Exam (elaborations)
med surg 2 final exam (test bank) 2023/2024 already graded A+
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med surg 2 final exam (test bank) 2023/2024 already graded A+
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By: dellabestman • 8 months ago
By: Qualitydocs • 7 months ago
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medsurg
2
final
exam
(test
bank)
T h e
n u r s e
i s
p r e p a r i n g
f o r
a
h o m e
v i s i t
t o
a
p a t i e n t
a f t e r
s u r g e r y
f o r
a
c o m p o u n d
f r a c t u r e .
W h i c h
s p e c i f i c
c a r e
d o e s
t h e
n u r s e
a n t i c i p a t e
f o r
t h i s
p a t i e n t ?
-
A N S C h a n g i n g
w o u n d
d r e s s i n g s
A
p a t i e n t
e x p e r i e n c e s
a
f r a c t u r e
o f
t h e
l o w e r
l e g
a n d
u n d e r g o e s
a
c l o s e d
r e d u c t i o n
a n d
p l a c e m e n t
o f
a
f i b e r g l a s s
c a s t .
T h e
p a t i e n t
i s
6 5
y e a r s
o l d
a n d
h a s
a
m e d i c a l
3 0 - y e a r
h i s t o r y
o f
d i a b e t e s
m e l l i t u s .
W h i c h
c o n d i t i o n
d o e s
t h e
n u r s e
r e c o g n i z e
a s
a
p o s s i b l e
c o m p l i c a t i o n
f o r
t h i s
p a t i e n t ?
-
A N S D e l a y
o r
a b s e n c e
o f
h e a l i n g
A n
o l d e r
a d u l t
p a t i e n t
i s
p o s t o p e r a t i v e
f o r
a
t o t a l
h i p
j o i n t
r e p l a c e m e n t .
W h i c h
n u r s i n g
c a r e
i s
i n a p p r o p r i a t e
f o r
t h i s
p a t i e n t
o n
t h e
d a y
o f
s u r g e r y ?
-
A N S M e d i c a t e d
w i t h
o r a l
p a i n
m e d i c a t i o n s
T h e
n u r s e
i s
p r o v i d i n g
c a r e
f o r
a
p a t i e n t
w h o
i s
s c h e d u l e d
f o r
j o i n t
r e p l a c e m e n t
t h e
n e x t
d a y .
W h i c h
p a t i e n t
c a r e
g o a l s
a r e
a p p r o p r i a t e
a t
t h i s
t i m e ?
-
A N S M a n a g e
p r e o p e r a t i v e
p a i n .
T h e
n u r s e
i s
p r o v i d i n g
c a r e
f o r
a
p a t i e n t
f o l l o w i n g
a n
o p e n
r e d u c t i o n
o f
a
c o m p o u n d
f r a c t u r e .
W h i c h
n e u r o l o g i c
f i n d i n g
d o e s
t h e
n u r s e
r e p o r t
i m m e d i a t e l y
t o
t h e
H C P
o r
r e g i s t e r e d
n u r s e
( R N ) ?
-
A N S T h e r e
e x i s t s
n u m b n e s s
a n d
t i n g l i n g
s e n s a t i o n s
A
p a t i e n t
w i t h
g o u t
h a s
b e e n
i n s t r u c t e d
o n
t h e
p r e s c r i b e d
m e d i c a t i o n
a l l o p u r i n o l
( Z y l o p r i m ) .
W h i c h
p a t i e n t
s t a t e m e n t
i n d i c a t e s
u n d e r s t a n d i n g
o f
t h e
a c t i o n
o f
t h i s
m e d i c a t i o n ?
-
A N S " I t
b l o c k s
f o r m a t i o n
o f
u r i c
a c i d . "
T h e
n u r s e
i s
c o n t r i b u t i n g
t o
t h e
p l a n
o f
c a r e
f o r
a
p a t i e n t
w h o
h a s
a n
u p p e r
e x t r e m i t y
a m p u t a t i o n .
W h i c h
f a c t o r
d o e s
t h e
n u r s e
k e e p
i n
m i n d
a b o u t
t h i s
t y p e
o f
a m p u t a t i o n
b e i n g
m o r e
d e b i l i t a t i n g
t h a n
a
l o w e r
e x t r e m i t y
a m p u t a t i o n ?
-
A N S T h e
u p p e r
e x t r e m i t y
i s
m o r e
s p e c i a l i z e d .
A
p a t i e n t
w h o
h a s
a
d i s p l a c e d
m i d s h a f t
f r a c t u r e
o f
t h e
l e f t
f e m u r
i s
i n
b a l a n c e d
s u s p e n s i o n
s k e l e t a l
t r a c t i o n
w i t h
3 5
p o u n d s
o f
w e i g h t .
T h e
p a t i e n t
r e p o r t s
c a l f
p a i n
w i t h
r i g h t
f o o t
d o r s i f l e x i o n .
W h i c h
a c t i o n
d o e s
t h e
n u r s e
t a k e ?
-
A N S N o t i f y
t h e
R N .
T h e
h o m e - c a r e
n u r s e
i s
a t t e n d i n g
t o
a
p a t i e n t
w i t h
o s t e o m y e l i t i s
i n
a
l o w e r
e x t r e m i t y
f r o m
a
t r a u m a t i c
b o n e
f r a c t u r e .
T h e
p a t i e n t
h a s
a n
o p e n
w o u n d
t h a t
i s
i n f e c t e d .
W h i c h
o b s e r v a t i o n
p r o m p t s
t h e
n u r s e
t o
p r o v i d e
a d d i t i o n a l
i n f o r m a t i o n
t o
t h e
p a t i e n t
a n d
f a m i l y ?
-
A N S C l e a n
t e c h n i q u e
i s
u s e d
w h e n
t h e
d r e s s i n g
i s
c h a n g e d .
T h e
n u r s e
i s
p r o v i d i n g
c a r e
f o r
a
p a t i e n t
b e i n g
t r e a t e d
a f t e r
a
c o m p l i c a t e d
f e m u r
f r a c t u r e .
T h e
n u r s e
h a s
n o t i c e d
d r o w s i n e s s ,
t a c h y c a r d i a ,
a n d
a
l o w - g r a d e
f e v e r .
W h i c h
a d d i t i o n a l
m a n i f e s t a t i o n
a l e r t s
t h e
n u r s e
t o
t h e
p o s s i b i l i t y
o f
a
f a t
e m b o l i ?
-
A N S P r e s e n c e
o f
a
p e t e c h i a l
r a s h
o n
c h e s t
a n d
n e c k T h e
n u r s e
i s
a s s i s t i n g
w i t h
t h e
p r e p a r a t i o n
o f
m a t e r i a l s
f o r
a
h e a l t h
f a i r
a i m e d
a t
p r o m o t i n g
h e a l t h
i n
w o m e n .
W h i c h
r e a s o n
d o e s
t h e
n u r s e
r e c o g n i z e
a s
a
p r o b a b l e
c a u s e
o f
a n
i n c r e a s e
i n
t h e
i n c i d e n c e
o f
o s t e o p o r o s i s ?
-
A N S T h e
a g e s
o f
a d u l t s
h a v e
i n c r e a s e d .
T h e
n u r s e
i s
p r o v i d i n g
c a r e
f o r
a
p a t i e n t
w h o
e x p e r i e n c e d
a
c l o s e d
r e d u c t i o n
t o
a
f r a c t u r e
o f
t h e
u l n a .
W h i c h
m a n i f e s t a t i o n
d o e s
t h e
n u r s e
r e c o g n i z e
a s
a n
e a r l y
s y m p t o m
o f
a c u t e
c o m p a r t m e n t
s y n d r o m e ?
-
A N S P a l l o r
w i t h
e x t r e m i t y
w a r m t h
T h e
n u r s e
i s
p r o v i d i n g
c a r e
f o r
a
p a t i e n t
a f t e r
a n
a b o v e - t h e - k n e e
a m p u t a t i o n
b e c a u s e
o f
i s c h e m i a
r e l a t e d
t o
d i a b e t e s
m e l l i t u s
c o m p l i c a t i o n s .
W h i c h
n u r s i n g
c a r e
i s
e s s e n t i a l
f o r
p r o m o t i n g
a m b u l a t i o n ?
-
A N S L y i n g
o n
t h e
a b d o m e n
a s
p r e s c r i b e d
A
p a t i e n t
i s
b e i n g
p r e p a r e d
f o r
a
p r o s t h e s i s
f o l l o w i n g
s u r g e r y
f o r
a n
a m p u t a t i o n .
W h i c h
i n f o r m a t i o n
w i l l
t h e
n u r s e
p r o v i d e
t o
t h e
c l i e n t
r e g a r d i n g
t h e
u s e
o f
a
p r o s t h e s i s ?
-
A N S S k i n
i n s p e c t i o n
i s
p e r f o r m e d
e a c h
t i m e
t h e
s o c k
i s
r e m o v e d .
T h e
n u r s e
i s
p r o v i d i n g
c a r e
f o r
a
p a t i e n t
w i t h
e x t e r n a l
f i x a t i o n
f o r
a
f r a c t u r e
i n v o l v i n g
s e v e r e
b o n e
d a m a g e .
W h i c h
i s
t h e
m o s t
i m p o r t a n t
f o c u s
f o r
t h e
n u r s e
d u r i n g
c a r e
o f
t h i s
p a t i e n t ?
-
A N S M o n i t o r i n g
p i n
a n d
w o u n d
s i t e s
f o r
s i g n s
o f
i n f e c t i o n
T h e
n u r s e
i s
a s s i s t i n g
w i t h
t h e
c a r e
o f
a
p a t i e n t
w i t h
r h e u m a t o i d
a r t h r i t i s
( R A ) .
T h e
n u r s e
m u s t
r e m e m b e r
i n
w h i c h
w a y
R A
c a r e
i s
d i f f e r e n t
f r o m
o s t e o a r t h r i t i s
c a r e .
W h i c h
n u r s i n g
c a r e
d o e s
t h e
n u r s e
s p e c i f i c a l l y
p r o v i d e
f o r
t h e
p a t i e n t
w i t h
R A ?
-
A N S I t
i s
e s s e n t i a l
t o
m o n i t o r
a l l
b o d y
s y s t e m s
f o r
e f f e c t s
o f
t h e
d i s e a s e .
T h e
n u r s e
i s
a s s i s t i n g
w i t h
p a t i e n t s
o n
a n
o r t h o p e d i c
u n i t .
W h i c h
i s
a n
i m p o r t a n t
f a c t o r
t o
r e m e m b e r
w h e n
c a r i n g
f o r
p a t i e n t s
a f t e r
a
t o t a l
h i p
r e p l a c e m e n t ?
-
A N S A
t r i a n g u l a r
p i l l o w
i s
u s e d
b e t w e e n
t h e
l e g s
t o
a v o i d
a d d u c t i o n .
T h e
n u r s e
i s
a s s i s t i n g
w i t h
t h e
c a r e
o f
p a t i e n t s
w h o
h a v e
h a d
j o i n t
r e p l a c e m e n t
s u r g e r y .
W h i c h
a c t i o n
i s
u n n e c e s s a r y
f o r
t h e
p a t i e n t
a f t e r
a
t o t a l
k n e e
r e p l a c e m e n t
( T K R ) ?
-
A N S M a i n t a i n
p r o p e r
j o i n t
a l i g n m e n t .
A
p a t i e n t
a s k s
t h e
d i f f e r e n c e
b e t w e e n
o s t e o a r t h r i t i s
a n d
R A .
W h i c h
m a n i f e s t a t i o n s
d o e s
t h e
n u r s e
e x p l a i n
a r e
c h a r a c t e r i s t i c
o f
R A ?
( S e l e c t
a l l
t h a t
a p p l y . )
-
A N S E a r l y
m o r n i n g
s t i f f n e s s
A u t o i m m u n e
d i s e a s e
L o w - g r a d e
f e v e r
T h e
n u r s e
i s
c o l l e c t i n g
d a t a
f r o m
a
p a t i e n t
s u s p e c t e d
o f
d e v e l o p i n g
a
f a t
e m b o l u s
f r o m
a
f r a c t u r e
o f
t h e
r i g h t
f e m u r .
W h i c h
m a n i f e s t a t i o n s
d o e s
t h e
n u r s e
e x p e c t ?
( S e l e c t
a l l
t h a t
a p p l y . )
-
A N S T a c h y c a r d i a
M e n t a l
c o n f u s i o n
P e t e c h i a e
T h e
p a t i e n t
a s k s
t h e
n u r s e
h o w
m u c h
b l o o d
i s
i n
t h e
b o d y .
W h i c h
r e s p o n s e
b y
t h e
n u r s e
i s
a c c u r a t e ?
-
A N S 4 - 6
l i t e r s
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