Medical surgical assessment exam quizlet

Study with Quizlet and memorize flashcards containing terms like What is the function of the respiratory system?, The respiratory system is composed of two tracts: The upper and the lower. Assess vital signs on the client's non-affected arm. 4º C (101. -HR x Stroke volume = CO. "B) "Examine your feet carefully every day". C) Managing the patients pain. What action should the nurse implement? Administer antiemetics every 2 to 3 hours. observe whether the Medical surgical practice exam. 14 hours ago · Study with Quizlet and memorize flashcards containing terms like Exam 1, Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances, 1. Explore quizzes and practice tests created by teachers and students or create one from your course material. The practical nurse (PN) obtains the client's vital signs. Study with Quizlet and memorize flashcards containing terms like Which of the following physical assessment techniques can determine the density of the underlying structure? A. " See an expert-written answer! We have an expert-written solution to this problem! A nurse is reinforcing teaching to the family of a May 22, 2024 · Prophylactic antibiotics. , Name of the structures involved in the lower respiratory system. The client is vomiting foul smelling fecal-like material. Which prescription Which nursing action is correct when performing the straight-leg raising test for an ambulatory patient with back pain? a. A nurse is assisting with the admission of a client. compresses only the ulnar artery to blanch the hand C. increased urinary cortisol. Percussion D. The test is divided into three sections that evaluate eye opening, motor response, and verbal response. 5 mEq/L and is exhibiting cardiovascular changes. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Negative pressure airflow. The primary objective in the immediate postoperative period is to maintain ventilation and, thus, prevent hypoxemia (reduced oxygen in the blood) and hypercapnia (excess carbon dioxide in the blood). Decreased eosinophils. D) White rice. ovarian cysts. private room. Which of the following resources would be most appropriate to utilize in order to obtain consent? B. Study with Quizlet and memorize flashcards containing terms like What Are the 2017 Hospital National Patient Safety Goals?, What Are the Purposes of Surgery?, What Are the Three Surgical Phases? and more. A. A nurse is preparing a client for a colonoscopy. Don't know? 49 of 49. Forehead cool and diaphoretic. full face protection if splashing or spraying is possible. A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. 14 hours ago · A. • Patient reports that pain varies over 24 hours from 5 to 10. Study with Quizlet and memorize flashcards containing terms like Which technique should the nurse implement when performing the Allen test on a patient to evaluate the adequacy of circulation in the radial artery? A. The client's blood pressure is 170/96, regular radial pulse 76 beats/minute, respirations are nonlabored at 11 breaths/minute, and a Sp02 of 99%. Which of the following findings indicates effective treatment of the client's condition? A. B) Measure the apical-radial pulse with another nurse. Rationale Evaluation of spinal motor nerve innervation of skeletal muscles is based on muscle strength response. Lift the patient's leg to a 60-degree angle from the bed. ) Places body weight on the crutches. Heart, blood, and vessels (including arteries, capillaries, and veins) Click the card to flip 👆. You note he is extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to his coccyx. C) Ripe bananas. Which of the following information should the nurse 14 hours ago · Use all the steps. C. Decreased peripheral T cells. Prior to notifying the physician of this low blood pressure reading, the nurse should: Retake the blood pressure with a manual cuff. -position patient to provide lung expansion with elevated back rest, pillows, and chair sitting. This will be the patient's first surgical experience and the patient states, "I am nervous about this. Your patient is admitted from the ED with failure to thrive and advanced dementia. D. Cardiac Stress Test. All of these are parts of the Study with Quizlet and memorize flashcards containing terms like The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient's input. D) Assess vital signs on the client's non-affected arm. Decreased phagocytic capacity. "I will be glad when this is over so I can go home today. c. Pulmonary embolism. Strip the drainage tubing every 4 hr. the innate immune response. (C) suction equipment is readily available. Rationale: Antibody, B cell, and T cell production. Which statement by the client indicates further teaching is needed? 1. The severity fluctuates throughout the day. A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Allen's Test 2. 100. Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his baseline. Loss of peripheral vision. Contact: 1. -Creates intense heat. The client's vital signs are pulse at 90 beats/minute, respirations 24 breaths/minute, blood pressure 140/70, and oxygen saturation of 91%. Which of A) Observe the surgical drains. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a small bowel obstruction. How and when should skeletal pin care be provided?, A nurse is providing dietary teaching to a client newly diagnosed with Sudden loss of vision without pain. What should be the nurse's first response? Administer oxygen. You do not speak Spanish and are having difficulty communicating with your patient. Quiz yourself with questions and answers for RN: Medical-Surgical Assessment Jane AI, so you can be ready for test day. The practical nurse (PN) is preparing a male client for discharge when he begins to complain of dyspnea. Which of the following nursing diagnosis is most important for a patient with chronic obstructive pulmonary disease (COPD) Impaired gas exchange. Position on the left side with knees drawn up. A) Granulation tussue on the surface of the wound. The client has not been taking the medication regularly. Remove the mouthpiece cover by squeezing gently at both sides, then pulling out. A 75 year old patient complains to the clinical nurse that he is having difficulty sleeping. The GCS ranges from a high score of 15 (fully alert) to a low score of 3 (fully comatose). Medical Surgical Nursing Chapter 21 Cardiovascular System. Tell the client that he or she needs to quit smoking to stop further cancer Study with Quizlet and memorize flashcards containing terms like A patient with acute shortness of breath is admitted to the hospital. Which action is most important for the nurse to take when interviewing this client? Maintain a nonjudgmental attitude to avoid causing the The test is divided into three sections that evaluate eye opening, motor response, and verbal response. Retake the blood pressure with a manual cuff. brings the crutches and the affected leg up the stairs. The nurse obtains all of the following assessment data about a patient with deficient fluid volume caused by a massive burn injury. A nurse is reinforcing discharge instructions with a client who has hepatitis A. nurse moistens a cotton ball with sterile normal saline and places it on sterile field. Nursing care provided during the surgical procedure is considered intraoperative, and in the postanesthesia care unit, it is considered postoperative. How should the nurse correctly document the findings? 1. COPD Exercises. Don't know? 12 of 12. Which of the following findings should the nurse What is included in an objective assessment. Study with Quizlet and memorize flashcards containing terms like The nurse is collecting data and has just completed the Weber test on a patient with normal findings. An annual amount of money the patient must pay out-of-pocket for medical care. ask the patient to relax the hand by the side B. The test will last about 20 min. Shake your inhaler well for 5 seconds. fibroids. Which action is most important for the nurse to take when interviewing this client? Maintain a nonjudgmental attitude to avoid causing the A. B and C are expected symptoms of the patient's condition. List the six (6) Quality and Safety Education for Nurses (QSEN) competencies, along with a brief description of each. 045. Presence of a nonproductive cough C. Preadmission testing occurs before surgery and is considered preoperative. His medications include hydromorphone (Dilaudid), amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). and more. 1. the client appears anxious, restless, and mildly cyanotic. The nurse would expect the laboratory test results to show a. "The role of the nurse is to administer medications Medical surgical practice exam. A nurse is reinforcing teaching with a client who has crutches regarding the use of the. Study with Quizlet and memorize flashcards containing terms like Epicardium, Myocardium, Pericardium and more. The blood pressure is 90/40 mm Hg. The response is absent or very decreased in clients who have primary adrenal insufficiency. Definition. Study with Quizlet and memorize flashcards containing terms like A young adult patient is being seen in the clinic with increased secretion of the anterior pituitary hormones. Obtain a chest x-ray. "D) "Maintain stable blood glucose levels. nurse turns to speak to someone who enters through the door behind the nurse. What should the nurse do if a transfusion reaction is suspected?, A nurse is caring for a client with skeletal traction following a fracture. provider drops a sterile instrument onto the near side of the sterile field. Briefly ask specific questions about this episode of respiratory distress. the nurse should further assess the client for which condition?, which information should the nurse obtain when performing Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. A Medical-Surgical Nurse is caring for a patient with a mandibular fracture. "I can practice Medical Surgical Nursing Chapter 21 Cardiovascular System. d. The practical nurse is caring for a client who is admitted with signs of possible acute brain attack (Stroke) three hours ago. , A man who Quiz yourself with questions and answers for Medical surgical Exam 6 , so you can be ready for test day. Best answer is A. 57 of 57. As a result of bleeding, the process of primary hemostasis is Tingling and numbness of the hands and feet. Explore the lineup Study with Quizlet and memorize flashcards containing terms like The home health nurse is caring for a patient with congestive heart failure (CHF). " 3. private room or room with same illness. cardiovascular system consists of. elevated serum aldosterone levels d. shifts weight from the crutches to the unaffected leg. Reassess the need for security device every 4 to 8 hours. Open-angle glaucoma. 1º F) - Increased respiratory secretions - Fluid intake of 200 mL in the prior 8 hr - Limited range of 14 hours ago · Study with Quizlet and memorize flashcards containing terms like 1. When teaching a client about propranolol hydrochloride, the nurse should base. Ask the patient to dangle both legs over the edge of the exam table. 1 / 49. Which of the following assessment data will be of greatest concern? a. a. A nurse obtains the health history of a client who is recently diagnosed with lung cancer and identifies that the client has a 60-pack-year smoking history. Carbohydrate stores are found in liver and muscles. Which action is most important for the nurse to take when interviewing this client? a. A) Facilitate a referral to a neurologist. Heart rate (HR) number of times the ventricles contract each minute. Which assessment should the nurse complete first?, A nurse cares for a client who has a serum potassium of 7. Which assessment should the nurse expect to find? a. Which of the following statements. Upon assessment, the client has dry oral mucous membranes, temperature 38. 5. A) "Plan to have an eye examination once per year. Pulse decreased from 100 beats/min to 80 beats/min, 3. C) Document successful completion of the assessment. A nurse is preparing to admit a client who has dysphagia. BC greater that A3 2. 5 mEq/L, sodium 144 mEq/L. Complete the admission The nurse has taken a patient's blood pressure with an electronic cuff and obtained a reading of 85/50. Call the client at home the next day to review teaching. Decreased antibody response. A decrease in muscle strength (B) (normal muscle strength is grade 5) indicates spinal nerve impairment, a possible complication of spinal surgery, and should be reported to the healthcare provider. An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. Study with Quizlet and memorize flashcards containing terms like A nurse on a med surg unit is caring for a group of clients. Fresh features from the #1 AI-enhanced learning platform. 14 hours ago · the test involves checking blood sugar levels. Which action would the nurse include when performing the straight-leg raising test for an ambulatory patient with back pain? a. 14 hours ago · 60 of 60. 5 (34 reviews) Get a hint. Cardiac output (CO) -the amount of blood pumped from the LV each minute. It is important to remain still during the procedure. D is less critical than A. A 3 pound weight gain over the course of a week. Light amplification by stimulated emission of radiation. 1 / 131. A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with cancer. Give the client information about a cancer support group. Blood pressure 96/60 while supine. Left and right ear heard equally 3. Encourage ice chips sparingly. The nurse is caring for a resident who has a security device for safety purposes. 4 mEq/L, magnesium 1. should the nurse make to demonstrate the principle of advocacy. • Patient desires zero pain but will accept pain level of 3 to 4 on a scale of 0 to 10. Auscultation, The advantage of head-to-toe data collection, as compared to system-assessment, includes all of the following, except: A. I will speak with your provider on your behalf". Quiz yourself with questions and answers for Adult Medical Surgical Assessment 2, so you can be ready for test day. The nurse should describe a process that takes place where? In the spleen In the kidneys In the bone marrow In the liver, A man suffers a leg wound which causes minor blood loss. Which of the following medications should the nurse anticipate the provider to prescribe as an anesthetic for the procedure? Propofol. D) Assessing vital signs every 30 minutes. Heart rate of 104 beats/min after ambulating to the A) Observe the surgical drains. "Clean the plastic inhaler cap weekly with cold water" D D) Listen to bilateral lung fields. Which of the following findings by the nurse indicated healing of the wound. B. Air conduction greater than bone conduction(BC), The nurse performs a Study with Quizlet and memorize flashcards containing terms like A patient is seen at the clinic for a routine physical examination. The GCS is a standardized tool that allows for the evaluation of a client's level of consciousness. TO USE YOUR INHALER: Step 1: Shake your inhaler well for 5 seconds. The nurse should instruct the client that the ACTH stimulation test is the standard test for Addison's disease. Which of the following assessment findings is the nurse's priority? - Temperature 38. . 48-year-old African-American male who is obese and father and mother have type 2 DM. As protein depletion continues, liver function becomes impaired and synthesis of proteins diminishes. , Which statement by Systole. The patient states, "How is this different from what the doctor does?" Which response would be most appropriate for the nurse to make? a. Which action should the nurse take during the initial assessment of the patient? a. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who reports nausea, vomiting, and weakness. A nurse is teaching a group of clients about the risk factors for osteoporosis. (Medical Surgical RM Chp. Quiz yourself with questions and answers for ATI NCLEX Medical Surgical Assessment 1, so you can be ready for test day. What action by the nurse is best? a. Which of the following information should the nurse Prophecy medical surgical-telemetry. 33) 33) The nurse is preparing a type II diabetic client for a CT scan using IV contrast. Shake it again for 5 seconds and release a second test spray. The practical nurse (PN) observes that the client is diaphoretic, has a firm abdomen, thready pulse at 104 beats/minute, and blood pressure of 90/50. 5% during a routine physical examination. A 30-year-old female who delivered a 9-pound baby. Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and conduction. Stroke volume (SV) the amount of blood ejected by the LV during each contraction. three-point gait. " 2. 4. Left ear heard better than right ear 4. A general survery and physical examination. chapter 65 Learn with flashcards, games, and more — for free. Answer: A, B, and C. "Wait at least 5 minutes between puffs from the same inhaler" B. A, B, E. Oxygen saturation increased from 88% to 96% d. Study with Quizlet and memorize flashcards containing terms like ANS: C Perioperative nursing care occurs before, during, and after surgery. Respiratory rate decreased from 25 breaths/min to 14 breaths/min c. Term. A nurse assesses clients on a medical-surgical unit. " The vital signs show BP 158/88, HR 96, RR 24. -The nurse should remove all wound exudate and any residual antimicrobial ointment or cream to avoid altering the culture results. Med surge practice A With NGN Learn with flashcards, games, and more — for free. (B) wire cutters are present at the bedside. 3° F), pulse 92/min, respirations 24/min, skin cool with tenting present, and blood pressure 102/64 mm Hg. Decrease in respiratory rate at rest D. Clamp the tube once a day. The charge nurse asks the new LPN to start and intravenous Laser. b. Inspection B. You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. 60 of 60. Click the card to flip 👆. the nurse should inform the client that a pap test is used to screen for cervical cancer. (D) Both B and C are correct. are part of the adaptive immune response. Variant angina (Prinzmetal's Angina) Click the card to flip 👆. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving IV therapy in the left 14 hours ago · Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has pulmonary edema related to heart failure. Which of the following should the nurse include as a risk factor for 14 hours ago · Pressure and brief pain might be felt during the aspiration. Study with Quizlet and memorize flashcards containing terms like 1. "Breathe in rapidly when inhaling the medication" C. After the patient is assessed for evidence of peripheral vascular disease, the nurse explains that which of the following tests is typically used to assist in the diagnosis? 1. 4 Cleanse the wound with 0. Which assessment finding should the nurse report immediately to the physician? A. A nurse is monitoring a client who has a pneumothorax and a chest tube in place with a closed chest drainage system connected to low suction. 6. Within 5 to 9 days body fat is fully mobilized to supply much of the energy. The standard mixture of this medication to yield a final Urine specific gravity 1. Cervical cancer. Hold the inhaler facing away from you, and release a test spray. Quiz yourself with questions and answers for ATI Capstone Adult Medical Surgical Assessment 2, so you can be ready for test day. After supplemental oxygen is provided, the client's oxygen saturation is 99%. It prevents overlooking some important A. Chapter 24: Assessment of the Respiratory System. Once carbohydrate stores are depleted, body begins to convert the proteins found in muscles into glucose. Moderate shortness of breath after walking down the hall. B) Elevate the head of the bed 30 degrees. Urine output is 30 ml Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client how to administer a medication using an inhaler with a spacer. Study with Quizlet and memorize flashcards containing terms like A patient with acute shortness of breath is admitted to the hospital. C) "Wear closed toed shoes daily. masks or respiratory protection devices. A nurse is assessing a client who has a new diagnosis of Cushing's disease. Safety: Minimization of risk factors that could cause injury or harm while promoting quality care and maintaining a secure environment for clients, self, and others. In the assessment, the nurse finds that the lungs are clear, bowel tones are evident, peripheral pulses are strong, and the patient is fidgeting nervously. Place the patient in the prone position on the exam table. use an N95 respirator for tuberculosis. decreased serum thyroxine. Quiz yourself with questions and answers for Capstone ATI NCLEX Medical Surgical Assessment 1, so you can be ready for test day. gloves & gowns. The client has been scheduled for surgery in 3 days. 14 hours ago · A patient with a cast due to a fracture of the right tibial bone complaining of tingling toes. 9% sodium chloride irrigation before obtaining the specimen. Provide mcg. Quiz yourself with questions and answers for ATI Practice Assessment: RN Targeted Medical Surgical Cardiovascular Online Practice 2019, so you can be ready for test day. What are the major areas included in the general survey? Body features, state of consciousness and arousal, speech, body movements, obvious physical signs, nutritional status and speech. 50-year-old male hemoglobin A1C of 5. -Rapidly clots blood vessels, or tissues. Study with Quizlet and memorize flashcards containing terms like A nurse is administering packed red blood cells to a client. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg b. A male client with peptic ulcer disease complains of feeling weak and dizzy. cervical cancer. Give IV fluids with electrolytes. E. A nurse is caring for a client who has a large wound that has a vacuum-assisted closure device placed over it. Palpation C. SaO2 86% on room air, A nurse is caring Mar 23, 2024 · Subjective Data. General survey. Ankle brachial pressure index. advances the unaffected leg onto the stairs. Complete the admission 1. rate. Medical Surgical Nursing Final Exam. release pressure on both arteries at the same time D. His urine is concentrated with a high specific gravity. Study with Quizlet and memorize flashcards containing terms like A home health nurse is assessing a client who requires lifelong hormone replacement therapy for the treatment of hypothyroidism. Check for continuous bubbling in the suction chamber. " D) "Maintain stable blood glucose levels. Study with Quizlet and memorize flashcards containing terms like The most common cause of acute coronary Study with Quizlet and memorize flashcards containing terms like A patient with a hematologic disorder asks the nurse how the body forms blood cells. 14 hours ago · Study with Quizlet and memorize flashcards containing terms like At what rate should IV saline be administered to a patient with diabetic ketoacidosis during the first hour of treatment?, Which antidepressant may also have a therapeutic effect on ADHD, A continuous drip of an antidysrhthmic medication is ordered at a rate of 2 mg/min. procedure is delayed 1hr because the provider receives an emergency call. Complete the admission Quiz yourself with questions and answers for Medical surgical Exam 6 , so you can be ready for test day. 2. 5° C (101. It measures the cortisol response to ACTH. Mar 23, 2024 · 20 of 20. The nurse's general impression of the patient. Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who has hypothyroidism which of the following findings should the nurse expect ?, A nurse is reinforcing teaching with a client who has multiple sclerosis which of the following instructions should the nurse include ?, A nurse is reinforcing teaching about open-angle glaucoma with a client Study with Quizlet and memorize flashcards containing terms like A nurse is care for a client who was amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with pneumonia. Phagocyte and eosinophil production are associated with. Tympanic temperature of 97 14 hours ago · A) Cooked carrots. B) Reposition the patient supine to ensure safety. B) Maintaining a patent airway. B) Dried apricots. The nurse should plan to place which of the following items at the client's bedside? Suction machine. Study with Quizlet and memorize flashcards containing terms like Med Surg nurses, Scope of Med Surg, Institute of Medicine and more. 8 mEq/L, calcium 8. the nurse should further assess the client for which condition? Click the card to flip 👆. D) Follow up by having the patient perform the Rinne test. consists of contraction and the emptying of the atria and ventricles. Due to coronary artery spasm, often occurring during periods of rest. -Breathing techniques: diaphragmatic or abdominal breathing, pursed lip breathing. low urinary catecholamines excretion. Which assessment finding has the highest priority? The oxygen saturation of 88%. • He has been taking two Percocet tablets q4hr while awake but his pain is now usually at 4 to 5 with the medication. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has the following laboratory results: potassium 3. What intervention should the nurse include in the plan of care. "I will not be able to eat or drink anything prior to my surgery. Name the structures in the upper respiratory system. 26 of 26. Ask the patient to lie down to complete a full physical assessment. uterine cancer. -collaborate with patient and PT to develop exercise plan. A and D are unexpected. Quiz yourself with questions and answers for Medical Surgical Exam, so you can be ready for test day. While completing the initial physical assessment, the nurse will need to ensure: (A) personal items are within reach. Increases norepinephrine secretion and thus decreases blood pressure and heart. C) Assess the dressing for bleeding. See more. Study with Quizlet and memorize flashcards containing terms like An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. Pain relief after ear drainage begins. Absence of adventitious breath sounds B. 14 hours ago · A male client arrives at the clinic for a routine physical examination and states he suddenly does not feel well. Medical Surgical Pre-Assessment ATI. 3. Which of the following instructions should the nurse include A. Variant (Prinzmetal's) angina. rl tc zw ee id ag fd oq hv qo