Chapter 12 Medical Surgical Nursing Questions With 100% Correct Answers 2023 Update

A patient who is NPO (nothing by mouth) for scheduled surgery has been on long-term oral steroid therapy and should receive a dose of Prednisone 10 mg by mouth at 0600. Which action should the nurse take? a. Notify the registered nurse (RN). b. Ask why the patient is taking steroid therapy. c. Give the oral steroid with a small sip of water. d. Contact the pharmacy to obtain an intravenous (IV) equivalent dose. - ANS-A. Notify the registered nurse A patient recovering from an abdominal hysterectomy is experiencing abdominal gas pain. Which action should the nurse take? a. Offer a hot beverage. b. Provide an extra blanket. c. Help the patient ambulate. d. Apply an abdominal binder. - ANS-C. Help the patient ambulate A patient scheduled for surgery the next morning is withdrawn, sad and states a fear of the surgery. How should the nurse respond to this patient? a. Be happy because this surgery will help you. b. I would be scared, too. You will make it through. c. Its normal to be scared. What is it that scares you? d. Don't be so concerned. Everything will be all right. - ANS-C. Its normal to be scared. What is it that scares you? A patient is prescribed to receive morphine sulfate 8 mg intramuscularly (IM) prior to surgery. The medication available is 10 mg/mL. How many milliliters should the nurse give to the patient? a. 0.25 mL b. 0.5 mL c. 0.8 mL d. 1.25 mL - ANS-C. 0.8 mL The nurse is caring for a patient recovering from surgery. Which outcome should the nurse identify as being the most important to address the nursing diagnosis of Pain related to surgical incision? a. Patient reports pain using a pain scale. b. Patient states pain relief is satisfactory. c. Patient states normal coping techniques for pain. d. Patient states alternative techniques to minimize pain. - ANS-B. Patient states pain relief is satisfactory The nurse answers a patients call light and finds the patient sitting up in bed with a wound evisceration. What action should the nurse take first? a. Notify the physician immediately. b. Apply gentle pressure over the wound. c. Place the patient in low Fowlers position. d. Cover the wound with sterile saline-soaked towels. - ANS-C. Place the patient in low Fowlers position A patient recovering from surgery becomes restless, has a drop in blood pressure, increase in heart rate, and is breathing at a rate of 30 per minute. Which action should the nurse take first? a. Monitor vital signs. b. Maintain a patent airway. c. Notify the patients family. d. Ensure physician is informed. - ANS-B. Maintain a patent airway The nurse is contributing to the plan of care for a surgical patient. What should the nurse recognize as the most common human response to the stress associated with surgery? a. Fear b. Anxiety c. Delirium d. Depression - ANS-B. Anxiety The nurse is caring for a patient who is scheduled for surgery. Which nursing action should the nurse use to address the patients psychological concerns? a. Provide privacy to allow the patient to ask questions. b. Use correct, technical medical terminology in explanations. c. Instruct the patient to ask the surgeon all surgical questions. d. Provide information to a patient who says, I do not want to know. - ANS-A. Provide privacy to allow the patient to ask questions A patient scheduled for a nephrectomy states that the surgeon said this surgery is considered a curative procedure. Which responses should the nurse make to the patient? a. It is considered palliative surgery. b. No, it is an exploratory procedure. c. No, it is considered diagnostic surgery. d. Yes, it can be classified as a curative procedure. - ANS-D. Yes, it can be classified as a curative procedure The nurse is caring for a patient who is scheduled fora liver biopsy. For which category of surgical procedures should the nurse plan care for this patient? a. Curative b. Palliative c. Diagnostic d. Preventive - ANS-C. Diagnostic The nurse identifies the diagnosis of ineffective airway clearance as appropriate for a patient recovering from surgery. Which outcome should the nurse identify for this patient? a. Explains coughing and deep breathing exercises b. Explains rationale for coughing and deep breathing exercises c. Correctly demonstrates coughing and deep breathing exercises d. Observes demonstration of coughing and deep breathing exercises - ANS-C. Correctly demonstrates coughing and deep breathing exercises The nurse is assisting in the preparation of patients for surgery. Which patient should the nurse recognize as being in the best condition for surgery and at lower risk for complications? a. A 66-year-old patient who is obese b. A 55-year-old patient who is a marathon runner c. A 23-year-old patient 30 pounds less than ideal weight d. A 40-year-old patient who plans to quit smoking after surgery - ANS-B. A 55-year-old patient who is a marathon runner A patient scheduled for surgery is to receive anesthesia that causes a total loss of sensation and a complete loss of consciousness. What term should the nurse use to document this patients type of anesthesia? a. Local anesthesia b. Spinal anesthesia c. General anesthesia d. Epidural anesthesia - ANS-C. General anesthesia The nurse is contributing to the preoperative patients plan of care. Which patient statement should alert the nurse to plan interventions to help prevent postoperative complications?...