Medical-Surgical Nursing II Quiz # 2 Chapters 55-57

7/13/2019 Medical - Surgical II Quiz # 2 Chapters Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm Medical - Surgical II Quiz # 2 Chapters 55-57 End of quiz You are at the end; press Finished to complete and grade the quiz. You can review your answers below and click Edit if you want to change any. Finished This study source was downloaded by from CourseH on :09:30 GMT -05:00 7/13/2019 Medical - Surgical II Quiz # 2 Chapters Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences Question 1 A client is prescribed cetuximab (Erbitux) for oral cancer and asks the nurse how it works. What response by the nurse is best? Response: “It blocks epidermal growth factor.” Question 2 The nurse is caring for a client who had an esophagectomy 3 days ago and was extubated yesterday. What actions may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) Response: Assisting with position changes and getting out of bed Response: Keeping the head of the bed elevated to at least 30 degrees Response: Taking and recording vital signs per hospital protocol Question 3 A nurse works on the unit. After receiving the hand-off report, which client should the nurse see first? Response: Client who had an esophagectomy with a respiratory rate of 32/min Question 4 The nurse has collected several stool specimens that are to be sent to the laboratory. The nurse should: Response: Take the specimens to the refrigerator to be tested later for parasites and ova. Question 5 A student nurse is providing care to an older client with stomatitis and dysphagia. What action by the student nurse requires the registered nurse to intervene? Response: Preparing to administer a viscous lidocaine gargle Question 6 A female client hospitalized for an unrelated problem has a large pearly-white lesion on her lip, to which she continues to apply lipstick that she will not remove for inspection. The client refuses to discuss the lesion with the nurse or health care provider. What action by the nurse is best? Response: Work with the client to establish a trusting relationship. Question 7 When a 72-year-old patient is diagnosed with achalasia, the nurse will teach the patient that Response: treatment may include endoscopic procedures. surgical This study source was downloaded by from CourseH on :09:30 GMT -05:00 7/13/2019 Medical - Surgical II Quiz # 2 Chapters Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences Question 8 A nurse is teaching clients with gastroesophageal reflux disease (GERD) about foods to avoid. Which foods should the nurse include in the teaching? (Select all that apply.) Response: Chocolate Response: Peppermint Response: Tomato sauce Response: Citrus fruits Question 9 Which nursing action should be included in the postoperative plan of care for a patient after a laparoscopic esophagectomy? Response: Elevate the head of the bed to at least 30 degrees. Question 10 A client with an esophageal tumor has difficulty swallowing and has been working with a speech-language pathologist. What assessment finding by the nurse indicates that the priority goal for this problem is being met? Response: Lungs clear after meals and snacks Question 11 The home health nurse observes the patient with esophageal cancer tilt his head back while eating, which could result in: Response: Increasing the risk of aspiration Question 12 After administering promethazine (Phenergan) for nausea, the nurse takes extra precautionary implementations because of the common side effect of antiemetic medications, which is: Response: Put up side rails to prevent falls. Question 13 A client is scheduled for a traditional esophagogastrostomy. All preoperative teaching has been completed and the client and family show good understanding. What action by the nurse is best? Response: Assess the client’s psychosocial status. Question 14 This study source was downloaded by from CourseH on :09:30 GMT -05:00 7/13/2019 Medical - Surgical II Quiz # 2 Chapters Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences A 46-year-old female with gastroesophageal reflux disease (GERD) is experiencing increasing discomfort. Which patient statement indicates that additional teaching about GERD is needed? Response: “I eat small meals during the day and have a bedtime snack.” Question 15 A 68-year-old male patient with a stroke is unconscious and unresponsive to stimuli. After learning that the patient has a history of gastroesophageal reflux disease (GERD), the nurse will plan to do frequent assessments of the patient’s Response: breath sounds. Question 16 The nurse is caring for a client with sialadenitis. What comfort measures may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.) Response: Applying warm compresses Response: Offering fluids every hour Question 17 While the patient is on TPN feedings, the nurse will include in the care plan to: (Select all that apply.) Response: Monitor for hyperglycemia. Response: Assess temperature. Response: Monitor for hypoglycemia. Question 18 The nurse is working with clients who have esophageal disorders. The nurse should assess the clients for which manifestations? (Select all that apply.) Response: Dysphagia Response: Eructation Response: Halitosis Question 19 The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn describes that the medication Response: treats gastroesophageal reflux disease by decreasing stomach acid production. Question 20 This study source was downloaded by from CourseH on :09:30 GMT -05:00 7/13/2019 Medical - Surgical II Quiz # 2 Chapters Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences A client is scheduled to have a fundoplication. What statement by the client indicates a need to review preoperative teaching? Response: “After the operation I can eat anything I want.” This study source was downloaded by from CourseH on :09:30 GMT -05:00 Powered by TCPDF ()