Medical Surgical Nursing 10th Edition Study guides, Study notes & Summaries

1. Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin? A. Use a sunscreen with an SPF of at least 10 for adequate protection. B. Try to stay out of the direct sun between the hours of 10 AM and 2 PM. C. Water resistant sunscreens will provide good protection when swimming. D. Increase sun exposure by no more than 10 minutes a day to avoid skin damage. - ANSWER-ANS: B The risk for skin damage from the sun is highest with e...

A patient with acute diarrhea of 24 hours' duration calls the clinic to ask for directions for care. In talking with the patient, what should the nurse do? a. Ask the patient to describe the character of the stools and any associated symptoms. b. Advise the patient to use over-the-counter loperamide (Imodium) to slow gastrointestinal motility. c. Inform the patient that laboratory testing of blood and stool specimens will be necessary. d. Advise the patient to drink clear liquid fluids wi...

The nurse is caring for a patient who has a massive burn injury and possible hypovolemia. Which assessment data should be of most concern to the nurse? a. Urine output is 30 mL/hr. b. Blood pressure is 90/40 mm Hg. c. Oral fluid intake is 100 mL for 8 hours. d. Skin tenting over the sternum is prolonged. - ANSWER-ANS: B The blood pressure indicates that the patient may be developing hypovolemic shock because of intravascular fluid loss because of the burn injury. This finding will require...

After the insertion of an arteriovenous graft in the right forearm, a patient reports pain and coldness of the right fingers. Which action should the nurse take? a. Remind the patient to take a daily low-dose aspirin tablet. b. Report the patient's symptoms to the health care provider. c. Elevate the patient's arm on pillows above the heart level. d. Teach the patient about normal arteriovenous graft function. - ANSWER-ANS: B The patient's problems suggest the development of distal is...

1. A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. What would the nurse include in client teaching about this diagnostic test a. "You'll have to drink a contrast medium right before the test." b. "You'll need to do a bowel prep the nursing before the test." c. "You'll be able to drink liquids up until the test begins." d. "You'll have a large camera close to you during the test." - ANSWER-D A client has an external percutaneous transhepatic biliary ca...

1. A patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I will die in surgery like my mother did!" Which initial response by the nurse is appropriate? a. "Surgical techniques have improved in recent years." b. "Tell me more about what happened to your mother." c. "You will receive medication to reduce your anxiety." d. "You should talk to the doctor again about the surgery." - ANSWER-b. "Tell me more about what happened to your mother." 2. A ...

The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting: A. Chest excursion B. Spinal curvatures C. The respiratory pattern D. The fingernail and its base - ANSWER-D. The fingernail and its base Clubbing, a sign of long-standing hypoxemia, is evidenced by an increase in the angle between the base of the nail and the fingernail to 180 degrees or more, usually accompanied by an increase in the depth, bulk, and sponginess of the end of the f...

1. The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern to the nurse? a. The blood pressure is 90/40 mm Hg. b. Urine output is 30 mL over the last hour. c. Oral fluid intake is 100 mL for the last 8 hours. d. There is prolonged skin tenting over the sternum. - ANSWER-: A The blood pressure indicates that the client may be developing hypovolemic shock as a result of fluid loss. This ...

Exam 1 - ANSWER-fluid and electrolyres acid base thermoregulation 1. The nurse obtains all of the following assessment data about a patient with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern? a. The blood pressure is 90/40 mm Hg. b. Urine output is 30 ml over the last hour. c. Oral fluid intake is 100 ml for the last 8 hours. d. There is prolonged skin tenting over the sternum. - ANSWER-The ...

Ageism - ANSWER-A negative attitude based on age. It leads to discrimination and sparities in the care given to older adults Chronic Illness - ANSWER-Diseases that are prolonged, do not resolve spontaneously, and are rarely cured completely Elder Mistreatment (EM) - ANSWER-Describes the intentional acts of ommission or commission by a caregiver or "trusted other" that cause harm or serious risk of harm to a vulnerable older adult. Ethnogeriatric - ANSWER-The specialty area of providin...