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Chapter 68: Emergency and Disaster Nursing Lewis: Medical-Surgical Nursing, 10th Edition During the primary assessment of a victim of a motor vehicle collision, the nurse determines that the patient has an unobstructed airway. Which action should the nurse take next? a. Palpate extremities for bilateral pulses. b. Observe the patient's respiratory effort. c. Check the patient's level of consciousness. d. Examine the patient for any external bleeding. - ANSWER-ANS: B Even with a patent airwa...

Medical surgical Nursing in Canada, 4th edition The nurse is caring for a client who has heart failure and encourages the client to alternate rest and activity periods to reduce cardiac workload. Which phase of the nursing process is the nurse demonstrating? a. Planning b. Diagnosis c. Evaluation d. Implementation - ANSWER-d. Implementation

Medical Surgical Nursing II 1. Delegation: RN delegates another employee to do a task: - Responsibility is delegated, but not accountability - If you delegate something and they have never done it, go in and show them so they can do it next time as long as it is in their scope. - Before delegating, consider the pt's condition and their needs - Task MUST BE uncomplicated and routine

Medical Surgical Nurse Certification A nurse is reviewing the medical record of a client who is receiving heparin therapy for treatment of DVT. Which of the following interventions should the nurse anticipate taking if the client's aPTT is 96 seconds?a. Increase the heparin infusion flow rate by 2 mL/hrb. continue to monitor the heparin infusio

Chapter 65: Critical Care Lewis: Medical- Surgical Nursing, 10th Edition A patient who has been in the intensive care unit for 4 days has disturbed sensory perception from sleep deprivation. Which action should the nurse include in the plan of care? a. Administer prescribed sedatives or opioids at bedtime to promote sleep. b. Cluster nursing activities so that the patient has uninterrupted rest periods. c. Silence the alarms on the cardiac monitors to allow 30- to 40-minute naps. d. Eliminate ...

Chapter 48: Diabetes Mellitus Lewis: Medical-Surgical Nursing, 10th Edition 41. A 30-yr-old patient has a new diagnosis of type 2 diabetes. The nurse will discuss the need to schedule a dilated eye examination a. every 2 years. b. as soon as possible. c. when the patient is 39 years old. d. within the first year after diagnosis. - ANSWER-ANS: B Because many patients have some diabetic retinopathy when they are first diagnosed with type 2 diabetes, a dilated eye examination is recommended ...

MEDICAL SURGICAL NURSING Diseases which can be transmitted through droplet nuclei or small particles which are dispersed into air currents - ANSWER-AIRBORNE DISEASES An acute, highly contagious paramyxovirus infection marked by prodromal fever, cough, coryza, conjunctivitis, koplik's spot - ANSWER-MEASLES PATHOGNOMONIC SIGN FOR MEASLES - ANSWER-KOPLIK'S SPOT What are the other name for MEASLES? - ANSWER-7- DAY MEASLES

HESI - Medical Surgical Nursing When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that a. follows formalized plans b. has standardized content c. often occurs one-to-one d. addresses group needs - ANSWER-C. Informal teaching is individualized one on one teaching which represents the majority of patient education done by nurses that occurs when an intervention is explained or a question is answered. Group needs are often the foc...

Chapter 57: Stroke Lewis: Medical- Surgical Nursing, 10th Edition After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about a. cerebral aneurysm clipping. b. heparin intravenous infusion. c. oral low-dose aspirin therapy. d. tissue plasminogen activator (tPA). - ANSWER-ANS: C The patient's symptoms are consistent with transient ischemic attack (TIA), and drugs that inhibit platelet aggregation a...

Chapter 37: Vascular Disorders Lewis: Medical-Surgical Nursing, 10th Edition A patient in the outpatient clinic has a new diagnosis of peripheral artery disease (PAD). Which group of drugs will the nurse plan to include when teaching about PAD management? a. Statins b. Antibiotics c. Thrombolytics d. Anticoagulants - ANSWER-ANS: A