FREE Medical Surgical Nurse Questions and Answers

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A renal calculus is found in Don, age 35, according to an intravenous pyelogram. It is thought that he possesses a little stone that will pass on its own. The nurse would advise the client to push fluids and to move around to maximize the likelihood of the stone passing.

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Increased fluid intake will help wash the stone out during urination and can help mobilize free, unattached stones in the urinary tract so they can be flushed out with the urine.

At nine in the morning, a patient leaves the recovery area aware, conscious, and IV-infused. His respirations are 20 and his blood pressure is 120/80, all of which are within the normal range. His vital signs are stable around 10 and 11 in the morning. However, by lunchtime, his heart rate is 94, his blood pressure is 116/74, and his breathing rate is 24. Which nursing intervention is most suitable?

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Following surgery, monitoring the patient's vital signs provides the nurse with reliable information about the patient's condition. During this time, complications from the operation, the anesthesia, or a combination of the two may happen. The nurse can start actions to stop complications from happening by closely monitoring changes in the VS and validating them.

The client's wound dehisces days after abdominal surgery. When this happens, the most secure nursing solution is to

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The edges of a surgical wound may partially or completely separate. The patient is then placed in the low Fowler's posture and told to lie quietly. The wound must be covered to prevent exposure, and the dressing must be sterile to guard against infection and moist to avoid sticking to the skin and impeding the healing process.

A patient is being examined for colon cancer. The nurse should: when preparing the patient for a barium enema

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The radiologic imaging of the colon using a die is known as a barium enema. The bowels must be cleared of feces before this technique may produce appropriate findings, necessitating the use of laxatives and enema.

In order to control the bleeding of esophageal varices in a patient with complicated liver cirrhosis, a Sengstaken-Blakemore tube is implanted. After the tube is placed, the customer complains of breathing problems. The nurse's initial step is to:

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When a patient with a Sengstaken-Blakemore tube experiences breathing problems, it suggests the tube is misplaced and the inflated balloon is obstructing the airway in the oropharynx.

The client correctly describes how to lower the risk of colon cancer when he says:

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The development of cancer may be influenced by a variety of dietary and nutritional factors. A low-fiber diet hinders the transit of substances through the gut, which has been associated to colorectal cancer, such as when fresh fruits and vegetables are scarce or absent from the diet.

Because of bone metastases from his malignancy, Mr. Banny experiences ongoing agony. Even with pain medicine, he is unwilling to move. The nurse ought to prepare to:

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Cancer and bone metastases patients suffer from excruciating pain, especially when they move. Bone tumors make the bone so fragile that routine activities and even little changes in position can cause a fracture. The patient needs to be supported and handled delicately while receiving nursing care.