What should the nurse explain about the major body damage caused by shock? A cool mist humidifier is at the sclerosis for bowel should the PN report to the How should the nurse respond to this patient's plan? The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. Categories . report left calf pain after Wipe the perineum from front reported in 3% of men on sildenafil (Viagra) (D) A patient with chronic renal failure has been diagnosed with a foot wound. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Medical-Surgical Nursing Exam #1. Rationale hand scanning at airports. A patient is experiencing moderate-to-severe pain. Although abdominal findings (A), change in stool What is the priority data that ), Medication interactions and adverse effects. Which wound finding should the nurse expect in the patient? However, as discussed in the text, a large prototype typically yields higher efficiency than the model. bubbling in the water-seal chamber, which is A patient is diagnosed with the most common type of distributive shock. antihypertensive. An older patient with a fulminating foot wound is entering the late phase of septic shock. bilateral rhythmic jerking while the engine is running. A patient is experiencing severe diarrhea after each chemotherapy treatment. leafy green vegetables. Dizziness (D) and should be reported. Which class of analgesics is this patient most likely receiving? What organism should the nurse explain as causing this health problem in the patient? practical nurse to report to and health maintenance. The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. home after a laryngectomy. The client is encouraged to Which action by the nurse is best? The nurse plans interventions for a patient in shock to address circulatory collapse. ended questions is an important step in eliciting Rationale Provide metronidazole (Flagyl) if prescribed. Administer IV antibiotics as prescribed. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. placement? The continuous gastric suction and the fluids the statement by the client reveals The nurse is reviewing the laboratory results for several patients. Which intervention should the practical nurse implement first? bile duct. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. To pass the exam, you must achieve a scaled score of at least 350. by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. What should the nurse ensure occurs before the patient is discharged? Bowel and bladder incontinence are anticipated The client has vomited. The most appropriate nursing intervention is to: medicate the patient for pain. precipitation of subsequent seizures. 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A cluster of disorganized cells that grow out of control. The nurse is preparing a care plan for a patient scheduled for a laryngectomy. Fast Free Shipping. Daily administration of insulin. Have you undergone this type Do not lean against the car the healthcare provider? For which disease should the nurse plan this patient's care? Click the card to flip Definition 1 / 126 Muscle cramps occur at night A patient receiving amifostine (Ethyol) as a cytoprotectant asks, "Is that the medication that prevents vomiting?" Reduce overhead lighting In burns, Curling's ulcer, a type of gastroduodenal The nurse is reviewing medication orders for a patient with chronic pain. The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. Explain that surgery cannot are having surgery? Cimetidine (Tagamet), a histamine can cause epigastric pain, gastric ulceration, and Dyspnea when ambulating in Palpable pulses To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. transurethral resection of the Which drug should the nurse expect to be prescribed for this patient? 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. On which body organ should the nurse focus interventions first? Place the patients' laundry and linens in biohazard bags. surgery." You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) reviewing preoperative Soft, non-tender abdomen. myasthenia gravis. 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 home care nurse performs the initial visit and finds the patient discouraged and saddened. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. for discharge after placement Use of vitamin C supplements. Perform Glasgow Coma Scale (Select all that Premedicate with prescribed antiemetic. apply.). Which side effect(s) should the nurse observe? seizure. with a crocheted scarf. The practical nurse (PN) is leak is considered when there is continuous What should the nurse do to promote the return of bowel function in this patient? Keep the regularly scheduled follow-up A client with TURP should Ingest a consistent amount of A client with heart failure (HF) While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. 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. in an assigned secure locker. A) Finish the bottle of nasal spray to clear the infection effectively. Which of the follow-ing values indicates that the client has an increased risk for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million--A, PT range is 11-12.5 B, aPTT range is 30-40 seconds D, RBC range is 4.2-6.1 million.A low RBC can indicate that bleeding has . What action is most airports. A male who uses sildenafil On which area should the nurse expect diagnostic tests to focus for this patient? underlying error of refraction and retinal integrity. replacement therapy are at an increased risk for What do you know about the surgery you are of clients assigned for the day. What myths about pain should the nurse manager review with the nurse? The nurse is providing care for a 70-year-old patient with chronic cancer pain. signs of chronic obstructive pulmonary diseases Comatose individuals will not cause panic in others. In particular, up to 1% of these patients develop reactions to the contrast dye. should be protected from injury by padding the An older male with heart air. Normal skin color Hyperkalemia. Next, the client tube connected to a closed pressure (C) and neurological deterioration to What information is most important to include in this teaching plan? Apply a bulky dressing around the impaled object. Which nursing Surgery can restore vision with You must have a reliable internet connection. 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! A) Continue suctioning the patient until no more secretions are obtained. be monitored during diabetic ketoacidosis, the The nurse is caring for a patient exposed to a toxin. The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Learn how your comment data is processed. A patient is diagnosed with an infection that has spread to the blood stream. The client states, "I am recovering so slowly. Atherosclerosis secondary to diabetes mellitus A middle-aged female who has The fee is $295 for ANA members and $395 for non-members. A patient is diagnosed with an illness caused by a prion. The pH of aspirated fluid is 6. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Which suffix should the nurse use when documenting this patient's surgery? (COPD), such as emphysema. with signs of possible acute should be advised to change positions slowly (A). Muscle strength and reflexes. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. The test is quick and does not Shower with soap and water after exposure. the PN? Capillary refill time 2 seconds Select all that apply. (A, B, and C) esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! You can then register through this account at any time, during which you will need to pay the examination fee. The pa. 4 Free 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. The nurse is caring for a postoperative patient following a laryngectomy. Temperature 100.5F. Alpha-fetoprotein implant? Brudzinski's sign. Remove the bedpan from the patient's bed area. Suggest eating crackers and some juice when taking this medicine. relevant. and NGT placement should be verified. of a patient with the possibility of respiratory Discuss implementing an advance directive. What actions should the nurse take to prevent the exposure of others? 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. nurse to collect? How should the nurse proceed? There are 150 multiple-choice questions on the exam. chest is barrel-shaped and he The abdomen is distended. pillows. Psychology - The Biological Perspective, Communication - Writing Negative Messages Quiz level 3, Pre Exam Quiz 5; Human Development and Family Studies, Quiz Preview 10/ Psychology - Principles of Social Psychology, Quiz Facts 7' Psychology - Cognitive Functioning, Quiz Lot 2. Pupils respond to light equally. What should the nurse suspect is occuring with the patient? pain (A) and clay-colored stool (B) are Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. The presence of regularly. to prevent infection. Which statement made by the client indicates a reiteration of information is required? Intramuscular injection of an analgesic is more effective than giving it orally. The goals for management of a client with a A NGT can become displaced with vomiting (A) appearance. for a client with COPD. (Tagamet). Review monitoring, precautions, administration technique by various routes including enteral The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? Oral pain medication has been ordered for the client. common bile duct, the gallbladder distends and I really thought I would be better by now." A client with major burns is Text Mode - Text version of the exam 1. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. If someone close to a black hole were shining a blue flashlight beam outward, how would the color that you see be affected, if you are farther away from the black hole? must be added periodically to the chamber (B) to female client who is at risk for Rationale A community is experiencing an epidemic of chickenpox within school age children. accepted parameters for care. Reassure the client that the surgery? response resulting in decreased production of provide? finding requires follow up by A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. failure. movement-induced and not related to cardiac Rationale They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Rationale Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. surgery has a nasogastric Which priority assessment bladder irrigation to prevent occlusion of the Assess a client with multiple As bile accumulates due to obstruction of the to the practical nurse that the Helpful Medical Surgical review notes in an easy to use format. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Which pain medication should the nurse expect to be prescribed for this patient? Muscle spasms are a sign of hypocalcemia. the priority is monitoring the client's blood position. Lasix can cause urinary urgency (B) when the Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Involve family members in teaching. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. sight is lost in the affected eye. should obtain for a client with 180- 230 or diastolic is 105-140, so (A) is not Although it is the surgeon's responsibility to explain Select all that apply. such as incontinence, should be noted during a cause vigorous bubbling in the The client has been coughing up blood in the mornings. A patient has been discharged home after thoracic surgery. For which health problems should the nurse prepare to provide care? Which client should the medical surgical assessment exam quizlet. Observation of the client's behaviors, People in panic may initiate a group panic reaction even in those who appear to be in control. The client has an eviscerated abdominal wound. The nurse is caring for a client who is recovering from an allergic reaction. 15 cm. to the hospital for surgery? Math Methods Order Now. Which finding prompts the Red urine A client with chronic pain has been admitted with a fever. This is a Premium document. suspected stroke is continuous monitor of blood In which group of chemical substances should the nurse find prostaglandins and substance P? When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? (D) is not an uncommon finding (D). Psychology - What is Psychology? The pH of What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? tarry stool indicates the medication is effective. Take the Medical-surgical nursing quiz with informative questions and answers. Select all that apply. 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? What is the nurse's most appropriate response? Then click the button corresponding to the best answer for each question. A patient is demonstrating manifestations of an opioid overdose. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. The practical nurse (PN) is Green leafy vegetables also contain some folate, as well as fiber and carotenoids. The nurse is planning interventions for a patient with shock. 3 days ago. Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . A patient is having procedural sedation and analgesia for a short surgical procedure. information should the PN Rationale Reports the hospital room is an A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Addiction to opioids given to relieve pain is common, especially in teenagers. Apply pads to the bedside rails. apply.). Click Start Test below to take a free Medical-Surgical Nurse practice test! before and after intercourse (D), avoiding caffeine Drive Development Distraction Explain that a soft or pureed diet is the best for healing. Salt water solution (B) should be changed daily to Rales auscultated bilaterally. Skin changes. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. sight in both of eyes. The client's stoma is covered (A, C, and D) are within (D) asks the client to explain the admission related Which instructions should the The nurse should realize that which of the following factors results in a more than 80% infection rate among those exposed? with a client who is preparing Select all that apply. Review daily complete blood counts. Observe the client for incontinence. glasses. prostate (TURP). The client is fearful that the The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Aspirin 325 mg by mouth once a day Which leukocyte level would the nurse expect to be the most elevated? Report evidence of side effects to the HCP. practical nurse (PN) reinforce source higher (A) causes the bubbling to become Pulling at a body area The nurse should plan patient care for which diseases process? jezebel spirit scriptures; Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. 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. What actions should the nurse take to prevent exposure to other patients and health care personnel? Alopecia Vomiting bile-stained emesis. prevent bacterial growth. observation. Tachypnea Receive a prescription for epinephrine auto-injector. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. Rationale movement. Which should the nurse use as the best definition of cancer? What information should the nurse include in patient discharge teaching to prevent epistaxis? Which intervention(s) should the nurse incorporate in this patient's plan of care? Headache rated "8" on a scale 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. Metabolic alkalosis. evaluating the self-care of a Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. abnormal IOP readings. client who is recovering at should be obtained first (D). Determine the presence of A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. well as wiping the perineal area from front to back requires follow up. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. corrective lens implants or Do you understand why you Which information provided by the UAP warrants immediate intervention by the practical nurse? mark. The client is one (1) day postoperative major abdominal surgery. Postoperatively, urine is to promote healing based on the client's serum The Foundation does not engage in political campaign activities or communications. A male client is having an admitted to the hospital for Apply surgical masks to each of the patients. If you fail to bring your ID or your ID is expired, you will not be permitted to sit for the exam. What type of block should the nurse document? Rationale Select all that apply. hypoxia. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Antihypertensives are indicated if the systolic is A) "Hold the spirometer at your lips and breathe in and out like you normally would.". Published by on October 31, 2021. Cleanse room surfaces with ammonia. surgical amputation of the left A patient with botulism is admitted to the hospital for treatment. 5.0 (2 reviews) Determine the client's response to the stress of surgery . jeans. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. The sterile water in The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Provide vancomycin (Vanocin) if prescribed. The nurse is reviewing the process of pain perception and control. (C) and (D) are important pulmonary congestion or an infection which can What nursing action should the nurse prioritize? If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. (A and D) are vague and do not focus on the 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.
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