1
TEST BANK FOR MED SURG 2 FINAL
QUESTIONS WITH SOLUTIONS
The nurse is caring for a patient with chronic episodes of hypoxia secondary to
chronic obstructive pulmonary disease. The nurse will monitor the patient's
laboratory results for increased RBCs due to the low oxygen levels. Which of the
following blood disorders will the nurse expect to find? - correct-answer - Aplastic
anemia
The nurse is caring for the patient who recently underwent a colectomy due to a
bowel perforation and peritonitis. The nurse is preparing to administer the
anticoagulant heparin to prevent which of the following blood disorders? -
correct-answer - DIC
, 2
The nurse is caring for a patient who has CLL when the patient suddenly develops
petechiae, nausea, and severe back pain. The nurse recognizes this life-
threatening event as which of the following? - correct-answer - DIC
The nurse is caring for the patient who underwent emergency treatment for DIC.
The patient voices concern over how to explain the tubes and extensive bruising
to his family members. Which of the following would be an appropriate nursing
intervention for disturbed body image related to physical evidence of aggressive
treatment procedures? - correct-answer - Enlist the aid of other members of the
health care team to support the family.
The nurse is caring for a patient who must undergo a splenectomy for treatment
for idiopathic thrombocytopenic purpura (ITP).Which of the following statements
best describes the rationale for the splenectomy? - correct-answer - The spleen is
the primary site for platelet destruction.
, 3
The nurse is providing education to a patient with mild hemophilia on how to
avoid bleeding episodes. Which one of the following would be most appropriate
to include in the teaching plan? - correct-answer - Administer desmopressin
intranasally prior to any dental procedure or sports.
The nurse is assisting in developing a plan of care for the patient with hemophilia
who is experiencing severe acute pain. Which of the following would be the most
appropriate intervention based on the nursing diagnosis acute pain related to
bleeding into tissues? - correct-answer - Administer opioids as prescribed,
avoiding IM injections.
The nurse is assessing the patient recently diagnosed with chronic myelogenous
leukemia (CML). What of the following indicates a positive diagnosis for CML? -
correct-answer - Genetic analysis of bone marrow reveals Philadelphia
chromosome.
TEST BANK FOR MED SURG 2 FINAL
QUESTIONS WITH SOLUTIONS
The nurse is caring for a patient with chronic episodes of hypoxia secondary to
chronic obstructive pulmonary disease. The nurse will monitor the patient's
laboratory results for increased RBCs due to the low oxygen levels. Which of the
following blood disorders will the nurse expect to find? - correct-answer - Aplastic
anemia
The nurse is caring for the patient who recently underwent a colectomy due to a
bowel perforation and peritonitis. The nurse is preparing to administer the
anticoagulant heparin to prevent which of the following blood disorders? -
correct-answer - DIC
, 2
The nurse is caring for a patient who has CLL when the patient suddenly develops
petechiae, nausea, and severe back pain. The nurse recognizes this life-
threatening event as which of the following? - correct-answer - DIC
The nurse is caring for the patient who underwent emergency treatment for DIC.
The patient voices concern over how to explain the tubes and extensive bruising
to his family members. Which of the following would be an appropriate nursing
intervention for disturbed body image related to physical evidence of aggressive
treatment procedures? - correct-answer - Enlist the aid of other members of the
health care team to support the family.
The nurse is caring for a patient who must undergo a splenectomy for treatment
for idiopathic thrombocytopenic purpura (ITP).Which of the following statements
best describes the rationale for the splenectomy? - correct-answer - The spleen is
the primary site for platelet destruction.
, 3
The nurse is providing education to a patient with mild hemophilia on how to
avoid bleeding episodes. Which one of the following would be most appropriate
to include in the teaching plan? - correct-answer - Administer desmopressin
intranasally prior to any dental procedure or sports.
The nurse is assisting in developing a plan of care for the patient with hemophilia
who is experiencing severe acute pain. Which of the following would be the most
appropriate intervention based on the nursing diagnosis acute pain related to
bleeding into tissues? - correct-answer - Administer opioids as prescribed,
avoiding IM injections.
The nurse is assessing the patient recently diagnosed with chronic myelogenous
leukemia (CML). What of the following indicates a positive diagnosis for CML? -
correct-answer - Genetic analysis of bone marrow reveals Philadelphia
chromosome.
