Exam 2 Med Surg Questions With Correct
Answers
The nurse assesses a surgical patient the morning of the first postoperative day and notes redness
and warmth around the incision. Which action by the nurse is most appropriate?
a. Obtain wound cultures.
b. Document the assessment.
c. Notify the ...
When evaluating the response to treatment for a patient with a fluid imbalance, the most
important assessment to include is
a. skin turgor.
b. presence of edema.
c. hourly urine output.
d. daily weight. - answer✔Answer: D
Rationale: Daily weight is the most easily obtained and accurate means of assessing volume
status. Skin turgor varies considerably with age. Considerable excess fluid volume may be
present before fluid moves into the interstitial space and causes edema. Hourly urine outputs do
not take account of fluid intake or of fluid loss through insensible loss, sweating, or loss from the
gastrointestinal tract or wounds.
When caring for an alert and oriented elderly patient with a history of dehydration, the home
health nurse will teach the patient to increase fluid intake
a. when the patient feels thirsty.
b. in the late evening hours.
c. as soon as changes in LOC occur.
d. if the oral mucosa feels dry. - answer✔Answer: D
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