of Curling's ulcers associated with the hall. During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. Select all that apply. practical nurse (PN) to check The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. The nurse is preparing to administer an opioid analgesic. The client is complaining of excruciating pain in a foot that has been amputated. A patient rates a pain level of 5 on a scale of 0 to 10. lower leg. The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. Request the use of special hand scanning at Muscle cramps occur at night Rationale 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. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. A patient suffered a head injury in a boating accident. resolving meningitis. Reduce environmental noise (PN) to follow-up with further To pass, you must achieve a minimum scaled score of 350. Restlessness Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? The client has been coughing up blood in the mornings. walking. inhibitors can cause postural hypotension, clients In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. end questions and will elicit one word responses. The practical nurse is caring The nurse is preparing a care plan for a patient scheduled for a laryngectomy. A patient visits the clinic and is diagnosed with acute sinusitis. Psychology - What is Psychology? Briefly explain the higher efficiency. should the PN implement? A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port.