MEDICAL SURGICAL ASSIGNMENT EXAM

1. A client is admitted to the hospital with a traumatic brain injury after his head violently struck a brick wall during a gang fight. Which finding ID: 42 is most important for the nurse to assess further? A. A scalp laceration oozing blood. B. Headache rated "10" on a 0-10 scale. C. • Serosanguineous nasal drainage. Correct D. Dizziness, nausea and transient confusion. Any nasal discharge following a head injury should be evaluated to determine the presence of cerebral spinal fluid which would indicate a tear in the dura making the client susceptible to meningitis. Awarded 1.0 points out of 1.0 possible points. 2. A couple trying to cope with an infertility problem wants to know what can be done to preserve emotional equilibrium. What is the best ID: 37 response for the nurse to provide? A. "Start adoption proceedings immediately since obtaining an infant is very difficult." B. "Tell your friends and family so that they can help you." C. "Talkonly to other friends who are infertile since only they can help." • "Get involved with a support group. I will give you some names." D. Correct A support group provides a safe haven for the couple to share their feelings and experience, gain insight from others dealing with the same experience, and assure the couple that they are not alone in their situation. Awarded 1.0 points out of 1.0 possible points. 3. When teaching a client with breast cancer about the prescribed radiation therapy for treatment, what information is important to include? ID: 89 A. There is a possibility of long bone pain. B. Permanent pigment changes to the breast may result. • Dry, itchy skin changes may occur C. Correct D. A low-residue diet may be prescribed to reduce the likelihood of diarrhea. Side effects from radiation to the breast most often include temporary skin changes such as dryness, tenderness, redness, swelling, and pruritus. Awarded 1.0 points out of 1.0 possible points. 4. A female client is recently diagnosed with Sarcoidosis. The client tells the registered nurse (RN) that she does not understand why she has ID: 16 this. When teaching the client, the RN should include that sarcoidosis most commonly occurs with which ethnic group of women? A. Hispanic women. B. Asian women. C. Caucasian women. • African American women. D. Correct Sarcoidosis, an autoimmune inflammatory disease affecting multiple organs and has shown familial tendency due to multiple genes that together increase the susceptibility of developing the disease. In research studies it occurs more commonly in African American women (10-80 out of 100,000); compare to Caucasian women of the United States (8 out of 100,000). Awarded 1.0 points out of 1.0 possible points. 5. A male client with a prostatic stent is preparing for discharge. Which information is most important for the nurse to provide the client prior to ID: 83 discharge?