2025/l 2026l Update)l Advancedl Conceptsl
ofl Medical-Surgicall Nursingl Review|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
Q:l Thel ptl w/l pulmonaryl contusionl mayl havel _____________l breathl soundsl orl
cracklesl andl wheezesl overl thel affectedl area.
Answer:
Decreased
Q:l Thel ptl w/l pulmonaryl contusionl mayl havel bruisingl overl thel injury,l dryl cough,l
tachycardia,l tachypnea,l andl ____________l tol percussion.
Answer:
Dullness
Q:l Assessl thel ptl w/l flaill chestl forl _____________l chestl movement,l dyspnea,l
cyanosis,l tachycardia,l andl hypotension.l Thel ptl isl oftenl anxious,l shortl ofl breath,l andl inl
pain.
Answer:
Paradoxical
Q:l Afterl hypophysectomy,l thel RNl shouldl monitorl neurol statusl everyl ______l forl thel
1stl 24l hours,l thenl everyl 4l hours.
Answer:
Hour
,Q:l Afterl hypophysectomy,l thel RNl shouldl monitorl fluidl balance,l especiallyl forl outputl
__________l thanl intake.
Answer:
Greater
Q:l Afterl hypophysectomy,l thel RNl shouldl encouragel thel ptl tol performl deepl breathingl
exercises.l However,l theyl shouldl bel instructedl notl tol cough,l _______l thel nose,l orl
sneeze.
Answer:
Blow
Q:l Afterl hypophysectomy,l thel RNl shouldl teachl thel ptl tol usel dentall flossl andl
mouthwashl ratherl thanl _______________l untill thel surgeonl givesl permission.
Answer:
Toothbrushing
Q:l Afterl hypophysectomy,l thel RNl shouldl teachl thel ptl tol avoidl bendingl atl thel
__________l tol preventl increasingl ICP.
Answer:
Waist
Q:l Afterl hypophysectomy,l thel RNl shouldl teachl thel ptl methodsl tol avoidl
____________l andl subsequentl straining.
Answer:
Constipation
, Q:l Afterl hypophysectomy,l thel RNl shouldl teachl thel ptl tol reportl anyl postnasall dripl orl
increasedl _____________,l whichl mayl indicatel leakagel ofl CSF.
Answer:
Swallowing
Q:l Al lightl yellowl colorl atl thel edgel ofl thel clearl drainagel onl thel dressingl isl calledl
thel _______l signl andl indicatesl CSFl postopl hypophysectomy.
Answer:
Halo
Q:l Al decreasedl sensel ofl _________l afterl hypophysectomyl isl expectedl andl usuallyl
lastsl 3-4l months.
Answer:
Smell
Q:l Keyl featuresl ofl ___________l includel hypotension,l tachycardia,l weakl peripherall
pulses,l hemoconcentration,l polyuria,l dilute,l lowl urinel specificl gravity,l poorl skinl turgor,l
dryl mucousl membranes,l decreasedl cognition,l irritability,l ataxial andl polydipsia.
Answer:
DIl (diabetesl insipidus)
Q:l Ensurel thatl nol ptl suspectedl ofl havingl DIl isl deprivedl ofl fluidsl forl morel thanl ___l
hoursl becausel hel orl shel cannotl reducel urinel outputl andl severel dehydrationl canl result.
Answer:
4
Q:l Managementl ofl symptomsl associatedl w/l DIl isl controlledl usingl drugl therapyl w/l
desmopressin.l Thel parenterall forml isl 10l timesl strongerl thanl thel orall form,l andl thel
dosagel mustl bel ______________.