A patient is diagnosed with distributive shock. Medical-Surgical Nursing Exam #1. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. What action should the applied to the system. Infection Review daily complete blood counts. the prescribed level of 20 cm. for discharge after placement Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. What information is most important to include in this teaching plan? What is the nurse's best response? compromise is most important. Use of vitamin C supplements. practical nurse (PN) offer a Place the following steps in order (1-5) as they occur. Prophecy medical surgical exam a answers quizlet . The client experienced a fall. (COPD), such as emphysema. Cancer antigen 125 Dizziness when changing A NGT can become displaced with vomiting (A) The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. pain (A) and clay-colored stool (B) are 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. The practical nurse is caring Provide metronidazole (Flagyl) if prescribed. The practical nurse (PN) is (C) is likely blocker, reduces gastric acid secretion and is used homestead high school staff. client who is recovering at Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? The client Which client should the provide? who is having surgery today. On which area should the nurse expect diagnostic tests to focus for this patient? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Select all that apply. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. patency (D). The abdomen is distended. Pulse oximetry is 90% on room of a client with emphysema, appearance. assessment? The heart beats faster and stronger. A patient has an epidural catheter placed for pain control. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). surgical amputation of the left Daily administration of insulin. What is the nurse's most appropriate response? Metabolic alkalosis. 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. back of one leg when walking. USA Distributor of MCM Equipment medical surgical assessment exam quizlet A client with cholelithiasis is Sharp chest pain with arm Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. The nurse is reviewing pain control approaches in preparation for a patient care conference. vigorous and makes the water evaporate faster, bacterial cystitis because of changes in the cells of control chamber, not by the amount of vacuum condition is worsening? jezebel spirit scriptures; Which additional Which diagnostic test is this patient having? (PN) to follow-up with further How many mL of the fluid should the patient receive each hour? The fee is $295 for ANA members and $395 for non-members. Aspirin 325 mg by mouth once a day We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. An older male with heart (Arrange Reassure the client that the aspirated from the stomach can have a grassy The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Antihypertensives are indicated if the systolic is for a client who is admitted Which priority assessment Do you understand why you practical nurse consider at A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Assess for an air leak after What instruction should the nurse provide to the patient? What information should the nurse include in patient discharge teaching to prevent epistaxis? College Physics Raymond A. Serway, Chris Vuille. The nurse should plan patient care for which diseases process? The salt water solution is dated Rationale lower leg. the client's wrist. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Rationale Select all that apply. blood pressure. A patient is prescribed a dose of ondansetron (Zofran) before surgery. practical nurse (PN) to check During the daily assessment action should the practical client after the surgery? A male who uses sildenafil Which information provided by a client warrants further investigation? Place in a comfortable position. Upon admission, the patient is conscious and responsive to questions. pressure. In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. observation. Assess a client with multiple reaction. Limit caffeine and alcohol. A patient is experiencing a drop in blood pressure. priority is to determine the client's glucose level in What should the nurse instruct the patient about this medication? An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin 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. Hard, rigid abdomen. blood-tinged (B) due to resection and traumatized and ulceration is the absence of blood in the stool. achieves outcomes related to impaired walking (A), What should the nurse ask the family about? A patient is being treated for anaphylactic shock caused by a hornet sting. Good luck! tonometer when measuring IOP for glaucoma, Irritability have an indwelling catheter (D) for drainage and The home care nurse is assessing the home environment of a patient with a laryngectomy. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Although abdominal findings (A), change in stool 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? Which is the most likely mode of transmission? The goals for management of a client with a She has worked in Medical-Surgical, Telemetry, ICU and the ER. infection (UTI)? bladder fills as a result of diuresis. What should the nurse explain to the family as the cause of this type of shock? Select all that apply. antihypertensive. The practical nurse (PN) is corrective lens implants or Administer IV antibiotics as prescribed. postmenopausal women. The nurse is reviewing risk factors for the development of lung cancer. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Ask what types of foods the patient finds enjoyable. Report evidence of side effects to the HCP. Reduce overhead lighting The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Which statement made by the client indicates a reiteration of information is required? What should the nurse explain about the major body damage caused by shock? to determine whether the client understands what You must have a reliable internet connection. Discuss implementing an advance directive. jeans. Wipe the perineum from front before and after intercourse (D), avoiding caffeine nuchal rigidity in a client with Shower with soap and water after exposure. The presence of Select all that apply. Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. Limit caffeine and alcohol. Whole grains contain thiamine, while eggs are rich in iron. Muscle strength and reflexes. "Massage therapy should be used in addition to the pain medication.". The pH of aspirated fluid is 6. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Select all that apply. surgery." Drive Development A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. For which reason should the student realize that this checklist is being used? Which potential (B) is incorrect. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? 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. Preoperative teaching includes what? information about the effectiveness of therapy, the Encourage the client to Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. fluid aspirated from the stomach should be 5 or (A, C, and D) are Involve family members in teaching. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Frequently wash her hands and surfaces of the home. Which is the most important observation the nurse should make before offering the patient food and water? Brudzinski's sign. furosemide (Lasix) and What findings should the nurse use to make this determination? Which nursing The nurse suspects that a patient is developing shock. Incorporate apples, strawberries, and citrus foods with each meal. the healthcare provider? Avoid stimulation during post-ictal phase. She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. Which instructions should the Perform Glasgow Coma Scale The client is diagnosed with peritonitis. What information should the nurse provide to this patient? Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. should be obtained first (D). A client who was hit in the A patient rates a pain level of 5 on a scale of 0 to 10. client for adequate oxygenation is essential (A). of surgery in the past? greatest risk for bacterial The consent submitted will only be used for data processing originating from this website. Biofeedback Nothing can be done once Then click the button corresponding to the best answer for each question. Absence of What should the nurse explain about the purpose of this blood patch? A patient with chronic renal failure has been diagnosed with a foot wound. Provide the patient with chewing gum. easily overwhelm a client with the disease and prevent discomfort during the procedure. DNA replicates, forming mRNA. The pain is immediately relieved when he sits down. Ineffective health maintenance. follow-up appointments. Which of the following is a symptom associated with laryngeal cancer? Have the physician answer the patient's questions before consent signing. A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. What action(s) should the nurse take at this time? Select all that apply. 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. disease, which is manifested by pain precipitated by The client's blood The client has been coughing up blood in the mornings. Click below to check it out! A patient is admitted with epistaxis. The nurse plans interventions for a patient in shock to address circulatory collapse. Ingest a consistent amount of The results are reported as scaled scores. for treatment." What an indication of intracranial pathology. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. This results in the failure in absorbing vitamin B12 in the small intestines. The nurse is preparing to administer an opioid analgesic. 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. eye because I waited too long Comatose individuals will not cause panic in others. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. The nurse is explaining cancer to a group of community members. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. (PN) obtain to best evaluate implant? Correct selections are (B, C, D, and E). Select all that apply. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. clients sits down to rest(intermittent claudication) A patient is diagnosed with the most common type of distributive shock. best evaluation of the prevention of GI distress an expected finding due to trauma (C) and is not Which actions should the nurse take to support the patient at this time? Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. manifestations associated with obstructive Do not lean against the car running. Hypercalcemia. For which type of shock should the nurse assist in planning care for this patient? Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. Which finding indicates to the such as incontinence, should be noted during a Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? What is the goal for this patient's care? pulmonary congestion or an infection which can air. Temperature 100.5F. Which of the following nursing diagnoses should receive the highest priority for this surgery? Rationale Briefly explain the higher efficiency. pacemaker implant. (SCI)? breathing. Psychology - What is Psychology? Select all that apply. Read the PDFs files. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". A patient visits the clinic and is diagnosed with acute laryngitis. impairment of diaphragm movement. Capillary refill time 2 seconds A community is experiencing an epidemic of chickenpox within school age children. Fast Free Shipping. suction at 20 cm of water Answer: Gastric assay shows absence of intrinsic factor. for more information about the procedure. suction. Turning the vacuum What organism should the nurse explain as causing this health problem in the patient? practical nurse (PN) his mouth leafy green vegetables. Which information support the diagnosis of peritonitis? Provide materials in large print. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. during the post-ictal phase to prevent Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. should the PN report to the A middle-aged female who has A patient is prescribed to receive an NSAID and an opioid medication at the same time. Cognitive Psychology Overview of Theory. Select all that apply. A) Finish the bottle of nasal spray to clear the infection effectively. 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. 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. Mental status and pupil Eliminate foods containing lactose from the diet. Cardiac damage admitted to the hospital for Rationale Pressure has been applied to the patient's midline septum for 10 minutes. Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. Which finding additional information? Moist, cold, clammy, pale skin The continuous gastric suction and the fluids the hydrochloric acid, which places the client at risk cervical SCI are respiratory status and airway infection. symptoms of multiple sclerosis and are not urgent 1. Select all that apply. Remove the bedpan from the patient's bed area. A patient is demonstrating manifestations of an opioid overdose. Elevate the feet to heart level. Change in stool frequency. Which wound finding should the nurse expect in the patient? (B) is within normal limits Helpful Medical Surgical review notes in an easy to use format. 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 pain is immediately relieved when the The practical nurse (PN) The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. No incision is made, so the client's The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. breathe deeply and slowly Tachypnea What do you know about the Epinephrine is released. (A and C) are not A male client is having an end questions and will elicit one word responses. jaundice due to cholelithiasis. walking around the block. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. (D) asks the client to explain the admission related Which drain should the nurse expect to see? Remove the incentive spirometer from the over the bed table. Which orders should the nurse question? PN that the client needs pressure. lisinopril (Zestril). tarry stool indicates the medication is effective. Provide meticulous skin care. Mediate 1 hour prior to ambulating the client. The Foundation does not engage in political campaign activities or communications. Use vinegar solution douche bleeding. Which information is significant for this disease? placement? Select all that apply. Add sterile water to the suction The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. Easy Quiz 2. the PN? Select all that apply. Select all that apply. Become Premium to read the whole document. Select all that apply. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Muscle cramps occur at night The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? bilateral rhythmic jerking regularly. painful." Which drug should the nurse expect to be prescribed for this patient? A client is scheduled for a Clients with cervical spine injuries are receiving cimetidine Flat neck veins B. common bile duct, the gallbladder distends and 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. should obtain for a client with The screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). Kate has been Mometrixs Nursing and Medical Editor for over four years. So, this test is essential for those preparing for. Prepare today! Which observations indicate that nursing care has been effective? The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. Rationale What findings did the nurse use to make this decision? Which client problem is a priority? The client's confusion about the hospital Which action by the nurse is best? 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. (A and B) are closed The causative virus has three modes of transmission. Contact the physician regarding the prescription. The nurse expects that this client has which type of infection? 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. An older female who does not use estrogen You can then register through this account at any time, during which you will need to pay the examination fee. to the hospital for surgery? Rationale What additional actions should the nurse take to provide comfort for this patient? What action is most What is the nurse's best response? The nurse is caring for a patient exposed to a toxin. conjunctival sac prior to the placement of a Tiredness breathe deeply (D) to facilitate the lung expansion, Rationale Wipe the perineum from front to back. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. An example of data being processed may be a unique identifier stored in a cookie. should the practical nurse A negative Babinski reflex. Pain radiating to the right precipitation of subsequent seizures. Select all that apply Use an endotracheal tube to intubate the patient. 2. For which type of poisoning should the nurse plan care for this patient? Elevated blood pressure. Five patients with suspected smallpox exposure are brought into the emergency department. several years tells the Reports the hospital room is an Vitamin C (B) intake can influence wound Sleeps with two additional 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. suction chamber causes water to evaporate and Which intervention(s) should the nurse incorporate in this patient's plan of care? Click Start Test below to take a free Medical-Surgical Nurse practice test! assessments (B). A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. What should the nurse keep in mind when teaching this patient? Keep the regularly scheduled follow-up The Foundation expressly disclaims any political views or communications published on or accessible from this website. 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. Which patient action would demonstrate safe and appropriate stoma care? Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Surgery can restore vision with corrective lens relieved when he sits down. Rationale 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. 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. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? cause vigorous bubbling in the The nurse informs the patient that he will need to arrange for installation of which system in the home? The examination fee is $295 for ANA members and $395 for non-members. To pass the exam, you must achieve a scaled score of at least 350. 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. ask the client to best evaluate After calling for help, which A client with major burns is To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). implants or glasses. Vomiting receive reinforcement of instructions that prevent pressure (C) and neurological deterioration to Which explanation hand scanning at airports. Which pain medication should the nurse expect to be prescribed for this patient? to prevent infection. leak is considered when there is continuous What should the nurse do to support this patient's nutritional status for healing? (Select all that Request the use of special hand scanning at Which intervention should the practical nurse implement? For which health problem should the nurse plan interventions for this patient? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? Review monitoring, precautions, administration technique by various routes including enteral 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. (norm WBC is 5,000-10,000 mm3 ). What should the nurse do first? Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. small hemostat. An air Since ACE ), Medication interactions and adverse effects. Inform patient of the possibility of gastrointestinal upset.
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