surgical nursing exam with 100%verified satisfied answers.
,1.The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of
... [Show More] clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the practical nurse?
ANS;The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of 198/102
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain.
2.Which intervention should the practical nurse expect to implement?
ANS;Discuss implementing an advance directive
3.The client diagnosed with lung cancer is being discharged. Which statement made by the client indicates a reiteration of information is required?
ANS;"It doesn't matter if I smoke now. I already have cancer."
4.The practical nurse is interviewing clients at the clinic. Which information provided by a client warrants further investigation?
ANS;The client has been coughing up blood in the mornings
5.The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Which information support the diagnosis of peritonitis?
ANS;Hard, rigid abdomen and white blood cell count 22,000/mm3
6.The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Which intervention should the practical nurse implement first?
ANS;Inspect the abdominal wound incision
7.The client is one (1) day postoperative major abdominal surgery. Which client problem is a priority?
ANS;Fluid and electrolyte imbalance
8.The client has an eviscerated abdominal wound. Which intervention should the practical nurse implement?
ANS;Apply sterile normal saline dressing
9.The client is diagnosed with peritonitis. Which information indicates to the practical nurse the client's condition is improving?
ANS;The client has a decrease in temperature and a soft abdomen
10.A patient is being released from the hospital with a prescription for tetracycline. What should the nurse include in patient teaching?
Select all that apply.
ANS;Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
11.The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. What findings should the nurse use to make this determination?
Select all that apply.
ANS;
Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
12.A patient is diagnosed with an infection that has spread to the blood stream. Which term should the nurse use to document this patient's health problem?
ANS;Sepsis
13.The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. For which health problems should the nurse prepare to provide care?
Select all that apply.
ANS;
Measles
Tuberculosis
Chickenpox
14.A patient is diagnosed with Rocky Mountain spotted fever. What should the nurse explain as the method by which this disease was transmitted to the patient?
ANS;Ticks
15.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. Which drain should the nurse expect to see?
ANS;Penrose drain [Show Less]