Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

Review Medical Surgical Nursing Practice Questions related questions and content

A client has developed atelectasis postoperatively. Which of the following findings should the nurse expect?

  • A. Facial flushing
  • B. Increasing dyspnea
  • C. Decreasing respiratory rate
  • D. Friction rub
Correct Answer: B

Rationale: The correct answer is B: Increasing dyspnea. Atelectasis is a condition where the lung tissue collapses, leading to decreased oxygen exchange and resulting in symptoms like dyspnea (difficulty breathing). This occurs because the collapsed lung tissue reduces the surface area available for gas exchange, leading to decreased oxygen saturation and increased work of breathing.

Facial flushing (choice A) is not typically associated with atelectasis. Decreasing respiratory rate (choice C) may not be a reliable indicator as the body may compensate by increasing respiratory rate to maintain oxygenation. Friction rub (choice D) is more commonly associated with conditions like pleurisy or pneumonia, not atelectasis.

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How would you confirm a client has heard instructions if they nod yes to everything?

  • A. Ask them to repeat the instructions back
  • B. Provide written instructions
  • C. Observe their behavior during implementation
  • D. All of the above
Correct Answer: D

Rationale: Multiple methods ensure understanding and retention of the information.

A client wants help choosing between apitherapy and chiropractic treatments. Compare and contrast the two methods in terms of safety and insurance coverage.

  • A. Apitherapy involves bee venom therapy and may not be covered by insurance; chiropractic treatments focus on spinal manipulation and are often covered.
  • B. Both methods are equally safe and covered by insurance.
  • C. Neither method is safe or covered by insurance.
  • D. Safety and coverage depend solely on the client's insurance provider.
Correct Answer: A

Rationale: Apitherapy and chiropractic treatments differ in safety profiles and insurance coverage, requiring careful evaluation.

Mary, who is scheduled for a thoracentesis, asks why there is so much fluid in the pleural space. You respond by saying

  • A. Your body is unable to remove fluid, resulting in a buildup of fluid in the pleural space around your lungs.
  • B. An error occurred and you were administered too much IV medication.
  • C. This is the result of oxygen therapy.
  • D. This is a normal side effect of bumetanide, which is medication ordered by your physician.
Correct Answer: A

Rationale: Fluid accumulation in the pleural space can occur due to various conditions like heart failure or infection.

Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased risk of postoperative:

  • A. Myocardial infarction.
  • B. Respiratory complications.
  • C. Deep vein thrombosis.
  • D. Wound infection.
Correct Answer: B

Rationale: Open cholecystectomy involves abdominal surgery, which can impair respiratory function due to pain and reduced mobility. This increases the risk of respiratory complications such as atelectasis or pneumonia.

Which of the following is the priority nursing diagnosis?

  • A. Risk for Infection related to organisms specific to cat bites
  • B. Impaired Skin Integrity related to puncture wounds
  • C. Ineffective Health Maintenance related to immunization status
  • D. Risk for Impaired Mobility related to potential tendon damage
Correct Answer: A

Rationale: Cat bites carry a high risk of infection due to the bacteria present in their mouths.

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