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MEDICAL SURGICAL NURSING PACKAGE DEAL
MEDICAL SURGICAL NURSING PACKAGE DEAL
[Meer zien]MEDICAL SURGICAL NURSING PACKAGE DEAL
[Meer zien]The nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? 
 
A. Hospitalized children with acute and chronic illnesses 
B. Hospitalized adults with acute and chronic ...
Voorbeeld 2 van de 10 pagina's
In winkelwagenThe nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? 
 
A. Hospitalized children with acute and chronic illnesses 
B. Hospitalized adults with acute and chronic ...
____ Surgeries: 
Typically an elective surgery in a non-contaminated, non-traumatic, & non-inflamed surgical site. 
EX: neuter, elective orthopedic surgery. 
Clean Surgeries 
 
 
 
_____ Surgeries: 
Surgical incision into contaminated area. 
Surgery involves the respiratory, GI, or genitourinary sys...
Voorbeeld 2 van de 6 pagina's
In winkelwagen____ Surgeries: 
Typically an elective surgery in a non-contaminated, non-traumatic, & non-inflamed surgical site. 
EX: neuter, elective orthopedic surgery. 
Clean Surgeries 
 
 
 
_____ Surgeries: 
Surgical incision into contaminated area. 
Surgery involves the respiratory, GI, or genitourinary sys...
Which question asked by the nurse will give the most information about the patient's metastatic bone cancer pain? 
a. "How long have you had this pain?" 
b. "How would you describe your pain?" 
c. "How often do you take pain medication?" 
d. "How much medication do you take for the pain?" 
...
Voorbeeld 2 van de 7 pagina's
In winkelwagenWhich question asked by the nurse will give the most information about the patient's metastatic bone cancer pain? 
a. "How long have you had this pain?" 
b. "How would you describe your pain?" 
c. "How often do you take pain medication?" 
d. "How much medication do you take for the pain?" 
...
A perioperative nurse is preparing a patient for surgery for treatment of a ruptured spleen as the result of an automobile crash. The nurse knows that this type of surgery belongs in what category? 
 
a) Minor, diagnostic 
b) Minor, elective 
c) Major, emergency 
d) Major, palliative 
Answer: Major,...
Voorbeeld 4 van de 35 pagina's
In winkelwagenA perioperative nurse is preparing a patient for surgery for treatment of a ruptured spleen as the result of an automobile crash. The nurse knows that this type of surgery belongs in what category? 
 
a) Minor, diagnostic 
b) Minor, elective 
c) Major, emergency 
d) Major, palliative 
Answer: Major,...
- Identify patients correctly 
- Improve staff communication 
- Use medicines safely 
- Use alarms safely 
- Identify patient safety risks 
- Prevent Infection 
- Prevent mistakes in surgery 
What Are the 2017 Hospital National Patient Safety Goals? 
 
 
 
- Diagnosis (Yes or No) 
- Exploration (Fin...
Voorbeeld 2 van de 11 pagina's
In winkelwagen- Identify patients correctly 
- Improve staff communication 
- Use medicines safely 
- Use alarms safely 
- Identify patient safety risks 
- Prevent Infection 
- Prevent mistakes in surgery 
What Are the 2017 Hospital National Patient Safety Goals? 
 
 
 
- Diagnosis (Yes or No) 
- Exploration (Fin...
- Identify patients correctly 
- Improve staff communication 
- Use medicines safely 
- Use alarms safely 
- Identify patient safety risks 
- Prevent Infection 
- Prevent mistakes in surgery 
What Are the 2017 Hospital National Patient Safety Goals? 
 
 
 
- Diagnosis (Yes or No) 
- Exploration (Fin...
Voorbeeld 2 van de 11 pagina's
In winkelwagen- Identify patients correctly 
- Improve staff communication 
- Use medicines safely 
- Use alarms safely 
- Identify patient safety risks 
- Prevent Infection 
- Prevent mistakes in surgery 
What Are the 2017 Hospital National Patient Safety Goals? 
 
 
 
- Diagnosis (Yes or No) 
- Exploration (Fin...
List the sites for intramuscular injections (include name the muscles used). 
Ventrogluteal- 0-4mls 
Vastus lateratis- 5mls 
dorsogluteal- not used 
Deltoid- not over 4 mls 
 
 
 
The 3 principles of pain control are 
3 principles of chronic pain management 
Give the client as much control as possib...
Voorbeeld 3 van de 17 pagina's
In winkelwagenList the sites for intramuscular injections (include name the muscles used). 
Ventrogluteal- 0-4mls 
Vastus lateratis- 5mls 
dorsogluteal- not used 
Deltoid- not over 4 mls 
 
 
 
The 3 principles of pain control are 
3 principles of chronic pain management 
Give the client as much control as possib...
To promote the release of surfactant, the nurse encourages the patient to 
 
a. take deep breaths 
b. cough five times per hour to prevent alveolar collapse 
c. decrease fluid intake to reduce fluid accumulation in the alveoli 
d. sit with head of bed elevated to promote air movement through the por...
Voorbeeld 4 van de 56 pagina's
In winkelwagenTo promote the release of surfactant, the nurse encourages the patient to 
 
a. take deep breaths 
b. cough five times per hour to prevent alveolar collapse 
c. decrease fluid intake to reduce fluid accumulation in the alveoli 
d. sit with head of bed elevated to promote air movement through the por...
A&P of Burn injury 
Immediate release of catecholamines and other mediators 
-Increased BP and HR, vasoconstriction, disrupted blood flow 
Increased capillary permeability 
-Edema anywhere including lungs, third spacing, low Na, hypovolemia, massive fluid shifts 
Decreased perfusion to GI system 
-P...
Voorbeeld 2 van de 8 pagina's
In winkelwagenA&P of Burn injury 
Immediate release of catecholamines and other mediators 
-Increased BP and HR, vasoconstriction, disrupted blood flow 
Increased capillary permeability 
-Edema anywhere including lungs, third spacing, low Na, hypovolemia, massive fluid shifts 
Decreased perfusion to GI system 
-P...
A nurse is providing discharge teaching to the family of a client who has a new diagnosis of a seizure disorder. The nurse should instruct the client's family to take what action first in the event of a seizure? 
a. reorient the client 
b. protect the client's head 
c. loosen constrictive clothing...
Voorbeeld 2 van de 8 pagina's
In winkelwagenA nurse is providing discharge teaching to the family of a client who has a new diagnosis of a seizure disorder. The nurse should instruct the client's family to take what action first in the event of a seizure? 
a. reorient the client 
b. protect the client's head 
c. loosen constrictive clothing...
A patient in balanced suspension traction for a fractured femur needs to be repositioned toward the head of the bed. During repositioning, the nurse should: 
 
A. maintain the same degree of traction tension. 
B. place slight additional tension on the traction cord. 
C. lift the traction and the pat...
Voorbeeld 2 van de 11 pagina's
In winkelwagenA patient in balanced suspension traction for a fractured femur needs to be repositioned toward the head of the bed. During repositioning, the nurse should: 
 
A. maintain the same degree of traction tension. 
B. place slight additional tension on the traction cord. 
C. lift the traction and the pat...
4 
 
In the fasting state, hormones such as catecholamines, cortisol, and glucagon break down stored complexes to provide glucose as a fuel for energy. Insulin is responsible for anabolism. Aldosterone plays a major role in fluid and electrolyte balance. Somatostatin inhibits other hormones, such as...
Voorbeeld 2 van de 14 pagina's
In winkelwagen4 
 
In the fasting state, hormones such as catecholamines, cortisol, and glucagon break down stored complexes to provide glucose as a fuel for energy. Insulin is responsible for anabolism. Aldosterone plays a major role in fluid and electrolyte balance. Somatostatin inhibits other hormones, such as...
Acromegaly 
Excess of growth hormone as an adult, after the epiphyseal plate closure 
Generally affects middle-aged adults 
Starts gradually (average of 7-9 years, btw onset and finalDX 
 
 
 
Causes of Acromegaly 
most common in pituitary adenoma 
The life expectancy of these patients are reduced 5...
Voorbeeld 3 van de 17 pagina's
In winkelwagenAcromegaly 
Excess of growth hormone as an adult, after the epiphyseal plate closure 
Generally affects middle-aged adults 
Starts gradually (average of 7-9 years, btw onset and finalDX 
 
 
 
Causes of Acromegaly 
most common in pituitary adenoma 
The life expectancy of these patients are reduced 5...
1. The nurse teaches a 66-year-old man with hypertension and osteoarthritis about actions to prevent and control epistaxis. Which statement, if made by the patient, indicates further teaching is required? 
 
a. "I should avoid using ibuprofen (Motrin) for pain and discomfort." 
b."It is important...
Voorbeeld 2 van de 10 pagina's
In winkelwagen1. The nurse teaches a 66-year-old man with hypertension and osteoarthritis about actions to prevent and control epistaxis. Which statement, if made by the patient, indicates further teaching is required? 
 
a. "I should avoid using ibuprofen (Motrin) for pain and discomfort." 
b."It is important...
define: a sequential reaction to cell injury 
 
alizes and dilutes the inflammatory agent 
2. removes necrotic material 
3. establishes an environment suitable for healing and repair. 
inflammatory response define: 3 
 
 
 
mmation is ALWAYS present with infection 
2. infection is NOT always present...
Voorbeeld 2 van de 7 pagina's
In winkelwagendefine: a sequential reaction to cell injury 
 
alizes and dilutes the inflammatory agent 
2. removes necrotic material 
3. establishes an environment suitable for healing and repair. 
inflammatory response define: 3 
 
 
 
mmation is ALWAYS present with infection 
2. infection is NOT always present...
Regarding wound healing, it is better to: 
A: Increase the size of the suture material rather than the number of sutures 
B: Increase the number of sutures rather than the size of the suture material 
C: Decrease both the size of the suture material and the number of the sutures 
D: Increase both th...
Voorbeeld 2 van de 15 pagina's
In winkelwagenRegarding wound healing, it is better to: 
A: Increase the size of the suture material rather than the number of sutures 
B: Increase the number of sutures rather than the size of the suture material 
C: Decrease both the size of the suture material and the number of the sutures 
D: Increase both th...
Professional Nursing (Chapter 1: Harding Textbook) 
As a nurse, you (1) offer skilled care to those recovering from illness or injury, (2) advocate for patients' rights, (3) teach patients to manage their health, (4) support patients and their caregivers at critical times, and (5) help them navigat...
Voorbeeld 4 van de 48 pagina's
In winkelwagenProfessional Nursing (Chapter 1: Harding Textbook) 
As a nurse, you (1) offer skilled care to those recovering from illness or injury, (2) advocate for patients' rights, (3) teach patients to manage their health, (4) support patients and their caregivers at critical times, and (5) help them navigat...
Contact dermatitis 
a delayed allergic response involving cell-mediated immunity. On contact with the skin, the allergen is bound to a carrier protein and forms a sensitizing antigen. 
 
 
 
Contact Isolation: 
 
Skin Disorders that require Contact Precautions 
• Diphtheria, cutaneous 
• Furuncu...
Voorbeeld 1 van de 4 pagina's
In winkelwagenContact dermatitis 
a delayed allergic response involving cell-mediated immunity. On contact with the skin, the allergen is bound to a carrier protein and forms a sensitizing antigen. 
 
 
 
Contact Isolation: 
 
Skin Disorders that require Contact Precautions 
• Diphtheria, cutaneous 
• Furuncu...
A primary care provider's orders indicate that a surgical consent form needs to be signed. Since the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the role of the client advocate? 
"What were you told ab...
Voorbeeld 1 van de 3 pagina's
In winkelwagenA primary care provider's orders indicate that a surgical consent form needs to be signed. Since the nurse was not present when the primary care provider discussed the surgical procedure, which statement best illustrates the nurse fulfilling the role of the client advocate? 
"What were you told ab...
Corticosteroids 
released by adrenal cortex, effect every cell on the body. used to treat adrenocortical disorders, immunosuppression, and reduce inflammation 
 
 
 
Common corticosteroids 
hydrocortisone, methlprednisilone, prednisone, dexamethasone 
 
 
 
 
Brainpower 
Read More 
Previous 
Play 
N...
Voorbeeld 2 van de 15 pagina's
In winkelwagenCorticosteroids 
released by adrenal cortex, effect every cell on the body. used to treat adrenocortical disorders, immunosuppression, and reduce inflammation 
 
 
 
Common corticosteroids 
hydrocortisone, methlprednisilone, prednisone, dexamethasone 
 
 
 
 
Brainpower 
Read More 
Previous 
Play 
N...
The nurse needs to quickly estimate the heart rate for a patient with a regular heart rhythm. Which method will be best to use? 
a. Count the number of large squares in the R-R interval and divide by 300. 
b. Print a 1-minute electrocardiogram (ECG) strip and count the number of QRS complexes. 
c. U...
Voorbeeld 2 van de 12 pagina's
In winkelwagenThe nurse needs to quickly estimate the heart rate for a patient with a regular heart rhythm. Which method will be best to use? 
a. Count the number of large squares in the R-R interval and divide by 300. 
b. Print a 1-minute electrocardiogram (ECG) strip and count the number of QRS complexes. 
c. U...
The nurse sees in the patient's record that the patient has a Braden score of 20. Which nursing action is the nurse most likely to perform in the care of this patient? 
Continue routine assessments 
 
 
 
A thin, malnourished patient requires emergency abdominal surgery. After the surgery, in order...
Voorbeeld 2 van de 6 pagina's
In winkelwagenThe nurse sees in the patient's record that the patient has a Braden score of 20. Which nursing action is the nurse most likely to perform in the care of this patient? 
Continue routine assessments 
 
 
 
A thin, malnourished patient requires emergency abdominal surgery. After the surgery, in order...
Medical Surgical Nursing - Parkinson's Disease and Multiple Sclerosis with verified solutions.
Voorbeeld 2 van de 5 pagina's
In winkelwagenMedical Surgical Nursing - Parkinson's Disease and Multiple Sclerosis with verified solutions.
1. A client with cancer who has been taking opioid analgesics for two years now requires increased doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What information should the practical nurse (PN) provide? 
A. Opioid use with cancer does not cause addict...
Voorbeeld 3 van de 26 pagina's
In winkelwagen1. A client with cancer who has been taking opioid analgesics for two years now requires increased doses to obtain pain relief. The client expresses fear about becoming addicted to these drugs. What information should the practical nurse (PN) provide? 
A. Opioid use with cancer does not cause addict...
After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about 
a. cerebral aneurysm clipping. 
b. heparin intravenous infusion. 
c. oral low-dose aspirin therapy. 
d. tissue plasminogen activator (tPA). 
A...
Voorbeeld 2 van de 11 pagina's
In winkelwagenAfter a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about 
a. cerebral aneurysm clipping. 
b. heparin intravenous infusion. 
c. oral low-dose aspirin therapy. 
d. tissue plasminogen activator (tPA). 
A...
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