Exam 3: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II | Q&A, Exams of Nursing

Download Exam 3: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II | Q&A and more Exams Nursing in PDF only on Docsity! Exam 3: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II | Questions and Verified Answers| 100% Correct| A Grade – Fortis QUESTION A nurse obtains a health history from a patient who has a 35-pack year smoking history. The patient reports hoarseness and tightness in the throat and difficulty swallowing. Which question is important for the nurse to ask?- Answer: "how much alcohol do you drink in an average week" QUESTION Which action should the nurse take first when a patient develops epistaxis- Answer: apply squeezing pressure to the nostrils for 10 minutes QUESTION patient in ent clinic, what is priority assessment Answer: sore throat, muffled voice QUESTION patient has the flu, what is most important to communicate with the hcp?- Answer: Crackles in lungs QUESTION patient has acute sinusitis, what interventions to include Answer: decongestants to relive swelling taking a hot shower will increase drainage and decrease pain saline spray can be made at home sit in an upright position QUESTION The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis, Which statement needs additional teaching? Answer: "I can use nasal decongestant spray until the congestion is gone" QUESTION The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan? Answer: Identifying and avoiding environmental triggers are the best way to prevent symptoms QUESTION QUESTION The nurse assesses vital signs for a patient admitted 2 days ago with gram-negative sepsis; temp 101.2, BP 90/56mmHg, pulse 92, and respirations 34. Which action should the nurse take next? Answer: Obtain oxygen saturation using pulse oximetry QUESTION While caring for a patient who has been admitted with a pulmonary em- bolism, the nurse notes a change in the patient's oxygen saturation from 94% to 88%. Which action should the nurse take? Answer: Increase prescribed o2 rate QUESTION Patient has respiratory failure with 6breath/min, what do we do? Answer: Endotra- cheal intubation and positive pressure ventilation QUESTION which finding by the nurse most specifically indicates that a patient is not able to effectively clear the airway? Answer: weak cough QUESTION A lobectomy for patient with non small cell lung cancer. The patient tells the nurse "I would rather have chemotherapy than surgery", which response by nurse is most appropriate Answer: "tell me what you know about the treatments available" QUESTION After change-of-shift report, which patient should the nurse assess first? Answer: A 64-year old with lung cancer and tracheal deviation after subclavian catheter inser- tion QUESTION The nurse is caring for a patient who has acute pharyngitis caused by candida albicans. Which action by the nurse is most appropriate for the nurse to include in the plan of care? Answer: Teach patient to "swish and swallow" prescribed oral nystatin QUESTION A woman receiving chemotherapy for breast cancer develops candida albi- cans oral infection. Which intervention should the nurse anticipate? Answer: Nystatin tablets QUESTION The nurse is assessing a patient with abdominal pain. How will the nurse document ecchymosis around the area of the umbilicus? Answer: Positive Cullen's sign? QUESTION Which item should the nurse offer to the patient who is to restart oral intake after being NPO due to nausea and vomiting? Answer: Dish of lemon gelatin QUESTION A patient who has GERD is experiencing increasing discomfort. Which patient statement to the nurse indicates the additional teaching about GERD is needed? Answer: "I eat small meals and have a snack at bedtime" QUESTION A 58 year old woman who was recently diagnosed with esophageal cancer tells the nurse, "I do not feel ready to die yet" Which response from the nurse is most appropriate? Answer: "Having this new diagnosis must be very hard for you" QUESTION A patient appears somnolent QUESTION The nurse has just auscultated coarse crackles bilaterally on a patient and was unsuccessful in coughing up secretions, what action should the nurse take? Answer: Put on sterile gloves and use a sterile catheter to suction QUESTION The nurse cares for a client with acute respiratory distress syndrome (ARDS) Which finding indicates that the client is experiencing a complication from ARDS Answer: Urine output of 20ml dark amber urine in the past 8 hours QUESTION During change of shift report on a medical unit, the nurse learns that a client who was admitted with aspiration pneumonia has become increasingly agitated. Which action should the nurse take first? Answer: Use pulse oximetry to check the oxygen saturation QUESTION Which nursing interventions included in the care of a mechanically vented patient with acute respiratory failure can the rn delegate to the lpn/lvn working in the ICU Answer: insert an indwelling catheter QUESTION The healthcare provider orders narcan 0.3 mg iv stat for respiratory de- pression. Narcan is provided as 0.4mg/ml. The nurse will administer ml. Round to the nearest tenth Answer: 0.8 QUESTION The healthcare provider temazepam 30 mg p.o. at bedtime prn. Available is 15mg tablets. How many to give Answer: 2 QUESTION The physician orders a continuous heparin infusion at 1300 units/hour. The heparin is provided as 25,000 units 500ml D5W. The nurse will set the pump for the rate of ml/hr Answer: 26 QUESTION The physician orders morphine 5 mg/hr continuous IV infusion. The mor- phine is supplied as 125mg in 250 ml D5W. The nurse will set the infusion at ml/hr Answer: 10 QUESTION The nurse provides education to a client with hep b. What information needs to be included in the teaching SATA Answer: Do not share razors or other hygiene products Eat small frequent meals throughout the day. QUESTION The picture of abdomen with positive cullen's sign where would the nurse assess Answer: 3 below umbilicus QUESTION A client with gas pains and abdominal distension for 2 days after a small bowel resection. What action will the nurse take? Answer: encourage the patient to ambulate QUESTION Abnormal findings on patients electronic health record, what would con- firm the patient has metabolic syndrome? Answer: Waist size fasting blood glucose high density lipoprotein level