MED SURG 2 - Mastery MED SURG 2 - Mastery
Study online at https://quizlet.com/_9rf668
1. The nurse is assessing for Have the pt pinch fingers and thumb together, notes
brachial plexus compromise on a strength when the nurse tries to pull them apart.
pt that underwent a left shoulder To assess the median nerve, the pt should touch the tip of
arthroplasty. To assess for medi- the thumb to the tip of the fifth finger and then resist as the
an nerve integrity, the nurse: nurse attempts to pull them apart. Having the pt grip while
- Has the patient touch his thumb the nurse tries to open the gripped fingers accomplishes
to his palm. this test.
- Has the patient raise his arm
above his head.
- Has the patient spread out all of
the fingers while resisting pres-
sure.
- Has patient pinch fingers and
thumb together, notes strength
when the nurse tries to pull them
apart.
2. A hearing impaired pt was admit- Face the pt and speak directly with a clear tone
ted to the hospital. Which is the The best way to communicate effectively with the hearing
best way for the nurse to com- impaired person is to face him/her and speak clearly so
municate effectively? that they may benefit from adequate volume and also the
- Talking directly into the im- visual reinforcement of seeing you speak
paired ear.
- Face the patient and speak di-
rectly with a clear tone.
- Placing the mouth near the
good ear and shout out the
words.
- Writing what you want to com-
municate to the patient.
3.
1
, MED SURG 2 - Mastery MED SURG 2 - Mastery
Study online at https://quizlet.com/_9rf668
The nurse is providing instruc- Use a hair dryer to blow cool air into the cast.
tions to a pt with a plaster cast on Forceful air can relieve itching inside the cast. Since hot air
the left arm. To relieve itching un- can burn the skin under the cast, cool air should be used
der the cast, the patient should: instead.
- Use a hair dryer to blow cool air This should not be done while cast is still drying. Objects
into the cast. should never be placed under the cast due to skin break-
- Apply pressure to the outside down
of the cast directly over the area
that itches.
- Pour small amounts of water
down the cast.
- Use a clothes hanger to itch un-
der the cast.
4. Which of the following patients 85 year old with extensive burns
would benefit from hyperbaric Hyperbaric oxygen therapy increases oxygenation to com-
oxygen therapy? promised tissue, such as wounds and burns. Increasing
85-year-old with extensive burns the oxygen supply to the affected tissues aids in wound
48-year-old with a recent kidney healing.
transplant
25-year-old with a brain tumor
37-year-old with pneumonia
5. An adult client with chronic renal - Hyperkalemia
failure is starting hemodialysis. - Uremia (chronic kidney disease)
Which of the following indicates A serum potassium level of above 5.5 mEq/L (hyper-
to the nurse that hemodialysis is kalemia) may cause cardiac arrhythmias and is life threat-
necessary for the client? ening. The seriousness of the situation calls for medical
Ascites attention and early treatment such as hemodialysis.
Respiratory acidosis Uremia occurs when urea and other waste products build
Hypertension up because the kidneys can no longer eliminate them. Se-
2
Study online at https://quizlet.com/_9rf668
1. The nurse is assessing for Have the pt pinch fingers and thumb together, notes
brachial plexus compromise on a strength when the nurse tries to pull them apart.
pt that underwent a left shoulder To assess the median nerve, the pt should touch the tip of
arthroplasty. To assess for medi- the thumb to the tip of the fifth finger and then resist as the
an nerve integrity, the nurse: nurse attempts to pull them apart. Having the pt grip while
- Has the patient touch his thumb the nurse tries to open the gripped fingers accomplishes
to his palm. this test.
- Has the patient raise his arm
above his head.
- Has the patient spread out all of
the fingers while resisting pres-
sure.
- Has patient pinch fingers and
thumb together, notes strength
when the nurse tries to pull them
apart.
2. A hearing impaired pt was admit- Face the pt and speak directly with a clear tone
ted to the hospital. Which is the The best way to communicate effectively with the hearing
best way for the nurse to com- impaired person is to face him/her and speak clearly so
municate effectively? that they may benefit from adequate volume and also the
- Talking directly into the im- visual reinforcement of seeing you speak
paired ear.
- Face the patient and speak di-
rectly with a clear tone.
- Placing the mouth near the
good ear and shout out the
words.
- Writing what you want to com-
municate to the patient.
3.
1
, MED SURG 2 - Mastery MED SURG 2 - Mastery
Study online at https://quizlet.com/_9rf668
The nurse is providing instruc- Use a hair dryer to blow cool air into the cast.
tions to a pt with a plaster cast on Forceful air can relieve itching inside the cast. Since hot air
the left arm. To relieve itching un- can burn the skin under the cast, cool air should be used
der the cast, the patient should: instead.
- Use a hair dryer to blow cool air This should not be done while cast is still drying. Objects
into the cast. should never be placed under the cast due to skin break-
- Apply pressure to the outside down
of the cast directly over the area
that itches.
- Pour small amounts of water
down the cast.
- Use a clothes hanger to itch un-
der the cast.
4. Which of the following patients 85 year old with extensive burns
would benefit from hyperbaric Hyperbaric oxygen therapy increases oxygenation to com-
oxygen therapy? promised tissue, such as wounds and burns. Increasing
85-year-old with extensive burns the oxygen supply to the affected tissues aids in wound
48-year-old with a recent kidney healing.
transplant
25-year-old with a brain tumor
37-year-old with pneumonia
5. An adult client with chronic renal - Hyperkalemia
failure is starting hemodialysis. - Uremia (chronic kidney disease)
Which of the following indicates A serum potassium level of above 5.5 mEq/L (hyper-
to the nurse that hemodialysis is kalemia) may cause cardiac arrhythmias and is life threat-
necessary for the client? ening. The seriousness of the situation calls for medical
Ascites attention and early treatment such as hemodialysis.
Respiratory acidosis Uremia occurs when urea and other waste products build
Hypertension up because the kidneys can no longer eliminate them. Se-
2
