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MED SURG 1 FINAL EXAM QUESTION WITH CORRECT ANSWERS
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MED SURG 1 FINAL EXAM QUESTION WITH CORRECT ANSWERS
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MEDICAL-SURGICAL: FINAL PRACTICE(50 QUESTIONS) AND ANSWERS
avnursevisvplanningvcarevforvavclientvwhovhasv-vans✔✔
Avnursevisvmonitoringvavclientvfollowingvavthyroidectomy.vWhichvofvthevfollowingvfindingsvs
houldvthevnursevidentifyvasvanvindicationvofvhypoparathyroidism?v-
vans✔✔Involuntaryvmusclevspasmsv
(occursvifvthevparathyroidvglandsvarevdamagedvorvremovedvduringvavthyroidectomy.vMuscl
evtwitchingvandvparesthesiasvcanvresultvduevtovdecreasedvparathyroidvhormonevlevelsvan
dvcalciumvdeficiency.)
Avnursevisvreinforcingvdischargevteachingvwithvavclientvwhovhasvavnewvpermanentvpacem
aker.vWhichvofvthevfollowingvstatementsvbyvthevclientvindicatesvanvunderstandingvofvthevte
aching?v-vans✔✔"Ivshouldvcheckvmyvheartvrateveachvday."•
Avnursevisvreinforcingvdischargevteachingvaboutvimprovingvgasvexchangevwithvavclientvwh
ovhasvemphysema.vWhichvofvthevfollowingvinformationvshouldvthevnursevincludevinvthevtea
ching?v-vans✔✔Usevpursed-lipvbreathingvduringvperiodsvofvdyspnea.
Avnursevisvreinforcingvteachingvwithvavclientvwhovhasvavnewvdiagnosisvofvmultiplevsclerosis
v(MS).vThevclientvasksvthevnursevaboutvthevusualvcoursevofvMS.vWhichvofvthevfollowingvres
ponsesvshouldvthevnursevmake?v-
vans✔✔"Acutevepisodesvarevusuallyvfollowedvbyvremissions,vwhichvcanvlastvvaryingvlengt
hsvofvtime."
avnursevinvanvemergencyvdepartmentvisvcaringvforvavclientvwhovreportsvdevelopingvsevere
vrightveyevpainvwithvavgrittyvsensationvwhilevsawingvwood.vWhatsvpriority?v-
vans✔✔Askvthevclientvaboutvfirstvaidvperformedvatvthevscene
Avnursevisvpreparingvtovadministervtimololveyevdropsvforvavclientvwhovhasvglaucoma.vWhe
nvinstillingvthevmedication,vwhichvofvthevfollowingvactionsvshouldvthevnursevtake?v-
vans✔✔Applyvpressurevtovpunctavaftervinstillationvofvthevmedication.
, AvnursevisvcaringvforvavclientvwhovhasvavstagevIIIvpressurevulcervonvhisvheel.vWhenvprepari
ngvtovirrigatevthevwound,vwhichvofvthevfollowingvactionsvshouldvthevnursevtakevrst?v-
vans✔✔Checkvthevclient'svpainvlevel
Avnursevisvcaringvforvavclientvwhovbeginsvhavingvavtonic-
clonicvseizurevwhilevsittingvinvavchairvatvthevbedside.vWhichvofvthevfollowingvactionsvshould
vthevnursevtakevfirst?v-vans✔✔Lowervthevclientvtovthevfloor.
Avnursevisvcaringvforvavclientvwhovhasvtypev1vdiabetesvmellitusvandvavcapillaryvbloodvgluco
sevreadingvofv48vmg/dL.vWhichvofvthevfollowingvfindingsvshouldvthevnursevexpect?v-
vans✔✔Diaphoresis
Avclientvwhovhasvavbloodvglucosevlevelvbelowv70vmg/
dLvtovexhibitvindicationsvofvhypoglycemia.vIncludingvweakness,vhunger,vdiaphoresis,vnaus
ea,vshakiness,vandvconfusion.
Avnursevisvreinforcingvteachingvwithvavclientvwhovisvscheduledvforvavsigmoidvcolonvresectio
nvwithvcolostomy.vWhichvofvthevfollowingvstatementsvbyvthevclientvindicatesvavneedvforvfurt
hervteaching?v-vans✔✔"Myvdietvwillvhavevtovchangevtovavsoftvdietvaftervsurgery."•
(vAftervsurgery,vthevclient'svdietvquicklyvreturnsvtovavregularvdietvandvtherevarevnotvanyvfood
vrestrictions.)
Avnursevisvreviewingvavclient'svlaboratoryvreport.vThevclient'svABGvlevelsvarevpHv7.5,vPaC
Ov32vmmvHG,vandvHCOv24vmEq/
L.vThevnursevshouldvdeterminevthatvthevclientvhasvwhichvofvthevfollowingvacid-
basevimbalances?v-vans✔✔Respiratoryvalkalosis
(Thevnursevshouldvidentifyvthatvthevclient'svpHvisvelevatedvabovevthevexpectedvreferencevr
angevofv7.35vtov7.45,vindicatingvalkalosis.vThevnursevshouldvthenvidentifyvthatvthevclient'sv
PaCOvisvlow,vbelowvthevexpectedvreferencevrangevofv35vtov45vmmvHg,vwhichvindicatesvavr
espiratoryvorigin.vThevnursevshouldvconcludevthatvthevclient'svelevatedvpHvandvdecreased
vPaCOvindicatevrespiratoryvalkalosis.)
Avnursevinvanvurgentvcarevclinicvisvcollectingvdatavfromvavclientvwhovsustainedvavfall.vWhic
hvofvthevfollowingvfindingsvshouldvthevnursevidentifyvasvanvindicationvofvavskullvfracture?v-
vans✔✔Clearvfluidvcomingvfromvthevnares.
(cerebrospinalvfluid)
Avnursevisvreinforcingvteachingvwithvavclientvaboutvpreventingvthevtransmissionvofvhepatiti
svA.vThevnursevshouldvidentifyvthatvhepatitisvAvisvtransmittedvbyvwhichvofvthevfollowingvrout
es?v-vans✔✔Fecal-oralvcontamination
Avnursevisvreinforcingvteachingvwithvavclientvwhovhasvtuberculosisv(TB)vandvavprescriptionv
forvisoniazid.vWhichvofvthevfollowingvinstructionsvshouldvthevnursevinclude?v-
vans✔✔"Yourvprovidervwillvmonitorvyourvlivervfunctionvwhilevyouvarevtakingvthisvmedicatio
n."
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