Test Bank Medical Surgical Nursing 7th Edition by Linton |Chapters 21-30|

MULTIPLE CHOICE 1. A 90-year-old patient complains to the nurse of shortness of breath after walking up a flight of stairs: What age-related change should the nurse explain results in this problem? a. Flexible rib cage b. High-arched diaphragm c. Increased chest movement d. Enlarged bron...

MULTIPLE CHOICE 1. A patient with a severe head injury begins to assume a posture of flexed upper extremities, with plantarflexed lower extremities: What do these assessments indicate? a. Increasing intracranial pressure (ICP) with decorticate posturing b. Decreasing ICP with decerebrate pos...

MULTIPLE CHOICE 1. Which nursing assessment would indicate a need for suctioning a patient with Guillain-Barré who is experiencing impaired breathing patterns because of neuromuscular failure? a. Decreased pulse rate and respiration of 20 breaths/min b. Increased pulse rate and adventitious...

1. A patient in the acute phase of a CVA who has been speaking distinctly begins to speak indistinctly and only with great effort but still coherent: What should this nurse determine when assessing this patient? a. Stroke in evolution with dysarthria b. Lacunar stroke with fluent aphasia c. Co...

MULTIPLE CHOICE 1. Which assessment made by a nurse indicates that respiratory arrest is imminent in a patient with asthma? a. Agitation b. Tachycardia c. Absence of wheezing d. Flaring nares ANS: C An absence of wheezing indicates a diminished ventilation effort: DIF: Cognitive ...

MULTIPLE CHOICE 1. A nurse is assessing a patient 20 minutes after a bone marrow biopsy: Which statement by the patient is cause for the most concern? a. “There is fresh blood on my dressing:” b. “I am thirsty:” c. “My hip feels bruised where they stuck the needle:” d. “I h...

1. A new-born infant has developed significant jaundice and has a positive Coombs test result resulting from high levels of bilirubin: What should a nurse be aware that these symptoms may indicate? a. Aplastic anemia b. Hemophilia c. Hemolytic anemia d. Sickle cell anemia ANS: C New-bo...

MULTIPLE CHOICE 1. A patient who has cancer of the larynx has been told that he needs a total laryngectomy: What action should this nurse consider to help the patient cope with the loss of his voice? a. Offer to have a volunteer from a local laryngectomy organization visit the patient: b. Ex...

MULTIPLE CHOICE 1. What should a nurse prepare when assessing paradoxical movement in a patient with a flail chest who has significant dyspnea? a. Thoracotomy b. Intubation c. Thoracentesis d. Body cast ANS: B A patient with an unstable chest usually requires intubation and mechani...