Exam (elaborations)
MED SURG FINAL QUESTIONS WITH COMPLETE SOLUTIONS
- Course
- Institution
MED SURG FINAL QUESTIONS WITH COMPLETE SOLUTIONS
[Show more]
Content preview
MED SURG FINAL QUESTIONS WITH COMPLETESOLUTIONS
A 45-year- old client has just undergone a radical hysterectomy
for invasive cervical cancer. Prior to the surgery the health care
provider explained to the client that after the surgery a source of
radiation would be placed near the tumor site to aid in reducing
recurrence. What is the placement of the source of radiation
called?
A.
Internal beam radiation
B.
Trachelectomy
C.
Brachytherapy
D.
External radiation Correct Answer C.
Brachytherapy
A 50-year old client presents at the clinic with recent episodes of
forgetfulness. The client reports that a parent had some kind of
illness in which the parent had to be institutionalized at age 42
and passed away at age 45. The client states that the parent
forgot who their children were when the parent was
institutionalized. Based on this information, what should the
nurse suspect?
A.
Huntington disease
B.
Schizophrenia
C.
,Cerebrovascular disease
D.
Alzheimer disease Correct Answer D.
Alzheimer disease
A 70-yr-old man who has end-stage lung cancer is admitted to
the hospital with confusion and oliguria for 2 days. Which
finding would the nurse report immediately to the health care
provider?
A.
Weight gain of 6 lb
B.
Nausea and vomiting
C.
Urine specific gravity of 1.004
D.
Serum sodium level of 118 mEq/L Correct Answer D.
Serum sodium level of 118 mEq/L
A client at high risk for breast cancer is scheduled for an
incisional biopsy in theoutpatient surgery department. When the
nurse is providing preoperative education, the client asks why an
incisional biopsy is being done instead of just removing the
mass. What would be the nurse'sbest response?
A.
"An incisional biopsy is performed because it's known to be less
painful and more accurate than other forms of testing."
B.
"An incisional biopsy is performed to confirm a diagnosis and
so that special
studies can be done that will help determine the best treatment."
,C.
"An incisional biopsy is performed to assess the potential for
recovery from a
mastectomy."
D.
"An incisional biopsy is performed on clients who are younger
than the age of 40and who are otherwise healthy. Correct
Answer B.
"An incisional biopsy is performed to confirm a diagnosis and
so that special studies can be done that will help determine the
best treatment."
A client has a diagnosis of rheumatoid arthritis, and the primary
provider has now prescribed cyclophosphamide. The nurse's
subsequent assessments should address which potential adverse
effect?
A.
Bone marrow suppression
B.
Acute confusion
C.
Sedation
D.
Malignant hyperthermia Correct Answer A.
Bone marrow suppression
A client has an open cholecystectomy w/ bile duct exploration.
Following surgery, the client has a T tube. What should the
nurse do to determine the effectiveness of the T tube?
A.
Irrigate the tube w/ 20 mL normal saline q4h
, B.
unclamp the T tube & empty the contents everyday
C.
assess the color & amount of drainage every shift
D.
monitor the incision sites for bile drainage Correct Answer C.
assess the color & amount of drainage every shift
A client has been brought to the emergency department by
paramedics after being found unconscious. The client's
MedicAlert bracelet indicates that the client has type 1 diabetes
and the client's blood glucose is 22 mg/dL (1.2 mmol/L). The
nurse should anticipate what intervention?
A.
IV administration of 50% dextrose in water
B.
Subcutaneous administration of 10 units of Humalog
C.
Subcutaneous administration of 12 to 15 units of regular insulin
D.
IV bolus of 5% dextrose in 0.45% NaC Correct Answer A.
IV administration of 50% dextrose in water
A client has been diagnosed with breast cancer and is being
treated aggressively with a chemotherapeutic regimen. As a
result of this regimen, the client has an inability to fight
infection because bone marrow is unable to produce a sufficient
amount of:
A.
lymphocytes.
B.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83100 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now