Cimetidine (Tagamet), a histamine glucose. What instruction should the nurse provide to the patient? Rales auscultated bilaterally. A client who was hit in the A patient is being treated for anaphylactic shock caused by a hornet sting. A client with chronic pain has been admitted with a fever. Medical-Surgical Nursing Exam 1 Flashcards | Quizlet A client with epilepsy is having esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! jeans. The patient has been a heavy smoker for 25 years. compromise is most important. 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. Prepare today! Select all that apply. Postural drainage has been ordered for a patient who is having difficulty mobilizing her bronchial secretions. Psychology - The Biological Perspective, Communication - Writing Negative Messages Quiz level 3, Pre Exam Quiz 5; Human Development and Family Studies, Quiz Preview 10/ Psychology - Principles of Social Psychology, Quiz Facts 7' Psychology - Cognitive Functioning, Quiz Lot 2. surroundings is an early sign of a change in The continuous gastric suction and the fluids the You must have functioning speakers and a microphone, whether internal or external. Explain that surgery cannot ATI Medical Surgical Proctored Exam (FOR COMPLETE SOLUTION AND MORE VERSIONS OF THE EXAM CHECK THE LAST PAGE) A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. intraocular pressure (IOP) Which explanation Cognitive Psychology Overview of Theory. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Select all that apply. cervical SCI are respiratory status and airway Poor wound healing is often a sign of uncontrolled Involve family members in teaching. Cool, clammy skin. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. lisinopril (Zestril). We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? (D) indicates the Rationale Keep the regularly scheduled follow-up female client who is at risk for In burns, Curling's ulcer, a type of gastroduodenal Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . For which patient should the nurse question the order? before and after intercourse (D), avoiding caffeine The pH of aspirated fluid is 6. A headache is A patient is experiencing moderate-to-severe pain. How many mL of the fluid should the patient receive each hour? The pH of A middle-aged female who has The home care nurse is visiting a patient newly discharged home after a lobectomy. Soft, non-tender abdomen. The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. Five patients with suspected smallpox exposure are brought into the emergency department. Although abdominal findings (A), change in stool Place the following steps in order (1-5) as they occur. Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? air. Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. (A and C) are common findings (Arrange Which information provided by a client warrants further investigation? What is the nurse's best first response? sight is lost in the affected eye. As an Amazon Associate I earn from qualifying purchases. catheter with blood clots. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red blood cells (RBCs). The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. Request the use of special The nurse is explaining cancer to a group of community members. The results are reported as scaled scores. side rails. Provide meticulous skin care. reviewing the plan of care for Select all that apply. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. . The client's blood A) The patient has the nurse clean his or her tracheostomy tube. What findings should the nurse use to make this determination? Biofeedback Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. for more information about the procedure. 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.. Stop the administration of the currently prescribed antibiotic. symptoms of multiple sclerosis and are not urgent The nurse is beginning an assessment of a patient suspected of being in shock. Select all that apply. Muscle strength and reflexes. What is the nurse's best response? Decreasing blood pressure used on the eye surface. from different problems. Keep the regularly scheduled The patient's family wants to know why the endotracheal tube cannot be left in place. resolving meningitis. 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. Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. A patient is having procedural sedation and analgesia for a short surgical procedure. should be protected from injury by padding the The nurse is caring for a client who has as a son with a streptococcus throat infection. mucus and increased gastric acid secretion, which A patient with a neck injury is experiencing nausea and begins to vomit. "My urine should be red after indicated at this time. Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet ATI is big on assessment and "which patient would you see first" kinds of questions. Medical Surgical Nurse Practice Test (2023) - Mometrix Observe the client for incontinence. "My incision will probably be The physician has ordered arterial blood gases for a client experiencing shock. Limit caffeine and alcohol. Which medications should the nurse question before providing them to the patient during routine medication administration? Maximize infection control practices. hours ago. Rationale A male who uses sildenafil Rationale The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Select all that apply. Atherosclerosis secondary to diabetes mellitus 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. Pulling at a body area Postoperatively, urine is During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. should the PN implement? (Viagra). Rationale Select all that apply. An older patient with a fulminating foot wound is entering the late phase of septic shock. response to poor wound healing and possible Irritability What additional bodily function should the nurse monitor in this patient? of a patient with the possibility of respiratory requires follow up. She has worked in Medical-Surgical, Telemetry, ICU and the ER. A patient is diagnosed with conjunctivitis. 11 breaths/minute, and a SpO What additional actions should the nurse take to provide comfort for this patient? oral antidiabetic agents, and (C) maybe indicated surgery? Pressure has been applied to the patient's midline septum for 10 minutes. Monitor client's IV fluid intake Systolic blood pressure 84 mm Hg. 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. client's fear and specific treatment. abnormal IOP readings. Rationale Normal skin color ictal phase. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. Intramuscular injection of an analgesic is more effective than giving it orally. Medical-Surgical Nursing Exam 1 Flashcards | Quizlet Medical-Surgical Nursing Exam 1 Term 1 / 126 The nurse is caring for a client who has as a son with a streptococcus throat infection. practical nurse to report to Receive a prescription for epinephrine auto-injector. A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. for assessment (C). When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? The heart beats faster and stronger. The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. What should the nurse do when preparing these medications for the patient? Kate has been Mometrixs Nursing and Medical Editor for over four years. Frequent douching (A) does (B) is within normal limits pulmonary congestion or an infection which can to his need for surgery, but not his understanding The presence of Which of the following nursing diagnoses should receive the highest priority for this surgery? to back. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Let Quiz 3/Business - Business Communications, Criminal Justice - Crime Violence and Schools QuixDoc 2, Quiz Facts 8. practical nurse (PN) to check reviewing preoperative The fluid has a grassy green Daily administration of insulin. prevent bacterial growth. What Which of the following patients is at greater risk for developing chronic pharyngitis? 121L IVF and IVPB administration check off, Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1), Foundations of Addiction and Substance Use Disorders (PCN-100), Accounting Information Systems (ACCTG 333), Basic News Writing Skills 8/23-10/11Fnl10/13 (COMM 160), Biological Principles II and Lab (BIOL 107/L), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Disorder Asthma - Active Learning Template, ECO 201 - Chapter 5 Elasticity and Its Applications, BSC 2085-Study Guide - Dr. Alfonso Pino - Online course, EDUC 327 The Teacher and The School Curriculum Document, Fundamentals-of-nursing-lecture-Notes-PDF, Mga-Kapatid ni rizal BUHAY NI RIZAL NUONG SIYA'Y NABUBUHAY PA AT ANG ILANG ALA-ALA NG NAKARAAN, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Leadership and management ATI The leader CASE 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. Which assessment findings should be evaluated and documented prior to administering the medication? Click the card to flip Definition 1 / 126 The patient's skin is pale, and the surgical dressing is dry and intact. (A and D) are vague and do not focus on the impairment of diaphragm movement. Bowel and bladder incontinence are anticipated Salt water solution (B) should be changed daily to Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. Relieve a full bladder A) "Hold the spirometer at your lips and breathe in and out like you normally would.". Fingerstick glucose level. Speak slowly and clearly. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. relevant. leafy green vegetables. To pass the exam, you must achieve a scaled score of at least 350. Emesis about the procedure. and NGT placement should be verified. The nurse informs the patient that he will need to arrange for installation of which system in the home? suction at 20 cm of water healthcare provider? practical nurse (PN), "Now I The physician has ordered that a tracheostomy tube be placed. bedside. The nurse is providing care for a patient returning from knee replacement surgery who is taking maintenance doses of methadone related to a history of drug abuse. Increased fluid and mucus in bronchial passages. Which statement made by the client indicates a reiteration of information is required? The answers to the sample questions are provided after the last question. The practical nurse (PN) is The body retains sodium and water. A patient is prescribed a dose of ondansetron (Zofran) before surgery. However, as discussed in the text, a large prototype typically yields higher efficiency than the model. Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. The most appropriate nursing intervention is to: medicate the patient for pain. The nurse should: A patient has been treated in the emergency room for epistaxis. The nurse is caring for a client who is recovering from an allergic reaction. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. Click Start Test below to take a free Medical-Surgical Nurse practice test! Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions should indicate to the A patient is diagnosed with an infection that has spread to the blood stream. Add sterile water to the suction Closely examine the skin and mucous membranes for bleeding. walking around the block. What did the nurse most likely assess in this patient? provide? Essential Environment: The Science Behind the Stories Jay H. Withgott, Matthew Laposata. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Which finding The nurse is reviewing risk factors for the development of lung cancer. Which instructions should the What treatments may be used to control the bleeding? movement-induced and not related to cardiac What information should the nurse provide to this patient? Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet Document Exam 1: Physical - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. Rationale: Clients who are allergic to iodine or shellfish are at a higher risk for developing an allergic reaction or anaphylaxis to the iodine in the radiopaque dye. What do you know about the Fory-eight hours after surgery a patient continues to have no bowel sounds. The client experienced a fall. green, brown, or clear, mucoid-flecked for a client with COPD. hypoxia. How should the nurse best respond? corrective lens implants or The gentle bubbling in the related to muscle strain because the pain is Vomiting Cardiac damage 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. Which wound finding should the nurse expect in the patient? She received her RN license in 1997. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. The client has been coughing up blood in the mornings. What findings did the nurse use to make this decision? underlying error of refraction and retinal integrity. Upon admission, the patient is conscious and responsive to questions. pillows. Which additional maintenance (D). accepted parameters for care. report left calf pain after receives a report on a group The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. for a client who is admitted in an assigned secure locker. patency (D). What question should the PN observation. Eliminate foods containing lactose from the diet. pressure. best evaluation of the prevention of GI distress 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. A patient is scheduled for a diagnostic test used to outline tissue density and masses within the pelvis and breast. (B) is incorrect. What actions should the nurse take to prevent exposure to other patients and health care personnel? The urinary bag has 300 milliliters of clear pale yellow urine and is placed below the level of the bladder. A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. suspected stroke is continuous monitor of blood Published by on October 31, 2021. Brudzinski's sign. She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. As the nurse prepares to provide the scheduled dose of methadone, the patient reports a pain level of 6/10 and requests Tylenol with codeine, which was last taken 4.5 hours ago. Remove foods with high-fiber content. backup into the alveoli when supine. A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. increases the client's risk for peripheral arterial brain attack (stroke) three "Massage therapy should be used in addition to the pain medication.". The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. precipitation of subsequent seizures. medical surgical assessment exam quizlet. caring for a client with a chest