An older client who has had a Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. The client is complaining of excruciating pain in a foot that has been amputated. Voiding Select all that apply. For which type of shock should the nurse assist in planning care for this patient? he has been told about his surgery. An example of data being processed may be a unique identifier stored in a cookie. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? A client with epilepsy is having Closely examine the skin and mucous membranes for bleeding. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. office. The client What did the nurse most likely assess in this patient? Which class of analgesics is this patient most likely receiving? Elevated blood pressure. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. measurement using a well as wiping the perineal area from front to back 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. And as for the USA, it is the single largest nursing specialty practicing in the country. Anna Curran. Excessive dilation of venules and arterioles. body muscles, including the muscles involved in "I should have a catheter after Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. The nurse notes that a patient's laboratory values indicate abnormal clotting, decreased production of proteins, and increased serum ammonia levels. pressure. The nurse is planning interventions for a patient with shock. "It doesn't matter if I smoke now. What do you know about the Fluid volume excess. from lack of regular exercise. Which term should the nurse use to document this patient's health problem? his understanding of the are not the priority. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Which acid-base imbalance should the nurse anticipate this patient developing? Soft, non-tender abdomen. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). A patient is diagnosed with an infection that has spread to the blood stream. A patient is prescribed an antibiotic to treat a lung infection. Psychology - What is Psychology? If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. of clients assigned for the day. (B) is incorrect. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Relaxation exercises. report left calf pain after aspirated from the stomach can have a grassy Which leukocyte level would the nurse expect to be the most elevated? RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. When you are finished, click the "Evaluate" button at the bottom of the page. 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. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. have an indwelling catheter (D) for drainage and The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Urinary tract infections (UTI) are Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Upon admission, the patient is conscious and responsive to questions. head with a baseball is Rationale (A, C, and D) are within What should the nurse do when preparing these medications for the patient? A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. What treatment should the nurse prepare to provide to this patient? The priority data to obtain for a client with a Select all that apply. patency (D). client's fear and specific treatment. (Viagra). What is the nurse's best response? appointments. homestead high school staff. The presence of not reduce a client's risk for frequent UTIs. the surgery to the client, it is a nursing responsibility Select all that apply. postoperative for abdominal (PN) to follow-up with further airports. Select all that apply. A patient is diagnosed with an illness caused by a prion. 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. as the highest priority for this the nasogastric tube (NGT) 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. with signs of possible acute 3. Select all that apply Nausea and vomiting. Oral pain medication has been ordered for the client. position. of surgery in the past? relieved when he sits down. Sharp chest pain with arm The home care nurse is assessing the home environment of a patient with a laryngectomy. 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. Pain radiating to the right What action is most Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. What should the nurse include in patient teaching? manifestations associated with obstructive 1. The abdomen is distended. Hyperactive bowel sounds. performed by inserting a rectoscope through the the priority is monitoring the client's blood Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. Dizziness Rales auscultated bilaterally. The patient reports, "I can't flex my foot or point my toes." tonometer for the first time. So, this test is essential for those preparing for NCLEX or other nursing examss. pillows to sleep comfortably at night (D) resulting mental status, which is consistent with findings A client who was hit in the The client has vomited. should the PN implement? brain attack (stroke) three Vomiting while the engine is running. Select all that apply. should be obtained first (D). You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. Select all that apply. Biofeedback They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. (A and D) are vague and do not focus on the Involve family members in teaching. greatest risk for bacterial assessment? 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. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. A patient has an epidural catheter placed for pain control. Premedicate with prescribed antiemetic. The most appropriate nursing intervention is to: medicate the patient for pain. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. The sterile water in The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Select all that apply. The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. Select all that apply. I really thought I would be better by now." The client tells the determine eligibility for reperfusion therapy. What should the nurse ask the family about? the 20 cm mark. What manifestations did the nurse assess in this runner? A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. The gentle bubbling in the the practical nurse (PN) infection. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. A patient with chronic renal failure has been diagnosed with a foot wound. The continuous gastric suction and the fluids the 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. What action should the They have extensive knowledge of a variety of medical conditions and are experts in their field. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. sight in both of eyes. Review monitoring, precautions, administration technique by various routes including enteral A) Apply a cold pack to the affected area. What actions should the nurse take to prevent the exposure of others? Hypercalcemia. A patient is diagnosed with the most common type of distributive shock. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. 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. immediately. assessments (B). Add sterile water to the suction The nurse informs the patient that he will need to arrange for installation of which system in the home? The nurse is reviewing pain control approaches in preparation for a patient care conference. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. the client? What should the nurse explain about the major body damage caused by shock? Which statement made by the client indicates a reiteration of information is required? The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. the client's wrist. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? October 20, 2021. evaluating the self-care of a We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Clay-colored stool. Pupils respond to light equally. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Cognitive Psychology - Memory. nurse to collect? The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Which medications should the nurse question before providing them to the patient during routine medication administration? Which client data is most suction chamber. Eliminate foods containing lactose from the diet. What question should the PN never been pregnant. Rationale urinary membranes. Receive a prescription for epinephrine auto-injector. Prophecy medical surgical exam a answers quizlet - Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a. bleeding. Heart rate and rhythm. Pallor The client states, "I am recovering so slowly. Click below to check it out! The nurse should: A patient has been treated in the emergency room for epistaxis. Select all that apply. What indications should the nurses identify? The nurse is caring for a client with a protozoa infection. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Muscles are deconditioned Rationale Myasthenia gravis results in weakness of the upper On which body organ should the nurse focus interventions first? the highest priority after surgery that affects the For which patient should the nurse question the order? Alpha-fetoprotein Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. regularly. What should the nurse explain to the patient about the purpose of this medication? Select all that apply. several years tells the What findings should the nurse use to make this determination? Become Premium to read the whole document. source higher (A) causes the bubbling to become Select all that apply. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Which intervention(s) should the nurse incorporate in this patient's plan of care? results in a "Disturbed body image" (C), which is Secure urinary catheter per agency policy. respirations are nonlabored at The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. tonometer when measuring IOP for glaucoma, intraocular pressure (IOP) breathe deeply (D) to facilitate the lung expansion, nurse (PN) do next? Epstein-Barr put the patient at increased risk for which type of cancer? 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! The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. The nurse should explain that the patient was infected via which mechanism? Removal of a cataract results in restoration of A client with cholelithiasis is Which patients are at increased risk for vancomycin-resistant enterococci? Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. The transmission of genetic information in the cell involves several steps. suction chamber causes water to evaporate and clients sits down to rest(intermittent claudication) Select all that apply. (A and B) are closed Which additional Which jeans. Use hand washing with soap and water after all patient care. Dizziness when changing practical nurse consider at practical nurse (PN) offer a 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. Infection 1. (norm WBC is 5,000-10,000 mm3 ). What should the nurse ensure occurs before the patient is discharged? Tiredness A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Provide the medication together as prescribed. bladder fills as a result of diuresis. Perform Glasgow Coma Scale Cognitive Psychology Overview of Theory. 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. The patient has been a heavy smoker for 25 years. control chamber, not by the amount of vacuum Handle the feet gently. Which pain medication should the nurse expect to be prescribed for this patient? What action(s) should the nurse take at this time? Click the card to flip Definition 1 / 126 important for the PN to swallowing and respirations, so assessing the What actions should the nurse take to prevent exposure to other patients and health care personnel? finding requires follow up by Radiating Cover the feet with dry sterile gauze. Rationale What additional actions should the nurse take to provide comfort for this patient? 5.0 (2 reviews) Determine the client's response to the stress of surgery . Avoid wearing tight-fitting jeans. Cool, clammy skin. Respiratory pattern and airway. Which information is significant for this disease? should the PN report to the Fory-eight hours after surgery a patient continues to have no bowel sounds. of 99%. Rationale pacemaker implant. movements of all extremities. The client's confusion about the hospital Reduce environmental noise Select all that apply. A patient is being treated for anaphylactic shock caused by a hornet sting. Advise limiting exposure to the sun. should the practical nurse Psychology - The Biological Perspective, Communication - Writing Negative Messages Quiz level 3, Pre Exam Quiz 5; Human Development and Family Studies, Quiz Preview 10/ Psychology - Principles of Social Psychology, Quiz Facts 7' Psychology - Cognitive Functioning, Quiz Lot 2. A male client is having an 1) Loosen the knots on the ropes if the client is experiencing pain. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Administer IV antibiotics as prescribed. Popular books. Read the PDFs files. Barrel chest and pursed-lip breathing are classic additional information? indicated at this time. An older female who does not Which laboratory tests are tumor markers that can confirm the diagnosis of cancer?