Med/Surg midterm - Questions
st st st
Astpatientstwhostisstbeingstadmittedsttostthestsurgicalstunitstforstasthysterectomyst
pacesstthestfloor,strepeatedlystsaying,st"Istjuststwantstthisstover."stWhatstshouldst
thestnursestdosttostpromotestastpositivestsurgicalstoutcomestforstthestpatient?
a.stAskstthestpatientstwhatstherstspecificstconcernsstarestaboutstthestsurgery.
b.stReassurestthestpatientstthatstthestsurgerystwillstbestoverstsoonstandstshestwillstb
estfine.
c.stRedirectstthestpatient'sstattentionsttostthestnecessarystpreoperativestpreparati
ons.
d.stTellstthestpatientstshestshouldstnotstbestsostanxiousstbecausestshestissthavingstast
common,stsafestsurgery.st-stcorrectstanswer✔ ✔
a.stExcessivestanxietystandststressstcanstaffectstsurgicalstrecoverystandstthestn
urse'sstrolestinstpsychologicallystpreparingstthestpatientstforstsurgerystissttostasse
ssstforstpotentialststressorsstthatstcouldstnegativelystaffectstsurgery.stSpecificstf
earsstshouldstbestidentifiedstandstaddressedstbystthestnursestbystlisteningstandstby
stexplainingstplannedstpostoperativestcare.stFalselystreassuringstthestpatient,sti
gnoringstherstbehavior,standsttellingstherstnotsttostbestanxiousstarestnotsttherapeut
ic.
Manystherbalstproductsstthatstarestcommonlysttakenstcausestsurgicalstproblems
.stWhichstherbsstlistedstbelowstshouldstthestnursestteachstthestpatientsttostavoidstb
eforestsurgerysttostpreventstanstincreasestinstbleedingstforstthestsurgicalstpatientst
(selectstallstthatstapply)?
,a.stGarlic
b.stFishstoil
c.stValerian
d.stVitaminstE
e.stAstragalus
f.stGinkgostbilobast-stcorrectstanswer✔ ✔
a,stb,std,stf.stValerianstmaystcausestexcessstsedation.stAstragalusstmaystincreas
estbloodstpressurestbeforestandstduringstsurgery.
PrioritystDecision:stWhenstthestnursestasksstastpreoperativestpatientstaboutstalle
rgies,stthestpatientstreportsstasthistorystofstseasonalstenvironmentalstallergiessta
ndstallergiessttostastvarietystofstfruits.stWhatstshouldstthestnursestdostnext?
a.stNotestthisstinformationstinstthestpatient'sstrecordstassthaystfeverstandstfoodstall
ergies.
b.stPlacestanstallergystalertstwristbandstthatstidentifiesstthestspecificstallergiessto
nstthestpatient.
c.stAskstthestpatientsttostdescribestthestnaturestandstseveritystofstanystallergicstres
ponsesstexperiencedstfromstthesestagents.
d.stNotifystthestanesthesiastcarestproviderst(ACP)stbecausestthestpatientstmaysth
avestanstincreasedstriskstforstallergiesstto
anesthetics.st-stcorrectstanswer✔ ✔
c.stRiskstfactorsstforstlatexstallergiesstincludestasthistorystof
, haystfeverstandstallergiessttostfoodsstsuchstasstavocados,stkiwi,stbananas,stpotato
es,stpeaches,standstapricots.stWhenstastpatientstidentifiesstsuchstallergies,stthestp
atientstshouldstbestfurtherstquestionedstaboutstexposuresttostlatexstandstspecificst
reactionssttostallergens.stAsthistorystofstanystallergicstresponsivenessstincrease
sstthestriskstforsthypersensitivitystreactionssttostdrugsstusedstduringstanesthesiast
butstthesthaystfeverstandstfruitstallergiesstarestspecificallystrelatedsttostlatexstaller
gy.stAfterstidentifyingstthestallergicstreaction,stthestanesthesiastcarestproviderst(
ACP)stshouldstbestnotified,stthestallergystalertstwristbandstshouldstbestapplied,st
andstthestnotestinstthestrecordstwillstincludestthestallergiesstandstreactionsstasstwel
lstasstthestnursingstactionsstrelatedsttostthestallergies.
Duringstastpreoperativestreviewstofstsystems,stthestpatientstrevealsstasthistorysto
fstrenalstdisease.stThisstfindingstsuggestsstthestneedstforstwhichstpreoperativestdi
agnosticsttests?
a.stECGstandstcheststx-ray
b.stSerumstglucosestandstCBC
c.stABGsstandstcoagulationsttests
d.stBUN,stserumstcreatinine,standstelectrolytesst-stcorrectstanswer✔ ✔
d.stBUN,stserumstcreatinine,standstelectrolytesstarestusedsttostassessstrenalstfu
nctionstandstshouldstbestevaluatedstbeforestsurgery.stOthersttestsstarestoftensteva
luatedstinstthestpresencestofstdiabetes,stbleedingsttendencies,standstrespiratoryst
orstheartstdisease.
st st st
Astpatientstwhostisstbeingstadmittedsttostthestsurgicalstunitstforstasthysterectomyst
pacesstthestfloor,strepeatedlystsaying,st"Istjuststwantstthisstover."stWhatstshouldst
thestnursestdosttostpromotestastpositivestsurgicalstoutcomestforstthestpatient?
a.stAskstthestpatientstwhatstherstspecificstconcernsstarestaboutstthestsurgery.
b.stReassurestthestpatientstthatstthestsurgerystwillstbestoverstsoonstandstshestwillstb
estfine.
c.stRedirectstthestpatient'sstattentionsttostthestnecessarystpreoperativestpreparati
ons.
d.stTellstthestpatientstshestshouldstnotstbestsostanxiousstbecausestshestissthavingstast
common,stsafestsurgery.st-stcorrectstanswer✔ ✔
a.stExcessivestanxietystandststressstcanstaffectstsurgicalstrecoverystandstthestn
urse'sstrolestinstpsychologicallystpreparingstthestpatientstforstsurgerystissttostasse
ssstforstpotentialststressorsstthatstcouldstnegativelystaffectstsurgery.stSpecificstf
earsstshouldstbestidentifiedstandstaddressedstbystthestnursestbystlisteningstandstby
stexplainingstplannedstpostoperativestcare.stFalselystreassuringstthestpatient,sti
gnoringstherstbehavior,standsttellingstherstnotsttostbestanxiousstarestnotsttherapeut
ic.
Manystherbalstproductsstthatstarestcommonlysttakenstcausestsurgicalstproblems
.stWhichstherbsstlistedstbelowstshouldstthestnursestteachstthestpatientsttostavoidstb
eforestsurgerysttostpreventstanstincreasestinstbleedingstforstthestsurgicalstpatientst
(selectstallstthatstapply)?
,a.stGarlic
b.stFishstoil
c.stValerian
d.stVitaminstE
e.stAstragalus
f.stGinkgostbilobast-stcorrectstanswer✔ ✔
a,stb,std,stf.stValerianstmaystcausestexcessstsedation.stAstragalusstmaystincreas
estbloodstpressurestbeforestandstduringstsurgery.
PrioritystDecision:stWhenstthestnursestasksstastpreoperativestpatientstaboutstalle
rgies,stthestpatientstreportsstasthistorystofstseasonalstenvironmentalstallergiessta
ndstallergiessttostastvarietystofstfruits.stWhatstshouldstthestnursestdostnext?
a.stNotestthisstinformationstinstthestpatient'sstrecordstassthaystfeverstandstfoodstall
ergies.
b.stPlacestanstallergystalertstwristbandstthatstidentifiesstthestspecificstallergiessto
nstthestpatient.
c.stAskstthestpatientsttostdescribestthestnaturestandstseveritystofstanystallergicstres
ponsesstexperiencedstfromstthesestagents.
d.stNotifystthestanesthesiastcarestproviderst(ACP)stbecausestthestpatientstmaysth
avestanstincreasedstriskstforstallergiesstto
anesthetics.st-stcorrectstanswer✔ ✔
c.stRiskstfactorsstforstlatexstallergiesstincludestasthistorystof
, haystfeverstandstallergiessttostfoodsstsuchstasstavocados,stkiwi,stbananas,stpotato
es,stpeaches,standstapricots.stWhenstastpatientstidentifiesstsuchstallergies,stthestp
atientstshouldstbestfurtherstquestionedstaboutstexposuresttostlatexstandstspecificst
reactionssttostallergens.stAsthistorystofstanystallergicstresponsivenessstincrease
sstthestriskstforsthypersensitivitystreactionssttostdrugsstusedstduringstanesthesiast
butstthesthaystfeverstandstfruitstallergiesstarestspecificallystrelatedsttostlatexstaller
gy.stAfterstidentifyingstthestallergicstreaction,stthestanesthesiastcarestproviderst(
ACP)stshouldstbestnotified,stthestallergystalertstwristbandstshouldstbestapplied,st
andstthestnotestinstthestrecordstwillstincludestthestallergiesstandstreactionsstasstwel
lstasstthestnursingstactionsstrelatedsttostthestallergies.
Duringstastpreoperativestreviewstofstsystems,stthestpatientstrevealsstasthistorysto
fstrenalstdisease.stThisstfindingstsuggestsstthestneedstforstwhichstpreoperativestdi
agnosticsttests?
a.stECGstandstcheststx-ray
b.stSerumstglucosestandstCBC
c.stABGsstandstcoagulationsttests
d.stBUN,stserumstcreatinine,standstelectrolytesst-stcorrectstanswer✔ ✔
d.stBUN,stserumstcreatinine,standstelectrolytesstarestusedsttostassessstrenalstfu
nctionstandstshouldstbestevaluatedstbeforestsurgery.stOthersttestsstarestoftensteva
luatedstinstthestpresencestofstdiabetes,stbleedingsttendencies,standstrespiratoryst
orstheartstdisease.
