MED SURG 201 Final Exam With Complete
300+Questions And Correct Verified Answers (100%
Correct) GRADED A+
pg. 1
,The nurse is assigned to care for a child with spina bifida that requires
routine urinary catheterization. What priority action by the nurse is
important to prevent complications caused by an IgE-mediated
reaction?
a. Use non-latex gloves for all procedures.
b. Administer epinephrine prior to performing the procedure.
c. Administer Benadryl every 4 hours to prevent an allergic reaction.
d. Ensure that the child does not receive antibiotics. - ANSWER -
Answer: a
Cognitive Level: Apply
Explanation: A child with spina bifida (a congenital defect in the spinal
column) is at increased risk for latex allergies because the mucous
membranes of the bladder and rectum are exposed to latex during
frequent examinations and procedures, such as urinary catheterization.
It is suggested that non-latex gloves and other materials be used as
much as is possible for all children, particularly those with this disorder.
An older adult client has a decrease in the number of T cells and B cells.
What nursing action is a high priority for this patient?
a. Monitor for signs of infection.
b. Give warm blankets and keep the room warm.
c. Encourage the patient to eat 6 small meals a day.
pg. 2
,d. Obtain strict intake and output. - ANSWER -Answer: a
Cognitive Level: Apply
Explanation: One of the effects of aging on the immune system is the
decrease in the T cell and B-cell count which will increase the client's
risk of infection. The client should be closely monitored for the
development of signs of infection. Warm blankets and a warm room will
assist with the age related change of decreased basal body temperature
but is not the priority action in this scenario. Eating small frequent
meals and obtaining strict intake and output will not address the
decrease in T and B cells and the associated risk for infection.
A client has a decrease in T cells and B cells. What nursing action is a
priority?
a. Monitor for altered kidney function.
b. Monitor regularly for blood loss.
c. Monitor for joint swelling and tenderness.
d. Monitor regularly for signs of infection. - ANSWER -Answer: d
Cognitive Level: Analyze
Explanation: As a client ages there is a decrease in T cells and B cells.
This puts the client at risk for infection. The client should be monitored
regularly for any signs of infection so that early intervention can be
provided to reduce the risk of complications.
pg. 3
, A client arrives in the emergency department after being bitten by a
raccoon that wandered into the yard. What nursing action does the
nurse anticipate preparing for?
a. Administering a rabies vaccine to provide naturally acquired active
immunity
b. Administering a rabies vaccine to provide artificially acquired passive
immunity
c. Administering a rabies vaccine to create an antibody-mediated
immunity
d. Administering a rabies vaccine to provide naturally acquired passive
immunity - ANSWER -Answer: b
Cognitive Level: Apply
Explanation: Artificially acquired passive immunity occurs with the
injection of ready-made antibodies into a person's system. These
antibodies were produced by another individual's immune system. An
example of this type of immunity is the immunization for rabies. This
immunization contains ready-made anti-rabies antibodies and is given
in the event of a bite by a rabid animal.
The nurse is discussing the benefits of breast-feeding to a pregnant
mother. What statement made by the client demonstrates
understanding of the benefits?
a. The infant will receive artificially acquired active immunity to provide
protection from viruses.
b. The infant will receive artificially acquired passive immunity to
provide protection from diseases such as multiple sclerosis.
pg. 4