BRUNNER &
SUDDARTH'S TEXTBOOK
OF MEDICAL-SURGICAL
NURSING
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,Certainly! Here are all the questions and their corresponding answers numbered for you:
1. The nurse in the oncology clinic is caring for a 42-year-old female client receiving
chemotherapy with fludarabine for acute myeloid leukemia who has developed petechiae,
epistaxis, and ecchymosis.
**Client has developed __hemorrhage__ that the laboratory results will reveal
__thrombocytopenia__.**
2. The nurse provides care for a client, with a history of atherosclerosis, who is hospitalized
for the initiation of pharmacotherapy for the treatment of hypothyroidism.
**The client is at highest risk for developing __myocardial ischemia__ as evidenced by
__angina__.**
3. The nurse is caring for a 24-year-old female client with a right tibial fracture treated with a
cast 2 hours ago. The client now reports unrelenting pain, rated as 7/10, despite taking
oxycodone, and decreased sensation in the right foot. A nursing assessment reveals the right
foot is cooler and paler than the left foot, with delayed capillary refill and a weak pulse.
**Based on the nursing assessment, the priority action the nurse should take is to __notify
the orthopedic healthcare provider immediately and prepare the client for bivalving of the
cast__.**
4. The nurse assesses a client who has a nasogastric tube for long-term nutritional needs for
complications associated with the medical device.
**The nurse monitors the client for __aspiration pneumonia__, a finding indicative of
__aspiration__.**
5. The office nurse is reviewing an 80-year-old female client's reports related to the onset of
a severe headache, rated at 9 out of 10 on the pain scale, with recent onset. The client
denies any visual changes. During a prior visit to the office a few months ago, the client had
reported a ground-level fall as a result of falling off a chair and hitting the back of their head.
The client had been taken to the emergency department, where imaging was performed
with negative results.
**The nurse anticipates that the client has developed __chronic subdural hematoma__ and
that __CT imaging of the brain__ will be ordered.**
, 6. A client will undergo abdominal surgery. The nurse provides preoperative education
regarding the importance of diaphragmatic breathing exercises to prevent postoperative
complications.
**The nurse will educate the client about the risk for developing __pneumonia__,
__bronchospasm__, and __atelectasis__, if the client does not implement diaphragmatic
breathing exercises in the postoperative period of care.**
7. A nurse is caring for a client who was admitted for an asthma exacerbation. In the past
year, the client has been admitted for three asthma events. What will the nurse include in
the client teaching about preventing repeat hospitalizations?
**The nurse should teach about __trigger avoidance__ followed by __medication
adherence__.**
8. A 47-year-old male client presented to the medical unit and the healthcare team suspects
tuberculosis (TB). The nurse is admitting the client to a reverse isolation room. QuantiFERON
testing and chest x-ray are pending. Urinalysis results are negative. No other testing was
performed prior to admission to isolation. The client denies any chest pain, shortness of
breath (SOB), or respiratory difficulty. The client presents with productive yellow sputum.
**Based on the provided assessment status, the nurse should utilize __airborne
precautions__ to prevent exposure and __sputum__ to collect specimens for additional
testing.**
9. The nurse has documented an assessment on a 45-year-old male client on the third
postoperative day following an open abdominal appendectomy.
**Assessment findings requiring follow-up include:**
- Has separated and has yellow drainage on dressing
- Clumps of yellow pus
- 102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F (38.4°C)
- White blood count 12.9 x 10³ cells/mm³ (12.9 x 10⁹/l)
- Blood glucose level 130 mg/dl (7.21 mmol/l)
SUDDARTH'S TEXTBOOK
OF MEDICAL-SURGICAL
NURSING
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,Certainly! Here are all the questions and their corresponding answers numbered for you:
1. The nurse in the oncology clinic is caring for a 42-year-old female client receiving
chemotherapy with fludarabine for acute myeloid leukemia who has developed petechiae,
epistaxis, and ecchymosis.
**Client has developed __hemorrhage__ that the laboratory results will reveal
__thrombocytopenia__.**
2. The nurse provides care for a client, with a history of atherosclerosis, who is hospitalized
for the initiation of pharmacotherapy for the treatment of hypothyroidism.
**The client is at highest risk for developing __myocardial ischemia__ as evidenced by
__angina__.**
3. The nurse is caring for a 24-year-old female client with a right tibial fracture treated with a
cast 2 hours ago. The client now reports unrelenting pain, rated as 7/10, despite taking
oxycodone, and decreased sensation in the right foot. A nursing assessment reveals the right
foot is cooler and paler than the left foot, with delayed capillary refill and a weak pulse.
**Based on the nursing assessment, the priority action the nurse should take is to __notify
the orthopedic healthcare provider immediately and prepare the client for bivalving of the
cast__.**
4. The nurse assesses a client who has a nasogastric tube for long-term nutritional needs for
complications associated with the medical device.
**The nurse monitors the client for __aspiration pneumonia__, a finding indicative of
__aspiration__.**
5. The office nurse is reviewing an 80-year-old female client's reports related to the onset of
a severe headache, rated at 9 out of 10 on the pain scale, with recent onset. The client
denies any visual changes. During a prior visit to the office a few months ago, the client had
reported a ground-level fall as a result of falling off a chair and hitting the back of their head.
The client had been taken to the emergency department, where imaging was performed
with negative results.
**The nurse anticipates that the client has developed __chronic subdural hematoma__ and
that __CT imaging of the brain__ will be ordered.**
, 6. A client will undergo abdominal surgery. The nurse provides preoperative education
regarding the importance of diaphragmatic breathing exercises to prevent postoperative
complications.
**The nurse will educate the client about the risk for developing __pneumonia__,
__bronchospasm__, and __atelectasis__, if the client does not implement diaphragmatic
breathing exercises in the postoperative period of care.**
7. A nurse is caring for a client who was admitted for an asthma exacerbation. In the past
year, the client has been admitted for three asthma events. What will the nurse include in
the client teaching about preventing repeat hospitalizations?
**The nurse should teach about __trigger avoidance__ followed by __medication
adherence__.**
8. A 47-year-old male client presented to the medical unit and the healthcare team suspects
tuberculosis (TB). The nurse is admitting the client to a reverse isolation room. QuantiFERON
testing and chest x-ray are pending. Urinalysis results are negative. No other testing was
performed prior to admission to isolation. The client denies any chest pain, shortness of
breath (SOB), or respiratory difficulty. The client presents with productive yellow sputum.
**Based on the provided assessment status, the nurse should utilize __airborne
precautions__ to prevent exposure and __sputum__ to collect specimens for additional
testing.**
9. The nurse has documented an assessment on a 45-year-old male client on the third
postoperative day following an open abdominal appendectomy.
**Assessment findings requiring follow-up include:**
- Has separated and has yellow drainage on dressing
- Clumps of yellow pus
- 102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F (38.4°C)
- White blood count 12.9 x 10³ cells/mm³ (12.9 x 10⁹/l)
- Blood glucose level 130 mg/dl (7.21 mmol/l)
