Med Surg Exam 1 All the Newest complete
questions and correct verified RESOLUTION
RESULT VERIFIEDs (detailed RESOLUTION
RESULT VERIFIEDs) already graded A+
Nursing assessment findings reveal a temperature of 96.2°F, pulse oximetry 90%,
shivering, and client complains of chilling. Which of the following actions by the
nurse would be inappropriate? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-
restrict oral fluids
The client exhibits clinical manifestations of hypothermia. The nurse should
maintain adequate hydration of the client rather than restrict fluids.
A postoperative client is being evaluated for discharge and currently has an
Aldrete score of 8. Which of the following is the most likely outcome for this
client? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-the client can be
discharged from the PACU The Aldrete score is usually 8 to 10 before discharge
from the PACU. Clients with a score of less than 7 must remain in the PACU until
their condition improves or they are transferred to an intensive care area,
depending on their preoperative baseline score.
,Which type of healing occurs when granulation tissue is not visible and scar
formation is minimal? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-first
intention
The nurse observes that a postsurgical client has hemorrhaged and is in
hypovolemic shock. Which nursing intervention will manage and minimize
hemorrhage and shock? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-
reinforcing the dressing or applying pressure if bleeding is frank
The nurse should reinforce the dressing or apply pressure if bleeding is frank. The
nurse should keep the head of the bed flat unless it is contraindicated.
Encouraging the client to breathe deeply will not help manage and minimize
hemorrhage and shock. Monitoring vital signs every 15 minutes is an appropriate
nursing intervention but will not minimize hemorrhage and shock; it will just help
to determine the extent and progression of the problem.
What measurement should the nurse report to the physician in the immediate
postoperative period? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-a systolic
blood pressure lower than 90 mm Hg
What does the nurse recognize as one of the most common postoperative
respiratory complications in elderly clients? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-pneumonia When a client with a history of chronic alcoholism is
admitted to the hospital for surgery, the nurse anticipates that the client may
show signs of alcohol withdrawal delirium during which time period? -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-Up to 72 hours after alcohol
withdrawal
A fractured skull would be classified under which category of surgery based on
,urgency? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-Emergent
Emergent surgery occurs when the client requires immediate attention. An
elective surgery is classified as a surgery that the client should have. A required
surgery means that the client needs to have surgery. An urgent surgery occurs
when the client requires prompt attention.
For the client who is taking aspirin, it is important to stop taking this medication at
least how many day(s) before surgery? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-7
Which health care profession has the ultimate responsibility to provide
appropriate information regarding a nonemergent surgery? -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-Physician
The nurse discovers that the client did not sign the operative consent before
receiving the preoperative medication. The appropriate nursing action is: -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-To notify the surgeon
The nurse expects informed consent to be obtained for insertion of: -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-A gastrostomy tube
You are the nurse working in an ambulatory surgery center. A teenage son of your
clients ask you why so many people have surgery. What would be your best
reply? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-"Many people have
diagnostic or short therapeutic surgical procedures."
, A client is scheduled for a surgical procedure. When planning the client's care, the
nurse should consider that which of the following conditions will increase the
client's risk of complications after surgery? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-A history of diabetes
At what point does the preoperative period end? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-When the client is transferred onto the operating table
The preoperative phase begins when the decision to proceed with surgical
intervention is made and ends with the transfer of the client onto the OR table.
The intraoperative phase begins when the client is transferred onto the operating
table and ends with admission to the PACU.
A client is being prepared for a same-day surgical procedure and is discussing with
the nurse what potential ramifications this type of surgery has. Which of the
following would the nurse correctly identify? Select all that apply. -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-Need for teaching is increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she may have
done in the past.
When is the ideal time to discuss preoperative teaching - {✔✔RESOLUTION
RESULT VERIFIED✔✔}Preadmission visit
A client is undergoing preoperative assessment. During admission paperwork, the
client reports having enjoyed a hearty breakfast this morning to be ready for the
procedure. What is the nurse's next action? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-Notify the surgeon.
questions and correct verified RESOLUTION
RESULT VERIFIEDs (detailed RESOLUTION
RESULT VERIFIEDs) already graded A+
Nursing assessment findings reveal a temperature of 96.2°F, pulse oximetry 90%,
shivering, and client complains of chilling. Which of the following actions by the
nurse would be inappropriate? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-
restrict oral fluids
The client exhibits clinical manifestations of hypothermia. The nurse should
maintain adequate hydration of the client rather than restrict fluids.
A postoperative client is being evaluated for discharge and currently has an
Aldrete score of 8. Which of the following is the most likely outcome for this
client? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-the client can be
discharged from the PACU The Aldrete score is usually 8 to 10 before discharge
from the PACU. Clients with a score of less than 7 must remain in the PACU until
their condition improves or they are transferred to an intensive care area,
depending on their preoperative baseline score.
,Which type of healing occurs when granulation tissue is not visible and scar
formation is minimal? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-first
intention
The nurse observes that a postsurgical client has hemorrhaged and is in
hypovolemic shock. Which nursing intervention will manage and minimize
hemorrhage and shock? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-
reinforcing the dressing or applying pressure if bleeding is frank
The nurse should reinforce the dressing or apply pressure if bleeding is frank. The
nurse should keep the head of the bed flat unless it is contraindicated.
Encouraging the client to breathe deeply will not help manage and minimize
hemorrhage and shock. Monitoring vital signs every 15 minutes is an appropriate
nursing intervention but will not minimize hemorrhage and shock; it will just help
to determine the extent and progression of the problem.
What measurement should the nurse report to the physician in the immediate
postoperative period? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-a systolic
blood pressure lower than 90 mm Hg
What does the nurse recognize as one of the most common postoperative
respiratory complications in elderly clients? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-pneumonia When a client with a history of chronic alcoholism is
admitted to the hospital for surgery, the nurse anticipates that the client may
show signs of alcohol withdrawal delirium during which time period? -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-Up to 72 hours after alcohol
withdrawal
A fractured skull would be classified under which category of surgery based on
,urgency? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-Emergent
Emergent surgery occurs when the client requires immediate attention. An
elective surgery is classified as a surgery that the client should have. A required
surgery means that the client needs to have surgery. An urgent surgery occurs
when the client requires prompt attention.
For the client who is taking aspirin, it is important to stop taking this medication at
least how many day(s) before surgery? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-7
Which health care profession has the ultimate responsibility to provide
appropriate information regarding a nonemergent surgery? -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-Physician
The nurse discovers that the client did not sign the operative consent before
receiving the preoperative medication. The appropriate nursing action is: -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-To notify the surgeon
The nurse expects informed consent to be obtained for insertion of: -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-A gastrostomy tube
You are the nurse working in an ambulatory surgery center. A teenage son of your
clients ask you why so many people have surgery. What would be your best
reply? - {✔✔RESOLUTION RESULT VERIFIED✔✔}-"Many people have
diagnostic or short therapeutic surgical procedures."
, A client is scheduled for a surgical procedure. When planning the client's care, the
nurse should consider that which of the following conditions will increase the
client's risk of complications after surgery? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-A history of diabetes
At what point does the preoperative period end? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-When the client is transferred onto the operating table
The preoperative phase begins when the decision to proceed with surgical
intervention is made and ends with the transfer of the client onto the OR table.
The intraoperative phase begins when the client is transferred onto the operating
table and ends with admission to the PACU.
A client is being prepared for a same-day surgical procedure and is discussing with
the nurse what potential ramifications this type of surgery has. Which of the
following would the nurse correctly identify? Select all that apply. -
{✔✔RESOLUTION RESULT VERIFIED✔✔}-Need for teaching is increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she may have
done in the past.
When is the ideal time to discuss preoperative teaching - {✔✔RESOLUTION
RESULT VERIFIED✔✔}Preadmission visit
A client is undergoing preoperative assessment. During admission paperwork, the
client reports having enjoyed a hearty breakfast this morning to be ready for the
procedure. What is the nurse's next action? - {✔✔RESOLUTION RESULT
VERIFIED✔✔}-Notify the surgeon.
