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.