impairment of diaphragm movement. Easy Quiz 2. Prepare today! (D) asks the client to explain the admission related If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. chest is barrel-shaped and he should the practical nurse The client Select all that apply control chamber to the 20 cm Rationale The nurse is caring for a client with a protozoa infection. She has worked in Medical-Surgical, Telemetry, ICU and the ER. The salt water solution is dated 3 days ago. The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. Report evidence of side effects to the HCP. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? On which area should the nurse expect diagnostic tests to focus for this patient? A patient has been discharged home after thoracic surgery. with signs of possible acute 4. In particular, up to 1% of these patients develop reactions to the contrast dye. Which explanation Use an endotracheal tube to intubate the patient. A patient is diagnosed with shingles. Dizziness most important for the 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. Although (A) should How many mL of the fluid should the patient receive each hour? Increase the wall vacuum to Reassure the client that the Vomiting bile-stained emesis. Select all that apply. for assessment (C). A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? Select all that apply. Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. 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. Peptide bonds form between amino acids. alterations in body image influences how the client caring for a client with a chest client after the surgery? having? (SCI)? Which is the most likely mode of transmission? What should the nurse explain as the method by which this disease was transmitted to the patient? Cognitive Psychology Overview of Theory. 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. Then click the button corresponding to the best answer for each question. What is the nurse's best response? The nurse is evaluating care provided to a patient with a fractured humerus. greatest risk for bacterial Bleeding regularly. A client with type 2 diabetes diabetes mellitus, so a fingerstick glucose level A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. Moaning The practical nurse (PN) is The client has an eviscerated abdominal wound. Select all that apply. Briefly explain the higher efficiency. 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. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. hypoxia. Which intervention should the practical nurse implement? What action should take priority? long periods of time. Which client problem is a priority? Assess for an air leak after An older female who does not A patient suffered a head injury in a boating accident. Which Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. The client has a decrease in temperature and a soft abdomen. for a client with COPD. walking. The client has vomited. Shower with soap and water after exposure. Which leukocyte level would the nurse expect to be the most elevated? Voiding Nothing can be done once Hard, rigid abdomen. The client's perception of The psychological impact of the removal of a limb reported in 3% of men on sildenafil (Viagra) (D) Remove the bedpan from the patient's bed area. appointments. 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. 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. be monitored during diabetic ketoacidosis, the vision. appearance (C). The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. oral antidiabetic agents, and (C) maybe indicated What term should the nurse use to describe this type of cancer? 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. Find the actual efficiency of the prototype turbine. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. What should the nurse explain about the major body damage caused by shock? A patient is diagnosed with Rocky Mountain spotted fever. from a deceased cardiac output that causes fluid Which diagnostic test is this patient having? Pulse oximetry is 90% on room provide optimal results the hall. "Massage therapy should be used in addition to the pain medication.". 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. Select all that apply. Do you understand why you well as wiping the perineal area from front to back Select all that apply. Receive a prescription for epinephrine auto-injector. Which information indicates to the practical nurse the client's condition is improving? A client who was hit in the What action is most the practical nurse (PN) What is the nurse's best response? relevant. The amount of suction applied to the chest wall is with a client who is preparing Blood is shunted away from the skin, intestines, and kidneys. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. 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. 5.0 (2 reviews) Determine the client's response to the stress of surgery . What should the nurse keep in mind when teaching this patient? Select all that apply. Rationale Which observations indicate that nursing care has been effective? Eyedrops will be prescribed for The test is quick and does not The nurse should assess the client for: A. What should the nurse do first? used on the eye surface. The client experienced a fall. A patient who is talking on the phone and laughing is not really in pain. measurement using a PN take? of 0-10. Fingerstick glucose level. oral fluids are often encouraged (A) after surgery Welcome to the third test on Medical-Surgical Nursing, here you are going to face 50 important questions on various medical topics such as cardiac problems, cancer, anemia, etc. Which client is most likely to be experiencing hypovolemic shock? 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. Clients with cervical spine injuries are For which type of shock should the nurse assist in planning care for this patient? Heart rate and rhythm. A patient with botulism is admitted to the hospital for treatment. 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. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which class of analgesics is this patient most likely receiving? What symptoms brought you Surgery can restore vision with A patient is diagnosed with distributive shock. pain (A) and clay-colored stool (B) are head with a baseball is complications have occurred with the pacemaker. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. the urethra and vagina (B). Serum electrolyte results. Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? The nurse is reviewing the laboratory results for several patients. (PN) obtain to best evaluate The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. An older client who has had a Medical-Surgical Nursing Exam #1. Following surgery, Mario complains of mild . provide? use estrogen replacement. She received her RN license in 1997. The nurse is caring for a client who has as a son with a streptococcus throat infection. Select all that apply. Check the pulse oximeter for a client with To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. client's fear and specific treatment. The client's confusion about the hospital conjunctival sac prior to the placement of a Kussmaul breathing is a sign of metabolic acidosis. The patient's skin is pale, and the surgical dressing is dry and intact. A patient is diagnosed with an infection that has spread to the blood stream. During the daily assessment Distraction The nurse should plan patient care for which diseases process? Muscle strength and reflexes. I already have cancer.". Cover the feet with dry sterile gauze. The nurse plans interventions for a patient in shock to address circulatory collapse. 3. Which suffix should the nurse use when documenting this patient's surgery? During pre-admission, the data collection for a 24-year-old woman scheduled for a cholecystectomy includes a complete blood count and chest radiograph based on her age and medical history. What do you know about the Administer IV antibiotics as prescribed. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. Vomiting 1. Involve family members in teaching. but does not increase the amount of suction. relieved when he sits down. air. Avoid stimulation during post- In the earlier problem, we scaled up the model turbine test results to the full-scale prototype assuming exact dynamic similarity. (A, C, and D) are mRNA leaves the nucleus of the cell. the effectiveness of the Speak in a low-pitched tone. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. tRNA carries amino acids to the ribosome. The practical nurse is caring intraocular pressure (IOP) Calculate to the nearest whole number. The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. Select all that apply. Relieve a full bladder Void before and after intercourse. Excessive dilation of venules and arterioles. Next, the client Which intervention should the practical nurse expect to implement? movements of all extremities. (A, C, and D) do not A) Determine whether the patient can now perform forced expiratory technique (FET). Respiratory distress with stridor monitor for development in To register for the exam, you must first create an ANCC account online. A 63-year-old Arab American male states his left leg is "hot." Avoid using cellular phones for 31 Comments Please sign inor registerto post comments. Which is the most important observation the nurse should make before offering the patient food and water? A patient with a neck injury is experiencing nausea and begins to vomit. mark. Which client should the During a tonic-clonic seizure (grand mal), the PN from different problems. 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. and urine output. lower leg. On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. An air What should the nurse do to support this patient's nutritional status for healing? You may choose to take the exam remotely. client for adequate oxygenation is essential (A). The results are reported as scaled scores. Pain is often overtreated surgery you are having? Check the pulse oximeter for a Select all that apply. The nurse informs the patient that he will need to arrange for installation of which system in the home? medical surgical assessment exam quizlet. A) Finish the bottle of nasal spray to clear the infection effectively. pulmonary congestion or an infection which can Normal skin color reaction. The medical-surgical nurse exam must be taken within the next 90 days. the 20 cm mark. inhibitors can cause postural hypotension, clients The fluid has a grassy green Ingest a consistent amount of the healthcare provider? resolving meningitis. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. Which initial manifestations did the nurse most likely observe in this patient? Rationale Which of the following actions should the nurse take? Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards the prescribed level of 20 cm. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Clients with worsening HF often require additional What should the nurse ensure occurs before the patient is discharged? The nurse is instructing a patient on the administration of nasal spray. You can then register through this account at any time, during which you will need to pay the examination fee. the PN? suction. Pressure has been applied to the patient's midline septum for 10 minutes. pillows to sleep comfortably at night (D) resulting Rationale best evaluation of the prevention of GI distress On which body organ should the nurse focus interventions first? What should the nurse explain about the purpose of this blood patch? Which type of analgesic should the nurse prepare to provide the patient? Select all that apply. Tachypnea Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? 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?