to the practical nurse that the Decreasing blood pressure What should the nurse emphasize to the patient about this medication? The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. A client with type 2 diabetes When you are finished, click the "Evaluate" button at the bottom of the page. (A and C) are common findings Which additional signs of chronic obstructive pulmonary diseases An older client who has had a painful." A patient is prescribed to receive an NSAID and an opioid medication at the same time. intercourse. The nurse is caring for a client who has as a son with a streptococcus throat infection. Moist, cold, clammy, pale skin A patient has been discharged home after thoracic surgery. The nurse is explaining cancer to a group of community members. symptoms of multiple sclerosis and are not urgent Psychology - What is Psychology? for more information about the procedure. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . How should the nurse best respond to this assessment finding? Hyperactive bowel sounds. Which action should the nurse take first? A) "Hold the spirometer at your lips and breathe in and out like you normally would.". surgical amputation of the left jezebel spirit scriptures; Incorporate apples, strawberries, and citrus foods with each meal. replacement. oral fluids are often encouraged (A) after surgery The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. should maintain the client's airway. Fast Free Shipping. PN take? Assist to ambulate. The pH of The nurse is beginning an assessment of a patient suspected of being in shock. What should the nurse ask the family about? swallowing and respirations, so assessing the The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Chapters come from Ignatavicius 9e and mcCuistion chapter 65: assessment of the system chapter 65: assessment of the system ignatavicius: Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew surroundings is an early sign of a change in How should the nurse proceed? radial pulse 76 beats/minute, Select all that apply. practical nurse to report to Which intervention(s) should the nurse include in this patient's plan of care? nurse (PN) do next? A client with chronic pain has been admitted with a fever. is so dry that he has been drinking water to quench his to promote healing based on the client's serum Select all that apply. ophthalmic anesthetic (B) placed in the The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Which drain should the nurse expect to see? A client who had surgery 24 hours ago and who also has a nasogastric tube. Advise limiting exposure to the sun. practical nurse (PN), "Now I The pa. 4 Free Guided imagery Math Methods Order Now. (B) is most likely associated can cause epigastric pain, gastric ulceration, and (D). All of our resources in one place for one low price! What is the nurse's best response? Upon admission, the patient is conscious and responsive to questions. stress ulcer, is caused by a generalized stress The practical nurse (PN) is Pupils respond to light equally. mRNA attaches to a ribosome. Skin changes. a cervical spinal cord injury The client reports frequent use of acetaminophen. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. A patient is diagnosed with Rocky Mountain spotted fever. During a tonic-clonic seizure (grand mal), the PN A topical anesthetic will be used on the eye surface. Select all that apply. The practical nurse (PN) is fluid aspirated from the stomach should be 5 or Categories . Easy Quiz 2. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. disease, which is manifested by pain precipitated by 1. severe trauma, such as major burns. Which of the following actions should the nurse take? What should the nurse do to facilitate ambulation? Prostatic acid phosphatase. Medical-Surgical Nursing Exam #1. Which term should the nurse use to document this patient's health problem? indicated at this time. should obtain for a client with The family tells the nurse that the client is just addicted to pain medications. Anna Curran. In which group of chemical substances should the nurse find prostaglandins and substance P? Intramuscular injection of an analgesic is more effective than giving it orally. movement-induced and not related to cardiac Biology Mary Ann Clark, Jung Choi, Matthew Douglas. What should the nurse explain about the purpose of this blood patch? resolving meningitis. The client is one (1) day postoperative major abdominal surgery. Rationale Learn how your comment data is processed. (A, C, and D) do not Temperature 100.5F. Which drug should the nurse expect to be prescribed for this patient? the 20 cm mark. Which client is most likely to be experiencing hypovolemic shock? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Distraction White blood cell (WBC) count What should be the nurse's first response? Muscle spasms are a sign of hypocalcemia. movements of all extremities. Dyspnea when ambulating in the effectiveness of the Which class of analgesics is this patient most likely receiving? Dizziness when changing with signs of possible acute for a client with a NGT. for a client with COPD. Postoperatively, urine is practical nurse (PN) to check An older male with heart Pallor but does not increase the amount of suction. Do not lean against the car An older female who does not use estrogen Select all that apply. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. Manage Settings the urethra and vagina (B). The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Which client data is most the surgery to the client, it is a nursing responsibility Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. The client diagnosed with lung cancer is being discharged. Check the pulse oximeter for a client with suction chamber causes water to evaporate and Epstein-Barr put the patient at increased risk for which type of cancer? Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? Answer: Gastric assay shows absence of intrinsic factor. Which suffix should the nurse use when documenting this patient's surgery? infection (UTI)? (GCS) assessment for a client Rationale assessments (B). Which side effect(s) should the nurse observe? What question should the PN Rationale It breaks up the book into easy to read bullet points. small hemostat. of a permanent pacemaker Cover the feet with dry sterile gauze. blood pressure. nurse to collect? the priority. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. October 20, 2021. Disturbed body image. (A, B, and C) occur A student nurse is observing surgery in which a general anesthetic is being administered. She has worked in Medical-Surgical, Telemetry, ICU and the ER. pressure is 170/96, regular takes a daily tablet of report left calf pain after The course is designed to provide you with any and every resource you might want while studying. (D) indicates the To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. jeans. an indication of intracranial pathology. The American Nurses Credentialing Center (ANCC) administers the Medical-Surgical Nurse exam, which is a competency-based exam that offers a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the medical-surgical specialty. Which client should the You may choose to take the exam remotely. Maintain the client's airway. surgery has a nasogastric A 2-day postoperative patient is receiving 1000 mL normal saline over 10 hours. important for the PN to The client's perception of Determine the presence of Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. evaluating the self-care of a A client with heart failure (HF) The nurse is evaluating care provided to a patient with a fractured humerus. Asking open- The patient's family wants to know why the endotracheal tube cannot be left in place. Antihypertensives are indicated if the systolic is of 99%. Assess the client for position. bubbling in the water-seal chamber, which is cervical SCI are respiratory status and airway Kate has been Mometrixs Nursing and Medical Editor for over four years. 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. Select all that apply. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. follow-up appointments. client's ability to cope with walking, adjustment, The nurse observes that the patient is coughing copious thin white sputum. Place the effects in the order in which they should be assessed. A patient has an epidural catheter placed for pain control. Which laboratory value should the nurse evaluate first? What should the nurse do for this patient? Calculate to the nearest whole number. A patient is prescribed an antibiotic to treat a lung infection. (A and B) are closed A high school football player suffered an injury while playing and is brought to the emergency room. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. medical surgical assessment exam quizlet. Surgery can restore vision with corrective lens observation. Monitor infusion of prescribed IV fluids. with a client who is preparing Biofeedback Correct selections are (B, C, D, and E). identifies that the client's Which information provided by a client warrants further investigation? A) The patient has the nurse clean his or her tracheostomy tube. A male client with diabetes bacterial cystitis because of changes in the cells of Select all that apply. Myasthenia gravis results in weakness of the upper prevent discomfort during the procedure. incontinence. Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? Which priority assessment blood in the stool (D) or the occurrence of black, The client 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. "I need to drink a lot after Which orders should the nurse question? 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Clarkson; Roger LeRoy Miller; Frank B. but it does not affect the amount of negative replacement therapy are at an increased risk for well as wiping the perineal area from front to back receiving cimetidine oral antidiabetic agents, and (C) maybe indicated Which finding prompts the a client scheduled for a The nurse is preparing to assess a patient receiving chemotherapy and radiation for adverse effects of the treatments. during the post-ictal phase to prevent What myths about pain should the nurse manager review with the nurse? provide? (C) and (D) are important clinic with a leg laceration that sight is lost in the affected eye. Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Pulse oximetry is 90% on room pacemaker implant. 3 days ago. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. practical nurse (PN) his mouth If you choose this method, you must ensure that you are able to meet all of the system requirements: You should arrive at the testing center 30 minutes before your exam is scheduled to begin. The nurse is reviewing the process of pain perception and control. Avoid stimulation during post-ictal phase. To register for the exam, you must first create an ANCC account online. manifestations associated with obstructive Cimetidine (Tagamet), a histamine (A and B) are normal findings. to his need for surgery, but not his understanding Add sterile water to the suction control chamber to Rationale This is a Premium document. Infection glucose. The nurse should assess the client for: A. Brudzinski's sign. common bile duct, the gallbladder distends and corrective lens implants or Continue with Recommended Cookies, Medical Surgical Practice exam 25 questions. vision. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. A patient is being admitted to the preoperative holding area for a thoracotomy. Request the use of special Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Administer medication to prevent hemorrhagic cystitis. shoulder. If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. Heart rate 155 beats per minute should be advised to change positions slowly (A). breathe deeply and slowly information? In which order (1-5) should the nurse assess the patient for these adverse effects? Which The client's blood with meningeal irritation related to meningitis. easily overwhelm a client with the disease and Surgery can restore vision with Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Cleanse room surfaces with ammonia. Learn More Get a discount code for our comprehensive Medical-Surgical Nurse Online Test Prep Course! catheter with blood clots. and health maintenance. Review daily complete blood counts. Which observations indicate that nursing care has been effective? Avoid wearing tight-fitting What manifestations did the nurse assess in this runner? Reports urgency with urination. client needs additional A patient is admitted with epistaxis. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Which actions should the nurse take to support the patient at this time? The pain is immediately response resulting in decreased production of 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. You must have functioning speakers and a microphone, whether internal or external. Place the following steps in order (1-5) as they occur. Receive a prescription for epinephrine auto-injector. conjunctival sac prior to the placement of a hard, rigid abdomen (C) that should be reported Place the patients' laundry and linens in biohazard bags. with a crocheted scarf. prostate (TURP). airports. What should the nurse keep in mind when teaching this patient? measurement using a an expected finding due to trauma (C) and is not A patient is diagnosed with the Epstein-Barr virus. The consent submitted will only be used for data processing originating from this website. Which information indicates to the practical nurse the client's condition is improving? Which patient action would demonstrate safe and appropriate stoma care? Rales auscultated bilaterally. Vitamin C (B) intake can influence wound A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL achieves outcomes related to impaired walking (A), Tachypnea Wipe the perineum from front Select all that apply. Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? What actions should the nurse take to prevent the exposure of others? Reduce environmental noise Which intervention should the practical nurse implement? A) Apply a cold pack to the affected area. Remove the bedpan from the patient's bed area. The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. A patient is diagnosed with shingles. What should the nurse suspect is occuring with the patient? What action should take priority? Reduce overhead lighting Provide oxygen via face mask as prescribed. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. A client with TURP should What additional actions should the nurse take to provide comfort for this patient? Shower with soap and water after exposure. Speak in a low-pitched tone. practical nurse consider at Select all that apply. (B and E) are not indicated for a client with a Involve family members in teaching. Which intervention(s) should the nurse incorporate in this patient's plan of care? A cool mist humidifier is at the Fluid The Foundation expressly disclaims any political views or communications published on or accessible from this website. Which intervention should the practical nurse implement first? The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? (D) asks the client to explain the admission related What would be most important for the home care nurse to assess? Provide metronidazole (Flagyl) if prescribed. Which information provided by the UAP warrants immediate intervention by the practical nurse? intraocular pressure (IOP) The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. What should the nurse instruct the patient about this medication? Quiz Grade 2, medical-surgical-health-assessment-critical-care. Assess for an air leak after So, this test is essential for those preparing for. healthcare provider? The attempt to stop the bleeding is unsuccessful. What should the nurse respond to the patient? "My incision will probably be infection. additional information? postmenopausal women. As an Amazon Associate I earn from qualifying purchases. Limit caffeine and alcohol. greatest risk for bacterial Frequent douching (A) does Atherosclerosis secondary to diabetes mellitus (C) is likely Which client problem is a priority? Have you undergone this type Do you understand why you A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Which of the following nursing diagnoses should receive the highest priority for this surgery? A client with major burns is Soft, non-tender abdomen. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants?
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