FREE CMSRN Medical-Surgical Nursing Guide Questions and Answers
It's a left pneumonectomy for a client. Nursing interventions for a postoperative left pneumonectomy that would be planned for this client would include:
Usually audible over the base of the residual lung, respiration sounds could suggest vascular overload; hence, rales should be closely watched.
A man who underwent a six-hour left femoral popliteal bypass graft has returned to the Unit. Later, the client's foot appears chilly and dark, and the nurse should have seen that his dorsalis pedis pulse was absent.
The patient is in danger of losing his left foot and/or leg due to a lack of blood supply, hence it is imperative that the doctor be called very once.
Three hours after knee reduction surgery, a 27-year-old patient complains of soreness in his right leg. The nurse's initial course of action should be to:
It is crucial to assess the postoperative area in order to identify any bleeding, edema, or reduced circulation.
Two days ago, a hemicolectomy was performed on a customer. A tiny portion of the abdominal viscera was visible peeking through the wound when the nurse examined it today. This wound healing problem is referred to as:
When the cavity's contents leak out of the incision, it is called evisceration.
Stephen Douglas was involved in a car accident. The best IV treatment for a patient hypovolemic shock sufferer would be:
Isotonic solutions are used to raise intravascular volume and improve critical tissue perfusion organs.
The most widely recognized explanation for Type I diabetes's underlying cause is an autoimmune mechanism. Lack of insulin results from the body's production of an antibody that targets and kills beta cells.
It's critical to evaluate the postoperative region to check for bleeding, edema, or impaired circulation.
Stage II Hodgkins disease was identified in 18-year-old Ramona Gunther, who is getting ready to receive She informs the nurse that she is afraid ""of having to get radiation"" from external radiation therapy. treatments all over my body. What is the best course of action to do in response?
Since all of the affected lymph nodes in Stage II are on the same side of the diaphragm, that body part will receive radiation therapy.
A patient returns after a coronary artery bypass graft to the Cardiovascular Intensive Care Unit." (CABG). The most crucial electrolyte to keep an eye on when organizing the client's care is:
Since potassium affects the heart, it will need to be closely watched. Tachyarrhythmias of the supraventricular triad may be caused by hypokalemia.
A client's surgical incision is noted by the nurse as having red, granulated tissue. This suggests that the injury is:
The wound is appropriately healing. Fragile capillaries and crimson granular tissue abound within.
In her health sciences class, 20-year-old Allison Lynn requests you to elaborate on the cause of Type I Diabetes's insulin shortage. You mention that this is the most widely accepted theory:
The most widely recognized idea regarding the etiology of Type I diabetes is an autoimmune mechanism. There is insufficient insulin because the body makes an antibody that targets and kills the beta cells.
This morning, a 44-year-old male client underwent stomach surgery. A tiny quantity of red discharge was seen by the nurse on the patient's surgical dressing. This style of guttering is:
In general, drainage from a surgical incision is sanguineous (red), progressing to serosanguineous (pink), and finally to serous (straw-colored). A substantial quantity of serosanguineous drainage may be expected in the first 24 hours after the incision is made with a Penrose drain.