Med Surg Exam 4 Questions in back of
book
A client with ascites is scheduled for a paracentesis. The nurse is helping the fitness care
issuer in acting the procedure. Which of the subsequent positions will the nurse help the
purchaser to assume for this procedure?
1. Flat
2. Upright
three. Left facet-lying
four. Right aspect-lying - ANS-2. Upright
A consumer with hiatal hernia chronically reports heartburn after food. The nurse would train
the purchaser to avoid which of the following, that is contraindicated with hiatal hernia?
1. Lying recumbent after meals
2. Eating small, frequent, bland meals
three. Raising the head of the bed on 6-inch blocks
4. Taking histamine receptor antagonist remedy, as prescribed - ANS-1. Lying recumbent
after food
A home care nurse is making ready to exchange a dressing on a patient who had genital
warts eliminated the day past. Which intervention should be finished first?
A. Smooth the injuries
b. Cast off the old dressing
c. Examine for drainage
d. Administer an analgesic - ANS-d. Administer an analgesic
A nurse has finished instruction associated with STD danger reduction with a 17 12 months
antique lady. Which assertion by means of the patient shows that coaching has been
powerful?
A. "I have to avoid drinking alcohol after I will be in situations with capacity intercourse
companions"
b. "If I make certain my partners put on condoms, I can be blanketed from STDs"
c. "Use of a barrier technique of birth control will prevent contamination with an STD"
d. "as long as I recognise my companion properly, I am safe" - ANS-a. "I have to keep away
from consuming alcohol when I could be in situations with capacity intercourse partners"
A nurse is being concerned for a consumer after a Billroth II manner. On assessment of the
postoperative prescriptions, which of the subsequent if prescribed, would the nurse question
and affirm?
,1. Leg sporting activities
2. Early ambulation
three. Irrigating the nasogastric (NG) tube
four. Coughing and deep respiration exercises - ANS-three. Irrigating the nasogastric (NG)
tube
a nurse is being concerned for a patron who has been taking diuretics on a long term
foundation. A fluid extent deficit is suspected. Which finding could be cited inside the
customer with this circumstance?
1.Gurgling respirations
2.Elevated blood pressure
3.Reduced hematocrit stage
four.Elevated precise gravity of the urine - ANS-4.Improved precise gravity of the urine
A nurse is being concerned for a client with a analysis of persistent gastritis. The nurse
anticipates that this patron is at threat for which diet deficiency?
1. Vitamin A
2. Vitamin C
three. Vitamin E
four. Vitamin B12 - ANS-four. Vitamin B12
a nurse is being concerned for a purchaser with cirrhosis. THe nurse notes that the
purchaser is dyspneic and crackles are heard on auscultation of the lungs. What additional
signs and symptoms could the nurse count on to be aware in this patron if a fluid volume
excess is gift?
1.Rapid weight reduction
2.Flat hand and neck veins
three.A susceptible and thready pulse
4.An boom in blood stress - ANS-four.An growth in blood pressure
a nurse is being concerned for a purchaser with prognosis of hyperprathyroidism. Lab
research are executed, and the serum calcium stage is 12.0. On the premise of this lab
value the nurse takes which movement?
1.Documents the fee within the clients document
2.Informs the registered nurse of the lab fee
three.Places the lab end result from inside the customers's report
four.Reassures the patron that the lab result is regular - ANS-2.Informs the registered nurse
of the lab fee
a nurse is being concerned for a customer with hyperparathyroidism and notes that the
customer's serum calcium stage is 13. Which medicine need to the nurse prepare to
administer as prescribed to the patron?
, 1.Calcium chloride
2.Calcium gluconate
3.Calcionin (miacalcin)
4.Huge doses of nutrition d - ANS-3.Calcionin (miacalcin)
a nurse is being concerned for a client with leukemia and notes that the client has negative
pores and skin turgor and flat neck and hand veins. The nurse suspects hyponatremia. What
extra signs would the nurse assume to be aware inside the patron if hyponatremia is
present.
1.Excessive thirst
2.Gradual bounding pulse
three.Dry mucous membranes
4.Postural blood pressure changes - ANS-four.Postural blood stress adjustments
a nurse is caring for a patron with suspected diagnosis of hypercalcemia. Which of the
subsequent signs and symptoms might be an indication of this prognosis?
1.Twitching
2.High-quality Trousseau's sign
three.Hyperactive bowel sounds
four.Generalized muscle weakness - ANS-four.Generalized muscle weak spot
a nurse is teaching a consumer on how to lower the intake of calcium inside the food
regimen. The nurse tells the client that which food object includes the least amount of
calcium?
1.Milk
2.Butter
3.Spinach
four.Collard veggies - ANS-2.Butter
A nurse is monitoring a customer for the early signs and signs of dumping syndrome. Which
of the subsequent symptoms indicate this prevalence?
1. Sweating and pallor
2. Dry pores and skin and belly pain
3. Bradycardia and indigestion
4. Double imaginative and prescient and chest pain - ANS-1. Sweating and pallor
A nurse is tracking for stoma prolapse in a customer with a colostomy. The nurse might take
a look at which of the following appearances within the stoma if prolapse passed off?
1. Dark and bluish
2. Sunken and hidden
three. Narrowed and flattened
4. Protruding and swollen - ANS-four. Protruding and swollen
book
A client with ascites is scheduled for a paracentesis. The nurse is helping the fitness care
issuer in acting the procedure. Which of the subsequent positions will the nurse help the
purchaser to assume for this procedure?
1. Flat
2. Upright
three. Left facet-lying
four. Right aspect-lying - ANS-2. Upright
A consumer with hiatal hernia chronically reports heartburn after food. The nurse would train
the purchaser to avoid which of the following, that is contraindicated with hiatal hernia?
1. Lying recumbent after meals
2. Eating small, frequent, bland meals
three. Raising the head of the bed on 6-inch blocks
4. Taking histamine receptor antagonist remedy, as prescribed - ANS-1. Lying recumbent
after food
A home care nurse is making ready to exchange a dressing on a patient who had genital
warts eliminated the day past. Which intervention should be finished first?
A. Smooth the injuries
b. Cast off the old dressing
c. Examine for drainage
d. Administer an analgesic - ANS-d. Administer an analgesic
A nurse has finished instruction associated with STD danger reduction with a 17 12 months
antique lady. Which assertion by means of the patient shows that coaching has been
powerful?
A. "I have to avoid drinking alcohol after I will be in situations with capacity intercourse
companions"
b. "If I make certain my partners put on condoms, I can be blanketed from STDs"
c. "Use of a barrier technique of birth control will prevent contamination with an STD"
d. "as long as I recognise my companion properly, I am safe" - ANS-a. "I have to keep away
from consuming alcohol when I could be in situations with capacity intercourse partners"
A nurse is being concerned for a consumer after a Billroth II manner. On assessment of the
postoperative prescriptions, which of the subsequent if prescribed, would the nurse question
and affirm?
,1. Leg sporting activities
2. Early ambulation
three. Irrigating the nasogastric (NG) tube
four. Coughing and deep respiration exercises - ANS-three. Irrigating the nasogastric (NG)
tube
a nurse is being concerned for a patron who has been taking diuretics on a long term
foundation. A fluid extent deficit is suspected. Which finding could be cited inside the
customer with this circumstance?
1.Gurgling respirations
2.Elevated blood pressure
3.Reduced hematocrit stage
four.Elevated precise gravity of the urine - ANS-4.Improved precise gravity of the urine
A nurse is being concerned for a client with a analysis of persistent gastritis. The nurse
anticipates that this patron is at threat for which diet deficiency?
1. Vitamin A
2. Vitamin C
three. Vitamin E
four. Vitamin B12 - ANS-four. Vitamin B12
a nurse is being concerned for a purchaser with cirrhosis. THe nurse notes that the
purchaser is dyspneic and crackles are heard on auscultation of the lungs. What additional
signs and symptoms could the nurse count on to be aware in this patron if a fluid volume
excess is gift?
1.Rapid weight reduction
2.Flat hand and neck veins
three.A susceptible and thready pulse
4.An boom in blood stress - ANS-four.An growth in blood pressure
a nurse is being concerned for a purchaser with prognosis of hyperprathyroidism. Lab
research are executed, and the serum calcium stage is 12.0. On the premise of this lab
value the nurse takes which movement?
1.Documents the fee within the clients document
2.Informs the registered nurse of the lab fee
three.Places the lab end result from inside the customers's report
four.Reassures the patron that the lab result is regular - ANS-2.Informs the registered nurse
of the lab fee
a nurse is being concerned for a customer with hyperparathyroidism and notes that the
customer's serum calcium stage is 13. Which medicine need to the nurse prepare to
administer as prescribed to the patron?
, 1.Calcium chloride
2.Calcium gluconate
3.Calcionin (miacalcin)
4.Huge doses of nutrition d - ANS-3.Calcionin (miacalcin)
a nurse is being concerned for a client with leukemia and notes that the client has negative
pores and skin turgor and flat neck and hand veins. The nurse suspects hyponatremia. What
extra signs would the nurse assume to be aware inside the patron if hyponatremia is
present.
1.Excessive thirst
2.Gradual bounding pulse
three.Dry mucous membranes
4.Postural blood pressure changes - ANS-four.Postural blood stress adjustments
a nurse is caring for a patron with suspected diagnosis of hypercalcemia. Which of the
subsequent signs and symptoms might be an indication of this prognosis?
1.Twitching
2.High-quality Trousseau's sign
three.Hyperactive bowel sounds
four.Generalized muscle weakness - ANS-four.Generalized muscle weak spot
a nurse is teaching a consumer on how to lower the intake of calcium inside the food
regimen. The nurse tells the client that which food object includes the least amount of
calcium?
1.Milk
2.Butter
3.Spinach
four.Collard veggies - ANS-2.Butter
A nurse is monitoring a customer for the early signs and signs of dumping syndrome. Which
of the subsequent symptoms indicate this prevalence?
1. Sweating and pallor
2. Dry pores and skin and belly pain
3. Bradycardia and indigestion
4. Double imaginative and prescient and chest pain - ANS-1. Sweating and pallor
A nurse is tracking for stoma prolapse in a customer with a colostomy. The nurse might take
a look at which of the following appearances within the stoma if prolapse passed off?
1. Dark and bluish
2. Sunken and hidden
three. Narrowed and flattened
4. Protruding and swollen - ANS-four. Protruding and swollen
