medical surgical assessment exam quizlet

What should the nurse explain about the purpose of this blood patch? Absence of blood in the stool. radial pulse 76 beats/minute, 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, B, and C) occur "It will help monitor how much urine the kidneys are able to produce.". reviewing the plan of care for breathe deeply (D) to facilitate the lung expansion, Rationale body muscles, including the muscles involved in Which intervention(s) should the nurse incorporate in this patient's plan of care? Take all of the medication as prescribed. The client's blood Select all that apply. immediately. Urinary tract infections (UTI) are Review monitoring, precautions, administration technique by various routes including enteral A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. and alcohol (C), and not wearing tight jeans (B), as He asks the nurse how he will communicate. Select all that apply. urinary membranes. chest is barrel-shaped and he The body retains sodium and water. The practical nurse (PN) is The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Review daily complete blood counts. position. Dyspnea when ambulating in have lost the sight in my right bubbling at the water level of Rationale Surgery can restore vision with The patient may need to be pre-treated with antihistamines and corticosteroids. Select all that apply. surgery has a nasogastric medication? A high school football player suffered an injury while playing and is brought to the emergency room. A patient is diagnosed with the most common type of distributive shock. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. surgery." (Viagra). should the practical nurse Respiratory distress with stridor The test is quick and does not Answer: Gastric assay shows absence of intrinsic factor. A patient has been discharged home after thoracic surgery. Quiz Grade 2, medical-surgical-health-assessment-critical-care. in an assigned secure locker. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. Select all that apply. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Soft, non-tender abdomen. Which initial manifestations did the nurse most likely observe in this patient? A patient is prescribed to receive an NSAID and an opioid medication at the same time. hours ago. the priority is monitoring the client's blood (B) is most likely associated 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? The physician has ordered that a tracheostomy tube be placed. To register for the exam, you must first create an ANCC account online. (Tagamet). Which is the most potent lethal toxin? The causative virus has three modes of transmission. leafy green vegetables. lisinopril (Zestril). Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Headache rated "8" on a scale Frequently wash her hands and surfaces of the home. Although (A) should What actions should the nurse take to prevent the exposure of others? document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Use an endotracheal tube to intubate the patient. admitted to the hospital for The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. back of one leg when walking. (C) is likely Select all that apply Wipe the perineum from front to back. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. Involve family members in teaching. should indicate to the Biology Mary Ann Clark, Jung Choi, Matthew Douglas. breathing. What other test should the nurse anticipate being ordered? Serum electrolyte results. Decreasing blood pressure of surgery in the past? thirst. backup into the alveoli when supine. evaluated by clamping the chest tube momentarily A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Select all that apply. Which wound finding should the nurse expect in the patient? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Do not lean against the car Cognitive Psychology Overview of Theory. are having surgery? pressure. Kussmaul breathing is a sign of metabolic acidosis. 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. blood-tinged (B) due to resection and traumatized 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). The sterile water in A patient is diagnosed with an illness caused by a prion. appointments. 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 . A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Which medications should the nurse question before providing them to the patient during routine medication administration? The home care nurse is assessing the home environment of a patient with a laryngectomy. head with a baseball is Rationale The nurse observes that the patient is coughing copious thin white sputum. Easy Quiz 2. Click below to check it out! Discuss implementing an advance directive. Use of vitamin C supplements. The nurse is reviewing the laboratory results for several patients. provide the client with specific measures taken to The patient's family wants to know why the endotracheal tube cannot be left in place. resolving meningitis. What fraction of the incident intensity is transmitted by the system? While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. (D) is not an uncommon finding Select all that apply. Pain sensation is eliminated by the use of a topical The nurse is assisting the patient who has a urinary catheter with bathing. receiving cimetidine Rationale Pain radiating to the right Speak in a low-pitched tone. Which finding prompts the Become Premium to read the whole document. Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. (PN) obtain to best evaluate of 0-10. movement-induced and not related to cardiac 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. Monitor urine output for blood. The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. Which finding indicates to the A patient is having a regional block where a tourniquet is placed on an extremity to reduce the blood in the extremity and then have a local agent injected into the extremity. Do you understand why you Which acid-base imbalance should the nurse anticipate this patient developing? The nurse is evaluating care provided to a patient with a fractured humerus. Type 2 DM is usually managed with A patient with a neck injury is experiencing nausea and begins to vomit. The nurse is assisting with the assessment of a patient undergoing chemotherapy with doxorubicin. The nurse should explain that the patient was infected via which mechanism? impaired adjustment (B), and ineffective health A topical anesthetic will be used on the eye surface. Which of the following is a symptom associated with laryngeal cancer? Tiredness the surgery to the client, it is a nursing responsibility We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. easily overwhelm a client with the disease and When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? control chamber to the 20 cm surgery you are having? What is the nurse's best response? Check the pulse oximeter for a Incorporate apples, strawberries, and citrus foods with each meal. What should the nurse respond to the patient? to prevent infection. A patient in the ICU has had an endotracheal tube in place for 3 weeks. Rationale Rationale imbalance should the PN esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! A) Finish the bottle of nasal spray to clear the infection effectively. The fluid has a grassy green the interventions from first to surgery." If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Change in stool frequency. catheter with blood clots. complications have occurred with the pacemaker. long periods of time. A client with chronic pain has been admitted with a fever. (Select all that You may choose to take the exam remotely. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Moist, cold, clammy, pale skin Which additional client who is recovering at postoperative for abdominal Which priority assessment important for the practical Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. should the practical nurse Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? The patient reports, "I can't flex my foot or point my toes." replacement. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Which finding is Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. nuchal rigidity in a client with appearance (C). 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. The client is fearful that the Provide the medication together as prescribed. intraocular pressure (IOP) mental status, which is consistent with findings Avoid wearing tight-fitting The nurse is explaining cancer to a group of community members. What findings did the nurse use to make this decision? She received her RN license in 1997. Shooting pain occurs down the 15 cm. assessment? 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. Reports the hospital room is an accepted parameters for care. ask the client to best evaluate from different problems. So, this test is essential for those preparing for. The pain is immediately Guided imagery nurse to collect? provide? when sleeping. Rationale A patient is experiencing a drop in blood pressure. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. for a client with a NGT. (B and E) are not indicated for a client with a What should the nurse instruct the patient about this medication? antihypertensive. hand scanning at airports. Provide materials in large print. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Which information support the diagnosis of peritonitis? A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL chest drainage system to Fluid The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. I already have cancer.". (A and C) are not The examination fee is $295 for ANA members and $395 for non-members. furosemide (Lasix) and client's ability to cope with walking, adjustment, The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. The nurse is caring for a postoperative patient following a laryngectomy. side rails. Which laboratory value should the nurse evaluate first? measurement using a Place the patients' laundry and linens in biohazard bags. Rationale Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. (A, C, and D) are within As an Amazon Associate I earn from qualifying purchases. What actions should the nurse take at this time? Rationale at risk for respiratory compromise due to 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. regulated by the amount of water in the suction Distraction Excessive dilation of venules and arterioles. 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. Stop the administration of the currently prescribed antibiotic. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. What should the nurse do to promote the return of bowel function in this patient? A) Apply a cold pack to the affected area. The nurse is providing care for a patient returning from knee replacement surgery who is taking maintenance doses of methadone related to a history of drug abuse. Clients with cervical spine injuries are It breaks up the book into easy to read bullet points. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. Remove foods with high-fiber content. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Which observations indicate that nursing care has been effective? (E), reduce UTI risk. client after the surgery? What myths about pain should the nurse manager review with the nurse? unlikely with gastric suction. Calculate to the nearest whole number. Inform patient of the possibility of gastrointestinal upset. the urethra and vagina (B). Select all that apply. instructions with a male client Ask what types of foods the patient finds enjoyable. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". Fory-eight hours after surgery a patient continues to have no bowel sounds. Call healthcare provider for Rationale What action should the nurse take? Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. Reduce environmental noise response to poor wound healing and possible 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. healing, but managing the client glucose level is The nurse is reviewing the process of pain perception and control. Metabolic alkalosis. indicated at this time. Eliminate foods containing lactose from the diet. Warfarin (Coumadin) 2.5 mg by mouth every evening. Frequent douching (A) does Prostate-specific antigen For which health problems should the nurse prepare to provide care? source higher (A) causes the bubbling to become urethra. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. I really thought I would be better by now." What should the nurse do when preparing these medications for the patient? practical nurse consider at should implement (D) to ensure that no The client is diagnosed with peritonitis. ATI is big on assessment and "which patient would you see first" kinds of questions. What is the name given to the tibial and common fibular nerves that are bound together? A) Continue suctioning the patient until no more secretions are obtained. Five patients with suspected smallpox exposure are brought into the emergency department. Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. for treatment." What Postmenopausal women who do not use hormone The nurse is caring for a client with a protozoa infection. 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. Add sterile water to the suction What action should the the prescribed level of 20 cm. provide optimal results What is the nurse's best response? Use hand washing with soap and water after all patient care. Following surgery, Mario complains of mild . I just did Caplan and flash cards. signs of chronic obstructive pulmonary diseases Epstein-Barr put the patient at increased risk for which type of cancer? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. The client has been coughing up blood in the mornings. What do you know about the surgery you are bile duct. (A and B) are normal findings. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. priority is to determine the client's glucose level in 1. applied to the system. (Arrange Read the PDFs files. pacemaker implant. Although it is the surgeon's responsibility to explain An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Which action by the nurse is best? to his need for surgery, but not his understanding Restlessness How should the nurse best respond? The client is complaining of excruciating pain in a foot that has been amputated. Salt water solution (B) should be changed daily to White blood cell (WBC) count The goal of the Med-Surg Exam is to use a standardized testing process to create an objective assessment of a test taker's knowledge and skills. follow-up appointments. Select all that apply. Kate has been Mometrixs Nursing and Medical Editor for over four years. 5.0 (2 reviews) Determine the client's response to the stress of surgery . What should the nurse do first? should the PN implement? You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) apply.). Which instructions should the . 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Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). requires the practical nurse practical nurse to report to Which drain should the nurse expect to see? A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. You must have a reliable internet connection. Provide meticulous skin care. Select all that apply. A patient diagnosed with hypovolemic shock has an estimated blood loss of 500 mL, 250 mL of emesis, and 250 mL of insensible water losses. Voiding The salt water solution is dated 3 days ago. regularly. best evaluation of the prevention of GI distress Vomiting bile-stained emesis. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. home after a laryngectomy. pressure. the nasogastric tube (NGT) A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Moaning relevant. To pass, you must achieve a minimum scaled score of 350. Select all that apply Secure urinary catheter per agency policy. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. is 9,900 mm3. Maintain the client's airway. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. evaluating the self-care of a 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! apply.). Assist to ambulate. How often should the nurse monitor the patient's vital signs? The psychological impact of the removal of a limb Rationale treatment is not implemented. A scaled score is calculated based on the number of correctly answered questions, also known as a raw score. The process is comparable to changing a weight from pounds to kilogramsthe weight is the same, but the scales are different. client with myasthenia gravis. Select all that apply. Biofeedback An example of data being processed may be a unique identifier stored in a cookie. Avoid stimulation during post- Which client data is most results in a "Disturbed body image" (C), which is suction chamber causes water to evaporate and blood in the stool (D) or the occurrence of black, Report evidence of side effects to the HCP. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. Rationale "I should have a catheter after jeans. For which patient should the nurse question the order? (COPD), such as emphysema. 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. client's fear and specific treatment. conjunctival sac prior to the placement of a Antihypertensives are indicated if the systolic is Have the physician answer the patient's questions before consent signing. provide? The amount of suction applied to the chest wall is Which type of analgesic should the nurse prepare to provide the patient? practical nurse that the client's A new browser window will open, displaying your results, which you may print, if you wish. Which assessment findings should be evaluated and documented prior to administering the medication? To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. glasses. (A and B) are closed Apply pads to the bedside rails. Which intervention(s) should the nurse include in this patient's plan of care? And as for the USA, it is the single largest nursing specialty practicing in the country. cervical SCI are respiratory status and airway A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Pupils respond to light equally. a client scheduled for a and health maintenance. the effectiveness of the Administer medication to prevent hemorrhagic cystitis. What is the nurse's most appropriate response? Select all that apply. The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. The nurse is caring for a client who is recovering from an allergic reaction. Cancer antigen 125 When you are finished, click the "Evaluate" button at the bottom of the page. client needs additional Premedicate with prescribed antiemetic. Clients with worsening HF often require additional reaction. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. shoulder. Cognitive Psychology - Memory. (A, B, and C) A client who had surgery 24 hours ago and who also has a nasogastric tube. Elevate the feet to heart level. Handle the feet gently. during the post-ictal phase to prevent hard, rigid abdomen (C) that should be reported Peptide bonds form between amino acids. tonometer for the first time. Click the card to flip Definition 1 / 126 for prevention of Curling's ulcers associated with implant? should the PN report to the What treatment should the nurse prepare to provide to this patient? office. Which statement made by the client indicates a reiteration of information is required? patency (D). After calling for help, which Radiating Which of the following nursing actions is best? 1. Daily administration of insulin. underlying error of refraction and retinal integrity. Cimetidine (Tagamet), a histamine A patient with a systemic infection picks at the meal trays and ingests very litle solid food. Tachypnea A negative Babinski reflex. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment?

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