NSG233/ NSG 233 Exam 3: (New 2024/ 2025 Update) Med Surg III |Q&A, Exams of Nursing

Download NSG233/ NSG 233 Exam 3: (New 2024/ 2025 Update) Med Surg III |Q&A and more Exams Nursing in PDF only on Docsity! NSG233/ NSG 233 Exam 3: (New 2024/ 2025 Update) Med Surg III | Questions and Verified Answers| 100% Correct| A Grade – Herzing QUESTION The nurse is conducting a wellness class for a group of African American clients. When addressing the topic of health screenings, the nurse informs the group about which recommendation by the American Cancer Societv for early detection of prostate cancer Answer: Digital rectal exam by age 45 QUESTION The nurse is preparing to administer the cytotoxic agent, cabazitaxel, to a client with prostate cancer. The drug is to be given through the client's port and the dosage is ordered at 25 mg/m2. After reconstitution, the resultant solution contains 10 mg/mL of cabazitaxel.What amount would the client receive if the BSA was 1.65m2. _ml Answer: 4.125 ml rounds to 4 QUESTION Pt w chest tube for management of pnuemothorax which observation would require contacting the physician following assessment Answer: Continuous bubbling in water seal compartment QUESTION Which of the following interventions would be included in plan or care for w patient on ventilator with tracheostomy Answer: Maintain tracheotomy cuff pressure between 20-25 QUESTION Nurse is caring for pt on mechanical vent . Vent alarm goes off and nurse enters room. Pt does not seem in distress what to do next Answer: Check ventilator to determine cause QUESTION Caring for pt after thoracotomy for lung cancer which assessment finding would prompt nurse to notify HCP Answer: Pt is coughing up pink frothy sputum QUESTION Education for pt diagnosed with esophageal varices. Which of the following does the nurse tell pt to avoid ? SATA Answer: -acidic or irritating drinks -lifting heavy objects -alcohol -straining with stools -aspirin QUESTION Monitor blood glucose levels regularly QUESTION The nurse is assessing a client with hepatic encephalopathy. The patient is drowsy, disoriented, agitated, and displays asterixis and fetor hepaticus. The nurse would document those findings as being consistent with which stage of encephalopathy? Answer: Stage 2 QUESTION The nurse is caring for a client on a ventilator. The patient develops restlessness, tachycardia, tachypnea, brief episodes of hypertension, cyanosis, diaphoresis and decreased urinary output. The nurse recognizes that the patient is experiencing which of the following complications of mechanical ventilation? SATA Answer: -barotruama -pneumothorax QUESTION patient is recovering from an endoscopy to verify esophageal varices. The patient is complaining of thirst and wants water. What is the appropriate initial nursing action? Answer: Check gag reflex QUESTION Pt on mechanical vent is prescribed pantoprazole , this is for? Answer: Preventing stress ulcers QUESTION 78 year old pt has a thoracotomy with a chest tube placed is initially prescribed tramadol for pain. Prior to starting the tramadol the nurse reviews pt chart. The pt has a history of hypertension , osteoarthritis, and neuropathic pain from diabetes. The client is also prescribed an antihypertensive , and SSRI, aspirin and metformin. Which of the elements of the pt history would cause concern for the nurse Answer: Prescribed SSRI QUESTION Nurse is caring for pt on mechanical ventilation who has previously been resting quietly. Pt suddenly begins thrashing and become diaphoretic and tachy, with wide open eyes and look of fear. What should nurse do first Answer: Assess respiratory status QUESTION Nurse is preparing to assist w chest tube removal. which of the following actions will the nurse perform ? SATA Answer: - pre medicate prior to the removal as ordered -gather supplies needed including petroleum gauze dressing as per physician preference -place pt in semi folwers QUESTION Nurse is called to the pts room by UAP when client chest tube is accidentally disconnected from drainage system. Which intervention by the nurse would be appropriate Answer: Immerse the chest tube open end into sterile water QUESTION Which of the following findings would indicate to the nurse that effective cough technique has been taught to a thoracotomy patient successfully Answer: Clear lung sounds Auscultated after coughing exercises QUESTION Pt diagnosed with portal hypertension and ascites is prescribed a 2 gram sodium diet. Which or the following statements indicates understanding Answer: I will season my food with oregano or thyme QUESTION A pt presents to ED with an enlarged abdomen , distended abdominal veins , straie, shortness of breath and abdominal discomfort, and a sodium level of 126. The nurse recognizes these symptoms to be consistent with ? Answer: Portal hypertension QUESTION Nurse is assessing a newly admitted pt with cirrhosis and ascites. Which specific interventions to be in this pt plan of care ? SATA Answer: - monitor daily weights -monitor CBC -monitor serum ammonia -assess abdominal girth -monitor complete metabolic panel ( CMP) Answer: -client will openly discuss feelings about procedure -client will initiate the process of changing the pouch -client will successful perform stoma care QUESTION The nurse is providing a patient with discharge instructions after a transurethral resection of the prostate (TURP) for prostate cancer. The nurse should inform the patient to call the HP immediately for which of the following? Answer: Hematuria and bladder spasm QUESTION nurse is caring for a client on mechanical ventilation who is receiving an infusion of propofol. Which of the following findings would indicate to the nurse that the client is developing propofol infusion syndrome? Answer: Elevation of lactic acid and CK (creatine kinase) levels QUESTION Which of the following statements by a client with ureterosigmoidostomy would indicate understanding of this procedure? Answer: I will not have to wear an applicance QUESTION The client diagnosed with end-stage liver failure is admitted to the ICU with bleeding esophageal varices. The doctor initiates balloon tamponade therapy. Which intervention would the nurse implement? Answer: Stay w pt at all times QUESTION client admitted with severe exacerbation of COPD and needs assisted ventilation. The client refuses to be intubated. Which type of ventilation would the nurse expect to be ordered for this client? Answer: Non invasive positive pressure QUESTION Nurse is providing medication education to a pt diagnosed with hepatic encephalopathy. When reviewing the pts prescription for lactulose the nurse informs the client that's the primary purpose of lactulose is Answer: Lower ammonia levels QUESTION A patient with liver disease and jaundice is experiencing intense pruritus. The UAP is assisting the pt with morning care. Which action by the UAP would prompt intervention? Answer: Uap assisting pt to take hot soapy shower QUESTION The nurse is preparing to assist in paracentesis. The HCP orders an I fusion of low sodium albumin. The nurse knows that the purpose of an albumin infusion with a paracentesis is what Answer: Prevent reaccumulation of fluid by increasing blood volume QUESTION Student nurse caring for pt with cirrhosis. Nurse preceptor is explaining to students that the pt has heptocellular jaundice. Instructor knows that the student understand the concepts of hepatocellular jaundice when the student says which of the following Answer: Damaged liver cells are unable to get rid of bilirubin in blood causing it to build up QUESTION A preceptor and student nurse are making rounds in the patients assignments for the day. After leaving the room of the pt with ascites the student nurse asks how the fluid accumulated. How should the preceptor explain the pathophysiology of ascites Answer: Increased pressure in the portal system and resulting vasodilation causes leakage into the abdominal cavity QUESTION A 55 ur old pt undergoes a TRUS and biopsy procedure for prostate cancer and received a Gleason score of 3 with localization to the prostate. The nurse anticipated which of the following treatment modalities as a follow up Answer: External-beam radiation therapy QUESTION A client with a drug overdose is placed on a ventilator which situation would require the nurse to intervene SATA Answer: -head of the bed is 45