Med Surg

Nurse that coordinates and documents pt care in the operating room - circulating nurse Pt often have alteration in mental status when suffering from this urinary disorder - urosepsis The lab work order to monitor the effectiveness of Synthroid dosage - TSH Most serious complication of casting and splinting which occurs when increased pressure within a confined space compromises blood flow and low perfusion - compartment syndrome Most common surgical urinary diversion and it also ...

While providing discharge teaching for a patient who had an adjustable gastric band placed, which statement if made by the patient would indicate the need for further teaching? A. "I'm glad that this surgery is reversible in case things don't work out." B. "I'm just so glad that I can lose weight without having to worry about what I eat." C. "I will start off with light meals and advance my diet slowly to avoid nausea and vomiting." D. "This surgery doesn't change how my food is ...

Polymyositis - Polymyositis (pol-e-my-o-SY-tis) is an uncommon inflammatory disease that causes muscle weakness affecting both sides of your body. Polymyositis can make it difficult to climb stairs, rise from a seated position, lift objects or reach overhead. The nurse is preparing a care plan for a patient with polymyositis. The nurse understands that the patient is at an elevated risk for: - aspiration: because polymyositis is a chronic inflammation of the muscle and leads to muscle weakn...

To decrease a patient's shortness of breath and a sense of impending doom during an asthma attack, the nurse will: A. Place the patient on a cardiac monitor and observe from the nurses' station. B. Let the patient rest alone in a quiet, calm environment. C. Reassure the patient that the doctor will arrive soon D. Stay with the patient and encourage pursed-lip breathing. - D The patient experiencing an acute asthma exacerbation will be fearful and anxious. It is important for the nurse...

A nurse is caring for a client who has cancer and is taking morphine and Carbamazepine for pain which of the following affects the nurse monitor when given these medications together (select all apply) A. Need for reduced dosage of the opioid B. Reduced adverse effects of the opioid C. Increased analgesic effects D. Enhanced CNS stimulation E. Increased opioid tolerance - A, B, C A nurse is planning care for a client has brain cancer and is experiencing headaches which of the followin...

A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (turp). Which of the following actions should the nurse take? - report viscous drainage with clots to the provider. A nurse is caring for a client who has thrombocytopenia and develops epistaxis. Which of the following actions should the nurse take? - pinch the soft portion of the client's nose for 10 min. (epistaxis-nose bleed) A nurse is contributing to the plan of ...

1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed? 1. "I will be glad when this is over so I can go home today." 2. "I will not be able to eat or drink anything prior to my surgery." 3. "I can practice relaxing by listening to my favorite music." 4. "I will need to get up and walk as soon as possible." - 1. "I will be glad when this is over so I can go hom...

The circulating nurse assesses tachycardia and hypotension in the client. Which interventions should the nurse implement? 1. Prepare ice packs and mix dantrolene sodium 2. Request the defibrillator be brought into the OR 3. Draw a PTT and prepare a heparin drip 4. Obtain finger stick blood glucose immediately - 1. Prepare ice packs and mix dantrolene sodium The nurse is planning care of the surgical client having conscious sedation. Which intervention has highest priority? 1. Asses...

The nurse is caring for four clients on a medical-surgical unit. Which client should the nurse see initially? 1. A client admitted with hepatitis A who has had severe diarrhea for the last 24 hours 2. A client admitted with pneumonia who is has small amounts of yellow productive sputum 3. A client admitted with fever of unknown origin (FUO) who has been without fever for the last 48 hours 4. A client admitted with a wound infection whose WBC is 8,500 mm3 - Answer: 1 Rationale...

A client is receiving IV vancomycin for the treatment of Clostridium difficile. The Nurse understands that the client who develops flushing, tachycardia, and hypotension during the infusion of vancomycin indicates: 1. Ototoxicity effect. 2. Superinfection. 3. Red man syndrome. 4. Hives. - Answer: 3 The physician has ordered for the client to receive a trough blood level to evaluate the therapeutic effect of an antibiotic. The nurse understands that the trough should be ordered: 1. A f...