FREE CMSRN Medical-Surgical Nursing General Questions and Answers
Millet, age 32, visited a day clinic to report a sudden weight gain. She also reported to the nurse on duty that her abdomen is now bigger than before and her face looks “swollen” and rounded. Which additional assessment finding would lead the nurse to suspect that Millet has Cushing’s syndrome rather than obesity?
Explanation:
Posterior neck fat pad and thin extremities are also noted in a client with Cushing’s syndrome. “Buffalo hump” is the accumulation of fat pads over the upper back and neck. Fat may also accumulate on the face, which suggest a “swollen” and rounded face. There is truncal obesity but the extremities are thin.
Before being released, a patient with a fractured left leg must learn the three-point gait. Which directive ought the nurse to deliver to this patient?
Explanation:
In the three-point gait, both crutches and the affected “bad” leg and foot moved together, with the unaffected “good” leg and foot following.
A customer who had suffered an amputation is being urged by the nurse to put on a prosthetic right away. The benefit of taking this quick action is
Explanation:
When the prosthesis is in place immediately following surgery, the client can stand up several hours postoperatively and walk the next day. The operative site is closed to outside contamination and benefits from improved circulation due to ambulation.
Shana was diagnosed with gastroesophageal reflux disease following an EGD (GERD). Edna is taught by the nurse how to reduce symptoms. Which of the following Edna statements suggests that more instruction is required?
Explanation:
The client with GERD is encouraged to eat smaller, low-fat frequent meals and to avoid lying down after eating. Clients are instructed not to eat for at least 2 hours before bedtime and avoid foods that decrease lower esophageal pressure, such as anything containing caffeine (coffee, tea, cola, chocolate).
The nurse's most accurate explanation of a thyroid scan to a colleague is that it:
Explanation:
A thyroid scan utilizes the uptake of radioactive iodine by the thyroid gland to determine the size, shape, and function of the gland.
The ventral venous pressure of a patient with acute pulmonary edema brought on by congestive heart failure is continuously monitored (CVP). Which of the following describes a successful treatment plan for the client?
Explanation:
One of the therapeutic aims for this client is to reduce fluid in the vascular space, which is shown by a decrease in central venous pressure. Greater central venous pressure denotes increased fluid in the vascular space, which is not the desired outcome.
Mr. Scott, a 55-year-old mechanic, was diagnosed with adult-onset diabetes. The nurse will know that Mr. Daniels understands the symptoms of a hyperglycemic reaction if he verbalized,
Explanation:
“I may feel flushed cheeks, will have acetone breath, and increased thirst”, is the statement that the client understands the manifestations of a hyperglycemic reaction.