NUR 242 MED SURG EXAM 3 ACTUAL EXAM COMPLETE 180 ACTUAL QUESTIONS WITH WELL ELABORATED ANSWERS (100 CORRECT VERIFIED SOLUTIONS) A NEW UPDATED VERSION GUARANTEED PASS A+

NUR 242 MED SURG EXAM UNIT 1, 2 AND 3 LATEST
g g g g g g g g g g g


ACTUAL EXAM 180 QUESTIONS AND CORRECT DE
g g g g g g


TAILED ANSWERS WITH RATIONALES ALREADY G
g g g g g


RADED A+ GALEN COLLEGE OF NURSING g g g g g




Immobility effects multiple body systems. What are some int
g g g g g g g g

erventions that you can implement to decrease these effect
g g g g g g g g

s? Select all that apply.
g g g g




A. Utilizing waffle mattress to reduce the need for r
g g g g g g g g

epositioning
B. Teds/SCDs
C. Rubbing reddened areas g g

D. Limiting fluid intake g g


E. ROM exercises - ANSWER >>>>ANSWER: B and E
g g g g g g g




Rational:
-
A is incorrect because regardless of implemented mattress,
g g g g g g g g

positioning should be every 2 hours g g g g g

-
C is incorrect. You should not rub at reddened areas. This in
g g g g g g g g g g g

creases the risk for skin break.
g g g g g

-
D is incorrect. You should encourage proper hydration to pr
g g g g g g g g g

omote well hydrated and healthy skin.
g g g g g




True or False: Nurses should do skin assessments once a w
g g g g g g g g g g

eek. - ANSWER >>>>False
g g g

,Rational: Nurses should do full skin assessments a minimu
g g g g g g g g

m of once per shift.
g g g g




A pt goes to the ER for swelling and pain in her right calf. T
g g g g g g g g g g g g g g

he PT states that it occurred after she accidentally cut hers
g g g g g g g g g g

elf. Based on her symptoms, what skin condition might the
g g g g g g g g g g

nurse suspect the patient has? - ANSWER
g g g g g g

>>>>Cellulitis.

Cellulitis is inflammation of the skin and subq tissue.
g g g g g g g g




Pt A is admitted from a nursing home with a stage 3 pressur
g g g g g g g g g g g g

e ulcer. When creating his plan of care, who else would be i
g g g g g g g g g g g g

nvolved besides the primary care physician? -
g g g g g g

ANSWER >>>>Wound care nurse, Dietician, Physical ther
g g g g g g g

apist. OT can also be included, however they deal more wit
g g g g g g g g g g

h fine motor skills.
g g g




An 85 year old woman is admitted to the hospital. When doi
g g g g g g g g g g g

ng the initial assessment, what are some factors that you kn
g g g g g g g g g g

ow put her at risk for pressure injuries? - ANSWER
g g g g g g g g g

>>>>-if the pt is immobile g g g g

-if the pt is incontinent
g g g g

-if the pt has comorbidities such as diabetes or PVD
g g g g g g g g g

-if the pt is malnourished or dehydrated
g g g g g g


-if the pt suffers from decreased sensory perception
g g g g g g g




The nurse notices a localized red area that is nonblanchabl
g g g g g g g g g

e on the the patient's coccyx. What stage
g g g g g g g

,pressure injury is this recognized as? - ANSWER
g g g g g g g

>>>>Stage 1 g




Stage 1 pressure injury means the skin is intact with a locali
g g g g g g g g g g g

zed area of nonblanchable erythema (fancy word for rednes
g g g g g g g g

s).

A pt asks you why what he eats has anything to do with wou
g g g g g g g g g g g g g

nd healing. What is your response? - ANSWER
g g g g g g g

>>>>Successful healing of pressure injuries depends on ad g g g g g g g

equate intake of calories protein, vitamins, minerals and wat
g g g g g g g g

er.

After receiving shift report, the night nurse looks at the lab v
g g g g g g g g g g g

alues for a patient with cellulitis. What abnormal lab values
g g g g g g g g g g

might you see? - ANSWER >>>>-WBC - elevated
g g g g g g g

-Creatinine- elevated g

-Bicarbonate- low g

-Albumin- low g

-Calcium- low g




What pain rating scale might you use for a child or a nonver
g g g g g g g g g g g g

bal patient? - ANSWER >>>>Wong Baker-Faces Scale
g g g g g g




When assessing a pt's pain. He tells you that the pain come
g g g g g g g g g g g

s and goes. What part of the pain assessment is he describi
g g g g g g g g g g g

ng?

A. Quality
B. Intensity

, C. Onset and Duration g g

D. Location - ANSWER >>>>C. Onset and Duration g g g g g g




When explaining to a pt what an intraspinal analgesic the pt
g g g g g g g g g g

states "So the medication will be given to me through the I
g g g g g g g g g g g g

V in my arm." How would you correct him? -
g g g g g g g g g

ANSWER >>>>instraspinal analgesics are delivered into t
g g g g g g g

he epidural space of the spine, also known as the subarach
g g g g g g g g g g

noid space. g




When adjusting a TENs machine on a patient, how do you k
g g g g g g g g g g g

now the conduction of electricity has reached a therapeutic l
g g g g g g g g g

evel? - g

ANSWER >>>>The patient will verbalize feeling a sensatio
g g g g g g g g

n of pins and needles.
g g g g




Your pt verbalizes a pain of 2/10 and requests their dose of
g g g g g g g g g g g

morphine. How would you educate your pt? - ANSWER
g g g g g g g g g

>>>>Morphine is an opioid analgesic used for moderate to s g g g g g g g g g

evere pain. g




What is the most common side effect of analgesic use and h
g g g g g g g g g g g

ow can we prevent it? - ANSWER >>>>Constipation.
g g g g g g g




A high fiber diet, plenty of fluids, and stool softeners are pro
g g g g g g g g g g g

phylactic measures. g




The patient is undergoing surgery to fix a cleft palate. What
g g g g g g g g g g g

type of surgery is this considered? - ANSWER
g g g g g g g

>>>>Constructive