Description : Which of the following statements defines laparoscopic myomectomy-an alternative to hysterectomy for the treatment of excessive bleeding due to fibroids? a) Removal of fibroids through a laparoscope inserted ... through a hyserscope passed through the cervix; no incision or overnight stay is needed.
Last Answer : a) Removal of fibroids through a laparoscope inserted through a small abdominal incision. Laparoscopic myomectomy is the removal of fibroids through a laparoscope inserted through a small abdominal incision.
Description : As the nurse monitors the client, she notices a bright red spot on the dressings which measures 4cm in diameter. The nurse should initially do which appropriate nursing intervention? A. Change the ... C. Notify the clients surgeon of a potential hemorrhage D. Assess the presence of a drain
Last Answer : D. Assess the presence of a drain
Description : After the last stitch, the surgeon is ready to apply dressing to the incision wound. Which of the following does the nurse expect the surgeon to do? A. Remove his gloves and apply the dressing B. ... the dressings and remove his gloves to apply the tape D. Tape the dressing and remove the gloves
Last Answer : C. Put the dressings and remove his gloves to apply the tape
Description : Which of the following terms most precisely refers to the incision of the common bile duct for removal of stones? a) Choledocholithotomy Choledocholithotomy refers to incision of the ... . d) Choledochoduodenostomy Choledochoduodenostomy refers to anastomosis of the common duct to the duodenum.
Last Answer : a) Choledocholithotomy Choledocholithotomy refers to incision of the common bile duct for the removal of stones (liths).
Description : Which of the following terms is used to refer to protrusion of abdominal organs through the surgical incision? a) Evisceration Evisceration is a surgical emergency. b) Hernia A hernia is a weakness ... partial or complete separation of wound edges. d) Erythema Erythema refers to redness of tissue.
Last Answer : a) Evisceration Evisceration is a surgical emergency.
Description : 57. The client was prescribed Ocreotide acetate (Sandostatin). Nurse Carla would monitor for which of the following side effects?
Last Answer : A. Abdominal pain
Description : The client complained of abdominal pain, nausea and vomiting with abdominal distention. The nurse anticipates which of the following priority management after referring to the surgeon? A. Gastric decompression B. Possible surgery C. Endoscopy D. Rectal tube insertion
Last Answer : A. Gastric decompression
Description : 100. The client complained of generalized pruritus. The following are appropriate nursing interventions except
Last Answer : B. Regulate the temperature to 25 degrees centigrade or lower
Description : 98. Phlebotomy was ordered as part of the therapy. You instructed the client and emphasized that the procedure can be repeated. The client inquired, “What is the primary aim of the procedure?” Your appropriate response is
Last Answer : D. “It keeps the hematocrit within normal range.”
Description : 63. A hypertensive client is taking herbal supplement for his hypertension. He was prescribed antihypertensive medication. The client wants to continue taking his herbal medication to lower his blood pressure. The nurse’s most appropriate action is to
Last Answer : B. Tell the client that herbal supplements have no proven therapeutic effects
Description : 55. The nurse wants to know if the client is aware of the side effects of NSAID. What would be the most appropriate question of the nurse?
Last Answer : B. “Have you ever vomited blood or noticed very black stools?”
Description : 38. A nurse encounters a client who refuses to take a prescribed medication. What is the appropriate action of the nurse?
Last Answer : C. Explore the possible reason why the client refuses the prescribed medication
Description : When the intern-in-charge did the skin prep and catheterized the client, the circulating nurse noticed when the intern withdrew the catheter from the vagina. What is your appropriate and ... . Offer to change the catheter C. Alcoholize the tip of the catheter before reinserting the catheter
Last Answer : B. Offer to change the catheter
Description : Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest ... finding to the physician immediately. Subcutaneous emphysema results from air entering the tissue planes.
Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.
Description : In order to help prevent the development of an external rotation deformity of the hip in a patient who must remain in bed for any period of time, the most appropriate nursing action would be ... hip replacement surgery. d) a footboard. A footboard will not prevent the hips from rotating externally.
Last Answer : a) a trochanter roll extending from the crest of the ilium to the midthigh. A trochanter roll, properly placed, provides resistance to the external rotation of the hip.
Description : 76. A client is being positioned for radical vulvectomy and a couple of clinical clerks wanted to come in to watch the surgery. The circulating nurse advise them to enter the OR suite later. Foremost, this decision of the nurse is directed towards
Last Answer : D. Preserving privacy
Description : 72. The client is to have surgery in 10 days. Lugol’s solution 4 gtts po was prescribed in 10 days. The client asked the nurse for the purpose of the drug. Which response of the nurse is correct?
Last Answer : A. It decreases the risk of bleeding
Description : Which of the following methods to induce hemostasis after sheath removal post Percutaneous Transluminal Coronary Angioplasty is the least effective? a) Application of a sandbag to the area Several ... ) Application of a pneumatic compression device post PTCA has been demonstrated to be effective
Last Answer : a) Application of a sandbag to the area Several nursing interventions frequently used as part of the standard of care, such as applying a sandbag to the sheath insertion site, have not been shown to be effective in reducing the incidence of bleeding.
Description : Heart bypass surgery incision?
Last Answer : Minimally invasive heart bypass surgery is done without stopping the heart and putting the patient on a heart-lung machine. A 3 to 5 inch incision is made in the left part of the chest between the ribs. This ... of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Description : Bleeding between the dura mater and arachnoid membrane is termed a) subdural hematoma. A subdural hematoma is bleeding between the dura mater and arachnoid membrane. b) intracerebral hemorrhage. ... underneath. d) extradural hematoma. An extradural hematoma is another name for an epidural hematoma.
Last Answer : a) subdural hematoma. A subdural hematoma is bleeding between the dura mater and arachnoid membrane.
Description : A patient who has had a previous stroke and is taking warfarin tells the nurse that he started taking garlic to help reduce his blood pressure. The nurse knows that garlic when taken ... headaches. Garlic and warfarin taken together can greatly increase the INR, increasing the risk of bleeding.
Last Answer : a) can greatly increase the international normalization ratio (INR) and therefore increase the risk of bleeding. Garlic and warfarin taken together can greatly increase the INR, increasing the risk of bleeding.
Description : Which of the following terms refers to tarry, black stools? a) Melena Melena indicates blood in the stool. b) Hemarthrosis Hemarthrosis is bleeding into a joint. c) Hematemesis Hematemesis is vomiting blood. d) Pyrosis Pyrosis refers to heartburn.
Last Answer : a) Melena Melena indicates blood in the stool.
Description : Which of the following types of aneurysms results in bleeding into the layers of the arterial wall? a) Dissecting Dissection results from a rupture in the intimal layer, resulting in bleeding ... Anastomotic An anastomotic aneurysm occurs as a result of infection at arterial suture or graft sites.
Last Answer : a) Dissecting Dissection results from a rupture in the intimal layer, resulting in bleeding between the intimal and medial layers of the arterial wall.
Description : 88. When the nurse ensures that the client has plan for continuous care after leaving the health care facility and assists from the transition from one environment to another, she is doing a
Last Answer : A. Discharge plan
Description : 65. While the nurse was checking the BP of the client, the wife was intently observing the nurse. The wife asks the nurse how to ensure accurate measurement of BP reading. Identify all the ... The client should rest quietly for 5 minutes before reading and can talk while BP is being checked
Last Answer : A. 1, 2, 3, and 4
Description : 51. Albert came to the hospital with chest pain and fever. After a thorough assessment by the doctor, he was admitted for pericarditis management. The nurse positions the client to reduce pain and discomfort. Describe this position.
Last Answer : C. Sit the client upright and lean forward
Description : After admitting the patient to the PACU, the first action of the nurse would be to A. Assess patency of the airway B. Check the rate of the IV infusion C. Monitor the vital signs D. Assess the clients pain
Last Answer : A. Assess patency of the airway
Description : 47. Which of the following designs would be most appropriate to use in attempting to determine the participants’ early ambulation after they will be given preoperative teachings?
Last Answer : A. Time series design
Description : When the female client reports a frothy yellow-brown vaginal discharge, the nurse suspects the client has a vaginal infection caused by a) trichomonas vaginalis. Trichomonas vaginalis causes a ... the external vulva and vaginal walls. d) chlamydia. Chlamydia causes a profuse purulent discharge.
Last Answer : a) trichomonas vaginalis. Trichomonas vaginalis causes a frothy yellow-white or yellow-brown vaginal discharge.
Description : 99. The companion asks why the client was advised to avoid iron supplements or vitamins. The correct response of the nurse would be
Last Answer : A. “These supplements enhance the production of RBC.”
Description : 96. You planned the nursing care of the client together with the nursing student. You asked the nursing student to enumerate the clinical manifestations of a client with polycythemia vera. You expect the nursing student to enumerate the following manifestations except
Last Answer : B. Hepatomegaly
Description : 79. A scrub nurse is assisting an emergency Cesarian section on a 39-year-old laundry woman. Before closing the peritoneum, the surgeon asks, How old is the client? Holding the fallopian ... there is no signed consent for tubal ligation. The nurse just demonstrated which of the following?
Last Answer : C. Advocacy
Description : 77. Nurse Kristine is to inject Demerol 75 mg to a post-TURP (transurethral resection of the prostate) client who is in pain. When she checked the narcotic cabinet, she found out a ... next Demerol vial is available. The action of the nurse violates which of the following ethical principles?
Last Answer : A. Justice
Description : 74. Which of the following assessment findings when observed in a post-thyroidectomy client is indicative of a thyroid crisis?
Last Answer : C. High fever
Description : 69. When Marina checked the capillary blood glucose of the client at 6 PM before meals as instructed by the senior nurse, the result showed 65 mg/dl. Which of the following will Marina do first?
Last Answer : C. Check the physician’s order in case CBG is below 70 mg/dl
Description : 66. From the nursing history obtained from the client, which information is most likely related to the development of gangrene on the client’s left toe?
Last Answer : D. Accidental cut in big toe while cutting toe nails
Description : 64. The client was placed on a low sodium diet. The wife asks the nurse which foods to include in the client’s diet while at home. The nurse should instruct to include which of these?
Last Answer : C. Fruits and vegetables
Description : 62. A 30-year-old client had cholesterol blood test before admission to the hospital. The nurse in charge would teach the family and significant others that the client should exercise to help keep the total cholesterol to a desired level of
Last Answer : A. 140 mg/dl
Description : 61. A client with gout asks the nurse what food must be avoided so that the family can provide support. Which food has the highest in purine content and must be excluded from the dietary plan?
Last Answer : D. Liver
Description : 60. Acromegaly often develops insidiously that nurses should understand that the client with this disorder would seek medical care because of
Last Answer : C. Changes in appearance
Description : 42. The nurse is to inject Vitamin B intramuscularly to another elderly client. Before injecting, the nurse explained that the client may feel some discomfort. This is an example of
Last Answer : C. Anticipatory response
Description : 41. For a client complaining of mild musculoskeletal pain, the nurse will anticipate that the treatment for this client’s level of discomfort will include which of the following?
Last Answer : B. Acetaminophen
Description : 40. The nurse should ensure that all components of medications are documented. Identify all these components. 1. Dosage, route and frequency 2. Name of client and medication 3. Date and time ... and strength 5. Physician's signature and specialty 6. Physician's signature and PRC license number
Last Answer : C. All except 5 and 6
Description : 33. The client is scheduled to undergo appendectomy. Preparation for appendectomy includes the following: 1. Intravenous infusion 2. Laxative 3. Pubic area shaving 4. Enema 5. Shower 6. Pain medication
Last Answer : B. 1, 3, and 5
Description : Reviewing the laboratory findings of the client, the nurse would found which findings are elevated? 1. White blood cell count 2. Total serum bilirubin 3. Alkaline phosphate 4. Red blood cell count 5. Cholesterol 6. Serum amylase A. 1, 2, and 3 B. 2, 3, and 4 C. 3, 5, and 6 D. 1, 2, and 6
Last Answer : A. 1, 2, and 3
Description : The diagnosis was confirmed as cholecystitis with gallstones. The doctor prepared the client for the removal of the gallbladder. The client asks the nurse how the procedure will affect ... Removal of the gallbladder usually interferes with digestion but can be remedied by dietary modifications
Last Answer : C. The body will adjust in due time
Description : To confirm the diagnosis of cholecystitis, the attending physician ordered a procedure that can detect gallstones as small as 1 - 2 cm and inflammation. The nurse would prepare ... specific diagnostic procedure? A. Cholangiography B. Ultrasonography C. Gall bladder series D. Oral cholecystogram
Last Answer : B. Ultrasonography
Description : The Code of Ethics states that the nurse's primary commitment is to the client whether an individual of family, group or community. Which nursing activity would best demonstrate the ethical ... is least considered D. The nurse's providing care to maximize health according to available resources
Last Answer : A. The nurse providing care on a “first come – first served” basis
Description : n assisting the client to do deep breathing, coughing and turning to the sides on the first post-operative day, which nursing action would be most helpful for the client? A. Restate ... the prescribed analgesic round the clock as prescribed D. Apply abdominal splint (pillow) while coughing
Last Answer : D. Apply abdominal splint (pillow) while coughing
Description : The nurse instructs the nursing attendant to perform cleansing enema until the return flow is clear. The nursing attendant understood the instruction when she says, I will A. Call you when the return flow is ... flow D. Put the client in left Sim's position to achieve the desired return flow.
Last Answer : A. Call you when the return flow is clear”