Brightwood College

Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. When developing a teaching plan for a 61-yr-old patient with m ultiple risk factors for coronary artery disease (CAD), the nurse should focus primarily on the a. family history of coronary artery disease. b. elevated low-density lipoprotein (LDL) level. c. increased risk associated with the patient’s gender. d. increased risk of cardiovascular disease as people age. ...

Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. After the insertion of an arteriovenous graft (AVG) in the right fo rearm, a patient complains of pain and coldness of the right fingers. Which action should the nurse take? a. Teach the patient about normal AVG function. b. Remind the patient to take a daily low-dose aspirin tablet. c. Report the patient’s symptoms to the health care provider. d. Elevate the patient’s ...

Chapter 45: Renal and Urologic Problems Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A 46-yr-old female patient returns to the clinic with recurrent dysuria after being tr eated with trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take? a. Remind the patient about the need to drink 1000 mL of fluids daily. b. Obtain a midstream urine specimen for culture and sensitivity testing. c. Suggest that the patient use acetaminophen (Tylenol) to relie...

Chapter 42: Lower Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. Which action will the nurse include in the plan of care for a patient who is being admitted with Clostridium difficile? a. Teach the patient about proper food storage. b. Order a diet without dairy products for the patient. c. Place the patient in a private room on contact isolation. d. Teach the patient about why antibiotics will not be used. ANS: C Because C. difficile is highly contagi...

Chapter 41: Upper Gastrointestinal Problems Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A 53-yr-old male patient with deep partial-thickness burns from a chemical spill i n the workplace experiences severe pain followed by nausea during dressing changes. Which action will be most useful in decreasing the patient’s nausea? a. Keep the patient NPO for 2 hours before dressing changes. b. Give the ordered prochlorperazine before dressing changes. c. Administer the prescribed m...

Chapter 35: Dysrhythmias Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. To determine whether there is a delay in impulse conduction through the ventricles, the nurse will m easure the duration of the patient’s a. P wave. c. PR interval. b. Q wave. d. QRS complex. ANS: D The QRS complex represents ventricular depolarization. The P wave represents the depolarization of the atria. The PR interval represents depolarization of the atria, atrioventricular node, bundle of His, bundl...

Chapter 34: Heart Failure Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. While assessing a 68-yr-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient’s bed elevated 45 degrees. The nurse knows this finding indicates a. decreased fluid volume. c. increased right atrial pressure. b. jugular vein atherosclerosis. d. incompetent jugular vein valves. ANS: C The jugular veins empty into the superior vena cava and then into the right at...

Chapter 27: Lower Respiratory Problems Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. After assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? a. Weak cough effort b. Profuse green sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% ANS: A The weak, nonproductive cough indicates that the patient is unable to clear the airway effe...

Chapter 25: Assessment of Respiratory System Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. A patient with acute shortness of breath is admitted to the hospital. Which actio n should the nurse take during the initial assessment of the patient? a. Ask the patient to lie down to complete a full physical assessment. b. Briefly ask specific questions about this episode of respiratory distress. c. Complete the admission database to check for allergies before treatment. d. Delay the ...

Chapter 28: Obstructive Pulmonary Diseases Lewis: Medical-Surgical Nursing, 10th Edition