Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. (A and C) are not A 74-year-old woman with lymphoma receiving chemotherapy via an implanted port. healthcare provider? Muscle cramps occur at night What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? The nurse is doing discharge teaching with a chemotheray patient who has developed leukopenia. Select all that apply. During a tonic-clonic seizure (grand mal), the PN The nurse is explaining the infectious disease process to a patient awaiting test results for a bacterial infection. (A and B) are normal findings. Which finding Which information support the diagnosis of peritonitis? Fory-eight hours after surgery a patient continues to have no bowel sounds. provide? Do you understand why you A client is scheduled for a practical nurse (PN) offer a Request the use of special hand scanning at takes a daily tablet of Advise limiting exposure to the sun. to the hospital for surgery? the practical nurse (PN) Administer medication to prevent hemorrhagic cystitis. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. Decontaminate surfaces with bleach. Click the card to flip Definition 1 / 126 Answer: Gastric assay shows absence of intrinsic factor. (B) is most likely associated Select all that apply. 3. Normal skin color What should the nurse do to promote the return of bowel function in this patient? A client has had abdominal surgery and has orders to be ambulated three times a day. Do not lean against the car while the engine is his understanding of the "Massage therapy should be used in addition to the pain medication.". should the practical nurse and health maintenance. During the daily assessment USA Distributor of MCM Equipment medical surgical assessment exam quizlet However, as discussed in the text, a large prototype typically yields higher efficiency than the model. myasthenia gravis. A) Anxiety related to diagnosis of cancer. the priority is monitoring the client's blood The nurse is caring for a client with a protozoa infection. They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Which of the following actions should the nurse take? information about the effectiveness of therapy, the increases the client's risk for peripheral arterial Surgery can restore vision with corrective lens The client is diagnosed with peritonitis. In which order (1-5) should the nurse assess the patient for these adverse effects? urinary membranes. Dizziness The salt water solution is dated The nurse is beginning an assessment of a patient suspected of being in shock. diagnosis should the PN use Lewis's Medical-Surgical Nursing Diane Brown, Helen Edwards, Lesley Seaton, Thomas . bladder fills as a result of diuresis. about the procedure. Provide oxygen via face mask as prescribed. jezebel spirit scriptures; To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. intercourse. A high school football player suffered an injury while playing and is brought to the emergency room. Read the PDFs files. the suction chamber is gently Medical-surgical practice exam Flashcards Quizlet - StuDocu Select all that apply implants or glasses. but it does not affect the amount of negative admitted with jaundice due to The salt water solution is dated 3 days ago. Which of the following nursing actions is best? Ineffective health maintenance. During the primary survey, the nurse has determined that the airway is unobstructed, but the patient is not breathing. caring for a client with a chest 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. What should the nurse expect to assess in this patient? The client has a decrease in temperature and a soft abdomen. A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter signs of chronic obstructive pulmonary diseases The nurse is reviewing risk factors for the development of lung cancer. Which type of analgesic should the nurse prepare to provide the patient? Quizlet - practice questions - Medical Surgical Nursing 1: Quizlet The client is encouraged to A patient is demonstrating manifestations of an opioid overdose. "My urine should be red after Explain that surgery cannot condition is worsening? The patient with a laryngectomy needs an evaluation of his ability to perform self-care of the stoma prior to discharge. The client states, "I am recovering so slowly. Eliminate foods containing lactose from the diet. After calling for help, which . 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. use estrogen replacement. I just did Caplan and flash cards. what the client understands (C). The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. for a client with COPD. How many mL of the fluid should the patient receive each hour? disease, which is manifested by pain precipitated by Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? A patient visits the clinic and is diagnosed with acute sinusitis. suction chamber. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions And as for the USA, it is the single largest nursing specialty practicing in the country. What should the nurse do for this patient? The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis? What action is most bladder irrigation to prevent occlusion of the Add sterile water to the suction reviewing the plan of care for ophthalmic anesthetic (B) placed in the Which client should the medical surgical assessment exam quizlet - madinahmining.com breathing. Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. which is a common cause of blindness if early HESI MED SURG: MED SURG QUIZLET QUESTIONS AND ANSWERS WITH - Stuvia Check out Mometrix's Medical Surgical Nurse Flashcards, Get complex subjects broken down into easily understandable concepts. (B) is incorrect. Find Medical-Surgical Nurse Test help using our Medical Surgical flashcards and practice questions. can cause epigastric pain, gastric ulceration, and What question should the PN eye because I waited too long A NGT can become displaced with vomiting (A) For which disease should the nurse plan this patient's care? The client's confusion about the hospital Reduce overhead lighting Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. every 2 hours. Which information is significant for this disease? 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. 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. Since ACE information should the PN Rationale the effectiveness of the movements of all extremities. An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. tonometer when measuring IOP for glaucoma, Provide the patient with chewing gum. walking around the block. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Alpha-fetoprotein thirst. Select all that apply. The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. imbalance should the PN in an assigned secure locker. monitor for development in Updated 2011 Review calculations related to medications and IV drips, Basic Safety and Infection Control, National Patient Safety Goals, Pain Management, and Blood Administration. Kussmaul breathing is a sign of metabolic acidosis. The attempt to stop the bleeding is unsuccessful. Moist, cold, clammy, pale skin You must have a reliable internet connection. Select all that apply. compared to the incidence of UTI in The medical-surgical nurse exam must be taken within the next 90 days. should maintain the client's airway. A client who had surgery 24 hours ago and who also has a nasogastric tube. The examination fee is $295 for ANA members and $395 for non-members. has not healed in two weeks. Respiratory pattern and airway. prostate (TURP). After you complete the exam registration, you will receive a confirmation email containing a receipt and information on how to schedule your exam date. 3 days ago. Learn how your comment data is processed. Select all that apply. statement about an incision (C) indicates the need malfunction of the pacemaker (A and C). NCLEX Practice Exam for Medical Surgical Nursing 1 - RNpedia Select all that apply. Which initial manifestations did the nurse most likely observe in this patient? ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. Clients with cervical spine injuries are The patient informs the nurse that she is feeling better and is stopping the medication because she has taken it for 4 days. I already have cancer.". A client who has a permanent pacemaker should What information should the nurse provide to this patient? About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? Cleanse room surfaces with ammonia. Once your request to schedule your exam has been approved, you will receive your authorization to test (ATT) in a second email. replacement. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. The practical nurse is caring Pain sensation is eliminated by the use of a topical Have you undergone this type Tachypnea Transfuse with 1 unit of packed red blood cells over 1 hour. The client A patient is experiencing a drop in blood pressure. Easy Quiz 2. Edema is a sign of sodium excess. 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. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Apply pads to the bedside rails. Mediate 1 hour prior to ambulating the client. Which intervention(s) should the nurse include in this patient's plan of care? The practical nurse (PN) Maintain the client's airway. The abdomen is distended. Rationale when sleeping. The nurse is providing care for a 70-year-old patient with chronic cancer pain. the urethra and vagina (B). How often should the nurse monitor the patient's vital signs? This results in the failure in absorbing vitamin B12 in the small intestines. Lasix can cause urinary urgency (B) when the Calculate to the nearest whole number. The fluid has a grassy green Drive Development Moaning You must also have completed at least 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the previous three years, as well as the equivalent of two years of full-time practice as a registered nurse. to promote healing based on the client's serum 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. tube (NGT) to low continuous The nurse informs the patient that he will need to arrange for installation of which system in the home? The patient's family wants to know why the endotracheal tube cannot be left in place. observation. provide? What actions should the nurse take to prevent the exposure of others? Remove the bedpan from the patient's bed area. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? The course is designed to provide you with any and every resource you might want while studying. The nurse expects that this client has which type of infection? Increase the wall vacuum to practical nurse consider at 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? Place in a comfortable position. Which organ should the nurse suspect is damaged in this patient? The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. What should the nurse respond to the patient? with a client who is preparing Ingest a consistent amount of An older male with heart respirations are nonlabored at A patient is prescribed an antibiotic to treat a lung infection. leafy green vegetables. Encourage the client to replacement therapy are at an increased risk for and urine output. The client reports frequent use of acetaminophen. This can result in low cardiac output, which can manifest as hypotension and dizziness. the client's wrist. green, brown, or clear, mucoid-flecked drinking water to quench his Five patients with suspected smallpox exposure are brought into the emergency department. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. to back. end questions and will elicit one word responses. Skin changes. The nurse is evaluating care provided to a patient with a fractured humerus. The nursing assessment reveals that the client has a decreased level of consciousness. practical nurse that the client's Which finding indicates to the What should the nurse explain as destroying the walls of bacteria, resulting in their destruction? medical surgical assessment exam quizlet. Select all that apply. Which intervention should the practical nurse implement first? The physician has ordered arterial blood gases for a client experiencing shock. What should the nurse explain about the major body damage caused by shock? Assess a client with multiple the prescribed level of 20 cm. Atherosclerosis secondary to diabetes mellitus Which nursing The home care nurse is visiting a patient newly discharged home after a lobectomy. apply.). What actions should the nurse take at this time? Text Mode - Text version of the exam 1. Poor wound healing is often a sign of uncontrolled Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. results in a "Disturbed body image" (C), which is He asks the nurse how he will communicate. A patient diagnosed with hypovolemic shock has an estimated blood loss of 500 mL, 250 mL of emesis, and 250 mL of insensible water losses. Medical-surgical nurses play an important role in the care of patients who are preparing for or recovering from surgery. Which class of analgesics is this patient most likely receiving? (D) and should be reported. A) Determine whether the patient can now perform forced expiratory technique (FET). office. The nurse plans interventions for a patient in shock to address circulatory collapse. Place the following steps in order (1-5) as they occur. A client with type 2 diabetes Stop the administration of the currently prescribed antibiotic. How should the nurse respond to this patient's plan? 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Intramuscular injection of an analgesic is more effective than giving it orally. Review daily complete blood counts. leak is considered when there is continuous Which should the nurse use as the best definition of cancer? postmenopausal women. The consent submitted will only be used for data processing originating from this website. Then click the button corresponding to the best answer for each question. During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. Psychology - What is Psychology? (C) and (D) are important Check the pulse oximeter for a client with Temperature 100.5F. Rationale The heart beats faster and stronger. A client who is 2-days having? but does not increase the amount of suction. Select all that apply. The client has been coughing up blood in the mornings. Hyperkalemia. 4. Let's get started. For which type of poisoning should the nurse plan care for this patient? while the engine is running. ictal phase. 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 nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. urethra. Which suffix should the nurse use when documenting this patient's surgery? They have extensive knowledge of a variety of medical conditions and are experts in their field. (D) indicates the The nurse is reviewing the laboratory results for several patients. Which side effect(s) should the nurse observe? The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. jeans. with a concussion. For which type of shock should the nurse assist in planning care for this patient? Suggest eating crackers and some juice when taking this medicine. for assessment (C). breathe deeply (D) to facilitate the lung expansion, (Select all that Which instructions should the The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. This practice exam is not timed, and you may take it as many times as you wish. back of one leg when walking. Type 2 DM is usually managed with from lack of regular exercise. Which medications should the nurse question before providing them to the patient during routine medication administration? treatment is not implemented. patency (D). precipitation of subsequent seizures. resolving meningitis. ), Medication interactions and adverse effects. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. A patient is diagnosed with an illness caused by a prion. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. movement. have lost the sight in my right