Exam (elaborations)
MED/SURG FINAL: ATI QUESTIONS & MODULE QUESTIONS AND ANSWERS
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MED/SURG FINAL: ATI QUESTIONS & MODULE QUESTIONS AND ANSWERS
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MED/SURG MIDTERM – QUESTIONSAND ANSWERS A GRADED
Avpatientvwhovisvbeingvadmittedvtovthevsurgicalvunitvforvavhysterectomyvpacesvthevfloor,vre
peatedlyvsaying,v"Ivjustvwantvthisvover."vWhatvshouldvthevnursevdovtovpromotevavpositivevs
urgicalvoutcomevforvthevpatient?
a.vAskvthevpatientvwhatvhervspecificvconcernsvarevaboutvthevsurgery.
b.vReassurevthevpatientvthatvthevsurgeryvwillvbevovervsoonvandvshevwillvbevfine.
c.vRedirectvthevpatient'svattentionvtovthevnecessaryvpreoperativevpreparations.
d.vTellvthevpatientvshevshouldvnotvbevsovanxiousvbecausevshevisvhavingvavcommon,vsafevs
urgery.v-
vans✔✔a.vExcessivevanxietyvandvstressvcanvaffectvsurgicalvrecoveryvandvthevnurse'svrolev
invpsychologicallyvpreparingvthevpatientvforvsurgeryvisvtovassessvforvpotentialvstressorsvtha
tvcouldvnegativelyvaffectvsurgery.vSpecificvfearsvshouldvbevidentifiedvandvaddressedvbyvth
evnursevbyvlisteningvandvbyvexplainingvplannedvpostoperativevcare.vFalselyvreassuringvth
evpatient,vignoringvhervbehavior,vandvtellingvhervnotvtovbevanxiousvarevnotvtherapeutic.
Manyvherbalvproductsvthatvarevcommonlyvtakenvcausevsurgicalvproblems.vWhichvherbsvlis
tedvbelowvshouldvthevnursevteachvthevpatientvtovavoidvbeforevsurgeryvtovpreventvanvincrea
sevinvbleedingvforvthevsurgicalvpatientv(selectvallvthatvapply)?
a.vGarlic
b.vFishvoil
c.vValerian
d.vVitaminvE
e.vAstragalus
f.vGinkgovbilobav-
vans✔✔a,vb,vd,vf.vValerianvmayvcausevexcessvsedation.vAstragalusvmayvincreasevbloodvpr
essurevbeforevandvduringvsurgery.
PriorityvDecision:vWhenvthevnursevasksvavpreoperativevpatientvaboutvallergies,vthevpatient
vreportsvavhistoryvofvseasonalvenvironmentalvallergiesvandvallergiesvtovavvarietyvofvfruits.v
Whatvshouldvthevnursevdovnext?
a.vNotevthisvinformationvinvthevpatient'svrecordvasvhayvfevervandvfoodvallergies.
, b.vPlacevanvallergyvalertvwristbandvthatvidentifiesvthevspecificvallergiesvonvthevpatient.
c.vAskvthevpatientvtovdescribevthevnaturevandvseverityvofvanyvallergicvresponsesvexperienc
edvfromvthesevagents.
d.vNotifyvthevanesthesiavcarevproviderv(ACP)vbecausevthevpatientvmayvhavevanvincreased
vriskvforvallergiesvto
anesthetics.v-vans✔✔c.vRiskvfactorsvforvlatexvallergiesvincludevavhistoryvof
hayvfevervandvallergiesvtovfoodsvsuchvasvavocados,vkiwi,vbananas,vpotatoes,vpeaches,van
dvapricots.vWhenvavpatientvidentifiesvsuchvallergies,vthevpatientvshouldvbevfurthervquestion
edvaboutvexposurevtovlatexvandvspecificvreactionsvtovallergens.vAvhistoryvofvanyvallergicvre
sponsivenessvincreasesvthevriskvforvhypersensitivityvreactionsvtovdrugsvusedvduringvanest
hesiavbutvthevhayvfevervandvfruitvallergiesvarevspecificallyvrelatedvtovlatexvallergy.vAftervide
ntifyingvthevallergicvreaction,vthevanesthesiavcarevproviderv(ACP)vshouldvbevnotified,vtheva
llergyvalertvwristbandvshouldvbevapplied,vandvthevnotevinvthevrecordvwillvincludevthevallergi
esvandvreactionsvasvwellvasvthevnursingvactionsvrelatedvtovthevallergies.
Duringvavpreoperativevreviewvofvsystems,vthevpatientvrevealsvavhistoryvofvrenalvdisease.vT
hisvfindingvsuggestsvthevneedvforvwhichvpreoperativevdiagnosticvtests?
a.vECGvandvchestvx-ray
b.vSerumvglucosevandvCBC
c.vABGsvandvcoagulationvtests
d.vBUN,vserumvcreatinine,vandvelectrolytesv-
vans✔✔d.vBUN,vserumvcreatinine,vandvelectrolytesvarevusedvtovassessvrenalvfunctionvand
vshouldvbevevaluatedvbeforevsurgery.vOthervtestsvarevoftenvevaluatedvinvthevpresencevofvd
iabetes,vbleedingvtendencies,vandvrespiratoryvorvheartvdisease.
Duringvavpreoperativevphysicalvexamination,vthevnursevisvalertedvtovthevpossibilityvofvcom
promisedvrespiratoryvfunctionvduringvorvaftervsurgeryvinvavpatientvwithvwhichvproblem?
a.vObesity
b.vDehydration
c.vEnlargedvliver
d.vDecreasedvperipheralvpulsesv-
vans✔✔a.vObesity,vasvwellvasvspinal,vchest,vandvairwayvdeformities,vmayvcompromisevres
piratoryvfunctionvduringvandvaftervsurgery.vDehydrationvmayvrequirevpreoperativevfluidvthe
rapyvandvanvenlargedvlivervmayvindicatevhepaticvdysfunctionvthatvwillvincreasevperioperati
vevriskvrelatedvtovglucosevcontrol,vcoagulation,vandvdrugvinteractions.vWeakvperipheralvpu
lsesvmayvreflectvcirculatoryvproblemsvthatvcouldvaffectvhealing.
Whatvtypevofvproceduralvinformationvshouldvbevgivenvtovavpatientvinvpreparationvforvambul
atoryvsurgeryv(selectvallvthatvapply)?
a.vHowvpainvwillvbevcontrolled
b.vAnyvfluidvandvfoodvrestrictions
c.vCharacteristicsvofvmonitoringvequipment
d.vWhatvodorsvandvsensationsvmayvbevexperienced
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