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Evolve Med-Surg EAQ 2 Exam 2024/2025 Questions With Completed & Verified Solution.
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Evolve Med-Surg EAQ 2 Exam 2024/2025 Questions With Completed & Verified Solution.
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Evolve Med-Surg EAQ 2Which type of biopsy would the nurse identify as required for removal of entire lesions on the
skin?
Punch biopsy
Shave biopsy
Incisional biopsy
Excisional biopsy - ANS Excisional biopsy
An excisional biopsy is required to remove entire lesions on the skin. A punch biopsy provides
full thickness skin for diagnostic purposes. A shave biopsy provides a thin specimen for
diagnostic purposes. An incisional biopsy is used along with shave and punch biopsies.
A client is instructed to avoid straining on defecation postoperatively. Which food item chosen by
the client indicates successful learning?
Ripe bananas
Milk products
Green vegetables
Creamed potatoes - ANS Green vegetables
Green vegetables contain fiber, which promotes defecation. Bananas, milk products, and
creamed potatoes have a constipating effect, which results in straining at stool.
A client who just returned from a cardiac catheterization reports to the nurse that the pressure
bandage on the right groin is tight. What action should the nurse take?
Loosen the dressing slightly
Notify the primary healthcare provider
Assess the pulses distal to the dressing
Have the client flex the joints of the right leg - ANS Assess the pulses distal to the dressing
Assessing the circulatory status of the extremity will determine whether the dressing is too tight.
Loosening the dressing slightly may result in bleeding from the catheter insertion site and is
contraindicated. Notifying the primary healthcare provider is premature; the primary healthcare
provider should be notified if circulation to the leg is compromised. Having the client flex the
joints of the right leg may result in bleeding from the catheter insertion site and is
contraindicated. The leg should remain extended for several hours.
Which urodynamic study provides information on bladder capacity, bladder pressure, and
voiding reflexes?
, Radiography
Renal arteriography
Electromyography (EMG)
Cystometrography (CMG) - ANS Cystometrography (CMG)
Cystometrography (CMG) is an urodynamic study that provides information on bladder capacity,
bladder pressure, and voiding reflexes. Radiography is a diagnostic test for clients with
disorders of kidney and urinary system to screen for the presence of two kidneys, to measure
kidney size, and to detect gross obstruction in kidneys or urinary tract. Renal arteriography is a
diagnostic study used to determine renal blood vessel size and abnormalities.
Electromyography (EMG) is an urodynamic study used to test the strength of perineal muscles
in voiding.
A client admitted to the hospital with an acute episode of rheumatoid arthritis (RA) asks why
physical therapy has not been prescribed. What is the most appropriate nursing response?
"Your primary healthcare provider must have forgotten to prescribe it."
"Your condition is not severe enough to have physical therapy approved."
"Your joints are still inflamed, and physical therapy can be harmful."
"Physical therapy is not helpful for persons who suffer from RA." - ANS "Your joints are still
inflamed, and physical therapy can be harmful."
Rest is required during active inflammation of the joints to prevent injury; once active
inflammation has receded, an activity and exercise regimen can begin. Physical therapy is not
prescribed during a period of exacerbation because it can traumatize already inflamed joints.
The extent of the arthritis is not the determinant; whether the process is in exacerbation or
remission is the deciding factor. Physical therapy is helpful, but it is not performed during an
acute exacerbation of the arthritis.
A client with cancer of the colon is admitted to the hospital for a hemicolectomy. What does the
nurse expect the preoperative plan of care to include?
Giving oil-retention enemas daily for two days preoperatively
Administering cleansing enemas and then neomycin
Having a Sengstaken-Blakemore tube at the bedside
A high-protein and high-carbohydrate regular diet for two days preoperatively - ANS
Administering cleansing enemas and then neomycin
After the bowel is cleansed, neomycin is given to decrease gram-negative bacteria in the colon,
which should limit postoperative infection. Oil-retention enemas are used to alleviate
constipation; oil-retention enemas are not prescribed before surgery because they contaminate
the bowel with oil. A Sengstaken-Blakemore tube is used for a client with ruptured esophageal
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