TIA Medical-Surgical Nursing 2

Question 1

A patient with a fractured hip is in Buck's traction. Which nursing action is most important?

Accepted Answer

Maintain continuous traction as ordered

Answer

Remove weights when repositioning

Answer

Elevate the affected leg 90 degrees

Answer

Place a pillow under the knee of the affected leg

Question 2

A patient post-CABG has a mediastinal chest tube draining 200 mL of bright red blood in 1 hour. The nurse should:

Accepted Answer

Notify the surgeon immediately

Answer

Document and monitor for another hour

Answer

Milk the chest tube vigorously

Answer

Increase the suction on the drainage system

Question 3

Which lab value is most important to monitor in a patient receiving heparin therapy?

Accepted Answer

aPTT

Answer

PT/INR

Answer

Platelet count only

Answer

Fibrinogen level

Question 4

A patient with cirrhosis develops asterixis (flapping tremor). This finding indicates:

Accepted Answer

Hepatic encephalopathy

Answer

Hypoglycemia

Answer

Vitamin K deficiency

Answer

Portal hypertension only

Question 5

A nurse is caring for a patient with a suspected pulmonary embolism. Which action is the priority?

Accepted Answer

Administer high-flow oxygen

Answer

Obtain a 12-lead ECG

Answer

Administer anticoagulant therapy

Answer

Prepare the patient for CT pulmonary angiography

Question 6

Which dietary instruction is most important for a patient with gout?

Accepted Answer

Avoid high-purine foods like red meat and organ meats

Answer

Increase dairy product consumption

Answer

Limit fluid intake to 1 L per day

Answer

Increase vitamin C supplements only