Medical-Surgical Nursing All Chapters with
Answers and Rationals Completely Done Dowload
Now Fo Better Grades A+ Pass
PERMANENT PACEMAKER ASSESSMENT
Report: Client experiences hiccups when sitting
Hiccups can indicate phrenic nerve or diaphragm stimulation, suggesting pacemaker lead
displacement.
POSTPARTUM / HEMORRHAGE FINDINGS TO REPORT
Saturated perineal pad with clots → Vaginal hemorrhage
BP 98/56 mm Hg → Hypotension from blood loss
HR 102/min → Compensatory tachycardia
SHORTNESS OF BREATH WITH SpO₂ 90%
Administer oxygen via nasal cannula
Low oxygen saturation requires immediate oxygen therapy.
IMPENDING DEATH MANIFESTATIONS
Bowel and bladder incontinence
Occurs due to loss of neuromuscular control near death.
HYPERTHYROIDISM ON METHIMAZOLE
Weight gain of 3 lb
Indicates reversal of hypermetabolic state → therapeutic effect.
, CPM MACHINE POST–KNEE ARTHROPLASTY
Place sheepskin pad between limb and CPM
Prevents skin breakdown and pressure injury.
TESTICULAR SELF-EXAM TEACHING
Perform after warm shower
Heat relaxes scrotum → improves palpation.
PARKINSON’S DISEASE DISCHARGE TEACHING
Avoid watching feet while walking
Improves posture and reduces fall risk.
COPD & DYSPNEA DURING MEALS
Use bronchodilator 30 min before eating
Prevents bronchospasm during exertion.
CHEST TUBE – REPORTABLE FINDING
Drainage >70 mL/hr
Indicates possible hemorrhage or complication.
SKELETAL TRACTION CARE
Daily pin-site care
Reduces infection risk.
CHEMOTHERAPY & ORAL CARE
Soak toothbrush in hydrogen peroxide
Prevents infection in immunocompromised clients.
Answers and Rationals Completely Done Dowload
Now Fo Better Grades A+ Pass
PERMANENT PACEMAKER ASSESSMENT
Report: Client experiences hiccups when sitting
Hiccups can indicate phrenic nerve or diaphragm stimulation, suggesting pacemaker lead
displacement.
POSTPARTUM / HEMORRHAGE FINDINGS TO REPORT
Saturated perineal pad with clots → Vaginal hemorrhage
BP 98/56 mm Hg → Hypotension from blood loss
HR 102/min → Compensatory tachycardia
SHORTNESS OF BREATH WITH SpO₂ 90%
Administer oxygen via nasal cannula
Low oxygen saturation requires immediate oxygen therapy.
IMPENDING DEATH MANIFESTATIONS
Bowel and bladder incontinence
Occurs due to loss of neuromuscular control near death.
HYPERTHYROIDISM ON METHIMAZOLE
Weight gain of 3 lb
Indicates reversal of hypermetabolic state → therapeutic effect.
, CPM MACHINE POST–KNEE ARTHROPLASTY
Place sheepskin pad between limb and CPM
Prevents skin breakdown and pressure injury.
TESTICULAR SELF-EXAM TEACHING
Perform after warm shower
Heat relaxes scrotum → improves palpation.
PARKINSON’S DISEASE DISCHARGE TEACHING
Avoid watching feet while walking
Improves posture and reduces fall risk.
COPD & DYSPNEA DURING MEALS
Use bronchodilator 30 min before eating
Prevents bronchospasm during exertion.
CHEST TUBE – REPORTABLE FINDING
Drainage >70 mL/hr
Indicates possible hemorrhage or complication.
SKELETAL TRACTION CARE
Daily pin-site care
Reduces infection risk.
CHEMOTHERAPY & ORAL CARE
Soak toothbrush in hydrogen peroxide
Prevents infection in immunocompromised clients.
