NUR170 | NUR 170 EXAM 3 | MEDICAL
SURGICAL NURSING EXAM 3 |
QUESTIONS AND VERIFIED ANSWERS
| 2025/2026 GUIDE | 100% CORRECT |
GALEN
Extracapsular femoral fractures of the trochanteric or subtrochanteric
regions- Clinical Manifestations
- Correct Answer - With extracapsular femoral fractures of the
trochanteric or subtrochanteric regions, the extremity is significantly
shortened, externally rotated to a greater degree than intracapsular
fractures, exhibits muscle spasm that resists positioning of the extremity
in a neutral position, and has an associated area of ecchymosis.
Clinical Manifestations of Femoral Shaft Fracture & Tibia/Fibula
- Correct Answer - Femoral Shaft: The patient presents with an
edematous, deformed, painful thigh and cannot move the hip or the
knee.
Tibia/Fibula: The patient presents with pain, deformity, obvious
hematoma, and considerable edema
Medications for GBS - Correct Answer - Anticoagulation (Warfarin (PO),
Heparin (IV or SubQ), Enoxaparin (subQ))- large risk for DVT
Nursing Care for Rib Cage Fractures - Correct Answer - To help the
patient cough and take deep breaths and use an incentive spirometer,
,the nurse may splint the chest with their hands, or may educate the
patient on using a pillow to temporarily splint the affected site. NSAIDs
may be prescribed to provide analgesic relief. Occasionally, an
anesthesia care provider administers intercostal nerve blocks or epidural
analgesia to relieve pain and to improve respiratory function. Chest
binders to immobilize the rib fracture are not used, because decreased
chest expansion may result in atelectasis and pneumonia. Incentive
spirometer use may aid in prevention of these complications. The
fracture heals within six weeks.
Nursing Management For Post-Surgery Amputation - Correct Answer -
Control Pain
Promote Wound Healing
Enhance Body Image
Help Resolve Grieving
Promote Independent Self Care
Help Achieve Physical Mobility
Geriatric Considerations for Pain Management - Correct Answer - For
acute episodes of pain that occur at irregular intervals, most opioids may
be taken as needed; for acute pain that occurs daily and for chronic
pain, the drugs should be taken on a regular schedule, around the clock.
When a choice of pain-relieving medication is available, use the least
amount of the mildest drug that is likely to be effective in a particular
situation.
Take only as prescribed. If desired effects are not achieved, report to
your health care provider.
Do not drink alcohol or take other drugs that cause drowsiness (e.g.,
some antihistamines, sedative-type drugs for nervousness or anxiety,
sleeping pills) while taking opioids for pain.
Do not smoke, cook, drive a car, or operate machinery when drowsy or
dizzy or when vision is blurred from medication.
, Sit or lie down at least 30 to 60 minutes after receiving an opioid by
injection. Injected drugs may cause dizziness, drowsiness, and falls
when walking around. If it is necessary to stand up, ask someone for
assistance.
Avoid constipation, a common adverse effect of opioid analgesics. It may
be prevented or managed by eating high-fiber foods, such as whole-
grain cereals, fruits, and vegetables, drinking 2 to 3 quarts of fluid daily
and being as active as tolerated. If you take these medicines for more
than a few days, or if you are the caregiver for someone who takes
them, ask a health care provider about a bowel program to prevent
constipation. A possible regimen is a daily stool softener (e.g., docusate)
and a daily or every other day laxative (e.g., bisacodyl), preferably
started at the same time as the narcotic. Docusate and bisacodyl are
available over the counter.
Medical Management of MS - Correct Answer - No cure exists for MS.
An individual treatment program is indicated to relieve the patient's
symptoms and provide continuing support, particularly for patients with
cognitive changes, who may need more structure and support. The
goals of treatment are to delay the progression of the disease, manage
chronic symptoms, and treat acute exacerbations. Common symptoms
requiring intervention include ataxia, bladder dysfunction, depression,
fatigue, and spasticity. Management includes pharmacologic and non-
pharmacologic strategies.
Addison's Disease Crisis Management, Immediate Treatment - Correct
Answer - Immediate treatment is directed toward combating circulatory
shock: restoring blood circulation, administering fluids and
corticosteroids, monitoring vital signs, and placing the patient in a
recumbent position with the legs elevated. Hydrocortisone (Solu-Cortef)
is administered by IV, followed by 5% dextrose in normal saline.
Vasopressors may be required if hypotension persists.
SURGICAL NURSING EXAM 3 |
QUESTIONS AND VERIFIED ANSWERS
| 2025/2026 GUIDE | 100% CORRECT |
GALEN
Extracapsular femoral fractures of the trochanteric or subtrochanteric
regions- Clinical Manifestations
- Correct Answer - With extracapsular femoral fractures of the
trochanteric or subtrochanteric regions, the extremity is significantly
shortened, externally rotated to a greater degree than intracapsular
fractures, exhibits muscle spasm that resists positioning of the extremity
in a neutral position, and has an associated area of ecchymosis.
Clinical Manifestations of Femoral Shaft Fracture & Tibia/Fibula
- Correct Answer - Femoral Shaft: The patient presents with an
edematous, deformed, painful thigh and cannot move the hip or the
knee.
Tibia/Fibula: The patient presents with pain, deformity, obvious
hematoma, and considerable edema
Medications for GBS - Correct Answer - Anticoagulation (Warfarin (PO),
Heparin (IV or SubQ), Enoxaparin (subQ))- large risk for DVT
Nursing Care for Rib Cage Fractures - Correct Answer - To help the
patient cough and take deep breaths and use an incentive spirometer,
,the nurse may splint the chest with their hands, or may educate the
patient on using a pillow to temporarily splint the affected site. NSAIDs
may be prescribed to provide analgesic relief. Occasionally, an
anesthesia care provider administers intercostal nerve blocks or epidural
analgesia to relieve pain and to improve respiratory function. Chest
binders to immobilize the rib fracture are not used, because decreased
chest expansion may result in atelectasis and pneumonia. Incentive
spirometer use may aid in prevention of these complications. The
fracture heals within six weeks.
Nursing Management For Post-Surgery Amputation - Correct Answer -
Control Pain
Promote Wound Healing
Enhance Body Image
Help Resolve Grieving
Promote Independent Self Care
Help Achieve Physical Mobility
Geriatric Considerations for Pain Management - Correct Answer - For
acute episodes of pain that occur at irregular intervals, most opioids may
be taken as needed; for acute pain that occurs daily and for chronic
pain, the drugs should be taken on a regular schedule, around the clock.
When a choice of pain-relieving medication is available, use the least
amount of the mildest drug that is likely to be effective in a particular
situation.
Take only as prescribed. If desired effects are not achieved, report to
your health care provider.
Do not drink alcohol or take other drugs that cause drowsiness (e.g.,
some antihistamines, sedative-type drugs for nervousness or anxiety,
sleeping pills) while taking opioids for pain.
Do not smoke, cook, drive a car, or operate machinery when drowsy or
dizzy or when vision is blurred from medication.
, Sit or lie down at least 30 to 60 minutes after receiving an opioid by
injection. Injected drugs may cause dizziness, drowsiness, and falls
when walking around. If it is necessary to stand up, ask someone for
assistance.
Avoid constipation, a common adverse effect of opioid analgesics. It may
be prevented or managed by eating high-fiber foods, such as whole-
grain cereals, fruits, and vegetables, drinking 2 to 3 quarts of fluid daily
and being as active as tolerated. If you take these medicines for more
than a few days, or if you are the caregiver for someone who takes
them, ask a health care provider about a bowel program to prevent
constipation. A possible regimen is a daily stool softener (e.g., docusate)
and a daily or every other day laxative (e.g., bisacodyl), preferably
started at the same time as the narcotic. Docusate and bisacodyl are
available over the counter.
Medical Management of MS - Correct Answer - No cure exists for MS.
An individual treatment program is indicated to relieve the patient's
symptoms and provide continuing support, particularly for patients with
cognitive changes, who may need more structure and support. The
goals of treatment are to delay the progression of the disease, manage
chronic symptoms, and treat acute exacerbations. Common symptoms
requiring intervention include ataxia, bladder dysfunction, depression,
fatigue, and spasticity. Management includes pharmacologic and non-
pharmacologic strategies.
Addison's Disease Crisis Management, Immediate Treatment - Correct
Answer - Immediate treatment is directed toward combating circulatory
shock: restoring blood circulation, administering fluids and
corticosteroids, monitoring vital signs, and placing the patient in a
recumbent position with the legs elevated. Hydrocortisone (Solu-Cortef)
is administered by IV, followed by 5% dextrose in normal saline.
Vasopressors may be required if hypotension persists.
