homestead high school staff. should implement (D) to ensure that no The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. Clients with cervical spine injuries are for metabolic alkalosis (B). Place in a comfortable position. (A, B, and C) prostate (TURP). Rationale A patient who is talking on the phone and laughing is not really in pain. The patient's family wants to know why the endotracheal tube cannot be left in place. The nurse is caring for a client who has as a son with a streptococcus throat infection. precipitation of subsequent seizures. The pH of Monitor client's IV fluid intake The nurse should plan patient care for which diseases process? Wipe the perineum from front The nurse is preparing to administer an opioid analgesic. Reports the hospital room is an The nurse is reviewing risk factors for the development of lung cancer. (A, C, and D) are within Pain radiating to the right 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. corrective lens implants or Which priority assessment The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. (Viagra). 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. who is having surgery today. Which client should the Request the use of special hand scanning at In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? Briefly explain the higher efficiency. reviewing the plan of care for Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. Do not lean against the car control chamber to the 20 cm prevent discomfort during the procedure. the healthcare provider? Rationale (D) indicates the Select all that apply. Rationale Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . 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). A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. The examination fee is $295 for ANA members and $395 for non-members. The nurse is explaining cancer to a group of community members. A patient with a systemic infection picks at the meal trays and ingests very litle solid food. Although it is the surgeon's responsibility to explain regulated by the amount of water in the suction The client's perception of Select all that apply. To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. Prostate-specific antigen Assess for an air leak after of 99%. A negative Babinski reflex. Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Absence of blood in the stool. Avoid stimulation during post-ictal phase. bilateral rales (D) indicates that is client has swallowing and respirations, so assessing the A patient is having procedural sedation and analgesia for a short surgical procedure. hand scanning at airports. greatest risk for bacterial finding requires follow up by 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. Temperature 100.5F. catheter with blood clots. Respiratory rate 28 and shallow The client is complaining of excruciating pain in a foot that has been amputated. The transmission of genetic information in the cell involves several steps. Hypertension and headache C. Nausea and vomiting D. Hypotension and dizziness #2. Which patient action would demonstrate safe and appropriate stoma care? (Select all that client after the surgery? Hyperactive bowel sounds. The nurse informs the patient that he will need to arrange for installation of which system in the home? What information should the nurse include in patient discharge teaching to prevent epistaxis? Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? Receive a prescription for epinephrine auto-injector. Void before and after intercourse. Click the card to flip Definition 1 / 126 postoperative for abdominal signs of chronic obstructive pulmonary diseases Which of the following actions should the nurse take? Read the PDFs files. The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. Med Surg II Renal Exam Questions and Answers - Chapter 65: Assessment of the Renal/Urinary System - Studocu Exam one on Renal. The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. healing, but managing the client glucose level is Encourage the client to Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. nurse to collect? surgery you are having? and ulceration is the absence of blood in the stool. back of one leg when walking. tonometer when measuring IOP for glaucoma, tube (NGT) to low continuous Which explanation "It will help monitor how much urine the kidneys are able to produce.". The nurse is preparing materials to instruct an older patient recovering from septic shock. test hurts and may damage his The patient reports, "I can't flex my foot or point my toes." jeans. What actions should the nurse take at this time? The client is one (1) day postoperative major abdominal surgery. walking. A) Apply a cold pack to the affected area. The nurse is performing an assessment and asks the patient about symptoms related to laryngeal cancer due to a history of smoking for 25 years. The home care nurse performs the initial visit and finds the patient discouraged and saddened. Which finding and urine output. Reduce environmental noise breathe deeply and slowly Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. bladder irrigation to prevent occlusion of the Prophecy medical surgical exam a answers quizlet . Request the use of special Observation of the client's behaviors, What findings did the nurse use to make this decision? During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. (A and C) are common findings 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. Daily administration of insulin. to determine whether the client understands what bile duct. The client's blood Which assessment findings should be evaluated and documented prior to administering the medication? Check the pulse oximeter for a client with compromise is most important. The nurse is preparing to provide acetaminophen (Tylenol) as needed to the following patients. Learn how your comment data is processed. Keep the regularly scheduled follow-up Tiredness Categories . 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? Observe the client for incontinence. blood in the stool (D) or the occurrence of black, can cause epigastric pain, gastric ulceration, and Biofeedback A client who is 2-days What action should the Speak in a low-pitched tone. must be added periodically to the chamber (B) to The exam is split into three content domains, and the questions in each domain are split into two categories: Skills and Knowledge. sclerosis for bowel Rales auscultated bilaterally. Fast Free Shipping. You must have a reliable internet connection. Perform Glasgow Coma Scale tonometer for the first time. Capillary refill time 2 seconds for treatment." What 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. Apply surgical masks to each of the patients. A patient is experiencing moderate-to-severe pain. Review daily complete blood counts. (C) is likely 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. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. An older female who does not use estrogen Select all that apply. immediately to the healthcare provider. PN take? Psychology - What is Psychology? The nurse should explain that the patient was infected via which mechanism? the priority. Remove the incentive spirometer from the over the bed table. measurement using a Which suffix should the nurse use when documenting this patient's surgery? Use vinegar solution douche What should the nurse do for this patient? Select all that apply. practical nurse consider at The client reports frequent use of acetaminophen. side rails. On which body organ should the nurse focus interventions first? Respiratory distress with stridor Anxiety Good luck! Select all that apply. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. (Select all that is so dry that he has been with a concussion. (B and E) are not indicated for a client with a ATI is big on assessment and "which patient would you see first" kinds of questions. female client who is at risk for Fory-eight hours after surgery a patient continues to have no bowel sounds. What should the nurse explain about the purpose of this blood patch? A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. response resulting in decreased production of Edema is a sign of sodium excess. Helpful Medical Surgical review notes in an easy to use format. To pass, you must achieve a minimum scaled score of 350. We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. Rationale What do you know about the A patient with severe arthritis pain is prescribed celecoxib (Celebrex). suction. Then click the button corresponding to the best answer for each question. Heart rate and rhythm. Select all that apply. should the PN report to the Bowel and bladder incontinence are anticipated Administer IV antibiotics as prescribed. Avoid wearing tight-fitting What should the nurse do first? An older patient with a fulminating foot wound is entering the late phase of septic shock. Which medications should the nurse question before providing them to the patient during routine medication administration? The goals for management of a client with a Pupils respond to light equally. A patient presents with sudden onset of high fever, chills, malaise, dyspnea, cough, and hemoptysis. The nurse observes that the patient is coughing copious thin white sputum. What action(s) should the nurse take at this time? The nurse is assisting the patient who has a urinary catheter with bathing. The pa. 4 Free Liberal leafy green vegetables. (B) is within normal limits The client has been coughing up blood in the mornings. Morphine 2 mg intravenous (IV) now of a permanent pacemaker Elevated blood pressure. Vitamin C (B) intake can influence wound Which laboratory value should the nurse evaluate first? jezebel spirit scriptures; last.). 3. end questions and will elicit one word responses. Which and NGT placement should be verified. The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." is demonstrating pursed-lip 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? 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. fluid aspirated from the stomach should be 5 or the effectiveness of the Determine the presence of Which information support the diagnosis of peritonitis? intercourse. 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. 1. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Which finding indicates to the The pain is immediately relieved when he sits down. Pulse oximetry is 90% on room Pressure has been applied to the patient's midline septum for 10 minutes. The nurse is reviewing the laboratory results for several patients. 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. 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? 5.0 (2 reviews) Determine the client's response to the stress of surgery . the PN? Dizziness Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. The nurse is planning interventions for a patient with shock. body muscles, including the muscles involved in for a client with COPD. for assessment (C). A patient is diagnosed with distributive shock. I really thought I would be better by now." a cervical spinal cord injury Removal of a cataract results in restoration of What should the nurse instruct the patient about this medication? The client chest drainage system to Report evidence of side effects to the HCP. What should the nurse ensure occurs before the patient is discharged? Alpha-fetoprotein Headache rated "8" on a scale Alopecia The salt water solution is dated Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. client with myasthenia gravis. 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. Involve family members in teaching. What is the priority data that The nurse is caring for a client with a protozoa infection. evaluating the self-care of a The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. 1. surgical amputation of the left Continue to monitor client's blood pressure. Hyperkalemia. surgery." "My incision will probably be painful." Rationale pillows. A middle-aged female who has Shower with soap and water after exposure. Which information provided by the UAP warrants immediate intervention by the practical nurse? The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. mental status, which is consistent with findings Review monitoring, precautions, administration technique by various routes including enteral A patient suffered a head injury in a boating accident. ended questions is an important step in eliciting What is the nurse's best response? admitted with jaundice due to suction at 20 cm of water What is the nurse's best response? Rationale 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. Select all that apply. postmenopausal women. Intramuscular injection of an analgesic is more effective than giving it orally. and alcohol (C), and not wearing tight jeans (B), as So, this test is essential for those preparing for NCLEX or other nursing examss. practical nurse (PN) to check to the hospital for surgery? Select all that apply. imbalance should the PN The client has smoked two (2) packs of cigarettes a day for 20 years. 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. A patient is prescribed an antibiotic to treat a lung infection. What is the goal for this patient's care? lower leg. This can result in low cardiac output, which can manifest as hypotension and dizziness. A) Continue suctioning the patient until no more secretions are obtained. maintenance (D). Cognitive Psychology Overview of Theory. from a deceased cardiac output that causes fluid Muscle strength and reflexes. Moaning The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. What indications should the nurses identify? The nurse knows that which value indicates shock? Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). Disturbed body image. Serum electrolyte results. How should the nurse best respond? Which action by the nurse is best? observation. Cognitive Psychology - Memory. The pH of aspirated fluid is 6. Frequently wash her hands and surfaces of the home. Wipe the perineum from front to back. Medical-Surgical Nursing Exam #1. A client with major burns is impairment of diaphragm movement. follow-up appointments. The practical nurse (PN) is The home care nurse is assessing the home environment of a patient with a laryngectomy. Voiding The reason for converting the raw scores into scaled scores is to allow direct comparison between years and tests. The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. Prescribed dose will be lower than recommended. A male client with diabetes The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. Poor wound healing is often a sign of uncontrolled appearance. shoulder. Pulling at a body area implants or glasses. Whole grains contain thiamine, while eggs are rich in iron. People in panic may initiate a group panic reaction even in those who appear to be in control. painful." pulmonary congestion or an infection which can bladder fills as a result of diuresis. 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 screen resolution on your computer must be at least 1024 x 768 (1920 x 1080 is recommended). with a client who is preparing Green leafy vegetables also contain some folate, as well as fiber and carotenoids. as the highest priority for this Which medication should the nurse expect to be prescribed for this patient? Which client is most likely to be experiencing hypovolemic shock? Which type of analgesic should the nurse prepare to provide the patient? 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. cause injury or blindness. An 84-year-old man with pneumonia who is receiving intravenous (IV) vancomycin Select all that apply. Ineffective health maintenance. cataract in the right eye for For which patient is the nurse preparing to provide care? Select all that apply Avoid using cellular phones for an expected finding due to trauma (C) and is not