post test - med surg 2025 Update|Most Tested
Questions And Verified Solutions
(Already Graded A+)|Assured Success !!!
A patient/client has been brought to the emergency department with
multiple trauma after a motor vehicle accident. After immediate threats to
life have been corrected in a patient/client with multiple trauma, which
action would the nurse perform? - ANSWER Perform a rapid
physical assessment
a patient/client is admitted to the hospital with a head injury resulting
from an automobile accident. On admission the patient/client's vital signs
are temperature 98.6° F (37° C), blood pressure 128/68, pulse 110, and
respirations 26. One hour after admission, the nurse notes the presence of
the Cushing's triad when the patient's/client's vital signs are -
ANSWER blood pressure 140/60, pulse 60, rr 12.
or
Blood pressure 156/60, pulse 60, respirations 14
The nurse is caring for a female patient/client who sustained a closed head
injury 8 days ago due to a motor vehicle accident. Which signs/symptoms
would alert the nurse to a complication of the head injury? - ANSWER
the patient complains of extreme thirst and has an increased urine output
A patient/client diagnosed with alcoholism is admitted to a substance
abuse unit complaining of decreased exercise tolerance, lower extremity
edema, arrhythmias, and dyspnea. Which nursing intervention would be
most appropriate for this patient/client? - ANSWER administer
digoxin (linoxin) and furosemide (Lasix)
A nurse suspects a client who has Alzheimer's disease is unconsciously
telling untrue stories to protect the patient/client's self-esteem. This
nurse correctly identifies this behavior as: - ANSWER
Confabulation
A patient/client who underwent a lobectomy and has a water-seal chest
drainage system is breathing with a little more effort and at a faster rate
than 1 hour ago. The patient/client's pulse rate is also increased. The
nurse should: - ANSWER check the tubing to ensure that the
client is not lying on it or kinking it
Questions And Verified Solutions
(Already Graded A+)|Assured Success !!!
A patient/client has been brought to the emergency department with
multiple trauma after a motor vehicle accident. After immediate threats to
life have been corrected in a patient/client with multiple trauma, which
action would the nurse perform? - ANSWER Perform a rapid
physical assessment
a patient/client is admitted to the hospital with a head injury resulting
from an automobile accident. On admission the patient/client's vital signs
are temperature 98.6° F (37° C), blood pressure 128/68, pulse 110, and
respirations 26. One hour after admission, the nurse notes the presence of
the Cushing's triad when the patient's/client's vital signs are -
ANSWER blood pressure 140/60, pulse 60, rr 12.
or
Blood pressure 156/60, pulse 60, respirations 14
The nurse is caring for a female patient/client who sustained a closed head
injury 8 days ago due to a motor vehicle accident. Which signs/symptoms
would alert the nurse to a complication of the head injury? - ANSWER
the patient complains of extreme thirst and has an increased urine output
A patient/client diagnosed with alcoholism is admitted to a substance
abuse unit complaining of decreased exercise tolerance, lower extremity
edema, arrhythmias, and dyspnea. Which nursing intervention would be
most appropriate for this patient/client? - ANSWER administer
digoxin (linoxin) and furosemide (Lasix)
A nurse suspects a client who has Alzheimer's disease is unconsciously
telling untrue stories to protect the patient/client's self-esteem. This
nurse correctly identifies this behavior as: - ANSWER
Confabulation
A patient/client who underwent a lobectomy and has a water-seal chest
drainage system is breathing with a little more effort and at a faster rate
than 1 hour ago. The patient/client's pulse rate is also increased. The
nurse should: - ANSWER check the tubing to ensure that the
client is not lying on it or kinking it
