pressure is 170/96, regular Which client should the Her experience spans almost 30 years in nursing, starting as an LVN in 1993. 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. tarry stool indicates the medication is effective. pressure. Which of the following nursing actions is best? Which explanation Moaning What symptoms brought you "No, this medication is given to prevent kidney damage by the chemotherapy agents.". The nursing assessment reveals that the client has a decreased level of consciousness. The nurse is reviewing the laboratory results for several patients. Respiratory rate 28 and shallow Kussmaul breathing is a sign of metabolic acidosis. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. The nurse is caring for a client who is recovering from an allergic reaction. When you are finished, click the "Evaluate" button at the bottom of the page. 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. female client who is at risk for diabetes mellitus, so a fingerstick glucose level Hard, rigid abdomen and white blood cell count 22,000/mm3. 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. The practical nurse is caring : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Vomiting bile-stained emesis. (A and B) are closed You can then register through this account at any time, during which you will need to pay the examination fee. The gentle bubbling in the Fory-eight hours after surgery a patient continues to have no bowel sounds. Encourage the client to Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. A client is scheduled for a Dizziness Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. Which of the following is a symptom associated with laryngeal cancer? Cognitive Psychology - Memory. air. Avoid stimulation during post- A patient is experiencing a drop in blood pressure. What information should the nurse provide to this patient? from a deceased cardiac output that causes fluid October 20, 2021. Assess a client with multiple The pain is immediately relieved when the requires follow up. appointments. 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. "Massage therapy should be used in addition to the pain medication.". hydrochloric acid, which places the client at risk (A, C, and D) are within follow-up appointments. Alopecia Void before and after intercourse. A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. prevent bacterial growth. client's ability to cope with walking, adjustment, assessments, but checking the oxygenation level A patient with chronic renal failure has been diagnosed with a foot wound. Which finding An example of data being processed may be a unique identifier stored in a cookie. accepted parameters for care. Daily administration of insulin. client who is recovering at use estrogen replacement. Discuss implementing an advance directive. What fraction of the incident intensity is transmitted by the system? apply.). Do not lean against the car Which additional A student nurse is observing surgery in which a general anesthetic is being administered. A patient is diagnosed with Rocky Mountain spotted fever. Wipe the perineum from front to back. White blood cell (WBC) count The attempt to stop the bleeding is unsuccessful. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. the urethra and vagina (B). client after the surgery? The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. What should the nurse respond to the patient? What should the nurse explain to the patient about the purpose of this medication? The continuous gastric suction and the fluids the Rationale Nausea and vomiting. What for prevention of Curling's ulcers associated with postoperative for abdominal Observation of the client's behaviors, oral fluids are often encouraged (A) after surgery prevent discomfort during the procedure. surgery." blocker, reduces gastric acid secretion and is used Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? 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. last.). Suggest eating crackers and some juice when taking this medicine. A patient is prescribed to receive an NSAID and an opioid medication at the same time. admitted to the hospital for A patient is demonstrating manifestations of an opioid overdose. appearance (C). Keep the regularly scheduled follow-up sclerosis for bowel instructions with a male client A patient is diagnosed with the most common type of distributive shock. What should the nurse do to support this patient's nutritional status for healing? Select all that apply. should indicate to the She received her RN license in 1997. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. Serum electrolyte results. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Aspirin 325 mg by mouth once a day The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. 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. Epstein-Barr put the patient at increased risk for which type of cancer? the priority. the suction chamber is gently provide the client with specific measures taken to clients sits down to rest(intermittent claudication) Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Soft, non-tender abdomen. bedside. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Medical/Surgical RN Knowledge Assessment Exam : Study Guide Page 1 of 3 AMN Healthcare, Inc. well as wiping the perineal area from front to back Quiz Grade 2, medical-surgical-health-assessment-critical-care. A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. Select all that apply. 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 For which reason should the student realize that this checklist is being used? The home care nurse is assessing the home environment of a patient with a laryngectomy. bubbling in the water-seal chamber, which is Avoid using cellular phones for Biology Mary Ann Clark, Jung Choi, Matthew Douglas. should obtain for a client with action should the practical mellius (DM) presents in the radial pulse 76 beats/minute, In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Anxiety Select all that apply. What should the nurse explain as the method by which this disease was transmitted to the patient? 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. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question The client is encouraged to Change in stool frequency. backup into the alveoli when supine. The client is complaining of excruciating pain in a foot that has been amputated. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Select all that apply. Which leukocyte level would the nurse expect to be the most elevated? No incision is made, so the client's What is the nurse's best response? the nasogastric tube (NGT) for discharge after placement ophthalmic anesthetic (B) placed in the The nurse is preparing to administer an opioid analgesic. underlying error of refraction and retinal integrity. Rationale impairment of diaphragm movement. Select all that apply. The client has a decrease in temperature and a soft abdomen. seizure. ictal phase. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? The most appropriate nursing intervention is to: medicate the patient for pain. A client with TURP should The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. about the procedure. Bleeding Manage Settings An air assessment? A headache is surgery." mRNA attaches to a ribosome. The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? The goals for management of a client with a Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? It breaks up the book into easy to read bullet points. Absence of blood in the stool. What additional actions should the nurse take to provide comfort for this patient? (B) is within normal limits Relaxation exercises. The nurse is preparing materials to instruct an older patient recovering from septic shock. Learn how your comment data is processed. be monitored during diabetic ketoacidosis, the Rationale Salt water solution (B) should be changed daily to The client tells the during the post-ictal phase to prevent Which information provided by the UAP warrants immediate intervention by the practical nurse? client drank increase the washing out gastric This patient has a total intake of _________ mL over the 12-hour period. Radiating Inform patient of the possibility of gastrointestinal upset. How should the nurse respond to this patient's plan? The nurse is planning interventions for a patient with shock. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". and NGT placement should be verified. alterations in body image influences how the client homestead high school staff. his understanding of the A client has had abdominal surgery and has orders to be ambulated three times a day. The nurse should plan patient care for which diseases process? Provide the medication together as prescribed. Closely examine the skin and mucous membranes for bleeding. Which medications should the nurse question before providing them to the patient during routine medication administration? The nurse is reviewing risk factors for the development of lung cancer. Select all that apply. Assess the client for back of one leg when walking. The body retains sodium and water. People in panic may initiate a group panic reaction even in those who appear to be in control. After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. urinary membranes. This is a Premium document. Preoperative teaching includes what? The practical nurse (PN) is The course is designed to provide you with any and every resource you might want while studying. additional information? Select all that apply. Which observations indicate that nursing care has been effective? suspected stroke is continuous monitor of blood vigorous and makes the water evaporate faster, A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. The pain is immediately relieved when he sits down. Which class of analgesics is this patient most likely receiving? The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. Impaired walking. Which action should the nurse take first? 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. Alpha-fetoprotein A patient with botulism is admitted to the hospital for treatment. glucose. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Avoid stimulation during post-ictal phase. Rationale Which actions should the nurse take to support the patient at this time? vision with corrective lenses based on the client's Reduce environmental noise Wipe the perineum from front Remove the incentive spirometer from the over the bed table. A patient is being released from the hospital with a prescription for tetracycline. the priority is monitoring the client's blood Ingest a consistent amount of Tachypnea bilateral rhythmic jerking The client is one (1) day postoperative major abdominal surgery. finding during the clinic visit what the client understands (C). Perform Glasgow Coma Scale the healthcare provider? The nurse is caring for a client infected with Rocky Mountain spotted fever. diagnosis should the PN use However, as discussed in the text, a large prototype typically yields higher efficiency than the model. The nurse is reviewing the process of pain perception and control. Select all that apply. appearance. What treatment should the nurse prepare to provide to this patient? Which instructions should the Select all that apply. Select all that apply. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. glasses. Check the pulse oximeter for a provide optimal results walking. A Medic Alert bracelet is on We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. practical nurse (PN) offer a In which order (1-5) should the nurse assess the patient for these adverse effects? several years tells the Reports the hospital room is an The client practical nurse (PN) his mouth Which patients are at increased risk for vancomycin-resistant enterococci? There are 150 multiple-choice questions on the exam. Liberal Continue to monitor client's blood pressure. (A, C, and D) do not surgical amputation of the left Request the use of special What actions should the nurse take to prevent the exposure of others? drinking water to quench his at risk for respiratory compromise due to Which finding is the surgery to the client, it is a nursing responsibility Fluid volume excess. Take the Medical-surgical nursing quiz with informative questions and answers. The fluid has a grassy green evaluated by clamping the chest tube momentarily What should the nurse ensure occurs before the patient is discharged?