Lewis medical surgical nursing 11th Guides d'étude, Notes de cours & Résumés

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Lewis Chapter 41: Upper GI Problems NCLEX 1. A patient with deep partial-thickness burns experiences severe pain associated with nausea during dressing changes. Which action will be most useful in decreasing the patient's nausea? a. The patient NPO for 2 hours before and after dressing changes. b. Avoid performing dressing changes close to the patient's mealtimes. c. Administer the prescribed morphine sulfate before dressing changes. d. Give the ordered prochlorperazine (Compazine) ...

Lewis - Chapter 24: Burns When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes dry, pale, and hard skin. The patient states that the burn is not painful. What term would the nurse use to document the burn depth? a. First-degree skin destruction b. Full-thickness skin destruction c. Deep partial-thickness skin destruction d. Superficial partial-thickness skin destruction ANS ANS: B With full-thickness skin destruction, the appearance is pal...

Lewis Chapter 42 Nursing Management Lower Gastrointestinal Problems 1. Which action will the nurse include in the plan of care for a 42-year-old patient who is being admitted with Clostridium difficile? a. Educate the patient about proper food storage. b. Order a diet with no dairy products for the patient. c. Place the patient in a private room on contact isolation. d. Teach the patient about why antibiotics will not be used. - ANS ANS: C Because C. difficile is highly conta...

NEURO assessment 1. When admitting an acutely confused patient with a head injury, which action should the nurse take? a. Ask family members about the patient's health history. b. Ask leading questions to assist in obtaining health data. c. Wait until the patient is better oriented to ask questions. d. Obtain only the physiologic neurologic assessment data. - ANS ANS: A When admitting a patient who is likely to be a poor historian, the nurse should obtain health history infor...

Lewis's Medical-Surgical Nursing, 11th Edition A young adult contracts hepatitis from contaminated food. What should the nurse expect serologic testing to reveal during the acute (icteric) phase of the patient's illness? a. Antibody to hepatitis D (anti-HDV) b. Hepatitis B surface antigen (HBsAg) c. Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG) d. Anti-hepatitis A virus immunoglobulin M (anti-HAV IgM) - ANS ANS: D Hepatitis A is transmitted through the oral-fecal rout...

Lewis Chapter 11: Inflammation and Healing 1. The nurse assesses a patients surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate? a. Obtain wound cultures. b. Document the assessment. c. Notify the health care provider. d. Assess the wound every 2 hours. - ANS ANS: B The incisional redness and warmth are indicators of the normal initial (inflammatory) stage of wound healing by primary intenti...

Lewis Renal Chapters 1. Which question should the nurse ask to assess a patient's dysuria? a. "Do you have to urinate at night?" b. "Do you have blood in your urine?" c. "Do you have to urinate frequently?" d. "Do you have pain when you urinate?" - ANS ANS: D Dysuria is painful urination. The alternate responses can be used to assess other urinary tract symptoms: hematuria, nocturia, and frequency. DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: A...

Chapter 1. Professional Nursing MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patients input. The patient states, How is this different from what the doctor does? Which response would be most appropriate for the nurse to make? a. The role of the nurse is to administer medications and other treatments prescribed by your doctor. b. The nurses job is to help the doctor by collecting information ...

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