Med Surg Proctored 2023

Med Surg Proctored 2023
.rTherclientrreturnsrtorhisrroomrafterrarthoracotomy.rWhatrwillrthernursing
assessmentrrevealrifrhypovolemiarfromrexcessiverbloodrlossrisrpresent?
a.rCVProfr3rcmrH20randrurineroutputrofr20rmL/hr
b.rJugularrveinrdistentionrwithrtherheadrelevatedr45rdegrees
c.rChestrtuberdrainagerofr50rmL/hrrinrtherfirstr2rhours
d.rPersistentrincreasedrBPrandrincreasedrpulserpressurer-rcorrectranswer--
a.rCVProfr3rcmrH20randrurineroutputrofr20rmL/hr

.rThernurseradministeringralbuterolr(Proventil)rviararmetered-doserinhalerr(MDI)
torarclientrwhorhasrarhistoryrofrcoronaryrarteryrdiseaserisrnowrinrcongestiverheart
failure.rWhatrsidereffectsrwillrberparticularlyrimportantrtorobserverforrwhenrtherclient
takesrthermedication?
a.Tremorsrandrcentralrnervousrsystemrstimulation
b.rTachycardiarandrchestrdiscomfort
c.rDevelopmentrofroralrcandidiasis
d.rAnrincreaserinrbloodrpressurer-rcorrectranswer--
a.Tremorsrandrcentralrnervousrsystemrstimulation

.rTherRNrobservesrallrofrtherfollowingractionsrbeginrtakenrbyrarstaffrnurserwhorhas
floatedrtortherunit.rWhichractionrrequiresrthatrtherRNrintervene?
a.Thernurserusesrlatexrglovesrwhenrapplyingrantibacterialrcreamrtorarburn
wound
b.rTherfloatrnurserobtainsrburnrculturesrwhenrtherpatientrhasrartemprofr101*rF
c.rTherfloatrnurseradministersrPRNrfentanylr(Sublimaze)rIVrtorarptr5rminutes
beforerardressingrchange
d.rTherfloatrnursercallsrtherhealthrcarerproviderrforranrinsulinrorderrwhenra
nondiabeticrptrhasranrelevatedrserumrglucoser-rcorrectranswer--
Thernurserusesrlatexrglovesrwhenrapplyingrantibacterialrcreamrtorarburn
wound

.rWhatrisrtherdesiredractionrofrdopaminer(Intropin)rwhenradministeredrinrthe
treatmentrofrshock?
a.Itrincreasesrmyocardialrcontractility
b.rItrisrassociatedrwithrfewerrsevererallergicrreactions
c.rItrcausesrrapidrvasodilationrofrthervascularrbed
d.rItrsupportsrrenalrperfusionrbyrdilationrofrtherrenalrarteriesr-rcorrectranswer--
a.Itrincreasesrmyocardialrcontractility

)rWhilertalkingrwithrarclientrwithrardiagnosisrofrendrstagerliverrdisease.rThernurse
noticesrtherclientrisrunablertorstayrawakerandrseemsrtorfallrasleeprinrthermiddlerofra
sentence.rThernurserrecognizesrthesersymptomsrtorberindicativerofrwhatrcondition?
A.rHyperglycemia

, B.rIncreasedrBilerproduction
C.rIncreasedrbloodrammoniarlevels
D.rHypocalcaemiar-rcorrectranswer--C.rIncreasedrbloodrammoniarlevels

1.rArnurserinrarburnrtreatmentrcenterrisrcaringrforrarclientrwhorisradmittedrwith
severerburnsrtorbothrlowerrextremitiesrandrisrpendingranrescharotomy.rTherclient's
spouserasksrthernurserwhatrtherprocedurerentails.rWhichrofrtherfollowing
nursingrstatementsrisrappropriate?
a."largerincisionsrwillrbermaderinrtherescharrtorimprovercirculation"
b.r"rIrcanrcallrtherdoctorrbackrhererifryourwantrmerto"
c.r"arpiecerofrskinrwillrberremovedrandrgraftedroverrtherburnedrarea"
d.r"deadrtissuerwillrbersurgicallyrremoved"r-rcorrectranswer--
a."largerincisionsrwillrbermaderinrtherescharrtorimprovercirculation"

12.rArnurserisrcaringrforrarclientrfollowingrarCTrscanrwithrdyerwhorsufferedrfromran
anaphylacticrreaction.rWhichrofrtherfollowingrconditionsrrequiresrarpriorityrnursing
response?
a.rurticaria
b.rstridor
c.rtachypnea
d.rangioedemar-rcorrectranswer--b.rstridor

4.rArnurserisrassessingrtherdepthrandrextentrofrarclientrwhorhasrsevererburnsrtorthe
face,rneck,randrupperrextremities.rWhichrofrtherfollowingrfactorsrisrtherfirstrpriority
whenrassessingrtherseverityrofrtherburn?
a.rAgerofrtherclient
b.rAssociatedrmedicalrhistory
c.rLocationrofrtherburn
d.rCauserofrtherburnr-rcorrectranswer--d.rCauserofrtherburn

4.rNorepinephriner(Levophed)rhasrbeenrorderedrforrarclientrinrhypovolemicrshock.
Beforeradministeringrtherdrug,rthernursershouldrmakersurerthatrtherclientrhas:
a.rArheartrraterofrlessrthanr120rbeats/min
b.rUrineroutputrofratrleastr30rmL/hr.
c.rReceivedradequateranticoagulation
d.rBeenrreceivingradequaterIVrfluidrreplacementr-rcorrectranswer--
d.rBeenrreceivingradequaterIVrfluidrreplacement

41.rWhichrinterventionsrwillrthernurserincluderinrtherplanrofrthercarerforrarpatient
whorhasrcardiogenicrshock?
a.rAvoidrelevatingrheadrofrbed
b.rCheckrtemperaturereveryr2rhours
c.rMonitorrbreathrsoundsrfrequently
d.rAssessrskinrforrflushingrandritchingr-rcorrectranswer--c.rMonitorrbreathrsoundsrfrequently

65.rWhenrteachingrarclientraboutrtherexpectedroutcomesrafterrintravenous