Nursing: Medical-Surgical Revew
A 24-year-old female client diagnosed B. "Even though you are angry, he should be told, so he can take preca
with a human papillomavirus infection to prevent the spread of infection"
(HPV) is angry at her ex-boyfriend and
says she is not going to tell him that he Anger is a common emotional reaction when confronted with the diagn
is infected. What response is best for of an STI, and often lay blame and project this anger at the sexual partn
the nurse to provide? Although HPV is not a reportable disease in many states, all contacts
A. "Because there is no cure for this should be informed of the infection, treatment, transmission, and
disease, telling him is of no benefit to precautions to minimize infecting others.
him or you"
B. "Even though you are angry, he
should be told, so he can take
precaution to prevent the spread of
infection"
C. "You do not have to tell him
because this is not a reportable
disease"
D. "You should tell him, so he can feel
as guilty and miserable as you do now,
knowing that you have this disease"
, Nursing: Medical-Surgical Revew
A 48-year-old client with endometrial C
cancer is being discharged after a
total hysterectomy and bilateral further teaching is needed in response to the client's misunderstanding
salpingo-oophorectomy. Which client sexuality after a hysterectomy that is reflected in the statement. the clie
statement indicates that further knowledge about reproduction, a positive outlook with plans for the fu
teaching is needed? and her anticipated need for assistance and support during recovery
A. "I have asked my daughter to stay indicate she understands the present status of her recovery.
with me next week after I am
discharged"
B. "Well, I don't have to worry about
getting pregnant anymore"
C. "I know I will miss having sexual
intercourse with my husband"
D. "I can't wait to go on the cruise that
I have planned for this summer"
, Nursing: Medical-Surgical Revew
A client in the pre-operative holding B
area receives a prescription for
midazolam (Versed) IV. The nurse Midazolam, a benzodiazepine sedative, is commonly used for consciou
determines that the surgical consent sedation intraoperatively and interferes with the client's cognition and l
form needs to be signed by the client. of consciousness, so the consent form should be signed before the dru
Which action should the nurse administered. The validity of legal documents will be in question if a clie
implement? signs them while under the influence of any central nervous system
A. give the drug and allow the client depressant drug.
to read and sign the consent form
B. withhold the drug until the client
validates understanding of the
surgical procedure and signs the
consent form
C. counter-sign the client's initials on
the consent form after giving the drug
D. call the healthcare provider to
explain the surgical procedure before
the client signs the consent
, Nursing: Medical-Surgical Revew
A client is admitted for complaints of B. myocardial damage that occurred several days earlier is best validat
chest pain and aching for the past 4 by serum troponin levels
days. the results for serum creatine
kinase-MB (CK-MB) and troponin are Serum CK-MB and troponin are the two most important serum cardiac
obtained. What rationale should the markers for confirming myocardial infarction. CK-MB begins to rise in th
nurse use to evaluate the laboratory first 3 to 12 hours after the myocardial infarction, peaks in 24 hours, and
findings? returns to normal in 2 to 3 days. the troponin level rises as quickly but
A. serum myoglobin levels are remains elevated for 2 weeks.
needed to confirm myocardial
damage
B. myocardial damage that occurred
several days earlier is best validated
by serum troponin levels
C. the most reliable indicator of
myocardial necrosis is serum CK-MB
D. serum cardiac markers are
inconclusive in determining
myocardial injury after waiting several
days
A 24-year-old female client diagnosed B. "Even though you are angry, he should be told, so he can take preca
with a human papillomavirus infection to prevent the spread of infection"
(HPV) is angry at her ex-boyfriend and
says she is not going to tell him that he Anger is a common emotional reaction when confronted with the diagn
is infected. What response is best for of an STI, and often lay blame and project this anger at the sexual partn
the nurse to provide? Although HPV is not a reportable disease in many states, all contacts
A. "Because there is no cure for this should be informed of the infection, treatment, transmission, and
disease, telling him is of no benefit to precautions to minimize infecting others.
him or you"
B. "Even though you are angry, he
should be told, so he can take
precaution to prevent the spread of
infection"
C. "You do not have to tell him
because this is not a reportable
disease"
D. "You should tell him, so he can feel
as guilty and miserable as you do now,
knowing that you have this disease"
, Nursing: Medical-Surgical Revew
A 48-year-old client with endometrial C
cancer is being discharged after a
total hysterectomy and bilateral further teaching is needed in response to the client's misunderstanding
salpingo-oophorectomy. Which client sexuality after a hysterectomy that is reflected in the statement. the clie
statement indicates that further knowledge about reproduction, a positive outlook with plans for the fu
teaching is needed? and her anticipated need for assistance and support during recovery
A. "I have asked my daughter to stay indicate she understands the present status of her recovery.
with me next week after I am
discharged"
B. "Well, I don't have to worry about
getting pregnant anymore"
C. "I know I will miss having sexual
intercourse with my husband"
D. "I can't wait to go on the cruise that
I have planned for this summer"
, Nursing: Medical-Surgical Revew
A client in the pre-operative holding B
area receives a prescription for
midazolam (Versed) IV. The nurse Midazolam, a benzodiazepine sedative, is commonly used for consciou
determines that the surgical consent sedation intraoperatively and interferes with the client's cognition and l
form needs to be signed by the client. of consciousness, so the consent form should be signed before the dru
Which action should the nurse administered. The validity of legal documents will be in question if a clie
implement? signs them while under the influence of any central nervous system
A. give the drug and allow the client depressant drug.
to read and sign the consent form
B. withhold the drug until the client
validates understanding of the
surgical procedure and signs the
consent form
C. counter-sign the client's initials on
the consent form after giving the drug
D. call the healthcare provider to
explain the surgical procedure before
the client signs the consent
, Nursing: Medical-Surgical Revew
A client is admitted for complaints of B. myocardial damage that occurred several days earlier is best validat
chest pain and aching for the past 4 by serum troponin levels
days. the results for serum creatine
kinase-MB (CK-MB) and troponin are Serum CK-MB and troponin are the two most important serum cardiac
obtained. What rationale should the markers for confirming myocardial infarction. CK-MB begins to rise in th
nurse use to evaluate the laboratory first 3 to 12 hours after the myocardial infarction, peaks in 24 hours, and
findings? returns to normal in 2 to 3 days. the troponin level rises as quickly but
A. serum myoglobin levels are remains elevated for 2 weeks.
needed to confirm myocardial
damage
B. myocardial damage that occurred
several days earlier is best validated
by serum troponin levels
C. the most reliable indicator of
myocardial necrosis is serum CK-MB
D. serum cardiac markers are
inconclusive in determining
myocardial injury after waiting several
days
