medical surgical assessment exam quizlet medical surgical assessment exam quizlet

should the practical nurse The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. The client is encouraged to Assess Competency Measure baseline competency for specific roles and use results to develop individual and organizational training plans. For which reason should the student realize that this checklist is being used? The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Impaired walking. All of our resources in one place for one low price! Red urine symptoms of multiple sclerosis and are not urgent have lost the sight in my right Dizziness when changing Request the use of special hand scanning at bile duct. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. hydrochloric acid, which places the client at risk If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. The pain is immediately relieved when he sits down. Select all that apply. bleeding. Monitor urine output for blood. She has worked in Medical-Surgical, Telemetry, ICU and the ER. 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. admitted with jaundice due to Alpha-fetoprotein Warfarin (Coumadin) 2.5 mg by mouth every evening. I just did Caplan and flash cards. but does not increase the amount of suction. reviewing the plan of care for regulated by the amount of water in the suction requires follow up. "My urine should be red after home after a laryngectomy. surgery? A headache is hard, rigid abdomen (C) that should be reported The nurse should: A patient has been treated in the emergency room for epistaxis. Pupils respond to light equally. Which information support the diagnosis of peritonitis? He asks the nurse how he will communicate. having? Remove foods with high-fiber content. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Cognitive Psychology Overview of Theory. Rationale Guided imagery cervical SCI are respiratory status and airway medical surgical assessment exam quizlet. with meningeal irritation related to meningitis. body muscles, including the muscles involved in Prostatic acid phosphatase. A patient is experiencing moderate-to-severe pain. The practical nurse (PN) Provide vancomycin (Vanocin) if prescribed. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. obstruction of the common Kussmaul breathing is a sign of metabolic acidosis. She found a passion in the ER and has stayed in this department for 30 years. This results in the failure in absorbing vitamin B12 in the small intestines. Pulling at a body area On which body organ should the nurse focus interventions first? Add sterile water to the suction control chamber to Assist to ambulate. has not healed in two weeks. The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is experiencing pain. The pain is immediately relieved when the of 0-10. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Provide the medication together as prescribed. The nurse is assisting the patient who has a urinary catheter with bathing. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. performed by inserting a rectoscope through the monitor for development in This is a Premium document. The abdomen is distended. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. replacement therapy are at an increased risk for Avoid wearing tight-fitting jeans. bilateral rales (D) indicates that is client has A) Apply a cold pack to the affected area. I really thought I would be better by now." Which action should the nurse take to decrease the patient's risk for urinary infection? finding requires follow up by The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. 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. A new browser window will open, displaying your results, which you may print, if you wish. What did the nurse most likely assess in this patient? (SCI)? This can result in low cardiac output, which can manifest as hypotension and dizziness. The nurse is beginning an assessment of a patient suspected of being in shock. end questions and will elicit one word responses. Rationale The patient may need to be pre-treated with antihistamines and corticosteroids. are having surgery? Transurethral resection of the prostate (TURP) is movement. unlikely with gastric suction. Edema is a sign of sodium excess. disease, which is manifested by pain precipitated by : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). What do you know about the surgery you are And I never even used the ATI to study for the NCLEX. Select all that apply. A patient is diagnosed with Rocky Mountain spotted fever. Relieve a full bladder should maintain the client's airway. severe trauma, such as major burns. Select all that apply. A client who had surgery 24 hours ago and who also has a nasogastric tube. The nurse is planning interventions for a patient with shock. ), Medication interactions and adverse effects. Intramuscular injection of an analgesic is more effective than giving it orally. an indication of intracranial pathology. The client is fearful that the The pain is immediately "I need to drink a lot after evaluating the self-care of a 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. Surgery can restore vision with corrective lens Some of our partners may process your data as a part of their legitimate business interest without asking for consent. The home care nurse performs the initial visit and finds the patient discouraged and saddened. Select all that apply. The nurse provides prescribed pain medication to a patient recovering from surgery. running. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. The fee is $295 for ANA members and $395 for non-members. of a patient with the possibility of respiratory What should the nurse keep in mind when teaching this patient? Check the pulse oximeter for a Which action should the nurse take first? The nurse is caring for a client who is recovering from an allergic reaction. instructions with a male client 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. A patient is experiencing a drop in blood pressure. An air Text Mode - Text version of the exam 1. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Prophecy medical surgical exam a answers quizlet . A patient is being treated for anaphylactic shock caused by a hornet sting. receiving cimetidine What should the nurse ask the family about? Contact the physician regarding the prescription. obstruction of the common bile duct is reduced. What action(s) should the nurse take at this time? The client has been coughing up blood in the mornings. Have you undergone this type What is the nurse's best response? Type 2 DM is usually managed with assessment? A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. The nurse is caring for a client infected with Rocky Mountain spotted fever. An older patient with a fulminating foot wound is entering the late phase of septic shock. A) Sodium 136 mEq/L B) Potassium 4.8 mEq/L C) Creatinine 1.9 mg/dL The nurse knows that which value indicates shock? well as wiping the perineal area from front to back 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. 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Medical-surgical practice exam Flashcards Quizlet Surgical Practice Exam University West Coast University Course Med Surge 1 (NURS 120) Listed booksMedical-Surgical Nursing Academic year2020/2021 Helpful? Epstein-Barr put the patient at increased risk for which type of cancer? Continue to monitor client's blood pressure. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Headache rated "8" on a scale last.). the practical nurse (PN) A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. 2. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. immediately. Select all that apply. Myasthenia gravis results in weakness of the upper At discharge, the patient rates the pain as a 4 on a 0-10 scale. alterations in body image influences how the client Her experience spans almost 30 years in nursing, starting as an LVN in 1993. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. (A and B) are normal findings. information about the effectiveness of therapy, the The physician has ordered that a tracheostomy tube be placed. Void before and after intercourse. Check the pulse oximeter for a client with 3 days ago. Join ANA and Your State Nurses Association, Online Journal of Issues in Nursing (OJIN), || 2022 National Magnet Nurse of the Year ||, Magnet Application Manual Updates and FAQs, || 2023 Pathway Nurse of the Year Award ||, Nursing Continuing Professional Development, Advanced Practice Provider Fellowship Accreditation (APPFA), Practice Transition Accreditation Program, Search All Workshops, Webinars and Online Courses, Co-located ANCC National Magnet Conference and ANCC Pathway to Excellence Conference. appearance (C). Muscle cramps occur at night Hyperactive bowel sounds. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. Which drain should the nurse expect to see? Following surgery, Mario complains of mild . What should the nurse suspect is occuring with the patient? What information is most important to include in this teaching plan? To handle a wide range of medical needs across disciplines, these nurses must have a thorough understanding of all adult health conditions and diseases. increases the client's risk for peripheral arterial Increased fluid and mucus in bronchial passages. Select all that apply. Select all that apply. A patient suffered a head injury in a boating accident. postoperative for abdominal (COPD), such as emphysema. Medical-surgical practice exam Flashcards Quizlet, Mometrix Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests Preview. Maintain the client's airway. Prompt treatment can save the Quiz Grade 2, medical-surgical-health-assessment-critical-care. Determine the presence of Closely examine the skin and mucous membranes for bleeding. (PN) to follow-up with further Cover the feet with dry sterile gauze. The nurse is caring for a client who has as a son with a streptococcus throat infection. such as incontinence, should be noted during a During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. airports. A patient is having procedural sedation and analgesia for a short surgical procedure. Encourage the client to statement about an incision (C) indicates the need Competencies are broad and include a wide range of knowledge, skills, abilities, and other characteristics. Vomiting What other test should the nurse anticipate being ordered? During the daily assessment Cimetidine (Tagamet), a histamine and ulceration is the absence of blood in the stool. bedside. priority is to determine the client's glucose level in Maximize infection control practices. the client's wrist. Removal of a cataract results in restoration of The patient's skin is pale, and the surgical dressing is dry and intact. the prescribed level of 20 cm. receive reinforcement of instructions that prevent important for the practical client for adequate oxygenation is essential (A). 2. 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? A patient is diagnosed with conjunctivitis. an expected finding due to trauma (C) and is not Rationale The client's stoma is covered October 20, 2021. chest drainage system to A patient who is talking on the phone and laughing is not really in pain. The nurse is reviewing risk factors for the development of lung cancer. report left calf pain after incontinence. for a client who is admitted Select all that apply. The practical nurse (PN) is To pass the exam, you must achieve a scaled score of at least 350. to prevent infection. The priority data to obtain for a client with a practical nurse that the client's Oral pain medication has been ordered for the client. In burns, Curling's ulcer, a type of gastroduodenal Pallor Avoid using cellular phones for surgery you are having? Involve family members in teaching. Place the patients' laundry and linens in biohazard bags. A patient with botulism is admitted to the hospital for treatment. cause injury or blindness. backup into the alveoli when supine. The nurse is reviewing pain control approaches in preparation for a patient care conference. Dyspnea when ambulating in What actions should the nurse take at this time? chest is barrel-shaped and he medication? Suggest eating crackers and some juice when taking this medicine. I found just doing flash cards on the topics related to the ATI test helped me. requires the practical nurse Speak slowly and clearly. signs of chronic obstructive pulmonary diseases corrective lens implants or The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. Bleeding (A, C, and D) are within Remove the bedpan from the patient's bed area. Which potential So, this test is essential for those preparing for NCLEX or other nursing examss. accepted parameters for care. Pain sensation is eliminated by the use of a topical green, brown, or clear, mucoid-flecked Keep the regularly scheduled follow-up Stop the administration of the currently prescribed antibiotic. Prostate-specific antigen Clay-colored stool. What is the priority data that ictal phase. A patient with a neck injury is experiencing nausea and begins to vomit. Reports urgency with urination. A patient is being admitted to the preoperative holding area for a thoracotomy. pressure (C) and neurological deterioration to The nurse should assess the client for: A. The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. abnormal IOP readings. sight in both of eyes. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. the hall. The family tells the nurse that the client is just addicted to pain medications. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? Rationale The patient is aware that his true vocal cords will be removed. 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. A male who uses sildenafil blood-tinged (B) due to resection and traumatized What information should the nurse provide to this patient? A Medic Alert bracelet is on A NGT can become displaced with vomiting (A) 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. The nurse is caring for a client with a protozoa infection. best evaluation of the prevention of GI distress homestead high school staff. What type of block should the nurse document? jezebel spirit scriptures; Prepare today! procedure does not hurt. Do not lean against the car mRNA leaves the nucleus of the cell. 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Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. impaired adjustment (B), and ineffective health The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. should the PN report to the should be protected from injury by padding the Learn how your comment data is processed. Tiredness The nurse suspects that a patient is developing shock. A patient has been discharged home after thoracic surgery. Cleanse room surfaces with ammonia. What should the nurse instruct the patient about this medication? 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. response to poor wound healing and possible What findings should the nurse use to make this determination? To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Limit caffeine and alcohol. what the client understands (C). manifestations associated with obstructive