Med Surg Exam 1 Critical Thinking
Questions And Answers With Verified
Solutions Already Passed (GRADED A+)
You're a preop nurse that has just reviewed these labs would your concerns be?
WBC 5,500 (5,000-10,000)
Hgb 10.5 (13-17)
Hct 37 (38.5-52)
Plt 200 (150-450) - ANSWER✔✔Hgb and Hct
Blood loss issue
Too many IV fluids being given
Hgb and Hct due to kidney disease and anemia due to decreased production of
erthropioetin
Is she menstrating?
Bone marrow might be failing
Compromised ability to heal due to decreased oxygen
You're a preop nurse that has just reviewed these labs would your concerns be?
Na 138 (135-145)
K 4.8 (3.5-5.5)
Cl 105 (96-109)
Co2 24 (20-32)
BUN 18 (5-26)
Cr 1.11 (0.5-1.5)
Glu 132 (65-115)
Ca 9.6 (8.5-10.6) - ANSWER✔✔Diabetes
Delayed healing
Risk of infection
A patient going for a knee replacement says she got a headache and had aspirin at
midnight with a sip of water. What would you do and why? -
ANSWER✔✔Concerned about the aspirin reschedule the surgery
, A patient's consent is not signed and the OR called and is sending the stretcher to
take the patient to the pre-operative holding area. What is your nursing
responsibility in this instance? - ANSWER✔✔Not signed DO NOT TAKE THEM
You suspect that a patient is being less than honest about the amount of alcohol
that he consumes? How can you phrase a question during your admission
assessment that is more likely to elicit a more realistic answer? - ANSWER✔✔Tell
them why you want to know- we only ask this question because you're about to
have anesthesia and he needs to know to keep you safe
Based on principles of teaching and learning, what is the best initial approach to
pre-op teaching for a client scheduled for coronary artery bypass?
A) Touring the coronary intensive unit
B) Mailing a video tape to the home
C) Assessing the client's learning style
D) Administering a written pre-test - ANSWER✔✔C
A patient wants to leave her wedding ring on during surgery. What would you do?
- ANSWER✔✔Tell them why they should take it off
As you relax it could fall off, you could swell
A patient says that he got a high fever the last time he had anesthesia. What would
you do? - ANSWER✔✔Take him to the hospital for surgery need to reschedule
(hyperthemia thing)
no surgery for you today
The nurse explains to the client that urinary retention may be a problem after spinal
anesthesia because:
1. Conduction of autonomic nervous system impulses as well as CNS system
impulses is inhibited.
2. Sensation and motor responses are decreased.
3. Clients tend to secrete less ADH with spinal anesthesia than they do with
general anesthesia. (surgery that causes this not the anesthesia)
4. Vasomotor depression, which occurs with spinal anesthesia reduces the
glomerular filtration rate. - ANSWER✔✔2
Spinal Anesthesia is contraindicated if you have a blood clotting disorder
because...
A. Blood loss to the area will arise
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