MED-SURG 2 PRACTICE EXAM - Adult Health Questions

MED-SURG 2 PRACTICE EXAM - Adult Health Questions. The nurse helps a patient to cough and deep breathe after surgery. It is desirable for the patient to assume which of the following positions? side-lying prone supine high fowlers Ans High fowlers of the following actions is essential for the nurse to take after administration of a preoperative medication to a patient? raise the side rails of the bed tell the pt what to expect in the operating room discuss the pt's feelings about surgery ensure the operative permit is signed Ans raise the side rails of the bed nurse understands the purpose of a drain in a wound is to: prevent infection as a mean for bacteria to escape keep the tissues close together so that healing can occur evaluate the effectiveness of homeostasis create a space that will facilitate reconstructive surgery at a later date Ans keep the tissues close together so that healing can occur 4.a client returns from abdominal surgery with an order for morphine sulfate IV q 3 hours prn for pain. During the first 24 hours of surgery, which action by the nurse is BEST? offer pain medication every 4 hours offer pain medication every 3 hours Administer pain meds every 4 hours Administer pain meds every 3 hours Ans Administer pain meds every 3 hours 5.A client is admitted to the hospital with a temperature of 101 and WBC of 3,000mm3 . the nurse should institute which of the following precautions? contact precautions airborne precautions droplet precautions Neutropenic precautions Ans Neutropenic precautions 6,a client comes to the ER a foot with a dirty, rusty nail. The client states the last TD was 6 years ago. which of the following actions should the nurse take first? administer tetanus toxoid determine how many TD immunizations the client has received administer tetanus immune globulin monitor for lockjaw Ans determine how many TD immunizations the client has received 7.a patient requires a dressing change. the LPN nurse assigned to care for the patient reports to the registered nurse that she had once observed a similar dressing change while in nursing school, but has never performed the procedure. The RN should take which action? Ask the LPN to review the hospitals procedure manual regarding dressing changes. Review the steps of the dressing change with the LPN complete the dressing change while the LPN observes assigned a more experienced LPN to the patient Ans complete the dressing change while the LPN observes 8.The nurse counsels a patient about how to maintain an adequate intake of protein. The nurse determines that further teaching is required if the patient chooses which of the following foods? peanut butter on whole white bread rice and red beans orange toast and white toast spaghetti and meat sauce Ans orange toast and white toast nurse knows which statement is important about warfarin? it has a prolonged action it is never given for prolonged periods of time it must be given several times a day to be effective it can only be given parenterally Ans it has a prolonged action nurse observes a staff member prepare to leave the room of a patient on droplet precautions. The nurse should intervene if which of the following is observed? the nurse removes the gloves by pulling off inside out the staff member holds on to the outer surface of the face mask while pulling mask away from face the staff member unties the gown and removes it without touching the outside of the gown the nurse performs hand hygiene for 15 seconds Ans the staff member holds on to the outer surface of the face mask while pulling mask away from face al days post-op a pt states pain, tenderness and redness on her right calf. which signs and symptoms are critical for the nurse to assess next? nausea and abdominal distention back pain and hematuria chest pain and shortness of breath similar findings in the right arm Ans chest pain and shortness of breath nurse knows that aspirin, if given in high, prolonged dosages, may precipitate which of the following physiological changes? urinary frequency hypoventilation GI bleeding Hemoconcentration Ans GI bleeding promote evening rest and sleep for patients who are immobilized in bed, it is MOST important for the nurse to provide which of the following? privacy back rubs daily baths daytime activities Ans daytime activities nurse prepares 4 patients for surgery. the nurse is MOST concerned about the psychological adjustment of which of the following patients? a 13 year old girl having a wart removed from her nose a 26 year old man scheduled for a Whipple procedure due to cancer of the pancreas a 42 year old scheduled to have a begin cyst removed from her breast a 80 year old man scheduled to have a colostomy due to diverticular disease Ans a 26 year old man scheduled for a Whipple procedure due to cancer of the pancreas nurse understands that which of the following behaviors is helpful to facilitate a patient to have a bowel elimination? engage in sedentary activity increase dietary bulk decrease fluid intake use oral laxatives Ans increase dietary bulk nurse identifies which of the following lab findings reflects the signs and symptoms of infection? a creatine serum level of 2.4 mg/dL AST (SGOT) 15 u/L white blood cell count of 16,000mm3 white blood cell count of 4,000mm3. 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