Med- Surg. Exam
Study online at https://quizlet.com/_25rxtu
1. Myocardial damage that oc- A client is admitted for c/o chest pain and
curred several days earlier is aching x 4d. The serum creatine kinase-MB
best validated by serum tro- (CK-MB) and troponin levels are obtained.
ponin levels. What rationale should the nurse use to eval.
the lab findings?
2. B. Smoking can decrease A man who smokes 2 packs of cigarettes/day
the quantity and quality of wants to know if smoking contributes to the
sperm. difficulty that he and his wife are having get-
C. The first semen analysis ting pregnant. What info can the nurse pro-
should be repeated to con- vide?
firm sperm counts.
D. Cessation of smoking im-
proves general health and
fertility.
3. Get involved with a support A couple is trying to cope with infertility. What
group. I will give you some can be done to preserve emotional equilibri-
names um. What is the best response?
4. B. Report inflammation of The nurse is providing post-op instructions
the incision site or the affect- for a post mastectomy. What info should the
ed arm nurse include in the teaching?
D. Avoid lifting more than
4.5kg (10lb) or reaching
above head
5. Increase in abdominal fat de- The nurse is assessing a middle-aged man
posits. for risk factors r/t chronic illness. Which find-
ing should the nurse further assess?
6. Determine the time the client The nurse is caring for a male client who had
last voided an inguinal herniorrhaphy three hrs. ago. The
client's lower abd. is distended and assesses
dullness to percussion. What is the priority
action?
7. return to pre-illness wt. The nurse is caring for a client with HIV
who develops Mycobacterium avium com-
, Med- Surg. Exam
Study online at https://quizlet.com/_25rxtu
plex (MAC). What is the most significant de-
sired outcome?
8. Permanent sterility occurs in A 26-year-old with Hodgkin's disease is
male clients who receive ra- scheduled to undergo radiation therapy. The
diation pt. expresses concern about the effect of ra-
diation on his ability to have children. What
info should the nurse provide?
9. Asst. pt. to ambulate in the A pt. had abdominal surgery two days ago
hall has prescriptions for intravenous morphine
sulfate 4 mg every two hours and a clear
liquid diet. The pt. c/o feeling distended and
has sharp, cramping gas pains. What nursing
intervention should be implemented?
10. Turn off the tv and the lights A pt. with Ménière's disease is incapacitated
by vertigo and is lying in bed grasping the
side rail and staring at the television. Which
nursing intervention should the nurse imple-
ment?
11. Pt. is to remain NPO until the A pt. who has a chronic cough with
gag reflex returns. blood-tinged sputum returns to the unit after
a bronchoscopy. What intervention should be
implemented in the immediate post-proce-
dure period?
12. Observe for coughing col- The nurse is assessing a pt. with a cuffed
ored sputum after drinking a tracheostomy tube in place who is breath-
small amount of colored wa- ing spontaneously. To evaluate if the pt. can
ter tolerate cuff deflation to promote swallowing
and speaking, what action should the nurse
implement?
13. Deviation of the trachea to- A pt. is admitted to the ED with a tension
ward the opposite side of the pneumothorax. Which assessment should
pneumothorax the nurse expect to find?
14.
, Med- Surg. Exam
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Evaluate the pts. pain and ef- Apt. with sickle cell anemia is admitted with
fectiveness of narcotic anal- severe abd. pain and the diagnosis is sickle
gesics cell crisis. What is the most important nursing
action to implement?
15. A febrile transfusion reac- A pt who is receiving a whole blood transfu-
tion sion develops chills, fever, and a headache
thirty minutes after the transfusion is started.
The nurse should recognize these symptoms
as what reaction?
16. renal artery (embolization) Several hours after surgical repair of an
(AAA), the client develops left flank pain. The
nurse determines the client's urinary output
is 20 ml/hr for the past two hours. The nurse
should conclude that these findings are prob-
ably which complication?
17. Apply the bp cuff to the arm The nurse directs an CNA to obtain the vital
on the uneffected side signs for a client who returns to the unit after
having a mastectomy for cancer. What infor-
mation should the nurse provide the UAP?
18. A twenty-nine year-old Which pt is at highest risk for compromised
woman whose uterus rup- psychological adjustment after a hysterecto-
tured after giving birth to her my?
first child.
19. The pt. states, "I know I A 48-year-old pt with endometrial cancer is
will miss having sexual inter- being discharged after a total hysterectomy
course with my husband." and bilateral salpingo-oophorectomy. Which
pt statement indicates that further teaching is
indicated?
20. Hold the drug until the pt A pt in the pre-op holding area receives
validates understanding of a prescription for Midazolam (Versed) IV.
the procedure and signs the The nurse determines that the consent form
consent form needs to be signed by the pt. Which action
should the nurse implement?
Study online at https://quizlet.com/_25rxtu
1. Myocardial damage that oc- A client is admitted for c/o chest pain and
curred several days earlier is aching x 4d. The serum creatine kinase-MB
best validated by serum tro- (CK-MB) and troponin levels are obtained.
ponin levels. What rationale should the nurse use to eval.
the lab findings?
2. B. Smoking can decrease A man who smokes 2 packs of cigarettes/day
the quantity and quality of wants to know if smoking contributes to the
sperm. difficulty that he and his wife are having get-
C. The first semen analysis ting pregnant. What info can the nurse pro-
should be repeated to con- vide?
firm sperm counts.
D. Cessation of smoking im-
proves general health and
fertility.
3. Get involved with a support A couple is trying to cope with infertility. What
group. I will give you some can be done to preserve emotional equilibri-
names um. What is the best response?
4. B. Report inflammation of The nurse is providing post-op instructions
the incision site or the affect- for a post mastectomy. What info should the
ed arm nurse include in the teaching?
D. Avoid lifting more than
4.5kg (10lb) or reaching
above head
5. Increase in abdominal fat de- The nurse is assessing a middle-aged man
posits. for risk factors r/t chronic illness. Which find-
ing should the nurse further assess?
6. Determine the time the client The nurse is caring for a male client who had
last voided an inguinal herniorrhaphy three hrs. ago. The
client's lower abd. is distended and assesses
dullness to percussion. What is the priority
action?
7. return to pre-illness wt. The nurse is caring for a client with HIV
who develops Mycobacterium avium com-
, Med- Surg. Exam
Study online at https://quizlet.com/_25rxtu
plex (MAC). What is the most significant de-
sired outcome?
8. Permanent sterility occurs in A 26-year-old with Hodgkin's disease is
male clients who receive ra- scheduled to undergo radiation therapy. The
diation pt. expresses concern about the effect of ra-
diation on his ability to have children. What
info should the nurse provide?
9. Asst. pt. to ambulate in the A pt. had abdominal surgery two days ago
hall has prescriptions for intravenous morphine
sulfate 4 mg every two hours and a clear
liquid diet. The pt. c/o feeling distended and
has sharp, cramping gas pains. What nursing
intervention should be implemented?
10. Turn off the tv and the lights A pt. with Ménière's disease is incapacitated
by vertigo and is lying in bed grasping the
side rail and staring at the television. Which
nursing intervention should the nurse imple-
ment?
11. Pt. is to remain NPO until the A pt. who has a chronic cough with
gag reflex returns. blood-tinged sputum returns to the unit after
a bronchoscopy. What intervention should be
implemented in the immediate post-proce-
dure period?
12. Observe for coughing col- The nurse is assessing a pt. with a cuffed
ored sputum after drinking a tracheostomy tube in place who is breath-
small amount of colored wa- ing spontaneously. To evaluate if the pt. can
ter tolerate cuff deflation to promote swallowing
and speaking, what action should the nurse
implement?
13. Deviation of the trachea to- A pt. is admitted to the ED with a tension
ward the opposite side of the pneumothorax. Which assessment should
pneumothorax the nurse expect to find?
14.
, Med- Surg. Exam
Study online at https://quizlet.com/_25rxtu
Evaluate the pts. pain and ef- Apt. with sickle cell anemia is admitted with
fectiveness of narcotic anal- severe abd. pain and the diagnosis is sickle
gesics cell crisis. What is the most important nursing
action to implement?
15. A febrile transfusion reac- A pt who is receiving a whole blood transfu-
tion sion develops chills, fever, and a headache
thirty minutes after the transfusion is started.
The nurse should recognize these symptoms
as what reaction?
16. renal artery (embolization) Several hours after surgical repair of an
(AAA), the client develops left flank pain. The
nurse determines the client's urinary output
is 20 ml/hr for the past two hours. The nurse
should conclude that these findings are prob-
ably which complication?
17. Apply the bp cuff to the arm The nurse directs an CNA to obtain the vital
on the uneffected side signs for a client who returns to the unit after
having a mastectomy for cancer. What infor-
mation should the nurse provide the UAP?
18. A twenty-nine year-old Which pt is at highest risk for compromised
woman whose uterus rup- psychological adjustment after a hysterecto-
tured after giving birth to her my?
first child.
19. The pt. states, "I know I A 48-year-old pt with endometrial cancer is
will miss having sexual inter- being discharged after a total hysterectomy
course with my husband." and bilateral salpingo-oophorectomy. Which
pt statement indicates that further teaching is
indicated?
20. Hold the drug until the pt A pt in the pre-op holding area receives
validates understanding of a prescription for Midazolam (Versed) IV.
the procedure and signs the The nurse determines that the consent form
consent form needs to be signed by the pt. Which action
should the nurse implement?
