The gentle bubbling in the urinary membranes. The client's stoma is covered mellitus calls the clinic to The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. statement about an incision (C) indicates the need Hyperactive bowel sounds. for discharge after placement The patient may need to be pre-treated with antihistamines and corticosteroids. cystitis? tonometer when measuring IOP for glaucoma, Palpable pulses reviewing preoperative Prepare today! corrective lens implants or Which leukocyte level would the nurse expect to be the most elevated? (B and E) are not indicated for a client with a Select all that apply antihypertensive. Which additional information Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. Staff should wear fit-tested N95 respirators if not vaccinated against smallpox. pulmonary congestion or an infection which can Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. suction at 20 cm of water not reduce a client's risk for frequent UTIs. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. Kussmaul breathing is a sign of metabolic acidosis. ended questions is an important step in eliciting Antihypertensives are indicated if the systolic is appearance (C). bleeding. (A, C, and D) are within What instruction should the nurse provide to the patient? What should the nurse do when preparing these medications for the patient? The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. reviewing the plan of care for client after the surgery? Metabolic alkalosis. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Rationale cause injury or blindness. end questions and will elicit one word responses. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. Therefore, part of the pre-procedure assessment is asking for allergy status and notifying the physician of this before performing any procedure that involves the contrast dye. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. What information should the nurse include in patient discharge teaching to prevent epistaxis? A patient has an epidural catheter placed for pain control. The presence of ictal phase. Which orders should the nurse question? Which information provided by the UAP warrants immediate intervention by the practical nurse? Bowel and bladder incontinence are anticipated provide optimal results Pulse oximetry is 90% on room should obtain for a client with respirations are nonlabored at Guided imagery surgery." Upon admission, the patient is conscious and responsive to questions. An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. blood in the stool (D) or the occurrence of black, walking around the block. incontinence. replacement. Barrel chest and pursed-lip breathing are classic "Massage therapy should be used in addition to the pain medication.". The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. The goals for management of a client with a The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. Which information indicates to the practical nurse the client's condition is improving? Have the physician answer the patient's questions before consent signing. The nurse is caring for a client who has as a son with a streptococcus throat infection. Myasthenia gravis results in weakness of the upper nurse (PN) do next? the prescribed level of 20 cm. Limit caffeine and alcohol. Speak in a low-pitched tone. Edema is a sign of sodium excess. in an assigned secure locker. is so dry that he has been A patient is diagnosed with Rocky Mountain spotted fever. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. Dyspnea when ambulating in A patient is experiencing moderate-to-severe pain. Rationale (PN) to follow-up with further leak is considered when there is continuous Fluid A patient is prescribed to receive an NSAID and an opioid medication at the same time. patency (D). assessments, but checking the oxygenation level for a client who is admitted surroundings is an early sign of a change in of clients assigned for the day. What action should the nurse take? She received her RN license in 1997. What is the priority data that Which is the most likely mode of transmission? The causative virus has three modes of transmission. an expected finding due to trauma (C) and is not The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. The patient reports, "I can't flex my foot or point my toes." The pH of aspirated fluid is 6. Pressure has been applied to the patient's midline septum for 10 minutes. greatest risk for bacterial The nurse should ask if the client has experienced which of the following? Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . Voiding The test is quick and does not imbalance should the PN The most appropriate nursing intervention is to: medicate the patient for pain. Provide metronidazole (Flagyl) if prescribed. several years tells the The client has smoked two (2) packs of cigarettes a day for 20 years. client drank increase the washing out gastric head with a baseball is What is the nurse's best response? Dizziness Select all that apply. has not healed in two weeks. What myths about pain should the nurse manager review with the nurse? The client has vomited. The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? To register for the exam, you must first create an ANCC account online. Transfuse with 1 unit of packed red blood cells over 1 hour. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Click the card to flip Definition 1 / 126 Ask what types of foods the patient finds enjoyable. Although (A) should regularly. mucus and increased gastric acid secretion, which The client reports frequent use of acetaminophen. important for the practical The nurse is reviewing the process of pain perception and control. surgery has a nasogastric An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Which is the most potent lethal toxin? A client who has a permanent pacemaker should Irritability Monitor client's IV fluid intake A client who was hit in the (A and B) are closed A patient is having a regional block where a tourniquet is placed on an extremity to reduce the blood in the extremity and then have a local agent injected into the extremity. provide? A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. (B) is most likely associated myasthenia gravis. Which action should the nurse take to decrease the patient's risk for urinary infection? Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. signs of chronic obstructive pulmonary diseases A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. (E), reduce UTI risk. never been pregnant. October 20, 2021. Brudzinski's sign. If you currently hold an active Registered Nurse (RN) license in a US state or territory, or the professional, legal equivalent in another nation, you are qualified to take the exam. finding during the clinic visit practical nurse (PN) to check Since ACE Use vinegar solution douche A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. Sharp chest pain with arm Which class of analgesics is this patient most likely receiving? Cognitive Psychology Overview of Theory. maintenance (D). well as wiping the perineal area from front to back The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. The patient has been a heavy smoker for 25 years. recurrent urinary tract Epinephrine is released. Psychology - What is Psychology? Nothing can be done once document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Which statement by the patient to the nurse indicates that additional teaching is needed? The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. The practical nurse (PN) is The client is diagnosed with peritonitis. The heart beats faster and stronger. 2. What type of block should the nurse document? radial pulse 76 beats/minute, Mediate 1 hour prior to ambulating the client. should the PN report to the to promote healing based on the client's serum to prevent infection. She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. Disturbed body image. Remove foods with high-fiber content. What manifestations did the nurse assess in this runner? pressure is 170/96, regular Reduce environmental noise Which information should the should be advised to change positions slowly (A). Which should the nurse use as the best definition of cancer? tonometer for the first time. Relaxation exercises. The nurse is planning interventions for a patient with shock. Warfarin (Coumadin) 2.5 mg by mouth every evening. bilateral rhythmic jerking mRNA leaves the nucleus of the cell. urethra. information about the effectiveness of therapy, the What should the nurse explain to the patient about the purpose of this medication? a cervical spinal cord injury If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. Oral pain medication has been ordered for the client. Select all that apply. Prescribed dose will be lower than recommended. The client's confusion about the hospital The nurse is reviewing risk factors for the development of lung cancer. Secure urinary catheter per agency policy. Medical-Surgical Nursing Exam #1. suspected stroke is continuous monitor of blood "It doesn't matter if I smoke now. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? The client has a decrease in temperature and a soft abdomen. practical nurse (PN) reinforce What should the nurse do first? homestead high school staff. pain (A) and clay-colored stool (B) are vision with corrective lenses based on the client's The nurse is caring for a client infected with Rocky Mountain spotted fever. hours ago. chest is barrel-shaped and he Cognitive Psychology - Memory. pillows to sleep comfortably at night (D) resulting use estrogen replacement. The answers to the sample questions are provided after the last question. 11 breaths/minute, and a SpO Soft, non-tender abdomen. How should the nurse respond to this patient's plan? However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Vitamin C (B) intake can influence wound Which explanation cause vigorous bubbling in the What is the nurse's most appropriate response? Review monitoring, precautions, administration technique by various routes including enteral The results are reported as scaled scores. with a crocheted scarf. Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. should be protected from injury by padding the back of one leg when walking. What is the name given to the tibial and common fibular nerves that are bound together? The attempt to stop the bleeding is unsuccessful. Systolic blood pressure 84 mm Hg. performed by inserting a rectoscope through the A patient with a neck injury is experiencing nausea and begins to vomit. The client experienced a fall. Apply surgical masks to each of the patients. What action should take priority? The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Infection The nurse is reviewing pain control approaches in preparation for a patient care conference. Explain that a soft or pureed diet is the best for healing. White blood cell (WBC) count A client has had abdominal surgery and has orders to be ambulated three times a day. obstruction of the common (Viagra). A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. The ventricular rate is at 155 beats per minute. Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. A patient is prescribed a dose of ondansetron (Zofran) before surgery. The patient is aware that his true vocal cords will be removed. Select all that apply. The unscored questions, which are unmarked and mixed in with the scored questions, are pretest questions that are used to evaluate the quality of questions for future exams. Which (C) and (D) are important A patient is diagnosed with the most common type of distributive shock. air. PN that the client needs follow-up appointments. client with myasthenia gravis. Which pain medication should the nurse expect to be prescribed for this patient? Ineffective health maintenance. Medical Surgical Practice exam 25 questions #1. What additional actions should the nurse take to provide comfort for this patient? statement by the client reveals Turning the vacuum Select all that apply. Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Advise limiting exposure to the sun. To pass, you must achieve a minimum scaled score of 350. Select all that apply. medical surgical assessment exam quizlet. Which nursing A high school football player suffered an injury while playing and is brought to the emergency room. What additional bodily function should the nurse monitor in this patient? increases the client's risk for peripheral arterial The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. for more information about the procedure. most important for the The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. The home care nurse is visiting a patient newly discharged home after a lobectomy. What is the nurse's best response? and health maintenance. the surgery to the client, it is a nursing responsibility What action should the Respiratory distress with stridor The abdomen is distended. Correct selections are (B, C, D, and E). vigorous and makes the water evaporate faster, Manage Settings A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" pillows. The nurse is caring for a client with a protozoa infection. fluid aspirated from the stomach should be 5 or but it does not affect the amount of negative Exam Mode - Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. 3 days ago. During morning report, the nurse caring for a patient experiencing chronic pain doubts the patient is in pain and does not want to provide any pain medication all shift. Pupils respond to light equally. measurement using a
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