Med surg Nclex Practice Questions And
Answers With Verified Solutions Already
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Upon entering the room of a patient who has just returned from surgery for total
laryngectomy and radical neck dissection, a nurse should recognize a need for
intervention when finding
A. a gastrostomy tube that is clamped.
B. the patient coughing blood-tinged secretions from the tracheostomy.
C. the patient positioned in a lateral position with the head of the bed flat.
D. 200 ml of serosanguineous drainage in the patient's portable drainage device. -
ANSWER✔✔C. the patient positioned in a lateral position with the head of the bed
flat. After total laryngectomy and radical neck dissection, a patient should be
placed in a semi-Fowler's position to decrease edema and limit tension on the
suture line.
A 78-year-old does not want to eat lunch and complains that the food that is serve
does not taste good. Consistent with knowledge about age-related changes to taste,
the nurse may find that the client is more willing to eat.
A) Greasy foods
B) Sour foods
C) Sweet foods
D) Salty foods. - ANSWER✔✔C = the older adults' taste buds retain their
sensitivity to carbohydrates. In addition, carbohydrates. Tend to be food items that
are easy to chew. Older adults lose their sensitivity to sour and salty foods. Older
adults may find greasy foods harder to digest and therefore may avoid them;
however, preference for greasy foods is not related to changes in taste associated
with age.
The nurse is preparing a discharge plan to a female client with peptic ulcer for the
dietary modification she will need to follow at home. Which of the following
statements indicates that the client understands the instruction of the nurse?
A) "I should not drink alcohol and caffeine."
B) "I should eat a bland, soft diet."
C) "It is important to eat six small meals a day."
, D) "I should drink several glasses of milk a day." - ANSWER✔✔A = caffeinated
beverages and alcohol should be avoided because they stimulate gastric acid
production and irritate gastric mucosa.
The client should avoid foods that cause discomfort; however, there is no need to
follow a soft, bland diet.
Eating six small meals daily is no longer a common treatment for peptic ulcer
disease.
Milk in large quantities is not recommended because it actually stimulates further
production of gastric acids.
A community health nurse is teaching smoking cessation program to a group of
healthy adult smokers. What type of prevention activity is this?
A) Primary
B) Secondary
C) Tertiary
D) None of the above - ANSWER✔✔A = primary cancer prevention targets
healthy individuals and includes steps to avoid factors that might lead to the
development of diseases.
A female client with breast cancer is currently receiving radiation therapy for
treatment. The client is complaining of apathy, hard to concentrate on something,
and feeling tired despite of having time to rest and more sleep. These complains
suggest symptoms of:
A) Hypocalcemia
B) radiation pneumonitis
C) advanced breast cancer
D) fatigue - ANSWER✔✔D = Fatigue is a common complaint of individuals
receiving medication therapy.
The nurse is removing the client's staples from an abdominal when the client cough
continuously and the incision splits open exposing the intestines. Which of the
following is the immediate nursing action of the nurse?
A) Call the surgeon to come to the client's room immediately
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