Med Surg 1 (Exam 2) Questions And Answers
One hour after admission to the post anesthesia care unit (PACU), the postoperative patient has become very restless. What is the nurse's first action?
A. Assess the oxygen saturation level
B. Administer pain medication as ordered
C. Call the surgeon to assess the patient
D. Assess for bladder distention - correct answer A
Patient asks nurse what does this "thing" do and why do i have to use it. Nurse explains that using this thing (incentive spirometer)
A. "The spirometer will help prevent blood clots"
B. "The spirometer will help your lungs expand."
C. "The spirometer will improve blood flow in your lungs."
D. "The spirometer will help you cough effectively." - correct answer B
After abdominal surgery, the patient complains of severe gas pains and states, "I have not had bowels in 3 days." What is the appropriate nursing intervention?
A. Call the physician for an order for a laxative
B. Reinsert a nasogastric tube
C. Provide the ordered prn Morphine
D. Have the patient ambulate frequently - correct answer D Med Surg 1 (Exam 2) Questions And Answers
A patient with emphysema reports social isolation. What should the nurse encourage patient to do?
A. Participate in community activities
B. Ask the patient's physician for an anti anxiety agent
C. Verbalize his or her thoughts and feelings
D. Join a support group for people with emphysema - correct answer C
The patient's abdominal incision is draining a small amount of pinkish color secretion. How nurse document this finding on the patient's record?
A. Small amount of bloody drainage noted on dressings.
B. Small amount of serosanguineous drainage noted on dressings.
C. Small amount of serous drainage noted on dressings.
D. Small amount of sanguineous drainage noted on dressings. - correct answer B
What interventions should the nurse carry out to reduce postoperative pain and promote comfort to surgical patient? (Select all that apply)
A. Control or remove noxious stimuli in the environment.
B. Instruct the patient in relaxation techniques.
C. Use ice to reduce and prevent swelling as indicated
D. Encourage activity and exercise to point of fatigue Med Surg 1 (Exam 2) Questions And Answers
E. Use pillows to assist to a position of comfort - correct answer A B C E
A post-operative patient is in the post-anesthesia care unit (PACU) and
reports having pain of 8 on a scale of 10. What is the best nursing action?
A. Consult with the anesthesia care provider to manage the pain while
the patient is still in PACU
B. Have the nurses on the surgical unit to assess the patient and administer pain medication as appropriate
C. Look at the routine post-operative orders and administer the pain medicine that is ordered.
D. Sep up the Patient Controlled Analgesia (PCA) machine and push the button for the patient as needed. - correct answer A
The nurse is changing the patient's dressing on the second postoperative day and notes a small amount of serosanguineous drainage. What is the nurse's best action?
A. Cover the incision with a transparent dressing
B. Culture the drainage and leave the incision open to air
C. Cleanse the suture line and apply a sterile dressing
D. Notify the surgeon to assess the patient - correct answer C
One hour after admission to the post anesthesia care unit (PACU), the postoperative patient has become very restless. What is the nurse's first action?
A. Assess the oxygen saturation level
B. Administer pain medication as ordered
C. Call the surgeon to assess the patient
D. Assess for bladder distention - correct answer A
Patient asks nurse what does this "thing" do and why do i have to use it. Nurse explains that using this thing (incentive spirometer)
A. "The spirometer will help prevent blood clots"
B. "The spirometer will help your lungs expand."
C. "The spirometer will improve blood flow in your lungs."
D. "The spirometer will help you cough effectively." - correct answer B
After abdominal surgery, the patient complains of severe gas pains and states, "I have not had bowels in 3 days." What is the appropriate nursing intervention?
A. Call the physician for an order for a laxative
B. Reinsert a nasogastric tube
C. Provide the ordered prn Morphine
D. Have the patient ambulate frequently - correct answer D Med Surg 1 (Exam 2) Questions And Answers
A patient with emphysema reports social isolation. What should the nurse encourage patient to do?
A. Participate in community activities
B. Ask the patient's physician for an anti anxiety agent
C. Verbalize his or her thoughts and feelings
D. Join a support group for people with emphysema - correct answer C
The patient's abdominal incision is draining a small amount of pinkish color secretion. How nurse document this finding on the patient's record?
A. Small amount of bloody drainage noted on dressings.
B. Small amount of serosanguineous drainage noted on dressings.
C. Small amount of serous drainage noted on dressings.
D. Small amount of sanguineous drainage noted on dressings. - correct answer B
What interventions should the nurse carry out to reduce postoperative pain and promote comfort to surgical patient? (Select all that apply)
A. Control or remove noxious stimuli in the environment.
B. Instruct the patient in relaxation techniques.
C. Use ice to reduce and prevent swelling as indicated
D. Encourage activity and exercise to point of fatigue Med Surg 1 (Exam 2) Questions And Answers
E. Use pillows to assist to a position of comfort - correct answer A B C E
A post-operative patient is in the post-anesthesia care unit (PACU) and
reports having pain of 8 on a scale of 10. What is the best nursing action?
A. Consult with the anesthesia care provider to manage the pain while
the patient is still in PACU
B. Have the nurses on the surgical unit to assess the patient and administer pain medication as appropriate
C. Look at the routine post-operative orders and administer the pain medicine that is ordered.
D. Sep up the Patient Controlled Analgesia (PCA) machine and push the button for the patient as needed. - correct answer A
The nurse is changing the patient's dressing on the second postoperative day and notes a small amount of serosanguineous drainage. What is the nurse's best action?
A. Cover the incision with a transparent dressing
B. Culture the drainage and leave the incision open to air
C. Cleanse the suture line and apply a sterile dressing
D. Notify the surgeon to assess the patient - correct answer C
