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Nursing 120 Med Surg week 2 Quiz 1 Questions and Answers- West Coast University(Rated A) LATEST
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Nursing 120 Med Surg week 2 Quiz 1 Questions and Answers- West Coast University(Rated A) LATEST
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Nursing 120 Med Surg week 2Quiz 1 Questions and Answers-
West Coast University(Rated A)
An older patient is hospitalized after an operation. When assessing the patient for
postoperative infection, the nurse places priority on which assessment?
• Change in behavior
• Daily white blood cell count
• Presence of fever and chills
• Tolerance of increasing
activityA
A preoperative nurse is assessing a patient prior to surgery. Which information would
bemost important for the nurse to relay to the surgical team?
• Allergy to bee and wasp stings
• History of lactose intolerance
• No previous experience with
surgery d. Use of multiple herbs and
supplementsD
A nurse works on the postoperative floor and has four patients who are being
dischargedtomorrow. Which one has the greatest need for the nurse to consult other
members of the health care team for post-discharge care?
• Married young adult who is the primary caregiver for children
• Middle-aged patient who is post knee replacement, needs physical
therapyc. Older adult who lives at home despite some memory loss
d. Young patient who lives alone, has family and friends
nearbyC
A clinic nurse is teaching a patient prior to surgery. The patient does not seem to
comprehend the teaching, forgets a lot of what is said, and asks the same questions
again and again. What action by the nurse is best?
• Assess the patient for anxiety.
• Break the information into smaller bits.
• Give the patient written information.
,• Review the information
again.A
An inpatient nurse brings an informed consent form to a patient for an
operation scheduled for tomorrow. The patient asks about possible
complications from theoperation. What response by the nurse is best?
a. Answer the questions and document that teaching was
done.b. Do not have the patient sign the consent and call the
surgeon.
c. Have the patient sign the consent, then call the surgeon.
d. Remind the patient of what teaching the surgeon has done.
B
A patient has a great deal of pain when coughing and deep breathing after abdominal
surgery despite having pain medication. What action by the nurse is best?
a. Call the provider to request more
analgesia.b. Demonstrate how to splint the
incision.
c. Have the patient take shallower breaths.
d. Tell the patient a little pain is
expected.B
A nurse is giving a patient instructions for showering with special antimicrobial soap
thenight before surgery. What instruction is most appropriate?
a. "After you wash the surgical site, shave that area with your own
razor." b. "Be sure to wash the area where you will have surgery very
thoroughly."
c. "Use a washcloth to wash the surgical site; do not take a full shower or bath."
d. "Wash the surgical site first, then shampoo and wash the rest of your
body." B
A postoperative patient has an abdominal drain. What assessment by the nurse
indicatesthat goals for the priority patient problems related to the drain are being
met?
a. Drainage from the surgical site is 30 mL less than
yesterday. b. There is no redness, warmth, or drainage at the
insertion site.
c. The patient reports adequate pain control with medications.
d. Urine is clear yellow and urine output is greater than 40
mL/hr.B
, A patient waiting for surgery is very anxious. What intervention can the nurse
delegate tothe unlicensed assistive personnel (UAP)?
a. Assess the patient's
anxiety.b. Give the patient
a back rub.
c. Remind the patient to turn.
d. Teach about postoperative
care.B
A patient in the preoperative holding room has received sedation and now needs to
urinate. What action by the nurse is best?
• Allow the patient to walk to the bathroom.
• Delegate assisting the patient to the nurse's
aide.c. Give the patient a bedpan or urinal to
use.
d. Insert a urinary catheter now instead of waiting.
C
A student is caring for patients in the preoperative area. The nurse contacts the
surgeonabout a patient whose heart rate is 120 beats/min. After consulting with the
surgeon, thenurse administers a beta blocker to the patient. The student asks why
this was needed. What response by the nurse is best?
• "A rapid heart rate requires more effort by the heart."
• "Anesthesia has bad effects if the patient is tachycardic."
• "The patient may have an undiagnosed heart condition."
• "When the heart rate goes up, the blood pressure does
too." A
The perioperative nurse manager and the postoperative unit manager are concerned
about the increasing number of surgical infections in their hospital. What action by the
managers is best?
• Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes
were met.
• Encourage staff on both units to provide peer pressure to adhere to hand
hygiene policy.
• Hold educational meetings with the nursing and surgical staff on infection prevention.
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