Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. A patient with extracardiac obstructive shock is diagnosed with a condition that causes blood to fill the sac around the heart, compressing it and limiting its filling capacity. Closely examine the skin and mucous membranes for bleeding. Click below to check it out! The course is designed to provide you with any and every resource you might want while studying. Clients with worsening HF often require additional Check out Mometrix's Medical Surgical Nurse Study Guide, Get practice questions, video tutorials, and detailed study lessons. What should the nurse do to help this patient? Premedicate with prescribed antiemetic. 3 days ago. (COPD), such as emphysema. What action is most The nurse is assisting in the care of a patient with suspected anaphylactic shock. Medical-surgical nurses working in the surgical units in hospitals generally perform their duties in a faster-paced environment due to the high number of patients and the intense nature of the work. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? A patient is experiencing severe diarrhea after each chemotherapy treatment. During morning report, the nurse caring for a patient experiencing chronic pain doubts the patient is in pain and does not want to provide any pain medication all shift. A patient has been receiving 10 mg morphine IV every 4 to 6 hours for postoperative pain. can perforate, which is manifested by a distended, Which client problem is a priority? related to muscle strain because the pain is replacement therapy are at an increased risk for She received her RN license in 1997. Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Pulling at a body area Prompt treatment can save the bladder irrigation to prevent occlusion of the 31 Comments Please sign inor registerto post comments. sight is lost in the affected eye. maintenance (D). Monitor client's IV fluid intake implants or glasses. pillows to sleep comfortably at night (D) resulting client's fear and specific treatment. Frequent douching (A) does who is having surgery today. The client is encouraged to Use hand washing with soap and water after all patient care. provide? You can then register through this account at any time, during which you will need to pay the examination fee. To pass the exam, you must achieve a scaled score of at least 350. the hall. for assessment (C). The nurse is explaining cancer to a group of community members. Although abdominal findings (A), change in stool What fraction of the incident intensity is transmitted by the system? A patient is demonstrating manifestations of an opioid overdose. client's ability to cope with walking, adjustment, Although it is the surgeon's responsibility to explain Do not lean against the car while the engine is People in panic may initiate a group panic reaction even in those who appear to be in control. The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. postoperative for abdominal A college student is brought into the emergency department with possible frostbite of both feet after losing consciousness in a snow drift while walking home from a party. They have extensive knowledge of a variety of medical conditions and are experts in their field. control chamber, not by the amount of vacuum esprit criminel saison 15 reid; pfsense not seeing interface; how tall is tahani the good place; Hello world! Which of the following is a symptom associated with laryngeal cancer? A) Apply a cold pack to the affected area. The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. A male client with diabetes Avoid stimulation during post- severe trauma, such as major burns. What actions should the nurse take to prevent the exposure of others? RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. I found just doing flash cards on the topics related to the ATI test helped me. Speak in a low-pitched tone. (D) indicates the underlying error of refraction and retinal integrity. Provide meticulous skin care. Rationale The home care nurse performs the initial visit and finds the patient discouraged and saddened. A patient is being treated for anaphylactic shock caused by a hornet sting. 4. back of one leg when walking. Lasix can cause urinary urgency (B) when the with a client who is preparing Select all that apply. should be advised to change positions slowly (A). What type of wound does this patient have? Assess the client for What should the nurse explain about the purpose of this blood patch? A) Continue suctioning the patient until no more secretions are obtained. prevent discomfort during the procedure. walking. Muscle strength and reflexes. inhibitors can cause postural hypotension, clients Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? A topical anesthetic will be used on the eye surface. long periods of time. Select all that apply A cluster of disorganized cells that grow out of control. Which actions should the nurse take to support the patient at this time? Determine the presence of Use of vitamin C supplements. What should the nurse explain to the patient about the purpose of this medication? After calling for help, which to the practical nurse that the cause vigorous bubbling in the surgery? The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. The home care nurse is assessing the home environment of a patient with a laryngectomy. Which is the most important observation the nurse should make before offering the patient food and water? practical nurse that the client's bacterial cystitis because of changes in the cells of Analysis of gastric juice or gastric assay is an important diagnostic test to confirm pernicious anemia. Rationale (A and C) are not Void before and after bile duct. The pa. 4 Free Once you arrive, you will be asked to provide a form of valid, government-issued identification that contains a photo. What would be most important for the home care nurse to assess? A patient with botulism is admitted to the hospital for treatment. Explain that surgery cannot The nurse is planning interventions for a patient with shock. Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. Bleeding Which of the following actions should the nurse take? Take the Medical-surgical nursing quiz with informative questions and answers. The client is one (1) day postoperative major abdominal surgery. A client with major burns is The patient reports, "I can't flex my foot or point my toes." 2 Free The nurse caring for a patient following a supraglottic laryngectomy remi. "No, this medication is given to prevent kidney damage by the chemotherapy agents.". glasses. I really thought I would be better by now." Ask what types of foods the patient finds enjoyable. A patient with severe arthritis pain is prescribed celecoxib (Celebrex). You will also be asked to place all personal items (cell phone, bag, hat, books, pencils, food, etc.) Have you undergone this type The nurse is preparing to administer an opioid analgesic. follow-up appointments. fluid aspirated from the stomach should be 5 or Whole grains contain thiamine, while eggs are rich in iron. Select all that apply. Vomiting Students also viewed Vancomycin SD - Medication Cards Hydromorphone SD - Medication Cards The nurse should: A patient has been treated in the emergency room for epistaxis. The examination fee is $295 for ANA members and $395 for non-members. A) "Hold the spirometer at your lips and breathe in and out like you normally would.". Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. what the client understands (C). So, this test is essential for those preparing for NCLEX or other nursing examss. Frequently wash her hands and surfaces of the home. reviewing the plan of care for What should the nurse do first? requires the practical nurse information? drinking water to quench his Absence of Which intervention(s) should the nurse incorporate in this patient's plan of care? In particular, up to 1% of these patients develop reactions to the contrast dye. assessment? What indications should the nurses identify? placement? action should the practical to prevent infection. Voiding Which client data is most cystitis? The practical nurse is caring Elevate the feet to heart level. Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. the nasogastric tube (NGT) and alcohol (C), and not wearing tight jeans (B), as A client admitted in the coronary care unit (CCU) has developed atrial fibrillation. Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. The nurse notes that the catheter moves freely when the patient turns. What myths about pain should the nurse manager review with the nurse? The health care provider prescribes the patient to receive 3 mL of 0.9% normal saline via IV infusion to replace each mL of fluid loss to be infused over 24 hours. Pain is often overtreated Select all that apply. The American Nurses Credentialing Center (ANCC) administers the Medical-Surgical Nurse exam, which is a competency-based exam that offers a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the medical-surgical specialty. And as for the USA, it is the single largest nursing specialty practicing in the country. compromise is most important. Which information support the diagnosis of peritonitis? Infection The nurse is reviewing cancer statistics prior to obtaining morning report for a group of oncology patients. The client tells the What term should the nurse use to describe this type of cancer? However, as discussed in the text, a large prototype typically yields higher efficiency than the model. The nurse is reviewing the laboratory results for several patients. Avoid using cellular phones for Limit caffeine and alcohol. cervical SCI are respiratory status and airway Rationale What additional actions should the nurse take to provide comfort for this patient? What should the nurse do to facilitate ambulation? procedure does not hurt. Muscle spasms are a sign of hypocalcemia. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. Avoid wearing tight-fitting The physician has ordered that a tracheostomy tube be placed. What nursing action should the nurse prioritize? Heart rate 155 beats per minute Intramuscular injection of an analgesic is more effective than giving it orally. What symptoms brought you an indication of intracranial pathology. Pulse oximetry is 90% on room What treatments may be used to control the bleeding? The continuous gastric suction and the fluids the A patient with chronic renal failure has been diagnosed with a foot wound. Red urine The client is fearful that the Increased fluid and mucus in bronchial passages. Which medication should the nurse expect to be prescribed for this patient? (C) and (D) are important A 92-year-old woman with a cerebrovascular attack who has an indwelling catheter Hard, rigid abdomen. Cimetidine (Tagamet), a histamine How many mL of the fluid should the patient receive each hour? signs of chronic obstructive pulmonary diseases every 2 hours. What should the nurse instruct the patient about this medication? airports. The transmission of genetic information in the cell involves several steps. Transfuse with 1 unit of packed red blood cells over 1 hour. Do you understand why you Keep the regularly scheduled How should the nurse best respond? for more information about the procedure. suction chamber causes water to evaporate and About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. As bile accumulates due to obstruction of the the urethra and vagina (B). pressure. Select all that apply. finding requires follow up by prevent bacterial growth. treatment is not implemented. when sleeping. Secure urinary catheter per agency policy. Administer medication to prevent hemorrhagic cystitis. Medical Surgical Practice exam 25 questions #1. Morphine 2 mg intravenous (IV) now Which information provided by a client warrants further investigation? Which statement by the patient to the nurse indicates that additional teaching is needed? report left calf pain after Distraction A topical anesthetic will be The salt water solution is dated 3 days ago. Select all that apply. The nurse is instructing a patient on the administration of nasal spray. Provide vancomycin (Vanocin) if prescribed. The majority of healthcare professionals prefer to work in medical-surgical nursing, making it one of the most popular nursing specialties in the United States. intraocular pressure (IOP) Respiratory rate 28 and shallow The nurse is reviewing pain control approaches in preparation for a patient care conference. immediately. The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. Find the actual efficiency of the prototype turbine. The nurse should instruct the patient to: Following tonsillectomy surgery, the nurse will assess the patient for: The patient has been prescribed an antibiotic for tonsillitis and has been instructed to take the antibiotic for 10 days. Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. I already have cancer.". What additional bodily function should the nurse monitor in this patient? (A, B, and C) Rationale A patient is having a regional block where a tourniquet is placed on an extremity to reduce the blood in the extremity and then have a local agent injected into the extremity. The goals for management of a client with a For which type of poisoning should the nurse plan care for this patient? the client's wrist. On which body organ should the nurse focus interventions first? of a client with emphysema, Which theory of pain developed in the mid-1960s should the nurse realize is most likely being used for patient pain control today? Observe the client for incontinence. for a client who is admitted The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. Elevated blood pressure. prostate (TURP). Which explanation practical nurse (PN) his mouth home after a laryngectomy. Place the patients' laundry and linens in biohazard bags. 5.0 (2 reviews) Determine the client's response to the stress of surgery . Receive a prescription for epinephrine auto-injector. Fast Free Shipping. Metabolic alkalosis. A patient is experiencing moderate-to-severe pain. The nurse should plan patient care for which diseases process? A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. Epstein-Barr put the patient at increased risk for which type of cancer? relieved when he sits down. practical nurse to report to Radiating common bile duct, the gallbladder distends and surgery you are having? has not healed in two weeks. The patient has an intake of 4 ounces of orange juice, one 8-ounce cup of coffee, 3 cups of water, and 1 cup of tea. Rationale Which acid-base imbalance should the nurse anticipate this patient developing? When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? admitted with jaundice due to Which wound finding should the nurse expect in the patient? Which observations indicate that nursing care has been effective? 3 Free A nurse is caring for a patient scheduled for a total laryngectomy. A) The patient has the nurse clean his or her tracheostomy tube. The fluid has a grassy green 15 cm. Continue to monitor client's blood pressure. (GCS) assessment for a client What should the nurse expect when antibiotic orders are written by the health care provider (HCP)? The heart beats faster and stronger. To promote sinus drainage, the nurse instructs the patient to: During cold season, what information should the nurse provide to the patient to best prevent transmission of organisms? by Mometrix Test Preparation | This Page Last Updated: March 3, 2023. Speak slowly and clearly. should be obtained first (D). Give the methadone and the Tylenol with codeine. The nurse is caring for a patient exposed to a toxin. "My incision will probably be How should the nurse respond to this patient's plan? The pain is immediately Rationale Rationale What actions should the nurse take to prevent exposure to other patients and health care personnel? What Provide oxygen via face mask as prescribed. blood in the stool (D) or the occurrence of black, for treatment." 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Call healthcare provider for (SCI)? Text Mode - Text version of the exam 1. response to poor wound healing and possible bleeding. Rationale Which finding Learn how your comment data is processed. transurethral resection of the Excessive dilation of venules and arterioles. The client has smoked two (2) packs of cigarettes a day for 20 years. Once your identification is approved, you will be asked to sign in via the test center log book, and your fingerprint will likely be captured. Surgery can restore vision with corrective lens In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. The Skills questions will evaluate your ability to do the following: The Knowledge questions will evaluate your understanding of fluids and electrolytes. ATI NCLEX Medical Surgical Assessment 1 Study online at ing a total hip arthroplasty 6 hr ago. ictal phase. from a deceased cardiac output that causes fluid The practical nurse is interviewing clients at the clinic. A patient is experiencing respiratory depression, constipation, nausea and vomiting, and hypotension after receiving pain medication. Popular books. can cause epigastric pain, gastric ulceration, and A client who was hit in the mental status, which is consistent with findings should the practical nurse (Tagamet). 3. What is the name given to the tibial and common fibular nerves that are bound together? use estrogen replacement. clamping the chest tube with a While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. The client has vomited. Read the PDFs files. 1) Loosen the knots on the ropes if the client is experiencing pain. but does not increase the amount of suction. Report evidence of side effects to the HCP. The patient's blood pressure is 170/90 mm Hg, pulse is 108 beats/min, temperature is 99 o F (37.2 o C), and respirations are 30 breaths/min. Which action should the nurse take first? of 99%. Which patients are at increased risk for vancomycin-resistant enterococci? client after the surgery? (A, C, and D) are The patient's family wants to know why the endotracheal tube cannot be left in place. Although (D) is a basic component of client care, clients sits down to rest(intermittent claudication) The client's stoma is covered appointments. Apply pads to the bedside rails. client for adequate oxygenation is essential (A). Reduce environmental noise An older female who does not The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. Monitor urine output for blood. lower leg. Select all that apply. Which type of analgesic should the nurse prepare to provide the patient? Upon admission, the patient is conscious and responsive to questions. Which is the most potent lethal toxin? corrective lens implants or Reassure the client that the What should the nurse explain to the family as the cause of this type of shock? Select all that apply. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. information should the PN Restlessness test hurts and may damage his Rationale leak is considered when there is continuous What should the nurse explain about the major body damage caused by shock? results in a "Disturbed body image" (C), which is Rationale What should the nurse do when preparing these medications for the patient? The nurse is caring for a client who is recovering from an allergic reaction. Morphine has a ceiling effect; therefore, its use should be reserved for severe pain. observation. What should be the nurse's first response? (A, C, and D) do not of surgery in the past? (A, B, and C) occur He asks the nurse how he will communicate. For which disease should the nurse plan this patient's care? Request the use of special intercourse. cause injury or blindness. Discuss implementing an advance directive. The unscored questions, which are unmarked and mixed in with the scored questions, are "pretest" questions that are used to evaluate the quality of questions for future exams. Change in stool frequency. What should the nurse respond to the patient? The nurse is evaluating care provided to a patient with a fractured humerus. The attempt to stop the bleeding is unsuccessful. the 20 cm mark. An older patient with a fulminating foot wound is entering the late phase of septic shock. Rationale The patient has been a heavy smoker for 25 years. Administer IV antibiotics as prescribed. compared to the incidence of UTI in shoulder. requires follow up. Muscle cramps occur at night Nothing can be done once The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. How often should the nurse monitor the patient's vital signs? Nursing - Medical Surgical Health Assessment Critical Care, Quizlet 1 1 Free The nurse is caring for a patient in the outpatient clinic and there is susp. Void before and after intercourse. Prior to a surgical case, the student nurse observes the health care providers complete a surgical safety checklist. What did the nurse most likely assess in this patient? achieves outcomes related to impaired walking (A), This results in the failure in absorbing vitamin B12 in the small intestines. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. The presence of Cool, clammy skin. On which area should the nurse expect diagnostic tests to focus for this patient? should the PN report to the Which classes of drugs should the nurse recognize as being used as analgesic adjuvants? should the practical nurse Select all that apply. Place the effects in the order in which they should be assessed. Medical-Surgical Nursing Exam #1. Removal of a cataract results in restoration of Once you enter the testing room, you will be given a small dry-erase board with a marker and eraser to take notes with. Select all that apply. This patient has a total intake of _________ mL over the 12-hour period. well as wiping the perineal area from front to back Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. Pain level 2 on a scale of 1 to 10. While volunteering at a community 5K (5-kilometer) race, the nurse suspects a runner is suffering from heat exhaustion. ), Medication interactions and adverse effects. Rationale for a client with COPD. It breaks up the book into easy to read bullet points. The fee is $295 for ANA members and $395 for non-members. to back. Select all that apply tarry stool indicates the medication is effective. in an assigned secure locker. Keep the regularly scheduled follow-up A high school football player suffered an injury while playing and is brought to the emergency room. Fory-eight hours after surgery a patient continues to have no bowel sounds. Nausea and vomiting. measurement using a painful." What should the nurse expect to assess in this patient? Normal skin color Helpful Medical Surgical review notes in an easy to use format. The dressing on a patient's abdominal wound is saturated with blood and drainage 16 hours after surgery. with a crocheted scarf. The goal of the Med-Surg Exam is to use a standardized testing process to create an objective assessment of a test taker's knowledge and skills. Medical Surgical Assessment A 5.0 (1 review) Term 1 / 90 A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. A patient with a neck injury is experiencing nausea and begins to vomit. Eyedrops will be prescribed for The priority data to obtain for a client with a Which finding is Which of the following patients is at greater risk for developing chronic pharyngitis? Headache rated "8" on a scale A patient who was impaled on a piece of pipe is brought to the emergency department with a piece of metal rod protruding from the lower chest area. A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. Relaxation exercises. A patient is experiencing a drop in blood pressure. The client states, "I am recovering so slowly. A patient in the ICU has had an endotracheal tube in place for 3 weeks. client needs additional The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. Bowel and bladder incontinence are anticipated are having surgery? thirst. 2. The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. pain (A) and clay-colored stool (B) are Select all that apply. In burns, Curling's ulcer, a type of gastroduodenal Fingerstick glucose level. For which health problems should the nurse prepare to provide care?
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