Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

Review Medical Surgical Nursing Practice Questions related questions and content

The healthcare provider is caring for a client who has heart failure and a history of asthma. The provider reviews the orders and recognizes that clarification is needed for which of the following medications?

  • A. Carvedilol
  • B. Fluticasone
  • C. Captopril
  • D. Isosorbide dinitrate
Correct Answer: B

Rationale: The correct answer is B: Fluticasone. Fluticasone is an inhaled corticosteroid used to treat asthma, which can worsen heart failure symptoms. The healthcare provider needs to clarify this medication due to the client's history of asthma and heart failure. Carvedilol (A) is a beta-blocker used to treat heart failure. Captopril (C) is an ACE inhibitor also used in heart failure. Isosorbide dinitrate (D) is a vasodilator used for heart failure and angina, not contraindicated in asthma.

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A client has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should be taken?

  • A. Increase the wall suction.
  • B. Strip the chest tube.
  • C. Clamp the chest tube.
  • D. Reposition the client.
Correct Answer: D

Rationale: The correct answer is D: Reposition the client. This action should be taken because chest burning could indicate that the chest tube is irritating the pleura. Repositioning the client may help alleviate the pressure on the pleura, reducing discomfort. Increasing wall suction (A) could worsen the irritation. Stripping the chest tube (B) is outdated and can cause damage. Clamping the chest tube (C) can lead to tension pneumothorax.

Which preoperative medications cause a decrease in respiratory tract secretions, dry mucous membranes, and interrupt vagal stimulation?

  • A. Histamine z-receptor antagonists
  • B. Antianxiety drugs
  • C. Anticholinergics
  • D. Sedatives
Correct Answer: C

Rationale: The correct answer is C because anticholinergics reduce secretions and block vagal activity.

What is the physical environment of a surgery suite primarily designed to promote?

  • A. Electrical safety
  • B. Medical and surgical asepsis
  • C. Comfort and privacy of the patient
  • D. Communication among the surgical team
Correct Answer: B

Rationale: Maintaining a sterile environment is crucial to prevent infections and ensure patient safety.

Why would you give Mrs. West atropine sulfate as a preoperative medication primarily?

  • A. Increase her heart rate
  • B. Dilate her pupils
  • C. Relax her smooth muscle
  • D. Control her secretions
Correct Answer: D

Rationale: Atropine reduces respiratory and salivary secretions, preventing aspiration during surgery.

What does tenderness behind the ear indicate in a client with otitis media?

  • A. Mastoiditis
  • B. Tinnitus
  • C. Labyrinthitis
  • D. Septicemia
Correct Answer: A

Rationale: Tenderness behind the ear may indicate mastoiditis, an infection of the mastoid bone.

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