FREE CMSRN Medical-Surgical Nursing Questions and Answers

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The nurse cares for a patient diagnosed sickle cell anemia.  The patient queries the nurse about signs that might indicate a crisis. Which among the following does not indicate a sickle cell crisis?

Correct! Wrong!

It is uncommon to link sickle cell crisis to blurred vision. This illness is not usually characterized by blurred vision, but it can cause fever, discomfort, and dyspnea.

The elderly woman laments her suffering. John saw that the knee was swelled, reddish, and warm to the touch. According to John, these symptoms and indicators are probably connected to:

Correct! Wrong!

Following a trauma, inflammation begins virtually immediately. Not instantly, but 24 to 48 hours after a bone fracture, infection sets in. Within four to seven days of being hospitalized following extended immobility, thrombophilia develops. The client does not appear to have a degenerative disease, and these conditions might appear in a variety of ways without necessarily following a traumatic event.

When Dervid realized that the elderly woman's leg was

Correct! Wrong!

Your keyword should be SADDER. A fractured hip will result in a SHORTENED

When implementing the quality improvement process for a clinical activity, the initial step is to:

Correct! Wrong!

Choosing an activity for improvement is the first stage in using the quality improvement approach to an activity in a healthcare context.In order to systematically improve a chosen activity, it is first necessary to identify and select a specific activity or process that needs improvement. Once the activity has been chosen, other steps like putting together a team, gathering data, and establishing quantifiable standards can be taken.

The principal goal of treatment for acute glomerulonephritis is to maintain fluid balance.

Correct! Wrong!

Because this condition involves inflammation of the kidney's glomeruli, which can lead to fluid retention and impaired kidney function, maintaining fluid balance is critical to preventing complications like edema and hypertension. The main goals in the treatment of acute glomerulonephritis do not include encouraging activity, eating a high-protein diet, or teaching intermittent urinary catheterization.

A medical-surgical nurse who examines a patient who is paralyzed below the T4 level anticipates finding:

Correct! Wrong!

The patient's upper extremities are not being affected by the damage if they are paralyzed below the T4 level. As a result, the patient's upper extremity function would remain intact. Since that nerves above the T4 level are mostly responsible for controlling coughing, they would also most likely still have an intact cough reflex.

Activity intolerance is the nursing diagnostic given to a patient who has had a myocardial infarction. The following patient outcome criteria are part of the plan of care:

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The patient outcome criteria of being able to walk 50 feet without experiencing dyspnea is part of the plan of care for a patient who has been diagnosed with exercise intolerance as a result of a myocardial infarction by a nurse.  

The patient is able to walk a certain distance without experiencing shortness of breath, which is indicative of improved cardiovascular function and tolerance to activity. This outcome criterion identifies a quantifiable goal related to the patient's ability to tolerate physical activity.

A medical-surgical nurse treating a patient with Crohn's disease suggests a diet that is:

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The medical-surgical nurse usually suggests a diet high in calories and protein and low in fiber for a patient with Crohn's disease. 

An inflammatory bowel condition called Crohn's disease can irritate and inflame the digestive system, especially the small intestine. A diet low in fiber can lessen the occurrence and intensity of symptoms including diarrhea and stomach ache. A diet rich in calories and protein also supports energy levels and meets nutritional needs, particularly during episodes of malabsorption or flare-ups.

What action sums up a sentinel event alert the best?

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"In most cases, a sentinel event warning indicates that an immediate inquiry and response are required. Sentinel event alerts serve as notifications to healthcare organizations about emerging risks, safety issues, or potential systemic problems that may contribute to patient harm. Sentinel events are serious, unexpected, and largely preventable events that require a thorough analysis and prompt response to prevent recurrence."

What signs and symptoms accompany tuberculosis?

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The bacteria that causes tuberculosis (TB) is a dangerous infectious disease. Mycobacterium TB typically attacks the lungs, which can result in pulmonary tuberculosis, but it can also impact different body areas, including the brain, spine, or kidneys.

When treating acute glomerulonephritis, the primary objective is to:

Correct! Wrong!

The maintenance of fluid balance is the primary objective of treatment for acute glomerulonephritis.

Maintaining fluid balance is crucial to preventing complications like edema and hypertension because this condition involves inflammation of the kidney's glomeruli, which can lead to fluid retention and impaired kidney function. Primary goals in the treatment of acute glomerulonephritis do not include encouraging activity, consuming a high-protein diet, or teaching intermittent urinary catheterization.

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