Med Surg Questions For Chapters 1-12

Front 1

The nursing process is for?

Back 1

Problem solving tool to assess patients

Front 2

Nursing activity during assessment phase?

Back 2

Determining if effectiveness of interventions was successful.

Front 3

Complete diagnosis statement?

Back 3

A problems with its etiology and signs and symptoms.

Front 4

Info the RN needs to collect assessing the health status of a community?

Back 4

Life expectancy of individuals

Front 5

82 yr old Asian lives in the US for 50 yrs, speaks English, lives in Asian neighborhood, ask about?

Back 5

Ask about cultural beliefs and practice

Front 6

Planning health care for a community with lost of Asian immigrants, what is the most important interventions?

Back 6

TB screening

Front 7

When performing a culture assessment,first action is to?

Back 7

Ask the pt about any affiliations with a culture group

Front 8

Pt diff breathing, admitted to hospital, best approach for a RN to use?

Back 8

Several short sessions with pt for discovery

Front 9

The Rn reports a general survey, 68 yom Asian, wife and 2 daughters, no eye contact with RN. No apparent disabilities, include what findings?

Back 9

Nutritional status

Front 10

Health history and physical for right sided rib fx, pertinent negative finding?

Back 10

Denies pain upon palpation over the site.

Front 11

Preparing for a focused abdominal assessment for high pitched bowel sounds?

Back 11

Stethoscope

Front 12

Planning for a physical exam of an alert 80 yo pt exam should include?

Back 12

Organize the assessment to avoid position changes

Front 13

Assessing the circulation to the lower leg with recent knee surgery...action taken first?

Back 13

Visualize the color of the foot first

Front 14

43 yo DM2 after admitted to hospital with foot wound...adult learning strategy should be used by the RN

Back 14

Teach correct method for cleaning and dressing the wound.

Front 15

Nursing diagnosis of inadequate health issues with a diabetic pt?

Back 15

Pt says dietary intake does not seem to impact his energy level or overall health.

Front 16

Pt teaching plan includes this goal...2gm sodium restricted diet...how do we evaluate if the pt understands the plan?

Back 16

Check the sodium content in the pt's menu over the last 3 days

*have to evaluate how he follows the diet an responded to your teaching, you can't watch him all day.

Front 17

22 yr old pt smokes a pack a day, pt sts i enjoy smoking and I'm not quitting… how do we fix?

Back 17

Ineffective health care maintenance related to health care maintenance.


* RN diagnosis pt isn't going to quit

Front 18

Pt has DM2 with severe hyperglycemia what is best ways to teach when pt leaves hospital?

Back 18

Symptoms indicating pt should contact health care provider

Front 19

AA0*4 85 yr old multiple meds cardiac and resp/// no caregiver around enough... what diagnosis is most important?

Back 19

drug drug interaction injury

Front 20

developing a plan of care with an older adult with an acute illness, nurse should?

Back 20

consider pre admission functionality before

Front 21

78 yr old pt, multiple health problems, increasingly weak, 11 pound weight loss…nurse should initially?

Back 21

ask about dietary intake

Front 22

planning discharge for an alert 70 year old foot infection, most important for nurse to?

Back 22

refer to social services for better treatment of foot

Front 23

which of these pts assigned to the nurse will need planning for long term nursing management?

Back 23

56 year old with bilateral knee surgeries and weighs 400 lbs

Front 24

Pt in an MVC, nurse is a case manger… nurse's responsibilities in this role are to?

Back 24

coordinate the services the pt receives in the hospital and at home

Front 25

Which pts being discharged from the acute care nurse will get Medicare benefits for at home care?

Back 25

5 year old with spinal cord injury who needs help eating

Front 26

After the charge nurse is done orientating what action by a new nurse shows she needs remediation?

Back 26

new nurse massages an active ulcer wound leg

Front 27

Pt with fibromyalgia had back pain and stiffness… nurse suggests what tx?

Back 27

acupuncture

Front 28

Which therapies should nurse suggest for elevated triyclicerides level?

Back 28

fish oil

Front 29

Pt who has nausea with chemo, what alternative measures can a nurse suggest?

Back 29

acupuncture

Front 30

Frequent URI's nurse can suggest what alternative med?

Back 30

echnacea

Front 31

Pt has a chronic infection and doesn't want to use antibiotics? Nurse should?

Back 31

Nurse should explain how they interact

Front 32

Multiple abrasions after an MVC, 180/98… nurse should?

Back 32

recheck BP before patient is discharged

Front 33

Overweight pt, enjoys active life, knees start to get arthritic… nurse should tell him after the bad news?

Back 33

encourage pt to see how weight loss will improve his knees

Front 34

Diabetic pt hospitalized tells the nurse he can control his BGl at home alone, when he gets sick it goes up…. nurse should explain this is because?

Back 34

stressors release hormones and increase BGL

Front 35

Nurse takes health hx for four patients… which info regarding then patient's sleep is most important to take?

Back 35

42 BMI with snoring at night

Front 36

Pt received a new c pap a week ago… severe day time sleepiness still apparent… nurse should?

Back 36

Are you using the C pap every night

Front 37

A patient who uses a patch for chronic cancer pain…. rapid onset of pain 9/10…. I want something quicker…. Pain is what?

Back 37

break thru pain

Front 38

A pt with chronic cancer pain is receiving morphine and tofranil….. Best indicator that the tofranil is effective?

Back 38

Pain is manageable and I can accomplish goals during the day

Front 39

Pt receives MS contin every 12 hours, pt experiences a break thru 9/10… Nurse should administer?

Back 39

Immediate release morphine 30mg orally

Front 40

Pt second degree burns,,,, getting morphine thru a pump for a week, pt complains of pain at night frequently….. Nurse should?

Back 40

separate tx for the pain

Front 41

Pt receiving epidural morphine.. pt may be having a side effect. It is?

Back 41

Pt hasn't voided for 10 hours

Front 42

Which therapy should the nurse use first with cancer pain 8/10 and deep and aching?

Back 42

Dilaudid

Front 43

Diabetic pt chronic burning leg pain even when taking oxycodone…. what med is the best adjunct to decrease the pt's pain?

Back 43

elavil

Front 44

Meds are prescribed by HCP for patients using MS cotton but still has on going pain… nurse should question which med?

Back 44

Talwin

Front 45

post op pat morphine from a pump…. report to HCP what finding?

Back 45

10 breaths per minute

Front 46

Pt using patch and imm release morphine… new onset of dizziness and AMS, nurse should?

Back 46

remove the patch

Front 47

Meds are ordered… 86 year old osteoarthritis in his hip. what med should be used first?

Back 47

Tylenol orally

Front 48

Select all that apply? Nurse should take actions to watch acute stressors on a patient?

Back 48

elevated bgl, epigastric pain, pt wants to eat more

Front 49

Pt uses multiple herbal products… knee replacement surgery. nurse informs pt herbs that should be discontinued 2-3 weeks prior? Select all that apply?

Back 49

garlic, ginger, ginko, feverfew

Front 50

HCP plans to titrate a pt controlled analgesic pain pump for post op? Nusre should? Select all that apply?

Back 50

improvement of post op activities and therapeutic range/adverse effects