Senior Seminar Med Surg Quiz 2 |Verified with 100% Correct Answers
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Course
Med Surg
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Med Surg
Senior Seminar Med Surg Quiz 2 |Verified with 100% Correct Answers The nurse is conducting a session about the principles of first aid and is discussing the interventions for a snakebite to an extremity. The nurse should inform those attending the session that the first priority intervention in ...
The nurse is conducting a session about the principles of first aid and is discussing the
interventions for a snakebite to an extremity. The nurse should inform those attending
the session that the first priority intervention in the event of this occurrence is which
action?
1. Immobilize the affected extremity
2. Remove jewelry and constricting clothing from the victim
3. Place the extremity in a position so that it is below the level of the heart
4. Move the victim to a safe area away from the snake and encourage the victim to rest.
A client calls the ED and tells the nurse that he came directly into contact with poison
ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks
the nurse what to do. The nurse should make which response?
1. "Come to the ED."
2. "Apply calamine lotion immediately to exposed skin areas."
3. "Take a shower immediately, lathering and rinsing several times."
4. "It is not necessary to do anything if you cannot see anything on your skin."
A client is being admitted to the hospital for treatment of acute cellulitis of lower left leg.
During the admission assessment, the nurse expects to note which finding?
1. An inflammation of the epidermis only
2. A skin infection of the dermis and underlying hypodermis
3. An acute superficial infection of the dermis and lymphatics
4. An epidermal and lymphatic infection caused by Staphylococcus
The clinic nurse assesses the skin of a client with psoriasis after the client has used a
new topical treatment for 2 months. The nurse identifies which characteristics as
improvement in the manifestations of psoriasis? Select all that apply
1. Presence of striae
2. Palpable radial pulses
3. Absence of any ecchymosis on the extremities
4. Thinner and decrease number of reddish papules
5. Scarce amount of silvery-white scaly patches on the arms
The clinic nurse notes that the HCP has documented a diagnosis of herpes zoster
(shingles) in the client's chart. Based on an understanding of the cause of this disorder,
the nurse determines that this definitive diagnosis was made by which diagnostic test?
,1. Positive patch test
2. Positive culture results
3. Abnormal biopsy results
4. Wood's light examination indicative of infection
A client returns to the clinic for follow-up treatment following a skin biopsy of a
suspicious lesion performed 1 week ago. The biopsy report indicates that the lesion is a
melanoma. The nurse understands that melanoma has which characteristics? Select all
that apply.
1. Lesion is painful to touch
2. Lesion is highly metastatic
3. Lesion is a nevus that has changes in color
4. Skin under the lesion is reddened and warm to touch
5. Lesion occurs in body area exposed to outdoor sunlight
When assessing a lesion diagnosed as basal cell carcinoma, the nurse most likely
expects to note which findings? Select all that apply
1. An irregularly shaped lesion
2. A small papule with a dry, rough scale
3. A firm, nodular lesion topped with crust
4. A pearly papule with a central crater and a waxy border
5. Location in the bald spot atop the head that is exposed to outdoor sunlight
A client arriving at the ED has experienced frostbite to the right hand. Which finding
would the nurse note on assessment of the client's hand?
1. A pink, edematous hand
2. Fiery red skin with edema in the nail beds
3. Black fingertips surrounded by an erythematous rash
4. A white color to the skin, which is insensitive to touch
The evening nurse reviews the nursing documentation in a client's chart and notes that
the day nurse has documented that the client has a stage II pressure ulcer in the sacral
area. Which finding would the nurse expect to note on assessment of the client's sacral
area?
1. Intact skin
2. Full-thickness skin loss
3. Exposed bone, tendon, or muscle
4. Partial thickness skin loss of the dermis
An adult client was burned in an explosion. The burn initially affected the client's entire
face (anterior half of the head) and the upper half of the anterior torso, and there were
circumferential burns to the lower half of both arms. The client's clothes caught on fire,
,and the client ran, causing subsequent burn injuries to the posterior surface of the head
and upper half of the posterior torso. Using the rule of nines, what would be the extent
of the burn injury?
1. 18%
2. 24%
3. 36%
4. 48%
The nurse is preparing to care for a burn client scheduled for an escharotomy procedure
being performed for a third-degree circumferential arm burn. The nurse understands
that which finding is the anticipated therapeutic outcome of the escharotomy?
1. Return of distal pulses
2. Brisk bleeding from the site
3. Decreasing edema formation
4. Formation of granulation tissue
A client is undergoing fluid replacement after being burned on 20% of her body 12 hours
ago. The nursing assessment reveals a blood pressure of 90/50 mm Hg, a pulse rate of
110 bpm, and a urine output of 20 mL over the past hour. The nurse reports the findings
to the HCP and anticipates which prescription?
1. Transfusing 1 unit of packed RBCs
2. Administering a diuretic to increase urine output
3. Increasing the amount of IV lactated ringers solution administered per hour
4. Changing the IV lactated ringers solution to one that contains 5% dextrose in water
A client is brought to the ED with partial-thickness burns to his face, neck, arms, and
chest after trying to put out a car fire. The nurse should implement which nursing
actions for this client? Select all that apply
1. Restrict fluids
2. Assess for airway patency
3. Administer O2 as prescribed
4. Place a cooling blanket on the client
5. Elevate extremities if no fractures are present
6. Prepare to give oral pain medication as prescribed
The nurse is caring for a client who sustained superficial partial-thickness burns on the
anterior lower legs and anterior thorax. Which finding does the nurse expect to note
during the resuscitation/emergent phase of the burn injury?
1. Decreased HR
2. Increased urine output
, 3. Increased BP
4. Elevated hematocrit
The nurse manager is planning the clinical assignments for the day. Which staff
members cannot be assigned to care for a client with herpes zoster? Select all that
apply
1. The nurse who never had roseola
2. The nurse who never had mumps
3. The nurse who never had chickenpox
4. The nurse who never had German measles
5. The nurse who never received the varicella zoster vaccine
A client arrives at the ED following a burn injury that occurred in the basement at home,
and an inhalation injury is suspected. What would the nurse anticipate to be prescribed
for the client?
1. 100% oxygen via an aerosol mask
2. Oxygen via nasal cannula at 6 L/min
3. Oxygen via nasal cannula at 15 L/min
4. 100% oxygen via a tight-fitting, nonrebreather face mask
The nurse is administering fluids IV as prescribed to a client who sustained superficial
partial-thickness burn injuries of the back and legs. In evaluating the adequacy of fluid
resuscitation, the nurse understands that which assessment would provide the most
reliable indicator for determining the adequacy?
The nurse manager is observing a new nursing graduate caring for a burn client in
protective isolation. The nurse manager intervenes if the new nursing graduate planned
to implement which unsafe component of protective isolation technique?
1. Using sterile sheets and linens
2. Performing strict hand-washing technique
3. Wearing gloves and a gown only when giving direct care to the patient
4. Wearing protective garb, including a mask, gloves, cap, shoe covers, gowns, and
plastic apron
The nurse is caring for a client following an autograft and grafting to a burn would on the
right knee. What would the nurse anticipate to be prescribed for the client?
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