Medical Surgical Summary Questions/Answers

1. A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change? a. “I feel bad that I have to ask my partner to keep the house clean.” b. “It’s going to be difficult to tell my parents I can’t take them to their appointments anymore.” c. “I will need to have my partner take over shopping for groceries and cooking the mealsfor us.” d. “These crutches will make it impossible to care for my child.” 2. A nurse is planning care for a client following a cardiac catheterization. Which of the following actions should the nurse take? a. Keep the client on bed rest for 24hr b. Maintain the client’s affected extremity in extension c. Change the client’s dressing every 8hr d. Limit the client’s fluid intake to 1L per day 3. A nurse is caring for a client following a below-the-knee amputation. The clientstates, “My life is over.” Which of the following responses should the nurse make? a. “Why do you think your life is over?” b. “Most people can adjust following the surgery.” c. “Would you like to meet with another client who is an amputee?” d. “You are upset. We can talk about this later.” 4. A nurse in a PACU is assessing a client who is postoperative following general anesthesia. Which of the following findings is the priority to address? a. Decreased body temperature b. Vomiting upon arousal c. Indistinct, rambling speech d. Piloerection of the skin 5. A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client’s urinary output was 4,000mL over the past 24hr. the nurse should anticipate a prescription for which of the following IV medication? a. Furosemide b. Nitroprusside c. Epinephrine d. Desmopressin