Med-Surg II: Comprehensive Final
Review
A client who is to have a preoperative EKG day after today ought to be recommended to
avoid what within the subsequent 24 hours previous to the test? - ANS-Caffeine & cigarette
smoking
A individual is considered morbidly overweight when they're above what percentage in their
perfect frame weight? - ANS-100% above their perfect frame weight
Ch. 28, pg. 645
A signal of colon cancer that a patient might experience is: - ANS-black stool
Auscultating Bowel Sounds - ANS-Bowel sounds are resulting from air & fluid transferring via
the intestinal tract & are heard as smooth gurgles & clicks each 5 to 15 seconds.
• Normal: Frequency of sounds is about five to 30 in 1 minute.
• Absent: No sounds are heard after listening in every of the four quadrants for five mins.
• Hypoactive: No sounds are heard after listening in each of the four quadrants for 30
seconds.
• Hyperactive: Bowel sounds that arise inside three seconds or much less in a single
quadrant.
• Diarrhea: Loud, common sounds said in each quadrant.
• If hyperactive, high-pitched sounds are heard in one quadrant, & decreased sounds are
heard in every other quadrant, assess for N/V, due to the fact the patient might also have an
intestinal obstruction.
Ch. 27, pg. 636
How do you calculate body burns? - ANS-Using the Rule of 9s:
Head (Anterior 4.Five%) (Posterior 4.Five%)
Trunk (Anterior 18%) (Posterior 18%)
Arm (Anterior four.5%) (Posterior four.Five%)
Groin (1%)
Leg (Anterior nine%) (Posterior nine%)The
How do you examine the stability of nutrition & workout in the diabetic patient? - ANS-The
affected person need to be keeping an excellent document of their blood sugar stages.
Ch. 37, pg. 862
, How might a nurse report ache? - ANS-• Initial ache assessment (region, depth, & length of
the ache & the technique used to evaluate [IE: pain scale, patient verbalization]; file anxious
& assuaging elements)
• Measures taken (IE: analgesic medication, adjunctive measures)
• Evaluation of effectiveness of measures.
• Provider notification of issues or worries & company reaction, if relevant.
• Related patient or family training furnished.
Ch. 7, pg. 134
If a patient is suspected to have inhalation burn, what would a nurse examine for? - ANS-•
Persistent coughing
• Coughing up black mucous
Ch. 42, pg. 989 (TEACHER MENTION)
If a affected person presents with pain radiating to the lower back at the extent of the
shoulder blade, which trouble frequently displays the symptom? - ANS-Choleiithiasis
(formation of gallstones)
In regards to pointers for making use of topical medicinal drugs, what is crucial to
understand approximately applying powders? - ANS-Some powders, inclusive of cornstarch,
can virtually serve as subculture media for the increase of bacteria.
Ch. Forty one, pg. 967 (Box 41.3)
Pain is a subjective revel in. Who is the quality individual to decide ache control? - ANS-Only
the patient is aware of the location of the ache, its diploma of intensity, & which treatment
routine works & how lengthy it's miles effective.
Reactions to pain can vary widely from character to man or woman & within the equal
individual underneath distinctive circumstances.
Ch. 7, pg. 127
The alveoli are covered with membranes that comply with passages of _______ ________
______ __________. - ANS-air into the lungs
The consumption of _______________ & _______________ is wanted to synthesize each
thyroid hormones. - ANS-Iodine & protein
Ch. 35, pg. 824
The nurse is worrying for a patient who's at risk for thrombus formation due to a total hip
alternative. Which symptom should alert the nurse to the opportunity that a pulmonary
embolism (PE) has occurred? - ANS-The patient complains of dyspnea.
The nurse is gazing the stoma of a affected person who these days had a colostomy. Which
locating is the nurse most concerned about? - ANS-The stoma having a deepening color of
purplish shade.
The nurse reminds the CNAs that the principle chemical that damages pores and skin of the
immobilized patient is ___________. - ANS-urine
Review
A client who is to have a preoperative EKG day after today ought to be recommended to
avoid what within the subsequent 24 hours previous to the test? - ANS-Caffeine & cigarette
smoking
A individual is considered morbidly overweight when they're above what percentage in their
perfect frame weight? - ANS-100% above their perfect frame weight
Ch. 28, pg. 645
A signal of colon cancer that a patient might experience is: - ANS-black stool
Auscultating Bowel Sounds - ANS-Bowel sounds are resulting from air & fluid transferring via
the intestinal tract & are heard as smooth gurgles & clicks each 5 to 15 seconds.
• Normal: Frequency of sounds is about five to 30 in 1 minute.
• Absent: No sounds are heard after listening in every of the four quadrants for five mins.
• Hypoactive: No sounds are heard after listening in each of the four quadrants for 30
seconds.
• Hyperactive: Bowel sounds that arise inside three seconds or much less in a single
quadrant.
• Diarrhea: Loud, common sounds said in each quadrant.
• If hyperactive, high-pitched sounds are heard in one quadrant, & decreased sounds are
heard in every other quadrant, assess for N/V, due to the fact the patient might also have an
intestinal obstruction.
Ch. 27, pg. 636
How do you calculate body burns? - ANS-Using the Rule of 9s:
Head (Anterior 4.Five%) (Posterior 4.Five%)
Trunk (Anterior 18%) (Posterior 18%)
Arm (Anterior four.5%) (Posterior four.Five%)
Groin (1%)
Leg (Anterior nine%) (Posterior nine%)The
How do you examine the stability of nutrition & workout in the diabetic patient? - ANS-The
affected person need to be keeping an excellent document of their blood sugar stages.
Ch. 37, pg. 862
, How might a nurse report ache? - ANS-• Initial ache assessment (region, depth, & length of
the ache & the technique used to evaluate [IE: pain scale, patient verbalization]; file anxious
& assuaging elements)
• Measures taken (IE: analgesic medication, adjunctive measures)
• Evaluation of effectiveness of measures.
• Provider notification of issues or worries & company reaction, if relevant.
• Related patient or family training furnished.
Ch. 7, pg. 134
If a patient is suspected to have inhalation burn, what would a nurse examine for? - ANS-•
Persistent coughing
• Coughing up black mucous
Ch. 42, pg. 989 (TEACHER MENTION)
If a affected person presents with pain radiating to the lower back at the extent of the
shoulder blade, which trouble frequently displays the symptom? - ANS-Choleiithiasis
(formation of gallstones)
In regards to pointers for making use of topical medicinal drugs, what is crucial to
understand approximately applying powders? - ANS-Some powders, inclusive of cornstarch,
can virtually serve as subculture media for the increase of bacteria.
Ch. Forty one, pg. 967 (Box 41.3)
Pain is a subjective revel in. Who is the quality individual to decide ache control? - ANS-Only
the patient is aware of the location of the ache, its diploma of intensity, & which treatment
routine works & how lengthy it's miles effective.
Reactions to pain can vary widely from character to man or woman & within the equal
individual underneath distinctive circumstances.
Ch. 7, pg. 127
The alveoli are covered with membranes that comply with passages of _______ ________
______ __________. - ANS-air into the lungs
The consumption of _______________ & _______________ is wanted to synthesize each
thyroid hormones. - ANS-Iodine & protein
Ch. 35, pg. 824
The nurse is worrying for a patient who's at risk for thrombus formation due to a total hip
alternative. Which symptom should alert the nurse to the opportunity that a pulmonary
embolism (PE) has occurred? - ANS-The patient complains of dyspnea.
The nurse is gazing the stoma of a affected person who these days had a colostomy. Which
locating is the nurse most concerned about? - ANS-The stoma having a deepening color of
purplish shade.
The nurse reminds the CNAs that the principle chemical that damages pores and skin of the
immobilized patient is ___________. - ANS-urine
