Chapter 1 Foundations for medical-surgical nursing, Ch 1,
Chapter 1: Introduction to Medical-Surgical Nursing,
Chapter 2 Interprofessional collaboration and care
coordination, Medical Surgical Chapter 2, Chapter 3:
Cultural Considerations, ch 4 Ethic...
Medical-surgical nursing has historically been practiced in acute
care facilities across the US.
Medical-surgical nursing is now practiced in many different
practice settings including
>>Hospitals
>>Same-day surgical centers
>> Acute rehabilitation centers
>> Ambulatory care settings
>> Long-term care agencies
>> Patient homes
Medical-surgical nursing focuses on the management of acutely
ill adult patients.
Medical-surgical nurses are the largest group of practicing
nursing professionals.
Correct Answer There are 16 standards of professional nursing
practice divided into two subsets: the six standards of practice
and the standards of professional performance. The first six
standards define the practice of nursing for the registered nurse
as well as the graduate level-prepared advanced
practice/specialty nurse. The nursing process is the basis for the
standards and moves through the responsibilities that are
,expected of the nurse at each decision point. The remaining 10
standards define the roles and responsibilities of professional
performance.
-Diagnosed with hypotension
-Recent aortic valve replacement surgery
-Prescribed high doses of intravenous antibiotics Correct
Answer The nurse is concerned that an older adult patient is at
risk for developing acute renal failure. Which information in the
patient's history support the nurse's concern? Select all that
apply.
-Edema
-Hematuria
-Elevated blood pressure Correct Answer The community
nurse visits the home of a young child who is home from school
because of sudden onset of nausea, vomiting, and lethargy. The
nurse suspects acute renal failure. Which clinical manifestations
support the nurse's suspicions? Select all that apply
-Emphasizing the importance of the test to the patient
-Offering counseling regarding the testing
-Encouraging the patient to reconsider the decision to be tested
throughout the pregnancy Correct Answer The nurse is
providing care to a pregnant patient with a history of drug use.
The patient refuses testing for human immunodeficiency virus
(HIV) despite the recommendation of her nurse-midwife. Which
actions by the nurse are appropriate in this situation? Select all
that apply
-Initiate hypodermoclysis
,-Closely monitor patient's I&O's
-Initiate intravenous therapy Correct Answer The nurse is
providing care to a patient who is exhibiting clinical
manifestations of a fluid and electrolyte deficit. Based on this
data, which health-care provider prescriptions does the nurse
prepare to implement? Select all that apply.
-Instruct on a low-sodium diet.
-Administer diuretics as prescribed. Correct Answer A patient's
serum sodium level is 150 mg/dL. Based on this data, which
interventions should the nurse plan for this patient? Select all
that apply.
-Patient
-Family
-Community Correct Answer According to Provision 2 of the
American Nurses Association (ANA) Code of Ethics, which
member of the health-care team is the nurse's primary
commitment? Select all that apply
-Provide the family with information on hereditary cancer risks
-Offer to refer the daughters to a genetic counselor.
-Arrange for the client to have genetic testing Correct Answer
A hospice nurse is providing care to a patient diagnosed with
ovarian cancer. The patient is concerned that her two daughters
are at an increased risk for cancer and asks the nurse for help.
Which actions by the nurse are appropriate? Select all that apply
-Reduce the intake of coffee and tea.
-Drink more fluids during hot weather.
, -Drink flat cola or ginger ale if vomiting. Correct Answer The
school nurse is preparing a class session for high school students
on ways to maintain fluid balance during the summer months.
Which interventions should the nurse recommend Select all that
apply.
-The hospital's patient rights statement
-State and federal patient rights legislation Correct Answer
Which should the nurse be aware of when preparing to act as a
patient advocate in the hospital setting? Select all that apply
-The need to support coworkers in their efforts to improve
working conditions
-The need to ensure that clients receive care and are not
abandoned
-Loyalty to the nurse's employer Correct Answer Which are
ethical issues for the nurse to consider prior to deciding whether
or not to honor the picket line during a strike situation? Select all
that apply
"Fluid volume excess is common due to increased levels of
antidiuretic hormone in response to the stress of surgery."
Correct Answer The nurse is caring for a patient who is
receiving intravenous fluids postoperatively following cardiac
surgery. The nurse is aware that this patient is at risk for fluid
volume excess. The family asks why the patient is at risk for this
condition. Which response by the nurse is the most appropriate?
"I can use as much salt substitute as I want." Correct Answer
The nurse is instructing a patient with heart failure about a
Chapter 1: Introduction to Medical-Surgical Nursing,
Chapter 2 Interprofessional collaboration and care
coordination, Medical Surgical Chapter 2, Chapter 3:
Cultural Considerations, ch 4 Ethic...
Medical-surgical nursing has historically been practiced in acute
care facilities across the US.
Medical-surgical nursing is now practiced in many different
practice settings including
>>Hospitals
>>Same-day surgical centers
>> Acute rehabilitation centers
>> Ambulatory care settings
>> Long-term care agencies
>> Patient homes
Medical-surgical nursing focuses on the management of acutely
ill adult patients.
Medical-surgical nurses are the largest group of practicing
nursing professionals.
Correct Answer There are 16 standards of professional nursing
practice divided into two subsets: the six standards of practice
and the standards of professional performance. The first six
standards define the practice of nursing for the registered nurse
as well as the graduate level-prepared advanced
practice/specialty nurse. The nursing process is the basis for the
standards and moves through the responsibilities that are
,expected of the nurse at each decision point. The remaining 10
standards define the roles and responsibilities of professional
performance.
-Diagnosed with hypotension
-Recent aortic valve replacement surgery
-Prescribed high doses of intravenous antibiotics Correct
Answer The nurse is concerned that an older adult patient is at
risk for developing acute renal failure. Which information in the
patient's history support the nurse's concern? Select all that
apply.
-Edema
-Hematuria
-Elevated blood pressure Correct Answer The community
nurse visits the home of a young child who is home from school
because of sudden onset of nausea, vomiting, and lethargy. The
nurse suspects acute renal failure. Which clinical manifestations
support the nurse's suspicions? Select all that apply
-Emphasizing the importance of the test to the patient
-Offering counseling regarding the testing
-Encouraging the patient to reconsider the decision to be tested
throughout the pregnancy Correct Answer The nurse is
providing care to a pregnant patient with a history of drug use.
The patient refuses testing for human immunodeficiency virus
(HIV) despite the recommendation of her nurse-midwife. Which
actions by the nurse are appropriate in this situation? Select all
that apply
-Initiate hypodermoclysis
,-Closely monitor patient's I&O's
-Initiate intravenous therapy Correct Answer The nurse is
providing care to a patient who is exhibiting clinical
manifestations of a fluid and electrolyte deficit. Based on this
data, which health-care provider prescriptions does the nurse
prepare to implement? Select all that apply.
-Instruct on a low-sodium diet.
-Administer diuretics as prescribed. Correct Answer A patient's
serum sodium level is 150 mg/dL. Based on this data, which
interventions should the nurse plan for this patient? Select all
that apply.
-Patient
-Family
-Community Correct Answer According to Provision 2 of the
American Nurses Association (ANA) Code of Ethics, which
member of the health-care team is the nurse's primary
commitment? Select all that apply
-Provide the family with information on hereditary cancer risks
-Offer to refer the daughters to a genetic counselor.
-Arrange for the client to have genetic testing Correct Answer
A hospice nurse is providing care to a patient diagnosed with
ovarian cancer. The patient is concerned that her two daughters
are at an increased risk for cancer and asks the nurse for help.
Which actions by the nurse are appropriate? Select all that apply
-Reduce the intake of coffee and tea.
-Drink more fluids during hot weather.
, -Drink flat cola or ginger ale if vomiting. Correct Answer The
school nurse is preparing a class session for high school students
on ways to maintain fluid balance during the summer months.
Which interventions should the nurse recommend Select all that
apply.
-The hospital's patient rights statement
-State and federal patient rights legislation Correct Answer
Which should the nurse be aware of when preparing to act as a
patient advocate in the hospital setting? Select all that apply
-The need to support coworkers in their efforts to improve
working conditions
-The need to ensure that clients receive care and are not
abandoned
-Loyalty to the nurse's employer Correct Answer Which are
ethical issues for the nurse to consider prior to deciding whether
or not to honor the picket line during a strike situation? Select all
that apply
"Fluid volume excess is common due to increased levels of
antidiuretic hormone in response to the stress of surgery."
Correct Answer The nurse is caring for a patient who is
receiving intravenous fluids postoperatively following cardiac
surgery. The nurse is aware that this patient is at risk for fluid
volume excess. The family asks why the patient is at risk for this
condition. Which response by the nurse is the most appropriate?
"I can use as much salt substitute as I want." Correct Answer
The nurse is instructing a patient with heart failure about a
