Med surg test 1 review
You evaluate a patient's intake and output
2610
Patient had surgery at an ambulatory surgery center what criteria supports the patient is ready for discharge select all that applies
A responsible adult to drive them home Minimal nausea and vomiting Vitals are stable They need to be able to urinate before leaving
A patient has malignant hyperthermia, which drug is administered
Dantrolene
A nurse is caring for an older patient what is the expected change
Decreased bone mass, calcium absorbtion and increased risk in fracture
You are packing a wound with sterile gauze, you drop some
Discard the gauze and get new
A nurse auscultates the bowel sounds following 2hours bowel surgery what is the best action
Document as the finding only
You are the circulating nurse in an outpatient surgical center. You know the patient receiving anesthesia
Don't leave the patient alone, never left unattended by the nurse
Which of the following primarily prevents post op complications
Early ambulation
Following X-rays of an injured wrist, in teaching care of the injury include
Elevation with a pillow
How often should a patient's vitals be checked on post op
Every 15 minutes
Patient with a open fracture left tibia and surrounding tissue. When assessing patient post op what is most concerning
Fever chills and night sweats (osteomyelitis)
Which information in the preop patients medical history is most important to communicate to the HCP
Garlic capsules
5 year old has a fracture of the right upper arm, one side is bent that is indicative of
Greenstick
Patient with a comminuted fracture has bucks traction's to assess patients backside
Have patient lift butt with good leg
A patient with knee pain asks what bursitis is
Inflammation of the small fluid sacs lining the joints
Patient with kyphosis scheduled for a deka. Nurse needs to teach that
It is noninvasive
The anethesist is preparing a patient the day before what needs to be told to them
Latex allergy
Check out clerk is having repetitive strain syndrome
Modifications in arm movement
Which menu choice for a patient with osteoperosis indicates proper teaching
Oatmeal, skim milk, yogurt
Most important factor preventing infection
Practicing strict ascepsis
Why are people required to be npo before surgery
Prevent aspirations
Which of the following post op finding should the nurse report to the doctor
Urine output is 20ml for the past 2 hours
Until a cast is completely dry
Use palms
Which information will the nurse include when discharging a patient with a strained wrist from
Use the pillows to elevate the wrist above the heart
When counseling an older patient about avoiding fractures
Well fitting comfortable shoes.
A client seeks treatment in the emergency department for a lower leg injury. There is visible deformity to the lower aspect of the leg, and the injured leg appears shorter than the other. The area is painful, swollen, and beginning to become ecchymotic. The nurse interprets that this client has experienced a: 1. Strain 2. Sprain 3. Fracture 4. Contusion
3. Fracture
Patient with a left femur fracture has a hip spike up which nursing intervention
Ask about abdominal comfort or nausea
A pedestrian hit by a car is admitted possible right left fracture first action by nurse
Assess pedal pulses
After a motorcycle accident the patient arrives with severe swelling in the left lower leg
Assess pedal pulses and sensation
Planning post op interventions to promote ambulation coughing and breathing
Administer pain meds
Patient has a cast in place asks when the cast can be removed
At least three weeks
When working with the patient who does many hours of word processing
Attain a keyboard that supports the wrist
What is a bone scan test used to diagnose
Bone cancer
A patient with a right lower leg fracture has a external fixation device what should be included in the teaching
Check and clean the pins daily
Purpose of a deka
Check for osteoperosis
Late sign for compartment syndrome
Pulselessness
Patient is seen in a clinic complaining of knee pain, hcp does arthrocentesis what is most concerning
Purulent
When accessing a older client 2 days ago with a fracture, patient is anxious, restless, confused
Put oxygen on
Nurse obtains this information when assessing a 74 year old which is highest priority
Recent loss of balance and falls
What action will a nurse take to determine the effectiveness of bucks traction
Reduce pain
A patient with an acute attack of gout is treated, the nurse determines the medication is effective
Relief of the joint pain
The nurse determines that teaching diet regarding diet is successful when the patient selects
Sardines, whole wheat bread, yogurt, milk
Baseball player with a sprained shoulder information
See pt tomorrow
Nurse is evaluating the pin sites of a person with a skeletal fracture, which would the nurse be least concerned about
Serous drainage
When the nurse is assessing a new patient in the clinic which information about the patient's meds is of most concern
Severe asthma
Nurse is one of several people seeing an accident what should the nurse do
Sit with the victim keep them calm
What is the basic guideline for maintaining surgical asepsis as an OR nurse
Sterile touches only sterile
All of the members of the surgical teams must be prescrubbed except
The anethesiologist
When assessing a 64 year woman the nurse sees the patient loses 1 inch in height nurse prepares to teach about
The deka scan
Which topic is most important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal surgery for an open cholecystectomy? a. Care for the surgical incision b. Medications used during surgery c. Deep breathing and coughing techniques d. Oral antibiotic therapy after discharge home
c. Deep breathing and coughing techniques. -Preoperative teaching, demonstration, and redemonstration of deep breathing and coughing are needed on patients having abdominal surgery to prevent postoperative atelectasis. Incisional care and the importance of completing antibiotics are better discussed after surgery, when the patient will be more likely to retain this information. The patient does not usually need information about medications that are used intraoperatively.