Med-Surg Exam II
-NPO
-NG tube
-IV fluids
-surgical preparations of the bowel
-food and fluids are confined for 8 to ten hours before surgical procedure is possible
-if the pt has a bowel obstruction or perforation, bowel cleaning is contraindicated
-oral erythromycin and neomycin are given to similarly decrease the quantity of colonic and
rectal bacteria
-if possible, all clients who require surgical procedure for obstruction go through NG
intubation and suction earlier than surgery.
-teaching - ANS-A consumer admitted with lawsuits of constipation, thready stools, and
rectal bleeding over the last few months is identified with a rectal mass. What are the nursing
priorities for this consumer?
****ing they all damn it - ANS-To reduce the prevalence of patients with a acknowledged
records or threat of malignant hyperthermia (MH), what best practices are put in vicinity
inside the running room? SELECT ALL THAT APPLY
A. Listing of medication to be had for emergency treatment of MH
B. Devoted MH cart with remedy medicines
C. Remedy earlier than, at some point of, and after surgical treatment if the patient has a
acknowledged history or risk
D. Extra nursing aid on call if MH develops
E. Available MH hotline quantity
A - ANS-A colostomy is scheduled to be executed on a affected person who has intense
Crohn's disease. What is the appropriate category for the surgery?
A. Palliative
B. Minor
C. Restorative
D. Curative
A - ANS-A patient has a malignant hyperthermia (MH) incident at some stage in surgery. To
whom does the nurse file this incident?
A. North American Malignant Hyperthermia Registry
B. The Joint Commission
C. Centers for Disease Control
D. Occupational Safety and Health Administration
A - ANS-A patient in traction reviews excessive ache from a muscle spasm. What is the
nurse's priority motion?
A. Examine the patient's body alignment
B. Supply the patient a PRN medication
C. Notify the health care physician
,D. Get rid of some of the weights
A - ANS-A patient is admitted for acute osteomyelitis of the left decrease leg. What does the
nurse expect to discover documented inside the patient's admitting evaluation?
A. Temperature greater that a hundred and one ranges F; swelling, tenderness, erythema,
and warmth of vicinity
B. Ulceration resulting with sinus tract formation, localized pain, and drainage
C. Pain is aching, poorly described, deep and worsened by way of stress and weigh bearing
D. Shortening of the extremity with pain for the duration of weight bearing or palpation
A - ANS-An appendectomy is being completed on a patient with appendicitis. What is the
ideal type for this surgical procedure?
A. Curative
B. Diagnostic
C. Urgent
D. Radical
A - ANS-The nurse is being concerned for a patient in Buck's traction. Which venture is best
to delegate to the UAP (with supervision)?
A. Turning and repositioning
B. Analyzing heels and sacral area
C. Asking the affected person about muscle spasms
D. Adjusting the weights
A - ANS-The nurse is worrying for a affected person with an open fracture. Which
intervention does the nurse perform so one can prevent infection of the fracture?
A. Use strict aseptic method for dressing adjustments and wound irrigations
B. Use clean techniques for dressing modifications and wound irrigations
C. Place the patient in touch isolation and wear sterile gloves
D. Area the patient in reverse isolation and carry out scrupulous hand hygiene
A - ANS-The nurse is caring for a affected person with skeletal pins which have been placed
for traction. What does the nurse assume to look inside the first forty eight hours?
A. Clean fluid drainage weeping from the pin insertion web page
B. A few bloody drainage but very minimum
C. Swelling at the site with tenderness to mild contact
D. Dressings across the pin sites to be dry and intact
A - ANS-The nurse is instructing a patient who can have external fixation for treatment of a
compound tibial fracture. What information does the nurse encompass in the teaching
session?
A. "The tool lets in for early ambulation."
B. "There is a few chance of blood loss, however no danger of infection."
C. "The tool is a replacement remedy for a forged."
D. "The benefit of the device is speedy bone healing."
A - ANS-The nurse is coaching a affected person about the way to manipulate gas and odor
from a colostomy. Which records does the nurse include?
, A. Do no longer chew gum
B. Vicinity an aspirin inside the colostomy
C. Do not consume buttermilk
D. Do no longer devour parsley
A - ANS-The nurse is teaching a affected person about what to anticipate after a descending
colon colostomy. The nurse tells the affected person to expect the stool to have what kind of
shape?
A. Similar to that of stool expelled from the rectum
B. Thick and paste-like
C. Think and gelatin-like
D. Watery
A - ANS-The nurse on a medical-surgical unit is worrying for numerous sufferers with acute
cholecystitis. Which undertaking is first-class to delegate to the nursing assistant?
A. Reap the affected person's crucial signs and symptoms
B. Ask the patients if any foods are not tolerated
C. Ask the patients to explain what measures relieve the belly pain
D. Ask the patients to explain their day by day activity or exercising exercises
A - ANS-The respiratory problems which could accompany peritonitis are a result of which
factor?
A. Related pain interfering with ventilation
B. Reduced stress in opposition to the diaphragm
C. Fluid shifts to the thoracic hollow space
D. Reduced oxygen needs related to the infectious procedure
A - ANS-What is the priority affected person trouble for atonic seizures?
A. Capability for damage related to falls
B. Organ ischemia related neuromuscular disorder
C. Confusion associated with postictal state
D. Constrained mobility associated with atonicity of muscular tissues
A - ANS-Which discharge information does the nurse consist of for the affected person who
has had an intestinal obstruction due to fecal impaction?
A. Inspire the patient to report belly distention, nausea or vomiting, and constipation
B. Provide the affected person a written description of a low-fiber food regimen
C. Remind the patient to restrict interest
D. Remind the affected person to decrease fluid intake
A - ANS-Which discharge preparation does the nurse consist of for a affected person after
abdominoperitoneal (AP) resection?
A. "use a gentle pillow to take a seat on on every occasion you take a seat down"
B. "lie for your lower back when you are resting in mattress"
C. "use a rubber doughnut tool for sitting on whilst in the car"
D. "sit in a chair for at least four consecutive hours a day"
A - ANS-Which is a probably fatal hassle of acute compartment syndrome?
-NPO
-NG tube
-IV fluids
-surgical preparations of the bowel
-food and fluids are confined for 8 to ten hours before surgical procedure is possible
-if the pt has a bowel obstruction or perforation, bowel cleaning is contraindicated
-oral erythromycin and neomycin are given to similarly decrease the quantity of colonic and
rectal bacteria
-if possible, all clients who require surgical procedure for obstruction go through NG
intubation and suction earlier than surgery.
-teaching - ANS-A consumer admitted with lawsuits of constipation, thready stools, and
rectal bleeding over the last few months is identified with a rectal mass. What are the nursing
priorities for this consumer?
****ing they all damn it - ANS-To reduce the prevalence of patients with a acknowledged
records or threat of malignant hyperthermia (MH), what best practices are put in vicinity
inside the running room? SELECT ALL THAT APPLY
A. Listing of medication to be had for emergency treatment of MH
B. Devoted MH cart with remedy medicines
C. Remedy earlier than, at some point of, and after surgical treatment if the patient has a
acknowledged history or risk
D. Extra nursing aid on call if MH develops
E. Available MH hotline quantity
A - ANS-A colostomy is scheduled to be executed on a affected person who has intense
Crohn's disease. What is the appropriate category for the surgery?
A. Palliative
B. Minor
C. Restorative
D. Curative
A - ANS-A patient has a malignant hyperthermia (MH) incident at some stage in surgery. To
whom does the nurse file this incident?
A. North American Malignant Hyperthermia Registry
B. The Joint Commission
C. Centers for Disease Control
D. Occupational Safety and Health Administration
A - ANS-A patient in traction reviews excessive ache from a muscle spasm. What is the
nurse's priority motion?
A. Examine the patient's body alignment
B. Supply the patient a PRN medication
C. Notify the health care physician
,D. Get rid of some of the weights
A - ANS-A patient is admitted for acute osteomyelitis of the left decrease leg. What does the
nurse expect to discover documented inside the patient's admitting evaluation?
A. Temperature greater that a hundred and one ranges F; swelling, tenderness, erythema,
and warmth of vicinity
B. Ulceration resulting with sinus tract formation, localized pain, and drainage
C. Pain is aching, poorly described, deep and worsened by way of stress and weigh bearing
D. Shortening of the extremity with pain for the duration of weight bearing or palpation
A - ANS-An appendectomy is being completed on a patient with appendicitis. What is the
ideal type for this surgical procedure?
A. Curative
B. Diagnostic
C. Urgent
D. Radical
A - ANS-The nurse is being concerned for a patient in Buck's traction. Which venture is best
to delegate to the UAP (with supervision)?
A. Turning and repositioning
B. Analyzing heels and sacral area
C. Asking the affected person about muscle spasms
D. Adjusting the weights
A - ANS-The nurse is worrying for a affected person with an open fracture. Which
intervention does the nurse perform so one can prevent infection of the fracture?
A. Use strict aseptic method for dressing adjustments and wound irrigations
B. Use clean techniques for dressing modifications and wound irrigations
C. Place the patient in touch isolation and wear sterile gloves
D. Area the patient in reverse isolation and carry out scrupulous hand hygiene
A - ANS-The nurse is caring for a affected person with skeletal pins which have been placed
for traction. What does the nurse assume to look inside the first forty eight hours?
A. Clean fluid drainage weeping from the pin insertion web page
B. A few bloody drainage but very minimum
C. Swelling at the site with tenderness to mild contact
D. Dressings across the pin sites to be dry and intact
A - ANS-The nurse is instructing a patient who can have external fixation for treatment of a
compound tibial fracture. What information does the nurse encompass in the teaching
session?
A. "The tool lets in for early ambulation."
B. "There is a few chance of blood loss, however no danger of infection."
C. "The tool is a replacement remedy for a forged."
D. "The benefit of the device is speedy bone healing."
A - ANS-The nurse is coaching a affected person about the way to manipulate gas and odor
from a colostomy. Which records does the nurse include?
, A. Do no longer chew gum
B. Vicinity an aspirin inside the colostomy
C. Do not consume buttermilk
D. Do no longer devour parsley
A - ANS-The nurse is teaching a affected person about what to anticipate after a descending
colon colostomy. The nurse tells the affected person to expect the stool to have what kind of
shape?
A. Similar to that of stool expelled from the rectum
B. Thick and paste-like
C. Think and gelatin-like
D. Watery
A - ANS-The nurse on a medical-surgical unit is worrying for numerous sufferers with acute
cholecystitis. Which undertaking is first-class to delegate to the nursing assistant?
A. Reap the affected person's crucial signs and symptoms
B. Ask the patients if any foods are not tolerated
C. Ask the patients to explain what measures relieve the belly pain
D. Ask the patients to explain their day by day activity or exercising exercises
A - ANS-The respiratory problems which could accompany peritonitis are a result of which
factor?
A. Related pain interfering with ventilation
B. Reduced stress in opposition to the diaphragm
C. Fluid shifts to the thoracic hollow space
D. Reduced oxygen needs related to the infectious procedure
A - ANS-What is the priority affected person trouble for atonic seizures?
A. Capability for damage related to falls
B. Organ ischemia related neuromuscular disorder
C. Confusion associated with postictal state
D. Constrained mobility associated with atonicity of muscular tissues
A - ANS-Which discharge information does the nurse consist of for the affected person who
has had an intestinal obstruction due to fecal impaction?
A. Inspire the patient to report belly distention, nausea or vomiting, and constipation
B. Provide the affected person a written description of a low-fiber food regimen
C. Remind the patient to restrict interest
D. Remind the affected person to decrease fluid intake
A - ANS-Which discharge preparation does the nurse consist of for a affected person after
abdominoperitoneal (AP) resection?
A. "use a gentle pillow to take a seat on on every occasion you take a seat down"
B. "lie for your lower back when you are resting in mattress"
C. "use a rubber doughnut tool for sitting on whilst in the car"
D. "sit in a chair for at least four consecutive hours a day"
A - ANS-Which is a probably fatal hassle of acute compartment syndrome?
