Medical Surgical Chapter 2 with correct answers.

Medical Surgical Chapter 2 with correct answers. The nurse working on the renal unit is preparing to make first rounds of the day. Which patient should the nurse visit first? 1 The patient maintained on hemodialysis 2 The patient with glomerulonephritis 3 The patient who is 1 hour post-kidney transplant 4 The patient scheduled for an intravenous pyelogram (IVP) - correct answers.ANS 3 The patient who is 1 hour post-kidney transplant is the least stable patient. The other patients are lower acuity patients and can be seen after the transplant patient. The nurse is making assignments for the day's care. Which assignment should not be given to the nursing assistant? 1 Emptying the Foley (indwelling) catheter drainage bag 2 Administering a Fleet (small-volume) disposable enema 3 Measuring intake and output 4 Feeding a patient with depression - correct answers.ANS 2 The nursing assistant should not be assigned to give the Fleet enema; this is considered medication administration. Nursing assistants may be assigned any of the other tasks. The nurse is administering a tap-water enema. When the patient begins to complain of abdominal cramping, the nurse should: 1 stop administration of the enema. 2 lower the height of the container of water. 3 clamp the enema tubing and withdraw it slowly. 4 advance the tubing 1 to 2 inches. - correct answers.ANS 2 Lowering the height of the enema container will decrease the pressure of the fluid running in, relieving some of the patient's discomfort. There is no indication of how much of the enema the patient has received. Advancing the tubing may increase the patient's discomfort. The nurse is assessing a dark-skinned patient with anemia. Where is the best place to check for pallor? 1 Nail beds 2 Hard palate 3 Sclerae 4 Buccal mucosa - correct answers.ANS 2