MED SURG

Questions & Answers 1. When educating a client after a total laryngectomy, which instruction would be most important for the nurse to include in the discharge teaching? Ans: Tell the client to carry a medical alert card that explains his condition. 2. A 55-year-old male client has been admitted to the hospital with a medical diagnosis of chronic obstructive pulmonary disease (COPD). Which risk factor is the most significant in the development of this client's COPD? Ans: The client smokes one to two packs of cigarettes per day 3. One day after a Billroth II surgery, a male client suddenly grabs his right chest and becomes pale and diaphoretic. Vital signs are assessed as blood pressure 100/80 mm Hg, pulse 110 beats/min, and respirations 36 breaths/min. Which action is most important for the nurse to take? Ans: Apply oxygen at 2 L via nasal cannula. 4. An 81-year-old male client has emphysema. He lives at home with his cat and manages self-care with no difficulty. When making a home visit, the nurse notices that this client's tongue is somewhat cracked and his eyeballs appear sunken into his head. Which nursing intervention is indicated? Ans: Help the client determine ways to increase his fluid intake. 5. The nurse is preparing a 45-year-old client for discharge from a cancer center following ileostomy surgery for colon cancer. Which discharge goal should the nurse include in this client's discharge plan? Ans: Attend an ostomy support group within 2 weeks.