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TEST BANK –Medical Surgical Nursing Concepts and Practice, 5th Edition (Stromberg, 2023), | Chapter 1- 49| All Chapters
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Medical Surgical Nursing•Medical Surgical Nursing
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Fundamental Nursing Skills and Concepts • Barbara Kuhn Timby• ISBN 9780781779098
The bone-forming cells are called the -correct ans-osteoblasts. 
The primary minerals within the bones of the body are _____ and ________. -correct ans-calcium, phosphorus 
A _________ is a space in which two or more bones of the body come together. -correct ans-joint 
____________ joints are freely movable and lubricated with a small amount of fluid. -correct ans-Synovial 
A decrease in the body's Vitamin D level can result in _________ in the adult. -correct ans-osetomalacia 
Most muscles a...
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Medical-Surgical Nursing•Medical-Surgical Nursing
1. 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? - ANSWER>>>>b. Ensuring client safety 
1. A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest 
levels of competency. Which areas should the manager assess to determine if the nursing 
staff demonstrate competency according to the Institute of Medicine (IOM) report...
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Medical-Surgical Nursing•Medical-Surgical Nursing
A client has had a below-the-knee amputation of the leg. What is important for the nurse to consider when providing postoperative care for a client who had an amputation of a lower extremity? 
1 
Strict bed rest is maintained for at least several days. 
2 
The residual limb should not be elevated for the first 24 hours. 
3 
Hemorrhage rarely occurs during the early postoperative period. 
4 
Primary healthcare providers usually change the dressing on the residual limb within 48 hours. 
2 - The re...
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MEDICAL SURGICAL NURSING•MEDICAL SURGICAL NURSING
The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? 
Frequently wash her hands and surfaces of the home. 
The nurse is caring for a client infected with Rocky Mountain spotted fever. The nurse should ask if the client has experienced which of the following? 
Was bitten by a tick 
The nurse is caring for a client with a protozoa infection. Which is ...
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MEDICAL SURGICAL NURSING•MEDICAL SURGICAL NURSING
When the nurse assesses the patient who has pancreatitis, what function may be altered related to the endocrine function of the pancreas? 
Blood glucose regulation 
An elderly patient is seen in the endocrine clinic. Upon assessment, the nurse notes a palpable thyroid gland. What does this finding indicate? 
This is a normal finding in the elderly 
A patient reports weight loss, increased appetite, chest pain, and hair loss. Assessment findings include large and protruding eyes, skin that is war...
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MEDICAL SURGICAL NURSING•MEDICAL SURGICAL NURSING
The surgical patient who is malnourished is at risk for 
Poor wound healing and infection 
What are the causes of shock during the postoperative period? Select all that apply. 
Dehydration without adequate replacement, Loss of blood, effect of anesthesia 
A patient with liver disease is scheduled for knee surgery, The patient faces a postoperative risk for? 
Risk for bleeding 
A patient with diabetes is scheduled for surgery, The patient is risk postoperatively for? 
Infection 
Pulmonary emboli ...
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MEDICAL SURGICAL NURSING•MEDICAL SURGICAL NURSING
stroke basic definition 
sudden loss of neurological function caused by an interrruption of blood flow to the brain 
ischemic stroke 
most common type of stroke 
 
affects about 80% of ppl with stroke 
 
results from a clot blocking or impairing blood flow....deprives the brain of o2 and nutrients 
hemorrhagic stroke 
occurs when blood vessels rupture 
 
causes leakage of blood in or around the brain 
how long must neurological defecits persist for an "episode" to be classified as a stroke...
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MEDICAL SURGICAL NURSING•MEDICAL SURGICAL NURSING
manifestations of dehydrations 
weight loss, dry mucous membranes, increased HR, increased respirations, thready pulse, cap refill greater than 3 seconds, weakness, fatigue, orthostatic hypotension, poor skin turgor 
 
late signs- oliguria, decreased CVP, flattened neck veins 
isotonic fluids 
treatment of vascular system fluid deficit, concentration is equal to plasma 
- 0.9% normal saline 
- lactated ringers 
- D5W 
hypotonic fluids 
treatment of intracellular dehydration, shift fluid from ECF...
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MEDICAL SURGICAL NURSING•MEDICAL SURGICAL NURSING
What is the long term effect of corticos steroids? 
immunosuppressant 
Hodgkin's Disease can cause? fever, malaise and 
night sweats 
In a newly placed tracheostomy, what actions requires intervention? 
Deflating the tracheostomy cuff for3 mins. before initiating suction 
DOC for juvenille rheumatoid arthritis 
Acetylsalicylic Acid ( Aspirin) 
A patient with ATRIAL FIBRILLATION is prescribed WARFARIN ( coumadin) because? 
Afib is at risk for thrombus formation, warfarin helps to prevent the c...
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MEDICAL SURGICAL NURSING•MEDICAL SURGICAL NURSING