Med Surg Final Practice Questions exam with
question and answer 100% correct
Terms in this set (149)
The nurse has conducted preoperative 3.
teaching for a client scheduled for surgery Anticoagulants altered normal clotting
factors and increase in 1 week. The client has a history of arthritis the risk of bleeding after
surgery. Aspirin has properties that and has been taking acetylsalicylic acid. The can alter
the clotting mechanism and should be discontinued nurse determines that the client needs at
least 48 hours before surgery. However, the client should additional teaching if the client
makes which always check with his or her health care provider
regarding statement? when to stop taking the aspirin when a surgical
procedure is
scheduled.
1. "Aspirin can cause bleeding after surgery."
2."Aspirin can cause my ability to clot
blood to be abnormal."
3."I need to continue to take the aspirin
until the day of surgery."
4. "I need to check with my HCP
about the need to stop the aspirin
before the scheduled surgery."
,The nurse is conducting
4
preoperative teaching with a client
For optimal lung expansion with the incentive
about the use of an incentive
spirometer, the client should assume the semi-Fowlers
spirometer. The nurse should
or high fowlers position. The mouthpiece should be
include which piece of information
covered completely and tightly while the client inhales
in discussions with the client?
slowly, with a constant flow through the unit. The
breath should be held for 5 seconds before exhaling
1. Inhale as rapidly as possible
slowly.
2.Keep a loose seal between the
lips and the mouthpiece
3.After maximum inspiration,
hold the breath for 15 seconds
and exhale.
4.The best results are achieved when
sitting up or with the head of the bed
elevated 45 to 90 degrees
The nurse assess a client's surgical
2
incision for signs of infection. Which
Serous drainage is an expected finding at a surgical
finding by the nurse would be
site. The other options indicate signs of wound
interpreted as a normal finding at
infection. Wound infection usually appears 3 to 6 days
the surgical site?
after surgery.
1. Red, hard skin
2.Serous drainage
3.Purulent drainage
4.Warm tender skin
A client who has had abdominal
1, 2, 3 ,4
surgery complains of feeling as
Wound dehiscence is the separation of the wound
though "something gave way" in the
edges. Wound evisceration is protrusion of the
incisional site. The nurse removes
internal organs through an incision. If wound
the dressing and notes the presence
dehiscence or evisceration occurs, the nurse should
of a loop of bowel protruding
call for help, stay with the client, and ask another
through the incision. Which nursing
nurse to contact the surgeon and obtain needed
interventions should the nurse take?
supplies to care for the client. The nurse places the
Select all that apply:
client in a low fowlers position and the client is kept
quite and instructed not to cough. Protruding organs
1. Contact the surgeon
are covered with a sterile saline dressing. Ice is not
2.Instruct the client to remain quiet
applied because of its vasoconstrictive effect. The
3.Prepare the client for wound
closure treatment for evisceration is usually immediate
4. Document the findings and actions wound closure under local or general anesthesia. The
taken nurse also documents the findings and actions taken.
5. Place a sterile saline dressing
and ice packs over the wound
6.Place the client in a prone
position without a pillow under
the head.
The nurse receives a telephone call airway
from the postanesthesia care unit 2.Check tubes or drains for patency
stating that a client is being 3.Check the dressing to assess for bleeding
transferred to the surgical unit. The 4.Assess the vital signs to compare with preoperative
nurse plans to take which action first measurements
on arrival of the client?
1. Assess the patency of the
,1.
The first action of the nurse is to
assess the patency of the airway
snd respiratory function. If the
airway is not patent, the nurse must
take immediate measures for the
survival of the client. The nurse
then takes vital signs followed by
checking of the dressing and tubes
or drains.
, The nurse has just reassessed the 1.
condition of a postoperative client Urine output should be maintained at a minimum of
who was admitted 1 hour ago to the 30mL/hour for an adult. An output of less than that for
surgical unit. The nurse plans to each of 2 consecutive hours should be reported to
monitor which parameter most the health care provider.
carefully during the next hour?
1. Urine output of 20ml/hour
2. Temperature of 37.6 C
3.Blood pressure of 114/70
4. Serous drainage on the surgical
dressing
A postoperative client asks the nurse 1.
why it is so important to deep- Postoperative respiratory problems are atelectasis,
breathe and cough after surgery. pneumonia and pulmonary emboli. Pneumonia is the
When formulating a response, the inflammation of lung tissue that causes productive
nurse incorporates the understanding cough, dyspnea, and lung crackles and can be
that retained pulmonary secretions in caused by the retention of pulmonary secretions.
a postoperative client can lead to
which condition?
1. Pneumonia
2.Hypoxemia
3.Fluid imbalance
4. Pulmonary embolism
Which of the following are functions A. promote hemostasis
of dressings? (select all that apply) C. wound debridement
D. prevent contamination
A. promote hemostasis
B.keep wound bed dry We don't want to keep the wound bed dry and
C. wound debridement dressings don't increase circulation
D.prevent contamination
E. increase circulation
The nurse is caring for a patient who D. post operative wound infection
had knee replacement surgery 5
days go. The patient's knee appears This is not an expectation after surgery. As a nurse
red and warm to the touch and you cannot assume the patient is dependent on
patient is requesting increased pain medication unless infection or other problems are
medication. What complication ruled out first. Wound dehiscence would be visual, as
should the nurse be concerned the incision would come open. Redness, warmth and
about? increased pain in the area suggest possible infection.
A. nothing, this is expected post
operatively
B. patient is becoming dependent
on pain medication
C. post operative wound dehiscence
D. post operative wound infection
question and answer 100% correct
Terms in this set (149)
The nurse has conducted preoperative 3.
teaching for a client scheduled for surgery Anticoagulants altered normal clotting
factors and increase in 1 week. The client has a history of arthritis the risk of bleeding after
surgery. Aspirin has properties that and has been taking acetylsalicylic acid. The can alter
the clotting mechanism and should be discontinued nurse determines that the client needs at
least 48 hours before surgery. However, the client should additional teaching if the client
makes which always check with his or her health care provider
regarding statement? when to stop taking the aspirin when a surgical
procedure is
scheduled.
1. "Aspirin can cause bleeding after surgery."
2."Aspirin can cause my ability to clot
blood to be abnormal."
3."I need to continue to take the aspirin
until the day of surgery."
4. "I need to check with my HCP
about the need to stop the aspirin
before the scheduled surgery."
,The nurse is conducting
4
preoperative teaching with a client
For optimal lung expansion with the incentive
about the use of an incentive
spirometer, the client should assume the semi-Fowlers
spirometer. The nurse should
or high fowlers position. The mouthpiece should be
include which piece of information
covered completely and tightly while the client inhales
in discussions with the client?
slowly, with a constant flow through the unit. The
breath should be held for 5 seconds before exhaling
1. Inhale as rapidly as possible
slowly.
2.Keep a loose seal between the
lips and the mouthpiece
3.After maximum inspiration,
hold the breath for 15 seconds
and exhale.
4.The best results are achieved when
sitting up or with the head of the bed
elevated 45 to 90 degrees
The nurse assess a client's surgical
2
incision for signs of infection. Which
Serous drainage is an expected finding at a surgical
finding by the nurse would be
site. The other options indicate signs of wound
interpreted as a normal finding at
infection. Wound infection usually appears 3 to 6 days
the surgical site?
after surgery.
1. Red, hard skin
2.Serous drainage
3.Purulent drainage
4.Warm tender skin
A client who has had abdominal
1, 2, 3 ,4
surgery complains of feeling as
Wound dehiscence is the separation of the wound
though "something gave way" in the
edges. Wound evisceration is protrusion of the
incisional site. The nurse removes
internal organs through an incision. If wound
the dressing and notes the presence
dehiscence or evisceration occurs, the nurse should
of a loop of bowel protruding
call for help, stay with the client, and ask another
through the incision. Which nursing
nurse to contact the surgeon and obtain needed
interventions should the nurse take?
supplies to care for the client. The nurse places the
Select all that apply:
client in a low fowlers position and the client is kept
quite and instructed not to cough. Protruding organs
1. Contact the surgeon
are covered with a sterile saline dressing. Ice is not
2.Instruct the client to remain quiet
applied because of its vasoconstrictive effect. The
3.Prepare the client for wound
closure treatment for evisceration is usually immediate
4. Document the findings and actions wound closure under local or general anesthesia. The
taken nurse also documents the findings and actions taken.
5. Place a sterile saline dressing
and ice packs over the wound
6.Place the client in a prone
position without a pillow under
the head.
The nurse receives a telephone call airway
from the postanesthesia care unit 2.Check tubes or drains for patency
stating that a client is being 3.Check the dressing to assess for bleeding
transferred to the surgical unit. The 4.Assess the vital signs to compare with preoperative
nurse plans to take which action first measurements
on arrival of the client?
1. Assess the patency of the
,1.
The first action of the nurse is to
assess the patency of the airway
snd respiratory function. If the
airway is not patent, the nurse must
take immediate measures for the
survival of the client. The nurse
then takes vital signs followed by
checking of the dressing and tubes
or drains.
, The nurse has just reassessed the 1.
condition of a postoperative client Urine output should be maintained at a minimum of
who was admitted 1 hour ago to the 30mL/hour for an adult. An output of less than that for
surgical unit. The nurse plans to each of 2 consecutive hours should be reported to
monitor which parameter most the health care provider.
carefully during the next hour?
1. Urine output of 20ml/hour
2. Temperature of 37.6 C
3.Blood pressure of 114/70
4. Serous drainage on the surgical
dressing
A postoperative client asks the nurse 1.
why it is so important to deep- Postoperative respiratory problems are atelectasis,
breathe and cough after surgery. pneumonia and pulmonary emboli. Pneumonia is the
When formulating a response, the inflammation of lung tissue that causes productive
nurse incorporates the understanding cough, dyspnea, and lung crackles and can be
that retained pulmonary secretions in caused by the retention of pulmonary secretions.
a postoperative client can lead to
which condition?
1. Pneumonia
2.Hypoxemia
3.Fluid imbalance
4. Pulmonary embolism
Which of the following are functions A. promote hemostasis
of dressings? (select all that apply) C. wound debridement
D. prevent contamination
A. promote hemostasis
B.keep wound bed dry We don't want to keep the wound bed dry and
C. wound debridement dressings don't increase circulation
D.prevent contamination
E. increase circulation
The nurse is caring for a patient who D. post operative wound infection
had knee replacement surgery 5
days go. The patient's knee appears This is not an expectation after surgery. As a nurse
red and warm to the touch and you cannot assume the patient is dependent on
patient is requesting increased pain medication unless infection or other problems are
medication. What complication ruled out first. Wound dehiscence would be visual, as
should the nurse be concerned the incision would come open. Redness, warmth and
about? increased pain in the area suggest possible infection.
A. nothing, this is expected post
operatively
B. patient is becoming dependent
on pain medication
C. post operative wound dehiscence
D. post operative wound infection
