Exam (elaborations)
HESI MED SURG PROCTORED EXAM
- Course
- HESI MED SURGg
- Institution
- Chamberlain College Nursing
HESI MED SURG PROCTORED EXAM....Detailed work, solutions, memos, notes, and explanations
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HESI MED SURGPROCTORED EXAM
, The nurse is caring for a patient with a wound who appears anxious before a
dressing change. Which action should the nurse take? a. Turn on the television.
b. Explain the procedure. c. Tell the patient, “Close your eyes.” d. Ask the
family to leave the room.
Answer: B Explaining the procedure helps educate and involve the patient in
the dressing change, which can reduce anxiety by giving the patient a sense of
control. Telling the patient to close their eyes or turning on the television might
distract but doesn't directly address the anxiety. Asking the family to leave
could increase the patient's anxiety if they provide emotional support.
While cleansing a wound, which intervention should the nurse include? a.
Allow the solution to flow from the most contaminated to the least
contaminated. b. Scrub vigorously when applying noncytotoxic solution to the
skin. c. Cleanse in a direction from the least contaminated area. d. Utilize clean
gauze and clean gloves to cleanse a site.
Answer: C The nurse should cleanse from the least contaminated area to the
most contaminated area, moving from the wound to the surrounding skin.
Vigorous scrubbing can damage the skin, so gentle friction is recommended.
Solutions should be applied in a way that maintains the flow from the cleanest
to the most contaminated area.
The nurse is caring for a patient who has undergone an open abdominal
aortic aneurysm repair and applies an abdominal binder. What is the best
explanation for the nurse to give the patient about the purpose of the binder? a.
It reduces edema at the surgical site. b. It secures the dressing in place. c. It
immobilizes the abdomen. d. It supports the abdomen.
Answer: D An abdominal binder provides support to the large abdominal
incision, particularly during movements, deep breathing, or coughing. While
binders can be used for immobilization, reducing edema, or securing dressings
in other cases, in this situation, their primary purpose is to support the surgical
wound.
The nurse is caring for a patient who has had a medial meniscus repair of
the right knee. Which action should the nurse take to help manage the patient's
pain? a. Monitor vital signs every 15 minutes. b. Check pulses in the right foot.
c. Keep the leg dependent. d. Apply ice.
Answer: D Applying ice helps reduce swelling, control bleeding, and numb
the area, providing pain relief. Elevating the leg, rather than keeping it
dependent, also helps in minimizing edema. Monitoring vital signs and
checking pulses are important for overall care but do not directly address pain
management.
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