Med Surg Guides d'étude, Notes de cours & Résumés

Because of an unexpected emergency case, a client scheduled for colon surgery at 8 am has been rescheduled for 11 am. What is the nurse's best action related to preoperative prophylactic antibiotic administration according to the Surgical Care Improvement Project (SCIP) guidelines? A Administer the preoperative antibiotic at 7 am as originally prescribed. B Administer the antibiotic at the same time as the other prescribed preoperative drugs. C Adjust the antibiotic administration time to...

A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care - correct answer ANS: B All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000 deaths result each year from errors in hospita...

A - correct answer The nurse includes which nursing diagnosis in the plan of care for the patient admitted with pneumonia? A. Anxiety related to hypoxia B. Deficient knowledge related to cause of disorder C. Fear related to the threat of pain D. Ineffective breathing pattern related to decreased surfactant C - correct answer The nurse is reviewing orders on the patient who is to receive supplemental oxygen. It is a priority for the nurse to follow up with the provider about which o...

A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis? 1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC) 2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC) 3. Respiratory Status: Ventilation (NOC) and Respiratory Monitor...

MED-SURG FINAL PRACTICE QUESTIONS AND VERIFIED ANSWERS

What laboratory findings does the nurse determine are consistent with hypovolemia in a female patient? (Select all that apply.) 1. BUN : serum creatinine ratio of >12.1 2. Urine positive for blood 3. Hematocrit level of >47% 4. Urine specific gravity of 1.027 5. Urine osmolality of >450 mOsm/kg - correct answer Correct answer: 3. 4. and 5. More than half of students who answered this question in Wolters Kluwer's adaptive learning systems, powered by PrepU, answered "BUN : seru...

Which patients are at risk for fluid volume excess? A. 64 year old male with a diagnosis of kidney failure B. 46 year old male who is training for a marathon C. 35 year old male with diarrhea and vomiting for the past 2 days D. 83 year old female with a diagnosis of a stroke and has trouble talking - correct answer A Which solution is considered a hypertonic IV solution? A. 0.9% sodium chloride B. Total parenteral nutrition C. 0.45% sodium chloride D. Lactated Ringers solution - cor...

What are the ABCDE's to identify skin cancer? - correct answer A: Asymmetry of shape B: Border irregularity C: Color variation within one lesion D: Diameter > 6mm E: Evolving/changing features What are some psychosocial assessments for skin integrity? - correct answer Body Image Body Language Social Isolation The nurse is assessing a patient's skin. Which lesion finding requires further nursing intervention? A- Symmetry B- Consistent color C- Diameter of 8mm D- Regular bor...

Myocardial damage that occurred several days earlier is best validated by serum troponin levels.A client is admitted for c/o chest pain and aching x 4d. The serum creatine kinase-MB (CK-MB) and troponin levels are obtained. What rationale should the nurse use to eval. the lab findings? B. Smoking can decrease the quantity and quality of sperm. C. The first semen analysis should be repeated to confirm sperm counts. D. Cessation of smoking improves general health and fertility.A man who...

A client is admitted for c/o chest pain and aching x 4d. The serum creatine kinase-MB (CKMB) and troponin levels are obtained. What rationale should the nurse use to eval. the lab findings? Myocardial damage that occurred several days earlier is best validated by serum troponin levels. A man who smokes 2 packs of cigarettes/day wants to know if smoking contributes to the difficulty that he and his wife are having getting pregnant. What info can the nurse provide? B. Smoking can decre...