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Med Surg 2 Midterm Questions And Answers With Verified Solutions Already Passed (Graded A+)
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Med Surg 2 Midterm Questions AndAnswers With Verified Solutions Already
Passed (Graded A+)
1. A patient is admitted to the ED complaining of severe abdominal pain, stating
that he has been vomiting "coffee-ground" like emesis. The patient is diagnosed
with a perforated gastric ulcer and is informed that he needs surgery. When can the
patient most likely anticipate that the surgery will be scheduled?
A) Within 24 hours
B) Within the next week
C) Without delay because the bleed is emergent
D) As soon as all the day's elective surgeries have been completed -
ANSWER✔✔C) Without delay because the bleed is emergent
The nurse is performing a preoperative assessment on a patient going to surgery.
The patient informs the nurse that he drinks approximately two bottles of wine
each day and has for the last several years. What postoperative difficulties can the
nurse anticipate for this patient?
A) Alcohol withdrawal syndrome immediately following surgery
B) Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink
C) Alcohol withdrawal syndrome upon administration of general anesthesia
D) Alcohol withdrawal syndrome 1 week after his last alcohol drink -
ANSWER✔✔B) Alcohol withdrawal syndrome 2 to 4 days after his last alcohol
drink
3. In anticipation of a patient's scheduled surgery, the nurse is teaching her to
perform deep breathing and coughing to use postoperative. What action should the
nurse teach the patient?
A) The patient should take three deep breaths and cough hard three times, at least
every 15 minutes for the immediately postoperative period.
B) The patient should take three deep breaths and exhale forcefully and then take a
quick short breath and cough from deep in the lungs.
C) The patient should take a deep breath in through the mouth and exhale through
the mouth, take a short breath, and cough from deep in the lungs.
,D) The patient should rapidly inhale, hold for 30 seconds or as long as possible,
and exhale slowly. - ANSWER✔✔C) The patient should take a deep breath in
through the mouth and exhale through the mouth, take a short breath, and cough
from deep in the lungs.
4. The nurse is preparing a patient for surgery prior to her hysterectomy without
oophorectomy. The nurse is witnessing the patient's signature on a consent form.
Which comment by the patient would best indicate informed consent?
A) "I know I'll be fine because the physician said he has done this procedure
hundreds of times."
B) "I know I'll have pain after the surgery but they'll do their best to keep it to a
minimum."
C) "The physician is going to remove my uterus and told me about the risk of
bleeding."
D) "Because the physician isn't taking my ovaries, I'll still be able to have
children." - ANSWER✔✔C) "The physician is going to remove my uterus and told
me about the risk of bleeding."
5. The nurse is planning patient teaching for a patient who is scheduled for an open
hemicolectomy. The nurse intends to address the topics of incision splinting and
leg exercises during this teaching session. When is the best time for the nurse to
provide teaching?
A) Upon the patient's admission to the postanesthesia care unit (PACU)
B) When the patient returns from the PACU
C) During the intraoperative period
D) As soon as possible before the surgical procedure - ANSWER✔✔D) As soon as
possible before the surgical procedure
6. The nurse is caring for a hospice patient who is scheduled for a surgical
procedure to reduce the size of his spinal tumor in an effort to relieve his pain. The
nurse should plan this patient care with the knowledge that his surgical procedure
is classified as which of the following?
A) Diagnostic
B) Laparoscopic
C) Curative
D) Palliative - ANSWER✔✔D) Palliative
,7. A nurse is providing preoperative teaching to a patient who will soon undergo a
cardiac bypass. The nurse's teaching plan includes exercises of the extremities.
What is the purpose of teaching a patient leg exercises prior to surgery?
A) Leg exercises increase the patient's muscle mass postoperatively.
B) Leg exercises improve circulation and prevent venous thrombosis.
C) Leg exercises help to prevent pressure sores to the sacrum and heels.
D) Leg exercise help increase the patient's level of consciousness after surgery. -
ANSWER✔✔B) Leg exercises improve circulation and prevent venous
thrombosis.
8. During the care of a preoperative patient, the nurse has given the patient a
preoperative benzodiazepine. The patient is now requesting to void. What action
should the nurse take?
A) Assist the patient to the bathroom.
B) Offer the patient a bedpan or urinal.
C) Wait until the patient gets to the operating room and is catheterized.
D) Have the patient go to the bathroom. - ANSWER✔✔B) Offer the patient a
bedpan or urinal.
9. The nurse is preparing a patient for surgery. The patient states that she is very
nervous and really does not understand what the surgical procedure is for or how it
will be performed. What is the most appropriate nursing action for the nurse to
take?
A) Have the patient sign the informed consent and place it in the chart.
B) Call the physician to review the procedure with the patient.
C) Explain the procedure clearly to the patient and her family.
D) Provide the patient with a pamphlet explaining the procedure. -
ANSWER✔✔B) Call the physician to review the procedure with the patient.
10. The nurse is caring for a patient who is admitted to the ER with the diagnosis
of acute appendicitis. The nurse notes during the assessment that the patient's ribs
and xiphoid process are prominent. The patient states she exercises two to three
times daily and her mother indicates that she is being treated for anorexia nervosa.
How should the nurse best follow up these assessment data?
A) Inform the postoperative team about the patient's risk for wound dehiscence.
B) Evaluate the patient's ability to manage her pain level.
C) Facilitate a detailed analysis of the patient's electrolyte levels.
, D) Instruct the patient on the need for a high-sodium diet to promote healing. -
ANSWER✔✔C) Facilitate a detailed analysis of the patient's electrolyte levels.
11. The nurse is doing preoperative patient education with a 61-year-old male
patient who has a 40-pack per year history of cigarette smoking. The patient will
undergo an elective bunionectomy at a time that fits his work schedule in a few
months. What would be the best instruction to give to this patient?
A) Reduce smoking by 50% to prevent the development of pneumonia.
B) Stop smoking at least 6 weeks before the scheduled surgery to enhance
pulmonary function and decrease infection.
C) Aim to quit smoking in the postoperative period to reduce the chance of
surgical complications
D) Stop smoking 4 to 8 weeks before the scheduled surgery to enhance pulmonary
function and decrease infection. - ANSWER✔✔D) Stop smoking 4 to 8 weeks
before the scheduled surgery to enhance pulmonary function and decrease
infection.
12. You are providing preoperative teaching to a patient scheduled for hip
replacement surgery in 1 month. During the preoperative teaching, the patient
gives you a list of medications she takes, the dosage, and frequency. Which of the
following interventions provides the patient with the most accurate information?
A) Instruct the patient to stop taking St. John's wort at least 2 weeks prior to
surgery due to its interaction with anesthetic agents.
B) Instruct the patient to continue taking ephedrine prior to surgery due to its
beneficial effect on blood pressure.
C) Instruct the patient to discontinue Synthroid due to its effect on blood
coagulation and the potential for heart dysrhythmias.
D) Instruct the patient to continue any herbal supplements unless otherwise
instructed, and inform the patient that these supplements have minimal effect on
the surgical procedure. - ANSWER✔✔A) Instruct the patient to stop taking St.
John's wort at least 2 weeks prior to surgery due to its interaction with anesthetic
agents.
13. The nurse is creating the care plan for a 70-year-old obese patient who has
been admitted to the postsurgical unit following a colon resection. This patient's
age and increased body mass index mean that she is at increased risk for what
complication in the postoperative period?
A) Hyperglycemia
B) Azotemia
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