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Med Surg 1 Final Exam Study Guide
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Med Surg 1 Final Exam Study Guide Med Surg 1 Final Exam Study Guide Med Surg 1 Final Exam Study Guide
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Med Surg 1 Final Exam Study GuideAllergies to __________ can indicate the client is at risk for a reaction to latex. - verified answer
banana or kiwi
Allergy to ________ is a contraindication to the use of propofol for anesthesia. - verified answer eggs
or soybean oil
Contrast media (iodine) contraindication in clients who have a _______ allergy. - verified answer
shellfish
What action shows an understanding of the principle of self - determination?
A. Allowing a postoperative client to decide to take a medication with fruit juice rather than water.
B. Allowing a teen to decide not to go to a clinic when there is evidence that she is having profuse
vaginal bleeding.
C. Allowing a parent to decide not to proceed with a lifesaving operation for a 12 year old client. -
verified answer A. Allowing a postoperative client to decide to take a medication with fruit juice
rather than water.
When teaching an older client. What is the highest priority, client - centered action before beginning
the session?
A. Ensure that the client's family is present and will participate.
B. Make certain that the client is wearing his glasses
C. Have printed handouts ready to use during the session - verified answer Make certain that the
client is wearing his glasses
Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?
A. Monitoring the client for changes in postoperative status such as wound infection
B. Documenting all changes observed in the client and maintaining a postoperative flow sheet
C. Notifying the physician of the client's change in blood pressure from 140 to 88 mm Hg systolic -
verified answer C. Notifying the physician of the client's change in blood pressure from 140 to 88
mm Hg systolic
A client is scheduled for a mastectomy. As she is about to receive the preoperative medication, she
tells the nurse that she does not want to have her breast removed but wants a lumpectomy. Which
response indicates that the nurse is acting as a client advocate?
,A. calling the surgeon to come and explain all treatment options to the client
B. Telling the client her surgeon is excellent and knows what is best for her condition
C. Holding the client's hand and offering to pray with her for a good outcome - verified answer A.
calling the surgeon to come and explain all treatment options to the client
What priority assessment data should be shared with the interdisciplinary team from a client
admitted to the emergency department with a lacerated artery?
A. Measurement of blood pressure and pulse
B. Information regarding next of kin to notify in case the client dies
C. Assessment of rate and depth of respirations - verified answer measurement of blood pressure
and pulse
Which intervention can the client expect to receive from a medical-surgical nurse in an ambulatory
care setting?
A. Obtaining the client's signature on a surgical consent form
B. Drawing blood for routine or preoperative testing
C. Teaching the client how to change a dressing on an incision - verified answer C. teaching the client
how to change a dressing on an incision
The nurse is present when the physician discusses the potential effects of a chemotherapy regimen
for a client with cancer. Weighing the benefits of the chemotherapy against possible side effects is
an example of which ethical principle?
a. beneficence
b. nonmaleficence
c. autonomy
d. justice - verified answer a. beneficence
The client with a stroke was admitted to a medical-surgical unit. Which tasks does the nurse
delegate to the unlicensed assistive personnel?
a. Complete the nursing care plan.
b. Evaluate the pulse oximetry reading.
c. Assist the client with meals.
d. Assess respiratory status - verified answer c. Assist the client with meals.
,The nurse on a medical-surgical unit notices that there has been an increase in the number of client
falls. Which methods would be effective in promoting quality improvement on this issue? (Select all
that apply.)
a. Identify causes of falls on the unit by looking at specific client cases
b. Look at the research and the literature on prevention of falls
c. Complain to the manager that team members are neglecting the clients.
d. Use sit and stand alarms because they seem to be working on other units.
e. Try more frequent rounding on clients as suggested by co-workers. - verified answer A, B, D, E
Which actions are within the scope of nursing practice to improve quality of care?
a. Insert a central line to give intravenous fluid to a dehydrated client
b. Use sterile technique when changing dressings on a new surgical site
c. Intubate a client whose oxygen saturation is 92% - verified answer b. Use sterile technique when
changing dressings on a new surgical site
cosmetic surgery - verified answer reshape normal body structures- surgical procedures used for
cosmetic purposes only ex: eye lift, face lift, forehead lifts, liposuction, collagen injections
diagnostic surgery - verified answer done to provide data for a diagnosis of the problem
EX- tumor biopsy, arthroscopy
curative surgery - verified answer cures; alleviates a problem, repair or remove cause of problem
EX- removal of tumor, gall bladder removal
palliative surgery - verified answer To relieve or reduce intensity of illness; is not curative
EX- stent to alleviate obstruction, thoracentesis- drain and reduce pain, illeostomy
reconstructive surgery - verified answer restoring a bodily function; necessary surgery for accident
survivors and those with congenital disfigurements or other diseases.
, EX- hip replacement knee replacement
A nurse gives report about a client whose pain is uncontrolled and suggests that the client receive
continuous analgesic administration rather than PRN analgesic. Which step of the SBAR hand off
report is the nurse using?
S
B
A
R - verified answer R- recommendation
The nurse supports the client and family in deciding on a " Do Not Resuscitate" order. Which ethical
principle that guides the nursing clinical decision making is demonstrated in this situation?
a. legality
b. self determination
c. beneficence
d. justice - verified answer a. legality
Bedside (point-of-care) computers are an example of informatics used in health care primarily for
which purpose?
A. Enhancing collaboration and coordination of care
B. Documenting interprofessional care
C. Retrieving data for evidence-based practice - verified answer A. Enhancing collaboration and
coordination of care
What does the nurse recognize is the fastest growing technology being used for informatics?
a.Medication bar code administration
b. Telehealth and Telenursing
c.Electronic Health Record - verified answer B. Telehealth and Telenursing
Which principal nursing actions best support a focus on client safety? (Select All that apply)
A. Client restraints
B. Handwashing
C. Preoperative Check lists
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