MED SURG EXAM 3 PRACTICE
QUESTIONS
The0surgery0for0a0client0schedule08AM0is0delayed0until011AM.0What0is0the0appropriate
0nursing0action0regarding0the0administration0of0preoperative0prophylactic0antibiotic?0-
0ans✔Adjust0the0administration0time0to0be0given0at010AM
The0nurse0is0caring0for0a0client0who0is0to0undergo0surgery0at06AM0today.0Which0asse
ssment0data0will0the0nurse0communicate0immediately0to0the0surgeon0and0anesthesia0
provider?0-0ans✔Diffuse0rash0on0upper0torso,0took0650mg0asprin0yesterday
The0nurse0is0teaching0a0client0about0postoperative0leg0exercises.0What0teaching0will0t
he0nurse0include?0-
0ans✔Begin0practicing0leg0exercises0prior0to0surgery,0push0the0ball0of0the0foot0into0the
0bed0until0the0calf0and0thigh0muscles0contract,0if0pain0or0warmth0in0the0calf0is0present0
discontinue0exercises0and0contact0surgeon,0point0toes0of0one0foot0toward0bed0bottom,
0then0point0toes0of0same0leg0toward0face0then0switch
The0nurse0has0prepared0a0client0for0transport0from0the0medical0surgical0unit0to0surger
y.0Which0client0statement0will0the0nurse0respond0to0as0the0priority?0-
0ans✔"when0I0eat0shrimp,0my0tongue0swells0and0I0have0trouble0breathing"
The0nurse0is0caring0for0a0client0who0has0been0readmitted0to0the0medical0surgical0unit0
following0surgery0for0a0hernia0repair0completed0under0general0anesthesia.0What0is0the
0priority0nursing0assessment?0-0ans✔Perform0thorough0auscultation0of0the0lungs
In0the0early0postop0phase,0which0assessment0finding0in0a0client0who0had0an0epidural0
during0surgery0requires0immediate0nursing0intervention?0-
0ans✔Blood0pressure0142/900mm0Hg
The0nurse0is0caring0for0a0client0who0reports0being0fearful0of0becoming0dependent0on0
opioid0pain0medication0after0surgery.0What0is0the0appropriate0nursing0response?0-
0ans✔"have0you0had0concerns0with0drug0dependence0in0the0past?"0"tell0me0what0mak
es0you0most0fearful0about0taking0your0opioid0medication"0"there0are0proper0ways0of0ta
king0opioids0so0you0will0not0become0dependent"
QUESTIONS
The0surgery0for0a0client0schedule08AM0is0delayed0until011AM.0What0is0the0appropriate
0nursing0action0regarding0the0administration0of0preoperative0prophylactic0antibiotic?0-
0ans✔Adjust0the0administration0time0to0be0given0at010AM
The0nurse0is0caring0for0a0client0who0is0to0undergo0surgery0at06AM0today.0Which0asse
ssment0data0will0the0nurse0communicate0immediately0to0the0surgeon0and0anesthesia0
provider?0-0ans✔Diffuse0rash0on0upper0torso,0took0650mg0asprin0yesterday
The0nurse0is0teaching0a0client0about0postoperative0leg0exercises.0What0teaching0will0t
he0nurse0include?0-
0ans✔Begin0practicing0leg0exercises0prior0to0surgery,0push0the0ball0of0the0foot0into0the
0bed0until0the0calf0and0thigh0muscles0contract,0if0pain0or0warmth0in0the0calf0is0present0
discontinue0exercises0and0contact0surgeon,0point0toes0of0one0foot0toward0bed0bottom,
0then0point0toes0of0same0leg0toward0face0then0switch
The0nurse0has0prepared0a0client0for0transport0from0the0medical0surgical0unit0to0surger
y.0Which0client0statement0will0the0nurse0respond0to0as0the0priority?0-
0ans✔"when0I0eat0shrimp,0my0tongue0swells0and0I0have0trouble0breathing"
The0nurse0is0caring0for0a0client0who0has0been0readmitted0to0the0medical0surgical0unit0
following0surgery0for0a0hernia0repair0completed0under0general0anesthesia.0What0is0the
0priority0nursing0assessment?0-0ans✔Perform0thorough0auscultation0of0the0lungs
In0the0early0postop0phase,0which0assessment0finding0in0a0client0who0had0an0epidural0
during0surgery0requires0immediate0nursing0intervention?0-
0ans✔Blood0pressure0142/900mm0Hg
The0nurse0is0caring0for0a0client0who0reports0being0fearful0of0becoming0dependent0on0
opioid0pain0medication0after0surgery.0What0is0the0appropriate0nursing0response?0-
0ans✔"have0you0had0concerns0with0drug0dependence0in0the0past?"0"tell0me0what0mak
es0you0most0fearful0about0taking0your0opioid0medication"0"there0are0proper0ways0of0ta
king0opioids0so0you0will0not0become0dependent"