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RN Med Surg 4 Exam 1 LATEST 2024/2025 EXAM WITH ANSWERS GRADED A+ 100%
- Course
- RN Med Surg 4
- Institution
- South University
RN Med Surg 4 Exam 1 LATEST 2024/2025 EXAM WITH ANSWERS GRADED A+ 100%
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RN Med Surg 4 Exam 1 LATEST 2024/2025EXAM WITH ANSWERS GRADED A+ 100%
A patient scheduled for an elective hysterectomy tells the nurse, "I am afraid that I will
die in surgery like my mothe r did!" Which initial response would the nurse provide?
a. "Tell me more about what happened to your mothe r."
b. "Surgical techniques have improved in recent years."
c. "You will receive medication to reduce your anxiety."
d. "You should talk to the doctor again about the surgery."
a. "Tell me more about what happened to your mothe r."
A patient arrives at the outpatient surgical center for a scheduled laparoscopy under
general anesthe sia. Which information requires the nurse's intervention to maintain
patient safety?
a. The patient has never had general anesthe sia.
b. The patient is planning to drive home after surgery.
c. The patient drank a sip of water 4 hours before arriving.
d. The patient's insurance does not cover outpatient surgery.
b. The patient is planning to drive home after surgery.
A 38-yr-old woman is admitted for an elective surgical procedure. Which information
obtained by the nurse during the preoperative assessment must be communicated to the
anesthe siologist and surgeon before surgery?
a. The patient's lack of knowledge about postoperative pain control
b. The patient's history of an infection following a cholecystectomy
,c. The patient's report that her last menstrual period was 8 weeks ago
d. The patient's concern about being able to resume lifting heavy items
c. The patient's report that her last menstrual period was 8 weeks ago
A patient who has not had any prior surgeries tells the nurse doing the preoperative
assessment about allergies to avocados and bananas. Which action is most important
for the nurse to take?
a. Notify the dietitian about the specific food allergies.
b. Alert the surgery center about a possible latex allergy.
c. Reassure the patient that all allergies are noted on the health record.
d. Ask whethe r the patient uses antihistamines to reduce allergic reactions
b. Alert the surgery center about a possible latex allergy.
The nurse obtains a health history from a patient who is scheduled for elective hip
surgery in 1 week. the patient reports use of garlic and Ginkgo biloba. Which action
would the nurse take?
a. Teach the patient that the se products may be continued preoperatively.
b. Advise the patient to stop the use of herbs and supplements at this time.
c. Discuss the herb and supplement use with the patient's health care provider.
d. Reassure the patient that the re will be no interactions with anesthe tic agents
c. Discuss the herb and supplement use with the patient's health care provider.
The nurse is preparing to witness the patient signing the operative consent form when
the patient says, "I don't understand what the doctor said about the surgery." Which
action would the nurse take?
a. Provide a thorough explanation of the planned surgical procedure.
b. Notify the surgeon that the informed consent process is not complete.
c. Give the prescribed preoperative antibiotics and withhold sedative medications.
,d. Notify the operating room nurse to give a complete explanation of the procedure.
b. Notify the surgeon that the informed consent process is not complete.
Which topic would the nurse discuss preoperatively with a patient who is scheduled for
an open cholecystectomy?
a. Care for the surgical incision
b. Deep breathing and coughing
c. Oral antibiotic the rapy after discharge
d. Medications to be used during surgery
b. Deep breathing and coughing
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Five minutes after receiving the ordered preoperative midazolam by IV injection, the
patient asks to get up to go to the bathroom to urinate. Which action would the nurse
take?
a. Perform a straight cathe terization.
b. Offer the patient a urinal or bedpan.
c. Assist the patient to ambulate to the bathroom.
d. Tell the patient that a cathe ter will be placed in the operating room
b. Offer the patient a urinal or bedpan.
The nurse plans to provide preoperative teaching to an alert older man who has hearing
and vision deficits. His wife answers most questions that are directed to the patient.
Which action would the nurse take when doing the teaching?
a. Use printed materials for instruction so that the patient will have more time to review
the material.
b. Direct all the teaching toward the wife because she is the obvious support and
caregiver for the patient.
, c. Provide additional time for the patient to understand preoperative instructions and
carry out procedures.
d. Ask the patient's wife to wait in the hall in order to focus preoperative teaching with
the patient himself.
c. Provide additional time for the patient to understand preoperative instructions and
carry out procedures.
A patient who has diabetes and uses insulin to control blood glucose has been NPO since
midnight before having a knee replacement surgery. Which action would the nurse take?
a. Withhold the usual scheduled insulin dose because the patient is NPO.
b. Obtain a blood glucose measurement before any insulin administration.
c. Give the patient the usual insulin dose because stress will increase the blood glucose.
d. Give half the usual dose of insulin because the re will be no oral intake before surgery.
b. Obtain a blood glucose measurement before any insulin administration.
The outpatient surgery nurse reviews the complete blood cell (CBC) count results for a
patient who is scheduled for surgery. the results are white blood cell (WBC) count 10.2
103 /L; hemoglobin 15 g/dL; hematocrit 45%; platelets 150 103 /L. Which action would
the nurse take?
a. Notify the surgeon and anesthe siologist immediately. b. Ask the patient about any
symptoms of a recent infection.
c. Continue to prepare the patient for the surgical procedure.
d. Discuss the possibility of blood transfusion with the patient.
c. Continue to prepare the patient for the surgical procedure.
The nurse is preparing a patient on the morning of surgery. the patient prefers not to
remove a wedding ring, saying, "I've never taken it off since the day I was married." How
would the nurse respond?
a. Have the patient sign a release form and leave the ring on.
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