Ignatavicius Med surge 11th edition
test bank mid term exam: WEEKS 1-6 (
Chapters: 5, 13, 14, 21, 28 29, 30, 32,
39, 40, 47, 62, 63, 64, 65)
A consumer had a vaginoplasty. Under epidural anesthetic. What action through the nurse is
maximum vital. - ANS-Instruct the client no longer to attempt to get out of bed unassisted.
Rationale: Epidural anastheia will purpose the consumer to now not be capable of pass (or
sense) the legs for numerous hours. It is important for the purchaser that ok help is available
prior to this purchaser seeking to get out of bed.
A nurse cares for a patron who has a serum potassium of 6.5 mEq?L and is displaying
cardiovascular changes. Which intervention will the nurse put in force first> - ANS-Answer:
Prepare to adminsiter dextrose 20% and 10 gadgets of regular insulin IV push.
Rationale: A consumer with critically excessive serum potassium and cardiac modifications
could be dealt with right now to lessen th extracellular potassium degree. Potassium movement
into the cells more suitable by using insulin by growing the hobby of sodium-potassium pumps.
Insulin will lower each serum potassium and glucose levels and therefore could be administered
with dextrose to prevent hypoglycemia.
A nurse is being concerned for a patron who has the following laboratory consequences:
potassium 2.4mEq/L, magnesium 1.8mEq/L, calcium eight.5mEq/L, and sodium 144mEq/L.
Which evaluation does the nurse complete first? - ANS-Answer: Depth of respirations
Rationale: A customer with low serum potassium level may show off hypoactive bowel sounds,
cardiac dysrhythmias, and muscle weakness resulting in shallow respirations and decreased
hand grip. The nurse could assess the patron's respiratory fame first to make certain that
respirations are enough.
Ch. Five: A nurse is learning approximately the fitness care wishes individuals who become
aware of as LGBTQIA+ and transgender. Which terms are effectively described? (pick all that
practice) - ANS-A - Gender dysphoria: misery as a result of incongruence between natal
intercourse and gender identity.
B - Gender identity: a person's inner feel of being a male, a woman, or an alternative gender.
C - Natal sex: the sex one is born with or is assigned to at beginning
, E - Trans-women: a male who identifies or lives as a girls
ch.Five: A nurse works with many transgender patients. What routine monitoring is important for
the nurse to facilitate in this population? (select all that practice) - ANS-A - lipid profile
B - liver function assessments
C - mammograms if breast tissue is present
D - prostate - particular antigen (PSA) for natal men
F - Cervical cancer screening
Rationale: Common routine tracking for this population consists of lipid and liver panels,
mammograms if any breast tissue is present and PSA for natal men as the prostate is not
removed during a vaginoplasty/penectomy. Cervical cancer screening is needed if the consumer
has no longer had a total hysterectomy with a BSO.
Ch.5: The nurse is reviewing viable headaches from phalloplasty. What factors does the nurse
include? (pick out all that observe) - ANS-A - wound infections
B - urethral headaches
C - rectal damage
D - Bleeding
E - Doner web site scarring
Rationale: Complications from palloplasty include wound infections, urethral headaches, rectal
injuries, bleeding and donor website online scarring.
Ch5: A client has lower back from the publish anesthesia care unit after a vaginoplasty. What
comfort measures does the nurse provide for this client? - ANS-observe ice to the perineum
Rationale: Ice is implemented to the perineum intermittently to reduce bruising, pain and
discomfort.
Ch5: A consumer is making ready for MtF gender - declaring surgical operation. The patron is
worried about the voice now not sounding feminine enough. What movement through the nurse
is first-class? - ANS-refer the purchaser for vocal therapy with a speech - language pathologist
Rationale: Male to woman can discuss with a speech - language pathologist for vocal education
to help with intonation and pitch.
Ch5: A nurse is offering health teaching to a middle-age male t woman customer who has gone
through gender-reaffirming surgical operation. What information is maximum essential to this
affected person. - ANS-make certain to have an annual prostate exam
Rationale: The MtF customer retains the prostate, so annual screening examinations for
prostate cancer stay important.
Ch5: A nurse is reviewing the chart of a brand new client inside the fmily medicinal drug clinic
and notes that the purchaser is diagnosed as "George smith" the nurse enters the room and
test bank mid term exam: WEEKS 1-6 (
Chapters: 5, 13, 14, 21, 28 29, 30, 32,
39, 40, 47, 62, 63, 64, 65)
A consumer had a vaginoplasty. Under epidural anesthetic. What action through the nurse is
maximum vital. - ANS-Instruct the client no longer to attempt to get out of bed unassisted.
Rationale: Epidural anastheia will purpose the consumer to now not be capable of pass (or
sense) the legs for numerous hours. It is important for the purchaser that ok help is available
prior to this purchaser seeking to get out of bed.
A nurse cares for a patron who has a serum potassium of 6.5 mEq?L and is displaying
cardiovascular changes. Which intervention will the nurse put in force first> - ANS-Answer:
Prepare to adminsiter dextrose 20% and 10 gadgets of regular insulin IV push.
Rationale: A consumer with critically excessive serum potassium and cardiac modifications
could be dealt with right now to lessen th extracellular potassium degree. Potassium movement
into the cells more suitable by using insulin by growing the hobby of sodium-potassium pumps.
Insulin will lower each serum potassium and glucose levels and therefore could be administered
with dextrose to prevent hypoglycemia.
A nurse is being concerned for a patron who has the following laboratory consequences:
potassium 2.4mEq/L, magnesium 1.8mEq/L, calcium eight.5mEq/L, and sodium 144mEq/L.
Which evaluation does the nurse complete first? - ANS-Answer: Depth of respirations
Rationale: A customer with low serum potassium level may show off hypoactive bowel sounds,
cardiac dysrhythmias, and muscle weakness resulting in shallow respirations and decreased
hand grip. The nurse could assess the patron's respiratory fame first to make certain that
respirations are enough.
Ch. Five: A nurse is learning approximately the fitness care wishes individuals who become
aware of as LGBTQIA+ and transgender. Which terms are effectively described? (pick all that
practice) - ANS-A - Gender dysphoria: misery as a result of incongruence between natal
intercourse and gender identity.
B - Gender identity: a person's inner feel of being a male, a woman, or an alternative gender.
C - Natal sex: the sex one is born with or is assigned to at beginning
, E - Trans-women: a male who identifies or lives as a girls
ch.Five: A nurse works with many transgender patients. What routine monitoring is important for
the nurse to facilitate in this population? (select all that practice) - ANS-A - lipid profile
B - liver function assessments
C - mammograms if breast tissue is present
D - prostate - particular antigen (PSA) for natal men
F - Cervical cancer screening
Rationale: Common routine tracking for this population consists of lipid and liver panels,
mammograms if any breast tissue is present and PSA for natal men as the prostate is not
removed during a vaginoplasty/penectomy. Cervical cancer screening is needed if the consumer
has no longer had a total hysterectomy with a BSO.
Ch.5: The nurse is reviewing viable headaches from phalloplasty. What factors does the nurse
include? (pick out all that observe) - ANS-A - wound infections
B - urethral headaches
C - rectal damage
D - Bleeding
E - Doner web site scarring
Rationale: Complications from palloplasty include wound infections, urethral headaches, rectal
injuries, bleeding and donor website online scarring.
Ch5: A client has lower back from the publish anesthesia care unit after a vaginoplasty. What
comfort measures does the nurse provide for this client? - ANS-observe ice to the perineum
Rationale: Ice is implemented to the perineum intermittently to reduce bruising, pain and
discomfort.
Ch5: A consumer is making ready for MtF gender - declaring surgical operation. The patron is
worried about the voice now not sounding feminine enough. What movement through the nurse
is first-class? - ANS-refer the purchaser for vocal therapy with a speech - language pathologist
Rationale: Male to woman can discuss with a speech - language pathologist for vocal education
to help with intonation and pitch.
Ch5: A nurse is offering health teaching to a middle-age male t woman customer who has gone
through gender-reaffirming surgical operation. What information is maximum essential to this
affected person. - ANS-make certain to have an annual prostate exam
Rationale: The MtF customer retains the prostate, so annual screening examinations for
prostate cancer stay important.
Ch5: A nurse is reviewing the chart of a brand new client inside the fmily medicinal drug clinic
and notes that the purchaser is diagnosed as "George smith" the nurse enters the room and
