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Med-Surg Exam Ii Questions And Answers With Verified Solutions 100% Correct {GRADED A+}
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Med-Surg Exam Ii Questions AndAnswers With Verified Solutions 100%
Correct {GRADED A+}
B. Oxygen setup
D. Suction setup
E. Artificial oral airway - ANSWER✔✔A client with a history of seizures is
placed on seizure precautions. What emergency equipment with the nurse provide
at the bedside? Select All That Apply.
A. Padded tongue blade
B. Oxygen setup
C. NG tube
D. Suction setup
E. Artificial oral airway
C. K 2.8 - ANSWER✔✔For which client preadmission testing laboratory report
does the nurse take immediate action?
A. INR 0.9
B. WBC 8,500
C. K 2.8
D. Na 132
B - ANSWER✔✔Which statement by a client about preventing stroke indicates a
need for further teaching by the nurse?
A. "I am going to join AA to help me stop drinking."
B. "I only smoke cigars, which is better than smoking cigarettes."
C. "I need to walk at least 5 days a week to increase my exercise level."
D. "I need to lose at least 30 pounds to get my BMI into normal range."
C - ANSWER✔✔A client with a confirmed acute ischemic stroke is admitted to
the medical unit after evaluation in the ED. What is the nurse's priority action on
admission?
A. Ask the nursing technician to weigh the client and record it.
B. Consult with the physical therapist about the client's rehab care.
C. Keep client NPO until the swallowing assessment is complete.
D. Give warfarin and check activated thromboplastin levels.
,D - ANSWER✔✔A client receiving IV sodium heparin after a dose of rtPA
(Retavase) begins to have severe epistaxis. What is the nurse's first action?
A. Slow the heparin infusion to keep the vein open.
B. Call the health care provider immediately.
C. Check the INR and prothrombin time levels.
D. Stop the infusion immediately.
disorders outside the bowel: hernia, adhesions...
disorders inside the bowel: tumors, diverticulitis
blockage of the lumen in the intestine: intussusception, gallstone -
ANSWER✔✔What are mechanical bowel obstruction due to?
paralytic ileus (inability of the bowel to function) - ANSWER✔✔What are
nonmechanical bowel obstructions due to?
alkalotic - ANSWER✔✔Blood gas analysis will show an _________ state if the
bowel obstruction is high in the small intestine where gastric acid is secreted.
acidic - ANSWER✔✔Blood gas analysis will show an _______ state if the bowel
obstruction is in the lower bowel where base solutions are secreted.
-NPO
-NG tube
-IV fluids
-surgical preparations of the bowel
-food and fluids are restricted for 8 to 10 hours before surgery is possible
-if the pt has a bowel obstruction or perforation, bowel cleansing is contraindicated
-oral erythromycin and neomycin are given to further decrease the amount of
colonic and rectal bacteria
-if possible, all clients who require surgery for obstruction undergo NG intubation
and suction before surgery.
-teaching - ANSWER✔✔A client admitted with complaints of constipation,
thready stools, and rectal bleeding over the past few months is diagnosed with a
rectal mass. What are the nursing priorities for this client?
B & D - ANSWER✔✔Which statements best describe the preoperative period?
select all that apply
A. It begins when the patient makes the appointment with the surgeon to discuss
the need for surgery.
,B. It ends at the time of transfer to the surgical suite.
C. It is a time during which the patient's need for surgery is established.
D. It begins when the patient is scheduled for surgery.
E. It is a time during which the patient receives testing and education related to
impending surgery.
D - ANSWER✔✔A female patient is having a biopsy of a nodule found in the
right breast. Which classification identifies this surgery?
A. urgent
B. minor
C. cosmetic
D. diagnostic
B - ANSWER✔✔A patient who can barely ambulate with a walker at home is
having a left knee total replacement. What is the most appropriate category for this
surgery?
A. urgent
B. restorative
C. simple
D. palliative
A - ANSWER✔✔A colostomy is scheduled to be done on a patient who has severe
Crohn's disease. What is the correct classification for the surgery?
A. palliative
B. minor
C. restorative
D. curative
C - ANSWER✔✔A male patient has a facial scar on his forehead from a third-
degree burn. What is the correct classification for this surgery?
A. major
B. restorative
C. cosmetic
D. curative
A - ANSWER✔✔An appendectomy is being performed on a patient with
appendicitis. What is the correct classification for this surgery?
A. curative
B. diagnostic
, C. urgent
D. radical
B - ANSWER✔✔A patient with an abdominal aortic aneurysm is having surgical
repair. What is the correct classification for this surgery?
A. restorative
B. emergent
C. urgent
D. minor
C - ANSWER✔✔A 76 year old patient is having a bilateral cataract removal. What
is the correct classification for this surgery?
A. major
B. cosmetic
C. elective
D. emergent
D - ANSWER✔✔A 47 year old patient is having surgery to remove kidney stones.
What is the correct classification for this surgery?
A. restorative
B. emergent
C. palliative
D. urgent
B C & E - ANSWER✔✔The nurse screens a preoperative patient for conditions
that may increase the risk for complications during the perioperative period. What
conditions are possible risk factors? SELECT ALL THAT APPLY
A. emotionally stable
B. 67 years old
C. obesity
D. marathon runner
E. pulmonary disease
B - ANSWER✔✔A 75 year old patient is having an exploratory laparotomy
tomorrow. The wife tells the nurse that at night the patient gets up and walks
around his room. What does the nurse do next after hearing this information?
A. notifies the physician
B. develops a plan to keep the patient safe
C. obtains an order for sleep medication
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