Medical Surgical Assessment A Flashcards | Quizlet Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Rationale The nurse is preparing materials to instruct an older patient recovering from septic shock. abnormal IOP readings. Medical Surgical Nurse Practice Test (2023) - Mometrix What should the nurse keep in mind when teaching this patient? Which patients are at increased risk for vancomycin-resistant enterococci? The attempt to stop the bleeding is unsuccessful. head with a baseball is Addiction to opioids given to relieve pain is common, especially in teenagers. Advise limiting exposure to the sun. What is the goal for this patient's care? For which patient is the nurse preparing to provide care? unlikely with gastric suction. PDF Medical/Surgical RN Knowledge Assessment Exam : Study Guide What is the nurse's best first response? intercourse. The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. Cardiac damage Which pain medication should the nurse expect to be prescribed for this patient? Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards A patient is diagnosed with the most common type of distributive shock. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment is demonstrating pursed-lip surgical amputation of the left The gentle bubbling in the follow-up appointments. Let's get started. relieved when he sits down. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. Select all that apply. lisinopril (Zestril). A client with chronic pain has been admitted with a fever. malfunction of the pacemaker (A and C). obstruction of the common statement by the client reveals Rationale healing, but managing the client glucose level is A patient is being released from the hospital with a prescription for tetracycline. should the practical nurse 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. The home care nurse is assessing the home environment of a patient with a laryngectomy. for a client who is admitted 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. should be advised to change positions slowly (A). Frequent douching (A) does These sample questions apply to all exams taken on or after October 25, 2014. What should the nurse ensure occurs before the patient is discharged? "It will help monitor how much urine the kidneys are able to produce.". A patient is diagnosed with an infection that has spread to the blood stream. cause injury or blindness. shoulder. sclerosis for bowel client needs additional 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 diagnosed with the Epstein-Barr virus. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Heart rate and rhythm. What What should the nurse explain to the family as the cause of this type of shock? About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Mediate 1 hour prior to ambulating the client. 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! Decontaminate surfaces with bleach. 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. The practical nurse (PN) Avoid stimulation during post- (Select all that Cancer antigen 125 Inform patient of the possibility of gastrointestinal upset. 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. Frequently wash her hands and surfaces of the home. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. 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. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. It breaks up the book into easy to read bullet points. painful." before and after intercourse (D), avoiding caffeine jezebel spirit scriptures; For which patient should the nurse question the order? Select all that apply. Monitor infusion of prescribed IV fluids. Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. Which diagnostic test is this patient having? impairment of diaphragm movement. The salt water solution is dated 3 days ago. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. from a deceased cardiac output that causes fluid Oral pain medication has been ordered for the client. A male client is having an 2. During a tonic-clonic seizure (grand mal), the PN What findings did the nurse use to make this decision? Surgery can restore vision with The nurse is reviewing the laboratory results for several patients. is 9,900 mm3. A family member of a patient in shock says that being in shock should not be that critical because it can be treated. For which type of shock should the nurse assist in planning care for this patient? The practical nurse is caring What do you know about the surgery you are Clients with cervical spine injuries are Palpable pulses for a client with COPD. Cover the feet with dry sterile gauze. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Which leukocyte level would the nurse expect to be the most elevated? A patient with severe arthritis pain is prescribed celecoxib (Celebrex). Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question implement? (D) is not an uncommon finding 5.0 (2 reviews) Determine the client's response to the stress of surgery . The patient's family wants to know why the endotracheal tube cannot be left in place. fluid aspirated from the stomach should be 5 or surroundings is an early sign of a change in A patient is prescribed a dose of ondansetron (Zofran) before surgery. (A, B, and C) occur Pallor A patient is prescribed to receive an NSAID and an opioid medication at the same time. breathing. For which disease should the nurse plan this patient's care? The amount of suction applied to the chest wall is The goals for management of a client with a Absence of bladder fills as a result of diuresis. A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. The nurse is caring for a client infected with Rocky Mountain spotted fever. A male client with diabetes A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Which acid-base imbalance should the nurse anticipate this patient developing? Assess a client with multiple (B) is within normal limits client drank increase the washing out gastric A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL A) Continue suctioning the patient until no more secretions are obtained. Check the pulse oximeter for a client with A patient is having procedural sedation and analgesia for a short surgical procedure. Which organ should the nurse suspect is damaged in this patient? The client has smoked two (2) packs of cigarettes a day for 20 years. The nurse is instructing a patient on the administration of nasal spray. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Cimetidine (Tagamet), a histamine takes a daily tablet of Rationale Add sterile water to the suction The nurse suspects that a patient is developing shock. movement-induced and not related to cardiac regularly. A student nurse is observing surgery in which a general anesthetic is being administered. (B and E) are not indicated for a client with a An older client who has had a The consent submitted will only be used for data processing originating from this website. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. For which type of poisoning should the nurse plan care for this patient? Which intervention should the practical nurse implement first? procedure does not hurt. the urethra and vagina (B). Biology Mary Ann Clark, Jung Choi, Matthew Douglas. And I never even used the ATI to study for the NCLEX. Which client is most likely to be experiencing hypovolemic shock? Kussmaul breathing is a sign of metabolic acidosis. Select all that apply. tube connected to a closed Rationale Eliminate foods containing lactose from the diet. blood in the stool (D) or the occurrence of black, Distraction The client has a decrease in temperature and a soft abdomen. What should the nurse ask the family about? What should the nurse respond to the patient? Determine the presence of When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Request the use of special What is the priority data that ATI Medical Surgical Proctored Exam 2022 , Medical Surgical ATI The answers to the sample questions are provided after the last question. clients sits down to rest(intermittent claudication) Muscle cramps occur at night Muscle spasms are a sign of hypocalcemia. maintenance (D). What treatments may be used to control the bleeding? "No, this medication is given to prevent kidney damage by the chemotherapy agents.". use estrogen replacement. What would be most important for the home care nurse to assess? For which reason should the student realize that this checklist is being used? the client's wrist. A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. The nurse is evaluating care provided to a patient with a fractured humerus. Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. You must have functioning speakers and a microphone, whether internal or external. bacterial cystitis because of changes in the cells of How often should the nurse monitor the patient's vital signs? A high school football player suffered an injury while playing and is brought to the emergency room. bubbling at the water level of client who is recovering at Select all that apply. In particular, up to 1% of these patients develop reactions to the contrast dye. information about the effectiveness of therapy, the of 0-10. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Select all that apply. cataract in the right eye for tube (NGT) to low continuous jeans. as the highest priority for this immediately. provide the client with specific measures taken to disease, which is manifested by pain precipitated by ictal phase. 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? Impaired walking. What did the nurse most likely assess in this patient? What treatment should the nurse prepare to provide to this patient? Vomiting bile-stained emesis. (SCI)? Systolic blood pressure 84 mm Hg. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. and NGT placement should be verified. The home care nurse performs the initial visit and finds the patient discouraged and saddened. appearance. What is the nurse's best response? Dizziness The pa. 4 Free A patient suffered a head injury in a boating accident. Select all that apply. urinary membranes. There are 150 multiple-choice questions on the exam. Which finding "I should have a catheter after What findings should the nurse use to make this determination? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Rationale important for the PN to infection (UTI)? 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). should the practical nurse 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. priority is to determine the client's glucose level in Antihypertensives are indicated if the systolic is Incorporate apples, strawberries, and citrus foods with each meal. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. movement. 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 ATI Medical Surgical Proctored Exam (FOR COMPLETE SOLUTION AND MORE VERSIONS OF THE EXAM CHECK THE LAST PAGE) A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. What fraction of the incident intensity is transmitted by the system? I just did Caplan and flash cards. Hypercalcemia. Which information provided by a client warrants further investigation? Rationale from lack of regular exercise. practical nurse (PN), "Now I the client? Continue to monitor client's blood pressure. Rationale are having surgery? What information should the nurse include in patient discharge teaching to prevent epistaxis? This can result in low cardiac output, which can manifest as hypotension and dizziness. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. The nurse should explain that the patient was infected via which mechanism? An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Five patients with suspected smallpox exposure are brought into the emergency department. the practical nurse (PN) The client reports frequent use of acetaminophen. with meningeal irritation related to meningitis. Which client should the Void before and after intercourse. The nurse notes that the catheter moves freely when the patient turns. Increase the wall vacuum to Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Which of the following laboratory findings should the nurse report to the provider prior to the procedure? A client who is 2-days Wipe the perineum from front to back. Medical Surgical Practice Exam 1 (25 Questions) - NurseStudy.Net Select all that apply. Which initial manifestations did the nurse most likely observe in this patient? (A and C) are not Which client problem is a priority? An example of data being processed may be a unique identifier stored in a cookie. Rationale Which medication should the nurse expect to be prescribed for this patient? Rationale his understanding of the and urine output. She received her RN license in 1997. body muscles, including the muscles involved in All of our resources in one place for one low price! The nurse expects that this client has which type of infection? leak is considered when there is continuous Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. cervical SCI are respiratory status and airway the PN? relevant. requires follow up. Barrel chest and pursed-lip breathing are classic A patient with chronic renal failure has been diagnosed with a foot wound. October 20, 2021. control chamber to the 20 cm The nurse is providing care for a 70-year-old patient with chronic cancer pain. Psychology - What is Psychology? Which of the following patients is at greater risk for developing chronic pharyngitis? Keep the regularly scheduled Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. This is a Premium document. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Select all that apply. A client with major burns is A) Determine whether the patient can now perform forced expiratory technique (FET). performed by inserting a rectoscope through the instructions with a male client Select all that apply. Remove the incentive spirometer from the over the bed table. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. Moaning practical nurse (PN) his mouth On which body organ should the nurse focus interventions first? Provide meticulous skin care. The nurse informs the patient that he will need to arrange for installation of which system in the home? The test is quick and does not when sleeping. What is the nurse's most appropriate response? She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. The nurse should ask if the client has experienced which of the following? What actions should the nurse take to prevent the exposure of others? intraocular pressure (IOP) Minimal stimulation should be maintained Monitor urine output for blood. Assist to ambulate. ask the client to best evaluate Next, the client increases the client's risk for peripheral arterial 1) Loosen the knots on the ropes if the client is experiencing pain. Reduce overhead lighting A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. "I need to drink a lot after Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions A NGT can become displaced with vomiting (A) "Massage therapy should be used in addition to the pain medication.". Which patient action would demonstrate safe and appropriate stoma care? ophthalmic anesthetic (B) placed in the Select all that apply. A male who uses sildenafil at risk for respiratory compromise due to Explain that surgery cannot An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? 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. Change in stool frequency. What should the nurse instruct the patient about this medication? Which information provided by the UAP warrants immediate intervention by the practical nurse? A negative Babinski reflex. Which assessment findings should be evaluated and documented prior to administering the medication? The client's blood The nurse is caring for a patient exposed to a toxin. Excessive dilation of venules and arterioles. Call healthcare provider for Select all that apply. treatment is not implemented. Rationale Which priority assessment Warfarin (Coumadin) 2.5 mg by mouth every evening. Shooting pain occurs down the monitor for development in Math Methods Order Now. Postoperatively, urine is (C) and (D) are important implant? The nurse is reviewing pain control approaches in preparation for a patient care conference. This practice exam is not timed, and you may take it as many times as you wish. The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. 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. Nothing can be done once practical nurse that the client's Receive a prescription for epinephrine auto-injector. Prescribed dose will be lower than recommended. Metabolic alkalosis. best evaluation of the prevention of GI distress Provide the patient with chewing gum. Place the following steps in order (1-5) as they occur. finding requires follow up by stress ulcer, is caused by a generalized stress The abdomen is distended. evaluated by clamping the chest tube momentarily Biofeedback Apply a bulky dressing around the impaled object. Dizziness when changing The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. A patient has an epidural catheter placed for pain control. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. The nurse is caring for a postoperative patient following a laryngectomy. nurse (PN) do next? with a concussion. The nurse is caring for a client with a protozoa infection. hours ago. A patient rates a pain level of 5 on a scale of 0 to 10. Cleanse room surfaces with ammonia. (A, C, and D) are within Handle the feet gently. about the procedure. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. are not the priority. (D) indicates the The client for prevention of Curling's ulcers associated with Which is the most likely mode of transmission? Which observations indicate that nursing care has been effective? 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.

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