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NUR 209 MEDICAL SURGICAL NURSING MS2 EXAM 3 STUDY GUIDE LATEST UPDATED FORTIS COLLEGE
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NUR 209 MEDICAL SURGICAL NURSING MS2 EXAM 3 STUDY GUIDE LATEST UPDATED FORTIS COLLEGE
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NUR 209 MEDICAL SURGICALNURSING MS2 EXAM 3 STUDY
GUIDE LATEST UPDATED FORTIS
COLLEGE
, Objective data that reflects patient is in Metabolic Syndrome
1. Which assessment action will help the nurse determine if an obese patient has metabolic
syndrome?
b. Check the patient’s blood pressure.
2. When teaching a patient about testing to diagnose metabolic syndrome, which topic
would the nurse include?
a. Blood glucose test.
Fasting blood glucose >100 mg/dL suggests metabolic syndrome.
Risk factors:
CAD, stroke, DM, >60years,
BMI: Male >40, F >35
Triglycerides: >150 active tx
HDL: M <40, F <50
BP: >130/>85
Normal labs:
Triglycerides: M 40-160, F 35-135
HDL: M >45, F >55
Discharge teaching to a patient after bariatric surgery.
3. After bariatric surgery, a patient who is being discharged tells the nurse, “I prefer to be
independent. I am not interested in any support groups.” Which response by the nurse is
best?
b. “Tell me what types of resources you think you might use after this surgery.”
This statement allows the nurse to assess the individual patient’s potential needs and
preferences. The other statements offer the patient more information about the benefits of
support groups but do not acknowledge the patient’s preferences.
, Question to obese patient seeking to lose weight
4. A 40-yr-old obese woman reports that she wants to lose weight. Which question should
the nurse ask first?
a. “What factors led to your obesity?”
The nurse should obtain information about the patient’s perceptions of the reasons for the
obesity to develop a plan individualized to the patient.
Bariatric patient admitted for surgery, what tasks can be delegated to CNA?
5. A patient is being admitted for bariatric surgery. Which nursing action can the nurse
delegate to unlicensed assistive personnel (UAP)?
c. Assist with IV insertion by holding adipose tissue out of the way.
UAP can assist with IV placement by assisting with patient positioning or holding skinfolds
aside.
Patient develops diarrhea and fever after omeprazole use, nursing actions (SATA)
6. The nurse is caring for a patient who develops watery diarrhea and a fever after
prolonged omeprazole (Prilosec) therapy. In which order will the nurse take actions? (Put
a comma and a space between each answer choice [A, B, C, D].)
d. Place the patient on contact precautions.
b. Assess blood pressure and heart rate.
a. Contact the health care provider.
c. Give the PRN acetaminophen (Tylenol).
ANS: D, B, A, C
Proton pump inhibitors including omeprazole (Prilosec) may increase the risk of Clostridium
difficile–associated colitis. Because the patient’s history and symptoms are consistent with C.
difficile infection, the initial action should be initiation of infection control measures to protect
other patients. Assessment of blood pressure and pulse is needed to determine whether the
patient has symptoms of hypovolemia or shock. The health care provider should be notified so
that actions such as obtaining stool specimens and antibiotic therapy can be started. Tylenol
may be administered but is the lowest priority of the actions.
Restarting meals after NPO
7. Which item should the nurse offer to the patient restarting oral intake after being NPO
due to nausea and vomiting?
b. Dish of lemon gelatin
Clear cool liquids are usually the first foods started after a patient has been nauseated. Acidic
foods such as orange juice, very hot foods, and coffee are poorly tolerated when patients have
been nauseated.
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