TEXTBOOK OF MEDICAL-
SURGICAL NURSING
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Certainly! Here are all the questions and answers numbered:
1. The nurse in the oncology clinic is caring for a 42-year-old female client receiving
chemotherapy with fludarabine for acute myeloid leukemia who has developed petechiae,
epistaxis, and ecchymosis.
**Client has developed ______________ that the laboratory results will reveal
__________**
**Answer:** hemorrhage that the laboratory results will reveal thrombocytopenia.
2. The nurse provides care for a client, with a history of atherosclerosis, who is hospitalized
for the initiation of pharmacotherapy for the treatment of hypothyroidism.
**The client is at highest risk for developing _______________ as evidenced by
______________.**
**Answer:** cardiovascular disease that the laboratory results will reveal hyperlipidemia.
3. The nurse is caring for a 24-year-old female client with a right tibial fracture treated with a
cast 2 hours ago. The client now reports unrelenting pain, rated as 7/10, despite taking
oxycodone, and decreased sensation in the right foot. A nursing assessment reveals the right
foot is cooler and paler than the left foot, with delayed capillary refill and a weak pulse.
**Based on the nursing assessment, the priority action the nurse should take is to
_________________________ and prepare the client for _________________**
**Answer:** to notify the orthopedic health care provider immediately and prepare the
client for bivalving of the cast.
4. The nurse assesses a client who has a nasogastric tube for long-term nutritional needs for
complications associated with the medical device.
**The nurse monitors the client for ___________ , a finding indicative of _____________.**
**Answer:** aspiration and pneumonia.
5. The office nurse is reviewing an 80-year-old female client's reports related to the onset of
a severe headache, rated at 9 out of 10 on the pain scale, with recent onset. The client
denies any visual changes. During a prior visit, the client had reported a fall hitting the back
of her head. Imaging was negative.
SURGICAL NURSING
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Certainly! Here are all the questions and answers numbered:
1. The nurse in the oncology clinic is caring for a 42-year-old female client receiving
chemotherapy with fludarabine for acute myeloid leukemia who has developed petechiae,
epistaxis, and ecchymosis.
**Client has developed ______________ that the laboratory results will reveal
__________**
**Answer:** hemorrhage that the laboratory results will reveal thrombocytopenia.
2. The nurse provides care for a client, with a history of atherosclerosis, who is hospitalized
for the initiation of pharmacotherapy for the treatment of hypothyroidism.
**The client is at highest risk for developing _______________ as evidenced by
______________.**
**Answer:** cardiovascular disease that the laboratory results will reveal hyperlipidemia.
3. The nurse is caring for a 24-year-old female client with a right tibial fracture treated with a
cast 2 hours ago. The client now reports unrelenting pain, rated as 7/10, despite taking
oxycodone, and decreased sensation in the right foot. A nursing assessment reveals the right
foot is cooler and paler than the left foot, with delayed capillary refill and a weak pulse.
**Based on the nursing assessment, the priority action the nurse should take is to
_________________________ and prepare the client for _________________**
**Answer:** to notify the orthopedic health care provider immediately and prepare the
client for bivalving of the cast.
4. The nurse assesses a client who has a nasogastric tube for long-term nutritional needs for
complications associated with the medical device.
**The nurse monitors the client for ___________ , a finding indicative of _____________.**
**Answer:** aspiration and pneumonia.
5. The office nurse is reviewing an 80-year-old female client's reports related to the onset of
a severe headache, rated at 9 out of 10 on the pain scale, with recent onset. The client
denies any visual changes. During a prior visit, the client had reported a fall hitting the back
of her head. Imaging was negative.
