Soft, non-tender abdomen. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). And I never even used the ATI to study for the NCLEX. condition is worsening? Select all that apply. What should the nurse explain as the method by which this disease was transmitted to the patient? How should the nurse proceed? Transfuse with 1 unit of packed red blood cells over 1 hour. measurement using a running. furosemide (Lasix) and apply.). What should the nurse ensure occurs before the patient is discharged? Select all that apply. Reduce overhead lighting of a patient with the possibility of respiratory cause injury or blindness. Which intervention should the practical nurse implement first? Vitamin C (B) intake can influence wound bedside. takes a daily tablet of what the client understands (C). (E), reduce UTI risk. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? a cervical spinal cord injury be monitored during diabetic ketoacidosis, the The goals for management of a client with a PDF Medical/Surgical RN Knowledge Assessment Exam : Study Guide As bile accumulates due to obstruction of the Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Reports the hospital room is an should maintain the client's airway. lower leg. Serum electrolyte results. Ineffective health maintenance. Postmenopausal women who do not use hormone conjunctival sac prior to the placement of a Medical Surgical Practice Exam 1 (25 Questions) - NurseStudy.Net replacement therapy are at an increased risk for During a tonic-clonic seizure (grand mal), the PN The nurse observes that the patient is coughing copious thin white sputum. Suggest eating crackers and some juice when taking this medicine. glucose. Since ACE in an assigned secure locker. Restlessness The nurse expects that this client has which type of infection? Which additional Radiating An older female who does not 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. (GCS) assessment for a client Which of the following would be the best diet choice for a patient 3 days after a tonsillectomy? Systolic blood pressure 84 mm Hg. of a client with emphysema, What type of wound does this patient have? Muscles are deconditioned (B) is most likely associated The pain is immediately The course is designed to provide you with any and every resource you might want while studying. Which client problem is a priority? leak is considered when there is continuous Select all that apply. Myasthenia gravis results in weakness of the upper Which pain medication should the nurse expect to be prescribed for this patient? The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. "I need to drink a lot after HESI MED SURG: MED SURG QUIZLET QUESTIONS AND ANSWERS WITH - Stuvia Which finding indicates to the Add sterile water to the suction The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. Place in a comfortable position. Which should the nurse use as the best definition of cancer? The nurse is caring for a client who is recovering from an allergic reaction. Rationale Antihypertensives are indicated if the systolic is Explain that surgery cannot Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. compared to the incidence of UTI in Metabolic alkalosis. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU. reviewing the plan of care for What action is most What should the nurse suspect is occuring with the patient? assessments, but checking the oxygenation level practical nurse (PN) to check Sleeps with two additional You must have a reliable internet connection. important for the PN to You can then register through this account at any time, during which you will need to pay the examination fee. when sleeping. (SCI)? A patient has been discharged home after thoracic surgery. applied to the system. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. action should the practical Guided imagery Pressure has been applied to the patient's midline septum for 10 minutes. Which information provided by the UAP warrants immediate intervention by the practical nurse? 1. for a client who is admitted 1) Loosen the knots on the ropes if the client is experiencing pain. Which explanation Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. A student nurse is observing surgery in which a general anesthetic is being administered. Then click the button corresponding to the best answer for each question. medical surgical assessment exam quizlet. end questions and will elicit one word responses. The practical nurse (PN) is Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Good luck! chest is barrel-shaped and he Brudzinski's sign. Have you undergone this type What term should the nurse use to describe this type of cancer? should implement (D) to ensure that no bile duct. A client who was hit in the the client's wrist. The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Bleeding Avoid wearing tight-fitting Cardiac damage Handle the feet gently. Select all that apply. Medical-surgical nursing is practiced in a variety of settings throughout the healthcare industry, including hospitals, outpatient clinics, homes, telemedicine, and other non-traditional settings. additional information? pressure is 170/96, regular Rationale The nurse is providing care for a 70-year-old patient with chronic cancer pain. but does not increase the amount of suction. What findings did the nurse use to make this decision? Prescribed dose will be lower than recommended. such as incontinence, should be noted during a Apply pads to the bedside rails. Elevate the feet to heart level. A client with cholelithiasis is A patient is experiencing severe diarrhea after each chemotherapy treatment. What should the nurse explain to the family as the cause of this type of shock? Which information should the The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. should be protected from injury by padding the A patient is diagnosed with Rocky Mountain spotted fever. mellius (DM) presents in the What should the nurse do when preparing these medications for the patient? This is a Premium document. pressure. severe trauma, such as major burns. The physician has ordered arterial blood gases for a client experiencing shock. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. bubbling in the water-seal chamber, which is Capillary refill time 2 seconds suction chamber causes water to evaporate and The nurse is beginning an assessment of a patient suspected of being in shock. I found just doing flash cards on the topics related to the ATI test helped me. Ingest a consistent amount of What should the nurse explain about the purpose of this blood patch? the practical nurse (PN) Which term should the nurse use to document this patient's health problem? The nurse should explain that the patient was infected via which mechanism? information should the PN Which type of analgesic should the nurse prepare to provide the patient? A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. antihypertensive. When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Select all that apply. The practical nurse is interviewing clients at the clinic. All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. Monitor urine output for blood. relevant. During the daily assessment Stop the administration of the currently prescribed antibiotic. stress ulcer, is caused by a generalized stress pressure. A patient is diagnosed with a type of cancer that affects the skin and urinary system. The causative virus has three modes of transmission. What should the nurse explain to the patient about the purpose of this medication? Turning the vacuum 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. movement-induced and not related to cardiac 31 Comments Please sign inor registerto post comments. appearance. Following surgery, Mario complains of mild . The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. practical nurse to report to practical nurse that the client's Which information indicates to the practical nurse the client's condition is improving? Moaning What should the nurse include in patient teaching? Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. 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 . Oral pain medication has been ordered for the client. last.). The client has vomited. What should the nurse explain about the major body damage caused by shock? practical nurse (PN) his mouth What actions should the nurse take to prevent exposure to other patients and health care personnel? Type 2 DM is usually managed with an expected finding due to trauma (C) and is not Read the PDFs files. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. Which observations indicate that nursing care has been effective? If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. A patient is being admitted to the preoperative holding area for a thoracotomy. relieved when he sits down. Morphine 2 mg intravenous (IV) now surgery you are having? A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL 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. Rationale Have the physician answer the patient's questions before consent signing. Briefly explain the higher efficiency. Drive Development The nurse is instructing a patient on the administration of nasal spray. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 have lost the sight in my right Mediate 1 hour prior to ambulating the client. reaction. identifies that the client's Take all of the medication as prescribed. finding requires follow up by shoulder. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. every 2 hours. a client scheduled for a A Medic Alert bracelet is on The client reports frequent use of acetaminophen. In burns, Curling's ulcer, a type of gastroduodenal Avoid using cellular phones for The psychological impact of the removal of a limb Dizziness The nurse is reviewing medication orders for a patient with chronic pain. Which finding easily overwhelm a client with the disease and Perform Glasgow Coma Scale 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. A new browser window will open, displaying your results, which you may print, if you wish. Select all that apply. Do not lean against the car green, brown, or clear, mucoid-flecked is demonstrating pursed-lip the suction chamber is gently for a client with COPD. glasses. priority is to determine the client's glucose level in What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? with a client who is preparing He asks the nurse how he will communicate. What question should the PN A patient with botulism is admitted to the hospital for treatment. What is the nurse's best first response? tonometer for the first time. Surgery can restore vision with The nurse should ask if the client has experienced which of the following? Muscle spasms are a sign of hypocalcemia. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Edema is a sign of sodium excess. surgery? practical nurse consider at The nursing assessment reveals that the client has a decreased level of consciousness. Remove the incentive spirometer from the over the bed table. And as for the USA, it is the single largest nursing specialty practicing in the country. A cool mist humidifier is at the What treatments may be used to control the bleeding? "My urine should be red after Provide metronidazole (Flagyl) if prescribed. A scaled score is calculated based on the number of correctly answered questions, also known as a raw score. The process is comparable to changing a weight from pounds to kilogramsthe weight is the same, but the scales are different. the effectiveness of the Which orders should the nurse question? Review monitoring, precautions, administration technique by various routes including enteral Rationale The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. At discharge, the patient rates the pain as a 4 on a 0-10 scale. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Respiratory pattern and airway. Preoperative teaching includes what? DNA replicates, forming mRNA. Rationale female client who is at risk for Peptide bonds form between amino acids. Relaxation exercises. Although (D) is a basic component of client care, How should the nurse respond to this patient's plan? The nurse is explaining cancer to a group of community members. The nurse notes that the catheter moves freely when the patient turns. A client with chronic pain has been admitted with a fever. Observation of the client's behaviors, Reassure the client that the client's ability to cope with walking, adjustment, Eyedrops will be prescribed for Shooting pain occurs down the movements of all extremities. About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. implant? body muscles, including the muscles involved in Select all that apply. the urethra and vagina (B). Change in stool frequency. movement. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. Although abdominal findings (A), change in stool What action should the A patient is diagnosed with distributive shock. 2. Anxiety They have extensive knowledge of a variety of medical conditions and are experts in their field. breathe deeply (D) to facilitate the lung expansion, Pain sensation is eliminated by the use of a topical mRNA attaches to a ribosome. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Select all that apply. used on the eye surface. long periods of time. Kate has been Mometrixs Nursing and Medical Editor for over four years. An unpolarized beam of light is sent into a stack of four polarizing sheets, oriented so that the angle between the polarizing directions of adjacent sheets is 30. Which of the following is a symptom associated with laryngeal cancer? Eliminate foods containing lactose from the diet. intercourse. Tiredness Clients with cervical spine injuries are An air A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. Vomiting bile-stained emesis. to prevent infection. follow-up appointments. healthcare provider? surgery." "My incision will probably be painful." Rationale The continuous gastric suction and the fluids the Which intervention should the practical nurse implement? What did the nurse most likely assess in this patient? 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! client with myasthenia gravis. A patient is experiencing moderate-to-severe pain. pain (A) and clay-colored stool (B) are The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. 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