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Exam 2: NUR265 / NUR 265 (Latest 2025/ 2026 Update) Advanced Concepts of Medical-Surgical Nursing Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 2: NUR265 / NUR 265 (Latest 2025/ 2026 Update) Advanced Concepts of Medical-Surgical Nursing Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen Q: The pt w/ pulmonary contusion may have _____________ breath sounds or crackles and wheezes over the affected area. Answer: Decreased Q: The pt w/ pulmonary contusion may have bruising over the injury, dry cough, tachycardia, tachypnea, and ____________ to percussion. Answer: Dullness Q: Assess the pt w/ flail chest for _____________ chest movement, dyspnea, cyanosis, tachycardia, and hypotension. The pt is often anxious, short of breath, and in pain. Answer: Paradoxical Q: After hypophysectomy, the RN should monitor neuro status every ______ for the 1st 24 hours, then every 4 hours. Answer: Hour Q: After hypophysectomy, the RN should monitor fluid balance, especially for output __________ than intake. Answer: Greater Q: After hypophysectomy, the RN should encourage the pt to perform deep breathing exercises. However, they should be instructed not to cough, _______ the nose, or sneeze. Answer: Blow Q: After hypophysectomy, the RN should teach the pt to use dental floss and mouthwash rather than _______________ until the surgeon gives permission. Answer: Toothbrushing Q: After hypophysectomy, the RN should teach the pt to avoid bending at the __________ to prevent increasing ICP. Answer: Waist Q: After hypophysectomy, the RN should teach the pt methods to avoid ____________ and subsequent straining. Answer: Constipation Q: After hypophysectomy, the RN should teach the pt to report any postnasal drip or increased _____________, which may indicate leakage of CSF. Answer: Swallowing Q: A light yellow color at the edge of the clear drainage on the dressing is called the _______ sign and indicates CSF postop hypophysectomy. Answer: Halo Q: A decreased sense of _________ after hypophysectomy is expected and usually lasts 3-4 months. Answer: Smell Q: Key features of ___________ include hypotension, tachycardia, weak peripheral pulses, hemoconcentration, polyuria, dilute, low urine specific gravity, poor skin turgor, dry mucous membranes, decreased cognition, irritability, ataxia and polydipsia. Answer: DI (diabetes insipidus) Q: Ensure that no pt suspected of having DI is deprived of fluids for more than ___ hours because he or she cannot reduce urine output and severe dehydration can result. Answer: 4 Q: Management of symptoms associated w/ DI is controlled using drug therapy w/ desmopressin. The parenteral form is 10 times stronger than the oral form, and the dosage must be ______________. Answer:

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Examl 2:l NUR265l /l NURl 265l (Latestl
2025/l 2026l Update)l Advancedl Conceptsl
ofl Medical-Surgicall Nursingl Review|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen

Q:l Thel ptl w/l pulmonaryl contusionl mayl havel _____________l breathl soundsl orl
cracklesl andl wheezesl overl thel affectedl area.

Answer:
Decreased



Q:l Thel ptl w/l pulmonaryl contusionl mayl havel bruisingl overl thel injury,l dryl cough,l
tachycardia,l tachypnea,l andl ____________l tol percussion.

Answer:
Dullness



Q:l Assessl thel ptl w/l flaill chestl forl _____________l chestl movement,l dyspnea,l
cyanosis,l tachycardia,l andl hypotension.l Thel ptl isl oftenl anxious,l shortl ofl breath,l andl inl
pain.

Answer:
Paradoxical



Q:l Afterl hypophysectomy,l thel RNl shouldl monitorl neurol statusl everyl ______l forl thel
1stl 24l hours,l thenl everyl 4l hours.

Answer:
Hour

,Q:l Afterl hypophysectomy,l thel RNl shouldl monitorl fluidl balance,l especiallyl forl outputl
__________l thanl intake.

Answer:
Greater



Q:l Afterl hypophysectomy,l thel RNl shouldl encouragel thel ptl tol performl deepl breathingl
exercises.l However,l theyl shouldl bel instructedl notl tol cough,l _______l thel nose,l orl
sneeze.

Answer:
Blow



Q:l Afterl hypophysectomy,l thel RNl shouldl teachl thel ptl tol usel dentall flossl andl
mouthwashl ratherl thanl _______________l untill thel surgeonl givesl permission.

Answer:
Toothbrushing



Q:l Afterl hypophysectomy,l thel RNl shouldl teachl thel ptl tol avoidl bendingl atl thel
__________l tol preventl increasingl ICP.

Answer:
Waist



Q:l Afterl hypophysectomy,l thel RNl shouldl teachl thel ptl methodsl tol avoidl
____________l andl subsequentl straining.

Answer:
Constipation

, Q:l Afterl hypophysectomy,l thel RNl shouldl teachl thel ptl tol reportl anyl postnasall dripl orl
increasedl _____________,l whichl mayl indicatel leakagel ofl CSF.

Answer:
Swallowing



Q:l Al lightl yellowl colorl atl thel edgel ofl thel clearl drainagel onl thel dressingl isl calledl
thel _______l signl andl indicatesl CSFl postopl hypophysectomy.

Answer:
Halo



Q:l Al decreasedl sensel ofl _________l afterl hypophysectomyl isl expectedl andl usuallyl
lastsl 3-4l months.

Answer:
Smell



Q:l Keyl featuresl ofl ___________l includel hypotension,l tachycardia,l weakl peripherall
pulses,l hemoconcentration,l polyuria,l dilute,l lowl urinel specificl gravity,l poorl skinl turgor,l
dryl mucousl membranes,l decreasedl cognition,l irritability,l ataxial andl polydipsia.

Answer:
DIl (diabetesl insipidus)



Q:l Ensurel thatl nol ptl suspectedl ofl havingl DIl isl deprivedl ofl fluidsl forl morel thanl ___l
hoursl becausel hel orl shel cannotl reducel urinel outputl andl severel dehydrationl canl result.

Answer:
4



Q:l Managementl ofl symptomsl associatedl w/l DIl isl controlledl usingl drugl therapyl w/l
desmopressin.l Thel parenterall forml isl 10l timesl strongerl thanl thel orall form,l andl thel
dosagel mustl bel ______________.

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