Medical Surgical Nursing 2023 EXAM

Medical Surgical Nursing 2023 EXAM Which of the following statements indicate that the client with PUD understands how to effectively adjust the response to work related stress? 1) I will have to improve my ability to cope with stress 2) I don't have any control over my stressors at work. My coworkers are difficult to work with 3) Well, I guess this ulcer means I wont be able to work toward a job promotion 4) My job is to stressful, I will have to find a new career - CORRECT ANSWERS 1) I will have to improve my ability to cope with stress A client admitted to the ED complains of severe abd pain and elevated WBC count. The physicians diagnose is appendicitis, the nurse knows the client is at greatest risk for? 1) inflammation of the gallbladder 2) rupture of the appendix 3) emotional distress related to the pain 4) ulceration of the appendix - CORRECT ANSWERS 2) rupture of the appendix A client who has an appendectomy for a perforated appendix returns from surgery with a drain inserted in the incision, whats the purpose of the drain? 1) decrease post-op discomfort 2) promote drainage of wound exudates 3) provide access for wound irrigation 4) minimize developement of scar tissue - CORRECT ANSWERS 2) promote drainage of wound exudates After a subtotal gastrectomy, the nurse is developing a plan with the client to gain weight. what should the nurse provide the clients nutritional goals to be at home? 1) inform the client that bland food are typically less nutritional and should be used minimally 2) encourage the client to eat smaller amounts more frequently 3) instruct the client to increase the amount eaten at each meal 4) explain that if vomitting occurs after a meal, nothing more should be eaten that day - CORRECT ANSWERS 2) encourage the client to eat smaller amounts more frequently a client who had a laparoscopic cholecystectomy receives discharge teaching from the nurse. which statement indicates the client understands the teaching? 1) i can anticipate some nausea for several days after surgery 2) i can remove the dressing from my incision tomorrow and take a shower 3) i need to maintain a low-fat diet for the next 6 months 4) i can return to work in 4 to 6 weeks - CORRECT ANSWERS 2) i can remove the dressing from my incision tomorrow and take a shower Which diet should a client with PUD have after discharge? 1) any foods that are tolerated 2) high-protein foods 3) a glass of milk with each meal 4) bland foods - CORRECT ANSWERS 1) any foods that are tolerated a client undergoes a laprascopic cholecystectomy, what dietary instructions should the nurse give immediately after surgery? 1) you can progress from a liquid diet as tolerated 2) you may resume your normal diet the day after your surgery 3) drink liquids today and eat lightly for a few days 4) you cannot eat/drink anything for 24 hours - CORRECT ANSWERS 3) drink liquids today and eat lightly for a few days to reduce the risk of dumping syndrome the nurse should teach the client to do which of the following? 1) decrease the carbohydrate content of meals 2) sit upright for 30 minutes after meal 3) avoid milk and other dairy products 4) drink liquids with meals, avoiding caffeine - CORRECT ANSWERS 1) decrease the carbohydrate content of meals the client reports gnawing epigastric pain following meals and heartburn, the nurse suspects the client has? 1) ulcerative colitis 2) appendicitis 3) diverticulitis 4) peptic ulcer disease - CORRECT ANSWERS 4) peptic ulcer disease which laboratory findings should be reported to the physician immediately? 1) potassium- 4.2 2) sodium- 135 3) WBC count- 22.8 4) hematocrit- 42 - CORRECT ANSWERS 3) WBC count- 22.8 the nurse is assigning care of a client admitted with appendicitis, she should assign the care of the client to? 1) licensed practical nurse 2) registered nurse 3) clinical nurse specialist 4) nursing assistant - CORRECT ANSWERS 2) registered nurse When preparing a client for surgery to treat appendicitis, the nurse formulates a nursing diagnoses of Risk for infection related to inflammation, perforation, and surgery. whats the rationale for choosing this ND? 1) the appendix may develop gangrene and rupture, especially in middle aged client 2) obstruction of the appendix may increase venous drainage and cause the appendix to rupture 3) obstruction of the appendix reduces aterial flow, leading to ischemia, inflammation, and rupture of the appendix 4) infection of the appendix diminishes necrotic arterial blood flow and increase venous drainage - CORRECT ANSWERS 3) obstruction of the appendix reduces aterial flow, leading to ischemia, inflammation, and rupture of the ap