Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

Review Medical Surgical Nursing Practice Questions related questions and content

A client has a newly inserted chest drainage system with a water seal. Which of the following actions should be taken?

  • A. Clamp the tube when the client is ambulating.
  • B. Keep the collection device below the level of the client's chest.
  • C. Carefully coil the tubes to prevent kinking.
  • D. Position the client flat to avoid leaks in the tubing.
Correct Answer: B

Rationale: The correct answer is B: Keep the collection device below the level of the client's chest. This is important to ensure proper drainage and prevent backflow or air from entering the pleural space. Placing the collection device below the chest allows gravity to assist in drainage. Clamping the tube while ambulating (choice A) can lead to increased pressure in the chest, risking complications. Coiling the tubes (choice C) may cause kinks, obstructing drainage. Positioning the client flat (choice D) can lead to leaks in the tubing due to elevated pressure.

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The PACU nurse applies warm blankets to a postoperative patient who is shivering and has a body temperature of 96.0°F (35.6°C). What treatment also may be used to treat the patient?

  • A. Oxygen
  • B. Vasodilating drugs
  • C. Antidysrhythmic drugs
  • D. Analgesics or sedatives
Correct Answer: A

Rationale: Shivering increases oxygen demand; providing oxygen supports metabolic needs.

A healthcare professional is monitoring a client following a thoracentesis. The healthcare professional should identify which of the following manifestations as a complication and contact the provider immediately?

  • A. Serosanguineous drainage from the puncture site
  • B. Discomfort at the puncture site
  • C. Increased heart rate
  • D. Decreased temperature
Correct Answer: C

Rationale: The correct answer is C, increased heart rate, as it indicates a potential complication such as hemorrhage or pneumothorax post-thoracentesis. An increased heart rate can signify hypovolemia or respiratory distress, requiring immediate provider notification. Serosanguineous drainage (A) is expected initially, discomfort (B) is common, and decreased temperature (D) is not typically a complication post-thoracentesis.

A client with respiratory failure is receiving mechanical ventilation and continues to produce ABG results indicating respiratory acidosis. Which action should you expect to correct this problem?

  • A. Increase the ventilator rate from 6 to 10 per minute
  • B. Decrease the ventilator rate from 10 to 6 per minute
  • C. Increase the oxygen concentration from 30% to 40%
  • D. Decrease the oxygen concentration from 40% to 30%
Correct Answer: A

Rationale: Increasing the ventilator rate enhances CO2 removal, correcting respiratory acidosis by improving ventilation.

What is the disorder called when flashbacks are a symptom?

  • A. Post-traumatic stress disorder
  • B. Phobic disorder
  • C. Anxiety disorder
  • D. Obsessive-compulsive disorder
Correct Answer: A

Rationale: PTSD is characterized by intrusive memories, flashbacks, and nightmares related to a traumatic event.

For each of the following body systems, identify three physical manifestations that the nurse would expect to see in a patient approaching death.

  • A. Respiratory: Cheyne-Stokes respirations
  • B. Skin: Mottling
  • C. Gastrointestinal: Loss of appetite
  • D. Musculoskeletal: Weakness
Correct Answer:

Rationale:

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