Med Surg 1 (Exam 2) Questions And Correct Verified Answers

MED SURG 1 (EXAM 2) QUESTIONS AND
CORRECT VERIFIED ANSWERS
OneA2hourA2afterA2admissionA2toA2theA2postA2anesthesiaA2careA2unitA2(PACU),A2theA2post
operativeA2patientA2hasA2becomeA2veryA2restless.A2WhatA2isA2theA2nurse'sA2firstA2action?
A.A2AssessA2theA2oxygenA2saturationA2level
B.A2AdministerA2painA2medicationA2asA2ordered
C.A2CallA2theA2surgeonA2toA2assessA2theA2patient
D.A2AssessA2forA2bladderA2distentionA2-A2Ans--A

PatientA2asksA2nurseA2whatA2doesA2thisA2"thing"A2doA2andA2whyA2doA2iA2haveA2toA2useA2it.A
2NurseA2explainsA2thatA2usingA2thisA2thingA2(incentiveA2spirometer)
A.A2"TheA2spirometerA2willA2helpA2preventA2bloodA2clots"
B.A2"TheA2spirometerA2willA2helpA2yourA2lungsA2expand."
C.A2"TheA2spirometerA2willA2improveA2bloodA2flowA2inA2yourA2lungs."
D.A2"TheA2spirometerA2willA2helpA2youA2coughA2effectively."A2-A2Ans--B

AfterA2abdominalA2surgery,A2theA2patientA2complainsA2ofA2severeA2gasA2painsA2andA2state
s,A2"IA2haveA2notA2hadA2bowelsA2inA23A2days."A2WhatA2isA2theA2appropriateA2nursingA2inter
vention?
A.A2CallA2theA2physicianA2forA2anA2orderA2forA2aA2laxative
B.A2ReinsertA2aA2nasogastricA2tube
C.A2ProvideA2theA2orderedA2prnA2Morphine
D.A2HaveA2theA2patientA2ambulateA2frequentlyA2-A2Ans--D

AA2patientA2withA2emphysemaA2reportsA2socialA2isolation.A2WhatA2shouldA2theA2nurseA2en
courageA2patientA2toA2do?
A.A2ParticipateA2inA2communityA2activities
B.A2AskA2theA2patient'sA2physicianA2forA2anA2antiA2anxietyA2agent
C.A2VerbalizeA2hisA2orA2herA2thoughtsA2andA2feelings
D.A2JoinA2aA2supportA2groupA2forA2peopleA2withA2emphysemaA2-A2Ans--C

TheA2patient'sA2abdominalA2incisionA2isA2drainingA2aA2smallA2amountA2ofA2pinkishA2colorA2
secretion.A2HowA2nurseA2documentA2thisA2findingA2onA2theA2patient'sA2record?
A.A2SmallA2amountA2ofA2bloodyA2drainageA2notedA2onA2dressings.
B.A2SmallA2amountA2ofA2serosanguineousA2drainageA2notedA2onA2dressings.
C.A2SmallA2amountA2ofA2serousA2drainageA2notedA2onA2dressings.
D.A2SmallA2amountA2ofA2sanguineousA2drainageA2notedA2onA2dressings.A2-A2Ans--B

WhatA2interventionsA2shouldA2theA2nurseA2carryA2outA2toA2reduceA2postoperativeA2painA2a
ndA2promoteA2comfortA2toA2surgicalA2patient?A2(SelectA2allA2thatA2apply)
A.A2ControlA2orA2removeA2noxiousA2stimuliA2inA2theA2environment.
B.A2InstructA2theA2patientA2inA2relaxationA2techniques.
C.A2UseA2iceA2toA2reduceA2andA2preventA2swellingA2asA2indicated
D.A2EncourageA2activityA2andA2exerciseA2toA2pointA2ofA2fatigue

, E.A2UseA2pillowsA2toA2assistA2toA2aA2positionA2ofA2comfortA2-A2Ans--AA2BA2CA2E

AA2post-operativeA2patientA2isA2inA2theA2post-
anesthesiaA2careA2unitA2(PACU)A2andA2reportsA2havingA2painA2ofA28A2onA2aA2scaleA2ofA210
.A2WhatA2isA2theA2bestA2nursingA2action?
A.A2ConsultA2withA2theA2anesthesiaA2careA2providerA2toA2manageA2theA2painA2whileA2theA2
patientA2isA2stillA2inA2PACU
B.A2HaveA2theA2nursesA2onA2theA2surgicalA2unitA2toA2assessA2theA2patientA2andA2administe
rA2painA2medicationA2asA2appropriate
C.A2LookA2atA2theA2routineA2post-
operativeA2ordersA2andA2administerA2theA2painA2medicineA2thatA2isA2ordered.
D.A2SepA2upA2theA2PatientA2ControlledA2
AnalgesiaA2(PCA)A2machineA2andA2pushA2theA2buttonA2forA2theA2patientA2asA2needed.A2-
A2Ans--A


TheA2nurseA2isA2changingA2theA2patient'sA2dressingA2onA2theA2secondA2postoperativeA2da
yA2andA2notesA2aA2smallA2amountA2ofA2serosanguineousA2drainage.A2WhatA2isA2theA2nurse
'sA2bestA2action?
A.A2CoverA2theA2incisionA2withA2aA2transparentA2dressing
B.A2CultureA2theA2drainageA2andA2leaveA2theA2incisionA2openA2toA2air
C.A2CleanseA2theA2sutureA2lineA2andA2applyA2aA2sterileA2dressing
D.A2NotifyA2theA2surgeonA2toA2assessA2theA2patientA2-A2Ans--C

WhatA2isA2theA2priorityA2nursingA2interventionA2forA2theA2patientA2inA2theA2PostA2Anesthesi
aA2CareA2UnitA2(PACU)A2whoA2reports,A2"IA2thinkA2IA2amA2goingA2toA2vomit"
A.A2ContinueA2toA2monitorA2theA2vitalA2signs
B.A2PlaceA2aA2coolA2clothA2onA2theA2patient'sA2forehead
C.A2GiveA2theA2antiemeticA2asA2ordered
D.A2TurnA2theA2patientA2onA2theirA2sideA2-A2Ans--D

AA2patientA2withA2aA2historyA2ofA2asthmaA2isA2admittedA2toA2theA2emergencyA2departmentA
2withA2dyspnea,A2respiratoryA2rateA2ofA235A2breathsA2perA2minute,A2nasalA2flaring,A2useA2o
fA2accessoryA2muscles,A2andA2greatlyA2diminishedA2breathA2sounds.A2WhatA2actionA2shou
ldA2theA2nurseA2takeA2first?
A.A2InitiateA2oxygenA2therapyA2andA2reassessA2theA2patientA2inA210A2minutes
B.A2EncourageA2theA2patientA2toA2relaxA2andA2breatheA2slowly
C.A2DrawA2bloodA2forA2arterialA2bloodA2gasA2analysisA2andA2sendA2theA2patientA2forA2aA2ch
estA2X-ray
D.A2AdministerA2bronchodilatorsA2asA2orderedA2-A2Ans--D

TheA2patientA2isA27A2hoursA2post-
opA2andA2hasA2notA2voided.A2WhatA2shouldA2theA2nurseA2doA2first?
A.A2CallA2theA2surgeonA2statA2andA2reportA2theA2lackA2ofA2voiding
B.A2InsertA2anA2indwellingA2urinaryA2catheter
C.A2DetermineA2whenA2theA2lastA2painA2medicationA2wasA2given
D.A2PalpateA2forA2presenceA2ofA2theA2bladderA2aboveA2theA2symphysisA2pubisA2-A2Ans--D