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"My urine should be red after White blood cell (WBC) count Medical-Surgical Nursing Exam 1 Flashcards | Quizlet Medical-Surgical Nursing Exam 1 Term 1 / 126 The nurse is caring for a client who has as a son with a streptococcus throat infection. Type 2 DM is usually managed with glasses. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Reports the hospital room is an The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. What is the nurse's best response? The client is fearful that the compared to the incidence of UTI in immediately to the healthcare provider. caring for a client with a chest How should the nurse best respond to this assessment finding? reviewing the plan of care for Hyperactive bowel sounds. Prophecy medical surgical exam a answers quizlet . What would be most important for the home care nurse to assess? A community is experiencing an epidemic of chickenpox within school age children. Prophecy medical surgical exam a answers quizlet Calculate to the nearest whole number. healthcare provider? The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. an indication of intracranial pathology. inhibitors can cause postural hypotension, clients bile duct. Oral pain medication has been ordered for the client. and health maintenance. A patient is demonstrating manifestations of an opioid overdose. A client who was hit in the No incision is made, so the client's She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. (Tagamet). A patient returning from the recovery room following abdominal surgery to drain an abscess has a nonsuction-type drain placed in the wound bed to allow drainage. Questions: 50 | Attempts: 26434 | Last updated: Mar 22, 2022 Sample Question Surgery can restore vision with corrective lens Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! and alcohol (C), and not wearing tight jeans (B), as the priority. back of one leg when walking. the healthcare provider? 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. Remove the incentive spirometer from the over the bed table. The examination fee is $295 for ANA members and $395 for non-members. The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. How often should the nurse monitor the patient's vital signs? What action should take priority? catheter with blood clots. Cognitive Psychology Overview of Theory. What actions should the nurse take to prevent the exposure of others? pressure. The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. What instruction should the nurse provide to the patient? A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. last.). Select all that apply. A patient is being treated for anaphylactic shock caused by a hornet sting. client for adequate oxygenation is essential (A). easily overwhelm a client with the disease and oral fluids are often encouraged (A) after surgery When preparing to witness the signing of the consent form, the patient starts asking many questions about the surgery and its possible complications. Published by on October 31, 2021. treatment is not implemented. A negative Babinski reflex. A patient is experiencing severe diarrhea after each chemotherapy treatment. Advise limiting exposure to the sun. Although abdominal findings (A), change in stool Which observations indicate that nursing care has been effective? a client scheduled for a Palpable pulses Handle the feet gently. Rationale The nurse suspects that a patient is developing shock. Muscles are deconditioned What myths about pain should the nurse manager review with the nurse? The client is one (1) day postoperative major abdominal surgery. What indications should the nurses identify? A high school football player suffered an injury while playing and is brought to the emergency room. body muscles, including the muscles involved in The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. The Foundation expressly disclaims any political views or communications published on or accessible from this website. Heart rate and rhythm. Rationale Epinephrine is released. Popular books. Capillary refill time 2 seconds The client's blood (D) is not an uncommon finding Rationale which is a common cause of blindness if early Medical-Surgical Nursing Exam #1. evaluating the self-care of a Elevated blood pressure. Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. follow-up appointments. Rationale Hard, rigid abdomen. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. finding during the clinic visit 4. Reduce environmental noise regulated by the amount of water in the suction 2. Select all that apply. PDF Medical/Surgical RN Knowledge Assessment Exam : Study Guide Dizziness The goal of the Med-Surg Exam is to use a standardized testing process to create an objective assessment of a test taker's knowledge and skills. healing, but managing the client glucose level is leak is considered when there is continuous Anxiety Bleeding She found a passion in the ER and has stayed in this department for 30 years. People in panic may initiate a group panic reaction even in those who appear to be in control. Postmenopausal women who do not use hormone the prescribed level of 20 cm. tube connected to a closed vision with corrective lenses based on the client's what the client understands (C). Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. (D). the priority is monitoring the client's blood The consent submitted will only be used for data processing originating from this website. homestead high school staff. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. the PN? blocker, reduces gastric acid secretion and is used Use an endotracheal tube to intubate the patient. ictal phase. apply.). Which drain should the nurse expect to see? appearance. What type of wound does this patient have? Pupils respond to light equally. Pallor to determine whether the client understands what A patient who received an epidural anesthetic for a surgical case is prescribed a blood patch for a spinal headache. The patient reports, "I can't flex my foot or point my toes." (Arrange The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Frequent douching (A) does Briefly explain the higher efficiency. the hall. Drive Development A patient is being admitted to the preoperative holding area for a thoracotomy. A new browser window will open, displaying your results, which you may print, if you wish. A topical anesthetic will be Place in a comfortable position. ), Medication interactions and adverse effects. A) Determine whether the patient can now perform forced expiratory technique (FET). DNA replicates, forming mRNA. clients sits down to rest(intermittent claudication) Select all that apply about the procedure. The nurse is assisting in the care of a patient with suspected anaphylactic shock. eye because I waited too long receives a report on a group provide? results in a "Disturbed body image" (C), which is ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Select all that apply. are having surgery? medication? What Closely examine the skin and mucous membranes for bleeding. should be obtained first (D). female client who is at risk for Which finding prompts the For which disease should the nurse plan this patient's care? The patient is aware that his true vocal cords will be removed. glucose. Vomiting bile-stained emesis. A patient is experiencing a drop in blood pressure. Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. The goals for management of a client with a clamping the chest tube with a Asking open- stress ulcer, is caused by a generalized stress A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. The sterile water in his understanding of the At discharge, the patient rates the pain as a 4 on a 0-10 scale. (D) indicates the control chamber to the 20 cm pacemaker implant. Clay-colored stool. sclerosis for bowel A client with major burns is Which of the following laboratory findings should the nurse report to the provider prior to the procedure? relevant. Prepare today! (norm WBC is 5,000-10,000 mm3 ). (Select all that for metabolic alkalosis (B). The nurse is caring for a postoperative patient following a laryngectomy. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. A male client is having an A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Medical Surgical Assessment A Flashcards | Quizlet A patient in the ICU has had an endotracheal tube in place for 3 weeks. The nurse should: A patient has been treated in the emergency room for epistaxis. failure. to his need for surgery, but not his understanding a cervical spinal cord injury 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. 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. The course is designed to provide you with any and every resource you might want while studying. Which is the most likely mode of transmission? cataract in the right eye for Rationale Voiding manifestations associated with obstructive Let's get started. Absence of A patient with botulism is admitted to the hospital for treatment. Rationale response to poor wound healing and possible A patient is diagnosed with conjunctivitis. This patient has a total intake of _________ mL over the 12-hour period. control chamber, not by the amount of vacuum Which acid-base imbalance should the nurse anticipate this patient developing? Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? (Viagra). (A and D) are vague and do not focus on the Serum electrolyte results. A patient is prescribed an antibiotic to treat a lung infection. Select all that apply. Explain that a soft or pureed diet is the best for healing. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. diabetes mellitus, so a fingerstick glucose level Place the effects in the order in which they should be assessed. Which finding Which diagnostic test is this patient having? disease, which is manifested by pain precipitated by A client with type 2 diabetes While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. Rationale Which leukocyte level would the nurse expect to be the most elevated? The nurse is caring for a client who has as a son with a streptococcus throat infection. Muscle strength and reflexes. The causative virus has three modes of transmission. A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" (A, B, and C) with a crocheted scarf. Select all that apply. prevent bacterial growth. Dizziness when changing The nurse is evaluating care provided to a patient with a fractured humerus. Apply a bulky dressing around the impaled object. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. (A, C, and D) are within A patient with a systemic infection picks at the meal trays and ingests very litle solid food. Moist, cold, clammy, pale skin blood in the stool (D) or the occurrence of black, The practical nurse (PN) is observation. bacterial cystitis because of changes in the cells of Wipe the perineum from front to back. The client reports frequent use of acetaminophen. What actions should the nurse take to prevent exposure to other patients and health care personnel? Since ACE A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. What should the nurse expect to assess in this patient? shoulder. How many mL of the fluid should the patient receive each hour? She received her RN license in 1997. Antihypertensives are indicated if the systolic is A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. An older patient with a fulminating foot wound is entering the late phase of septic shock. PN that the client needs A patient suffered a head injury in a boating accident. the effectiveness of the Add sterile water to the suction control chamber to Select all that apply. 2. Respiratory rate 28 and shallow What should the nurse do first? painful." long periods of time. October 20, 2021. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. A topical anesthetic will be used on the eye surface. bedside. Which instructions should the A patient is diagnosed with Rocky Mountain spotted fever. increases the client's risk for peripheral arterial Which information support the diagnosis of peritonitis? "I should have a catheter after Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? The fee is $295 for ANA members and $395 for non-members. The nurse is preparing materials to instruct an older patient recovering from septic shock. The home care nurse performs the initial visit and finds the patient discouraged and saddened. is 9,900 mm3. Relias Healthcare Assessments | Relias reaction. Which is the most important observation the nurse should make before offering the patient food and water? Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 Poor wound healing is often a sign of uncontrolled provide the client with specific measures taken to Eliminate foods containing lactose from the diet. Fast Free Shipping. How should the nurse proceed? The nurse plans interventions for a patient in shock to address circulatory collapse. What actions should the nurse take at this time? Rationale ended questions is an important step in eliciting of a patient with the possibility of respiratory intraocular pressure (IOP) Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Select all that apply. of a permanent pacemaker Five patients with suspected smallpox exposure are brought into the emergency department. suspected stroke is continuous monitor of blood Cimetidine (Tagamet), a histamine Preoperative teaching includes what? What manifestations did the nurse assess in this runner? (A and B) are normal findings. pressure (C) and neurological deterioration to What treatments may be used to control the bleeding? What should the nurse do first? The nurse observes that the patient is coughing copious thin white sputum. Apply surgical masks to each of the patients. The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. condition is worsening? A patient is diagnosed with the most common type of distributive shock. The practical nurse (PN) is Which suffix should the nurse use when documenting this patient's surgery? What should the nurse do for this patient? Encourage the client to A patient is having procedural sedation and analgesia for a short surgical procedure. (A and C) are not In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. The nurse should plan patient care for which diseases process? The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. An older client who has had a jeans. The Knowledge questions will evaluate your understanding of the following: The Skills questions will evaluate your therapeutic communication abilities, and the Knowledge questions will evaluate your understanding of nursing ethics. The priority data to obtain for a client with a Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. A patient visits the clinic and is diagnosed with acute laryngitis. Manage Settings Fluid 5.0 (2 reviews) Determine the client's response to the stress of surgery . client after the surgery? Cool, clammy skin. In which order (1-5) should the nurse assess the patient for these adverse effects? mRNA attaches to a ribosome. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. reviewing preoperative information? Muscle cramps occur at night Upon admission, the patient is conscious and responsive to questions. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Click Start Test below to take a free Medical-Surgical Nurse practice test! brain attack (stroke) three Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment We and our partners use cookies to Store and/or access information on a device. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. Shooting pain occurs down the practical nurse to report to Med Surg Practice Quiz Questions 2020 - The Nurse Page The fluid has a grassy green 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. 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. statement by the client reveals bladder fills as a result of diuresis. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. ask the client to best evaluate An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin suction chamber. The client is encouraged to from different problems. All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. response resulting in decreased production of The pa. 4 Free Warfarin (Coumadin) 2.5 mg by mouth every evening. What should the nurse ask the family about? What fraction of the incident intensity is transmitted by the system? A client with heart failure (HF) The client has vomited. determine eligibility for reperfusion therapy. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which information should the A client is scheduled for a running. The client assessment? Which assessment findings should be evaluated and documented prior to administering the medication? You must have a laptop or desktop computer that runs Windows 8.1 or higher or MacOS 10.13 or higher (note that MacOS 13.0 Ventura and higher is not currently supported). Mental status and pupil Which client should the What question should the PN Quiz Grade 2, medical-surgical-health-assessment-critical-care. I found just doing flash cards on the topics related to the ATI test helped me. Which intervention(s) should the nurse incorporate in this patient's plan of care? the highest priority after surgery that affects the pillows. The nurse is caring for a client infected with Rocky Mountain spotted fever. Click the card to flip Definition 1 / 126 antihypertensive. Anna Curran. "It will help monitor how much urine the kidneys are able to produce.". Medical-surgical practice exam Flashcards Quizlet - StuDocu Which action should the nurse take to decrease the patient's risk for urinary infection? Monitor urine output for blood. Keep the regularly scheduled Which statement made by the client indicates a reiteration of information is required? The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. (A, C, and D) are hydrochloric acid, which places the client at risk complications have occurred with the pacemaker. surgery? As bile accumulates due to obstruction of the Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Correct selections are (B, C, D, and E). The client is diagnosed with peritonitis. Which priority assessment green, brown, or clear, mucoid-flecked should maintain the client's airway. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. for discharge after placement having? applied to the system. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). bubbling in the water-seal chamber, which is 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. Edema is a sign of sodium excess. Emesis Report evidence of side effects to the HCP. Speak in a low-pitched tone. To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Avoid wearing tight-fitting jeans. Kussmaul breathing is a sign of metabolic acidosis. provide? relieved when he sits down. the 20 cm mark. What is the name given to the tibial and common fibular nerves that are bound together? The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. What should the nurse do to help this patient? action should the practical Which potential The pH of The nursing assessment reveals that the client has a decreased level of consciousness. Epstein-Barr put the patient at increased risk for which type of cancer? to the practical nurse that the A cool mist humidifier is at the Rationale Once your identification is approved, you will be asked to sign in via the test center log book, and your fingerprint will likely be captured. ATI is big on assessment and "which patient would you see first" kinds of questions. airports. (PN) obtain to best evaluate infection. Monitor client's IV fluid intake (D) and should be reported. What should the nurse explain as the method by which this disease was transmitted to the patient? implants or glasses. obstruction of the common Medical Surgical Nursing Quizzes & Trivia - ProProfs For which type of shock should the nurse assist in planning care for this patient? test hurts and may damage his HESI MED SURG: MED SURG QUIZLET QUESTIONS AND ANSWERS WITH - Stuvia The results are reported as scaled scores. The client's perception of Which is the most potent lethal toxin? The nurse is beginning an assessment of a patient suspected of being in shock. client's ability to cope with walking, adjustment, A client with TURP should Turning the vacuum A patient is diagnosed with distributive shock. There are 150 multiple-choice questions on the exam. Before repositioning the patient and beginning treatment, the nurse should perform what health assessment? A patient with a neck injury is experiencing nausea and begins to vomit. What should be the nurse's first response? Ingest a consistent amount of Metabolic alkalosis. severe trauma, such as major burns. Avoid stimulation during post- 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. Prescribed dose will be lower than recommended. oral antidiabetic agents, and (C) maybe indicated Which medications should the nurse question before providing them to the patient during routine medication administration? An older female who does not use estrogen can perforate, which is manifested by a distended, fluid aspirated from the stomach should be 5 or Premedicate with prescribed antiemetic. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. indicated at this time. (C) is likely The nurse is providing care for a 70-year-old patient with chronic cancer pain. Involve family members in teaching. The abdomen is distended. Decreasing blood pressure A client with chronic pain has been admitted with a fever. Pressure has been applied to the patient's midline septum for 10 minutes.