Lewis - Med-Surg Nursing - Study Guide
- Ch. 11
A affected person had a complicated vaginal hysterectomy. The pupil nurse provided perineal
care after the affected person had a bowel movement. The pupil nurse tells the nurse there has
been a variety of mild brown, pungent drainage seeping from the perianal region. What have to
the nurse suspect whilst assessing this patient?
A. Dehiscence
b. Hemorrhage
c. Keloid formation
d. Fistula formation - ANS-d
A affected person had abdominal surgical treatment three months ago and calls the health
facility with court cases of excessive abdominal ache and cramping, vomiting, and bloating.
What need to the nurse maximum possibly suspect as the cause of the patient's trouble?
A. Infection
b. Adhesion
c. Contracture
d. Evisceration - ANS-b
A patient's documentation indicates he has a degree III pressure ulcer on his proper hip. What
must the nurse assume to find on assessment of the patient's proper hip?
A. Exposed bone, tendon, or muscle
b. An abrasion, blister, or shallow crater
c. Deep crater through subcutaneous tissue to fascia
d. Persistent redness (or bluish colour in darker skin tones) - ANS-c
Delegation Decision: Which nursing interventions for a patient with a Stage IV sacral strain ulcer
are mostappropriate to assign or delegate to a certified sensible nurse (LPN) (pick out all that
observe)?
A. Assess and document wound look.
B. Teach the patient stress ulcer risk elements.
C. Choose the type of dressing to use to the ulcer.
D. Measure the dimensions (width, duration, depth) of the ulcer.
E. Assist the affected person to trade positions at frequent periods. - ANS-d, e
During the recovery section of infection, which cells might be typically likely to regenerate?
A. Skin
b. Neurons
c. Cardiac muscle
d. Skeletal muscle - ANS-a
In a patient with leukocytosis with a shift to the left, what does the nurse understand as causing
this finding?
- Ch. 11
A affected person had a complicated vaginal hysterectomy. The pupil nurse provided perineal
care after the affected person had a bowel movement. The pupil nurse tells the nurse there has
been a variety of mild brown, pungent drainage seeping from the perianal region. What have to
the nurse suspect whilst assessing this patient?
A. Dehiscence
b. Hemorrhage
c. Keloid formation
d. Fistula formation - ANS-d
A affected person had abdominal surgical treatment three months ago and calls the health
facility with court cases of excessive abdominal ache and cramping, vomiting, and bloating.
What need to the nurse maximum possibly suspect as the cause of the patient's trouble?
A. Infection
b. Adhesion
c. Contracture
d. Evisceration - ANS-b
A patient's documentation indicates he has a degree III pressure ulcer on his proper hip. What
must the nurse assume to find on assessment of the patient's proper hip?
A. Exposed bone, tendon, or muscle
b. An abrasion, blister, or shallow crater
c. Deep crater through subcutaneous tissue to fascia
d. Persistent redness (or bluish colour in darker skin tones) - ANS-c
Delegation Decision: Which nursing interventions for a patient with a Stage IV sacral strain ulcer
are mostappropriate to assign or delegate to a certified sensible nurse (LPN) (pick out all that
observe)?
A. Assess and document wound look.
B. Teach the patient stress ulcer risk elements.
C. Choose the type of dressing to use to the ulcer.
D. Measure the dimensions (width, duration, depth) of the ulcer.
E. Assist the affected person to trade positions at frequent periods. - ANS-d, e
During the recovery section of infection, which cells might be typically likely to regenerate?
A. Skin
b. Neurons
c. Cardiac muscle
d. Skeletal muscle - ANS-a
In a patient with leukocytosis with a shift to the left, what does the nurse understand as causing
this finding?
