Free Medical Surgical Certification Practice Questions

Free Medical Surgical Certification Practice Questions Related

Review Free Medical Surgical Certification Practice Questions related questions and content

When teaching a client with chronic obstructive pulmonary disease (COPD) about nutrition, what information should be included? (Select all that apply)

  • A. Avoid drinking fluids just before and during meals.
  • B. Rest before meals if experiencing dyspnea.
  • C. Have about six small meals a day.
  • D. Eat high-fiber foods to promote gastric emptying.
Correct Answer: D

Rationale: The correct answer is D: Eat high-fiber foods to promote gastric emptying. In COPD, patients may experience slow gastric emptying due to decreased lung function. High-fiber foods can help with digestion and prevent constipation.

A: Avoid drinking fluids just before and during meals - Incorrect. Hydration is important for COPD patients, but timing of fluid intake is not directly related to nutrition in this context.

B: Rest before meals if experiencing dyspnea - Incorrect. While resting before meals can help with dyspnea, it is not directly related to nutrition education.

C: Have about six small meals a day - Incorrect. While small frequent meals may be beneficial for some COPD patients, this is not a universal recommendation for all individuals with COPD in terms of nutrition.

You may also like to solve these questions

Chronic hepatitis C may be treated with

  • A. Sulfasalazine.
  • B. Interferon and ribavirin.
  • C. Metronidazole or ciprofloxacin.
  • D. Acetaminophen.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

What is the correct sequence of examination techniques that should be used when assessing the patient’s abdomen?

  • A. Inspection, palpation, auscultation, percussion
  • B. Palpation, percussion, auscultation, inspection
  • C. Auscultation, inspection, percussion, palpation
  • D. Inspection, auscultation, percussion, palpation
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client's face is puffy, and the eyelids are swollen. What action by the nurse takes priority?

  • A. Assess the client's oxygen saturation.
  • B. Notify the Rapid Response Team.
  • C. Oxygenate the client with a bag-valve-mask.
  • D. Palpate the skin of the upper chest.
Correct Answer: A

Rationale: The correct answer is A: Assess the client's oxygen saturation. This is the priority because the client's puffy face and swollen eyelids may indicate airway obstruction or respiratory distress, common complications in tracheostomy patients. Assessing oxygen saturation helps determine if the client is getting enough oxygen. Option B (Notify the Rapid Response Team) is not the immediate action unless the client's condition deteriorates rapidly. Option C (Oxygenate the client with a bag-valve-mask) may be necessary but should come after assessing oxygen saturation. Option D (Palpate the skin of the upper chest) is irrelevant to the client's current symptoms.

A client with dyspnea and difficulty climbing stairs is classified as having class III dyspnea. Which intervention should the nurse include in the client's plan of care?

  • A. Assistance with activities of daily living.
  • B. Daily physical therapy activities.
  • C. Oxygen therapy at 2 liters per nasal cannula.
  • D. Complete bedrest with frequent repositioning.
Correct Answer: A

Rationale: The correct answer is A: Assistance with activities of daily living. Class III dyspnea signifies moderate exertion causing symptoms. Therefore, the client may need help with daily activities to conserve energy. Daily physical therapy (B) may be too strenuous. Oxygen therapy (C) may not be necessary at this point. Complete bedrest (D) can lead to deconditioning.

A client has just been admitted with portal hypertension. Which nursing diagnosis would be a priority in planning care?

  • A. Altered nutrition: less than body requirements.
  • B. Potential complication hemorrhage.
  • C. Ineffective individual coping.
  • D. Fluid volume excess.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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