Test Answers on surgery

question IV heparin Precaution answer – The anticoagulant effect of heparin increases the risk of bleeding. therefore, the client should use an electric razor to reduce the risk of cuts and bleeding during shaving – client should not use suppositories for constipation because suppository use increases the risk of bleeding – client should avoid flossing […]

question Methods of Declaw Surgery: answer 1. Declaw: The Disarticulation Method This procedure involves the delicate disconnection of all the tiny ligaments holding the third bone in place. The entire third bone is removed in its entirety. What to Expect/Possible Complications • Because the entire third bone (P3) is removed, there is a zero possibility […]

question A client presented with gastrointestinal bleeding 2 days ago and continues to have problems. The physician has ordered a visualization of the small intestine via a capsule endoscopy. Which of the following will the nurse include in the client education about this procedure? answer “You will need to swallow a capsule.” question A home […]

question Symptoms of progressive gastric cancer include which of the following? answer Bloating after meals question Which of the following statements reflects the treatment of HIV infection answer Treatment of HIV infection for an individual patient is based on the clinical condition of patient, CD4 T cell count level and HIV RNA question Which of […]

question A 62-year-old client is admitted for hypertension, and serum electrolyte studies have yielded abnormal results. The scheduled workup includes a scan for an aldosteronoma. The nurse concludes that this scan is ordered to rule out disease of the: 1. Kidney cortex 2. Thyroid gland 3. Pituitary gland 4. Adrenal cortex (Nugent 28-29) Nugent, Patricia […]

question B. use trach covers when outdoors *protects the airway from dust, cold air, other airborne particles answer A nurse is teaching a family and a client how to care for the client’s trach at home. Which of the following instructions is appropriate for the client and family? A. remove the outer cannula cautiously for […]

question Which prescription for oxygen delivery does the nurse question? answer 48% O2 per nasal cannula As a low-flow rate system, oxygen concentrations of 24% to 44% (1-6 L/min) are recommended with the nasal cannula. It is not intended to deliver more than 44% Fio2 because at a higher rate, oxygenation doesn’t increase due to […]

question Diet for Addison’s Disease answer -high sodium, low potassium, and increased fluids; -small frequent meals to prevent hypoglycemia question Addison’s Disease – skin manifestations answer darkening or bronze pigmentation of skin in both exposed and unexposed parts of the body question Cushing’s disease – skin manifestations answer purple striae on chest and abdomen question […]

question A client is admitted with a diagnosis of chronic adrenal insufficiency. Which roommate should be avoided when assigning a room for this client? 1 A young adult client with pneumonia 2 An adolescent client with a fractured leg 3 An older adult client who had a brain attack 4 A middle-aged client who has […]

question With which disorder is jugular vein distention prominent? answer Heart Failure question A client is admitted to the hospital with systolic left-sided heart failure. The nurse knows to look for which of the following assessment findings for this client? answer Pulmonary congestion question Sixty six-year-old David Steiner is already being treated for hypertension. His […]

question Which cell of haematopoiesis is responsible for the production of red blood cells (RBCs) and platelets? answer Myeloid stem cell question The term that is used to refer to a primitive cell, capable of self-replication and differentiation, is which of the following? answer Stem cell question Which of the following statements best describes the […]

question Appetite Center answer located in the hypothalamus question Anorexia Diagnostic Findings answer Hemoglobin level and blood cell counts is reduced. Serum albumin, electrolyte, and protein levels is low, with accompanying cardiac dysrhythias question Elevated U wave answer potassium deficiency question Client with Anorexia answer Formulate a nutritional plan with the client and dietitian that […]

question When developing a plan of care to manage a client’s pain from cancer, what should the nurse plan to do? Administer pain medication as soon as the client requests it. Change pain medications periodically to avoid drug tolerance. Individualize the pain medication regimen for the client. Select medications that are least likely to lead […]

question The ICU nurse caring for a 2-year-old near drowning victim monitors for what possible complication? answer Acute respiratory distress syndrome question A client with suspected severe acute respiratory syndrome (SARS) comes to the emergency department. Which physician order should the nurse implement first? answer Institute isolation precautions. question A nurse is administering a purified […]

question A Korean-American client, who speaks very little English, is being discharged following surgery. Which nurse should the nurse manager assign to provide the discharge instructions for the client? A) A graduate registered nurse (RN) with three weeks of experience. B) The registered nurse (RN) case manager for the unit with 1 year’s experience. C) […]

question The nurse is preparing to perform chest physiotherapy (CPT) on a patient. Which of the following patient statements would indicate the procedure is contraindicated. a) “I just changed into my running suit; we can do my CPT now.” b) “I received my pain medication 10 minutes ago, let’s do my CPT now.” c) “I […]

question Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)? A) Tinnitus, vertigo, and hearing difficulties. B) Sudden, stabbing, severe pain over the lip and chin. C) Facial weakness and paralysis. D) Difficulty in chewing, talking, and swallowing. answer B) Sudden, stabbing, severe pain over the lip and chin. […]

question The Client underwent cataract removal with an intraocular lens implant. The nurse is giving discharge instructions. Which instructions should the nurse include? a. Avoid straining during bowel movement or bending at the waist. b.Avoid lifting objects that weigh more than 5 lbs. c. Lie on your abdomen in bed d. Keep rooms brightly lit. […]

question when reviewing prescriptions for pt with Campylobacter Enteritis which should the nurse clarify with provider answer NO Milk of Mag – increases GI motility and increases risk of electrolyte imbalances question GERD and new prescription for Metoclopramide. monitor for what side effect answer ATAXIA question pt with colorectal cancer receiving chemo asks why blood […]

question Which type of sexually transmitted disease is the nurse most accurate to highlight in the client’s history as it remains dormant in the body and can reoccur at any time? answer Herpes infection question A client with erectile dysfunction has opted to self-administer a urethral suppository as a means to produce an erection. Which […]

question A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching answer “I will use my hands rather than a washcloth to clean the radiation area question A nurse […]