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    Medical-Surgical Nursing Quiz

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    Gerald Resubal Oriña
    A 36-year-old female client was admitted with a diagnosis of cerebrovascular accident (CVA or stroke). Her medical history includes obesity, asthma, and anemia. The highest priority nursing diagnosis is altered cerebral perfusion. To prevent deep vein thrombosis, elastic support hose should be applied. For a client with expressive aphasia, a picture board is most helpful for communication. A 44-year-old woman, Mrs. Smith, was admitted for severe abdominal pain and vomiting from cholecystitis and gallstones. The highest priority is pain relief. She has Murphy's sign on exam. Morphine would be anticipated to relieve her pain. She is at risk for metabolic acidosis and hyp

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    Medical-Surgical Nursing Quiz

    Uploaded by

    Gerald Resubal Oriña
    419 views3 pages
    A 36-year-old female client was admitted with a diagnosis of cerebrovascular accident (CVA or stroke). Her medical history includes obesity, asthma, and anemia. The highest priority nursing diagnosis is altered cerebral perfusion. To prevent deep vein thrombosis, elastic support hose should be applied. For a client with expressive aphasia, a picture board is most helpful for communication. A 44-year-old woman, Mrs. Smith, was admitted for severe abdominal pain and vomiting from cholecystitis and gallstones. The highest priority is pain relief. She has Murphy's sign on exam. Morphine would be anticipated to relieve her pain. She is at risk for metabolic acidosis and hyp

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    A 36-year-old female client was admitted with a diagnosis of cerebrovascular accident (CVA or stroke). Her medical history includes obesity, asthma, and anemia. The highest priority nursing diagnosis is altered cerebral perfusion. To prevent deep vein thrombosis, elastic support hose should be applied. For a client with expressive aphasia, a picture board is most helpful for communication. A 44-year-old woman, Mrs. Smith, was admitted for severe abdominal pain and vomiting from cholecystitis and gallstones. The highest priority is pain relief. She has Murphy's sign on exam. Morphine would be anticipated to relieve her pain. She is at risk for metabolic acidosis and hyp

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    419 views3 pages

    Medical-Surgical Nursing Quiz

    Uploaded by

    Gerald Resubal Oriña
    A 36-year-old female client was admitted with a diagnosis of cerebrovascular accident (CVA or stroke). Her medical history includes obesity, asthma, and anemia. The highest priority nursing diagnosis is altered cerebral perfusion. To prevent deep vein thrombosis, elastic support hose should be applied. For a client with expressive aphasia, a picture board is most helpful for communication. A 44-year-old woman, Mrs. Smith, was admitted for severe abdominal pain and vomiting from cholecystitis and gallstones. The highest priority is pain relief. She has Murphy's sign on exam. Morphine would be anticipated to relieve her pain. She is at risk for metabolic acidosis and hyp

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Situation 1: A 36 year old, female client is admitted to an acute care facility with a diagnosisofcerebrovascularaccident(CVA).Herhistoryrevealsbronchialasthma, exogenousobesity,andirondeficiencyanemia. 1.Fromtheaboveassessment,whichhistoryfindingisariskfactorforCVA? a.irondeficiencyanemia b.

    encyanemia b.femalesex c.Brochialasthma d.obesity

    2.Whatisaprioritynursingassessmentinthefirst24hoursafteradmissionoftheclient withathromboticstroke? a.Cholesterollevel b.Bowelsounds c.Pupilsizeandpapillaryresponse d.Echocardiogram

    3.Aftercompletingtheassessmentoftheclient,nursingdiagnoseswillbedetermined. Whichofthefollowingnursingdiagnosesshouldhavethehighestpriorityforthisclient? a.Alteredthoughtprocesses b.Alteredcerebralperfusion c.Pain d.Impairedbloodflow

    4. Thenurseiscreatingaplanofcareforaclientwithastroke.Inordertoreducethe complicationofaDVT,whichofthefollowingshouldbeincludedinthisplanofcare? a.Monitorintakeandoutput b.Applyelasticsupporthoes c.Applywristrestraints d.Measurelegcircumferencedaily

    5. The client is experiencing an expressive aphasia, which nursing intervention is most helpfulinpromotingcommunication? a.Usegestureswithoutspeaking b.Writinggesturessotheclient canreadthem c.Speakloudly d.Usingapictureboard

    Situation2:Mrs.Smith,44yearsoldisadmittedtothehospitalcomplainingofsevere abdominalpainandextremenauseaandhasvomitedseveraltimes.Adiagnosisof cholecystitisfromcholelithiasiswasmade. 6.Basedonthedata,whichnursingdiagnosiswouldhavethehighestpriorityintervention atthistime? a.Anxietyr/tsevereabdominaldiscomfort b.FluidVolumeDeficitr/tvomiting c.Painr/tgallbladderinflammation d.ImbalancedNutrition:Lessthanbodyrequirementr/tvomiting 7.PhysicalexamfindingsrevealedaseverepainintheRUQwithinspiratoryarrest.Nurse Kayeknows,thatherclientispositiveforwhichofthefollowingsigns?

    a.GreyTurnerssign b.McBurneyssign `

    c.Cullen'ssign d.Murphyssign

    8. Mrs.Smith complained of severe right upper quadrant pain.Which of the following medicationwouldNurseKayeanticipatesadministeringtorelievetheclientspain? a.Meperidine(Demerol) b.Acetaminophenwithcodeine c.Promethazine(Phernergan) d.Morphinesulfate

    9.FrequentvomitingputsMrs.Smithatriskofwhichofthefollowingacidbaseimbalance? a.metabolicacidosisandhyperkalemia b.metabolicalkalosisandhyperkalemia c.metabololicacidosisandhypokalemia d.metabolicalkalosisandhypokalemia 10.Followingacholecystectomy,drainagefromtheTtubeforthefirst24hours postoperativewas350cc.Propernursingactioninresponsetothisshouldbeto: a.notifythephysician b.raisethelevelofthedrainagebagtodecreaserateofflow c.increasetheIVflowratetocompensatefortheloss d.continuetoobserveandmeasuredrainage Situation3:A26yearoldfemaleclientwasadmittedtoemergencyunit.Hersymptoms includeburningonurinationandfrequent,urgentvoidingofsmallamountsofurine accompaniedbyfeverandvomitingandmanifestssignsofdehydration.Shewas diagnosedtohavearecurrenceurinary tractinfection(UTI). 11.Whatisthemostcommonbacteriainvolvedincommunityacquiredurinarytract infections(UTIs)? a.E.coli b.S.saprophyticus c.P .mirabilis d.K.pneumonia

    12.Afterassessingtheclient,NurseJohnnotifiesthephysicianoftheclientsconditionand thefindingsfromtheassessment.Thephysiciangivesthenursetelephoneorderswhich includesaurineculture.Whichstatementbythenurseiscorrectinregardstoteachinga clienthowtoobtainaurineculture. a.YouwillneedtonotifymeassoonasyoucollectthespecimensothatIcan transportitinatimelymannertothelabfortesting. b.Assoonasyoururinestartstoflow,itshouldbecollectedinthissterilespecimen cup. c.Youwillneedtokeepyourlabiaseparatedwhilevoidingintothespecimencup. d.Youdonotneedtoretractyourforeskinforthisspecimen.Justcleansethetip withthiscleansingsolution.

    13.TheclientasksNurseCocohowshecanpreventthereoccurrence.NurseCocoshould teachtheclientto: a.Doucheafterintercourse b.Voidevery3hours c.Obtainaurinalysismonthly d.Wipefrombacktofrontafter voiding

    14.Dr.Zunigaprescribesnorfloxacin(Noroxin),400mgP .O.twicedaily,fortheclientwith aurinarytractinfection(UTI).Theclientasksthenursehowlongtocontinuetakingthe drug.ForanuncomplicatedUTI,theusualdurationofnorfloxacintherapyis: a.3to5days b.7to10days c.12to14days d.10to21days

    15.NurseGeraldnotedtheclientwithurinarytractinfectionforsignsofdehydration.The nursedeterminesthattheclienthasreceivedadequatevolumereplacementiftheblood ureanitrogenleveldropsto: a.3mg/dL b.15mg/dL c.29mg/dL d.35mg/dL

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