Med Surg Cbq Topic

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Med Surg Cbq Topic

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Questions and Answers
  • 1. 
    Romeo Diaz, age 78, is admitted to the hospital with the diagnosis of benign prostatic hyperplasia (BPH). He is scheduled for a transurethral resection of the prostate (TURP). It would be inappropriate to include which of the following points in the preoperative teaching?
    • A. 

      TURP is the most common operation for BPH.

    • B. 

      Explain the purpose and function of a two-way irrigation system.

    • C. 

      Expect bloody urine, which will clear as healing takes place.

    • D. 

      He will be pain free.

  • 2. 
    Mr. Valdez has undergone surgical repair of his inguinal hernia. Discharge teaching should include
    • A. 

      Telling him to avoid heavy lifting for 4 to 6 weeks

    • B. 

      Instructing him to have a soft bland diet for two weeks

    • C. 

      Telling him to resume his previous daily activities without limitations

    • D. 

      Recommending him to drink eight glasses of water daily

  • 3. 
    A 30-year-old homemaker fell asleep while smoking a cigarette. She sustained severe burns of the face,neck, anterior chest, and both arms and hands. Using the rule of nines, which is the best estimate of total body-surface area burned?
    • A. 

      18%

    • B. 

      22%

    • C. 

      31%

    • D. 

      40%

  • 4. 
    Nursing care planning is based on the knowledge that the first 24-48 hours post-burn are characterized by:
    • A. 

      An increase in the total volume of intracranial plasma

    • B. 

      Excessive renal perfusion with diuresis

    • C. 

      Fluid shift from interstitial space

    • D. 

      Fluid shift from intravascular space to the interstitial space

  • 5. 
    If a client has severe bums on the upper torso, which item would be a primary concern?
    • A. 

      Debriding and covering the wounds

    • B. 

      Administering antibiotics

    • C. 

      Frequently observing for hoarseness, stridor, and dyspnea

    • D. 

      Establishing a patent IV line for fluid replacement

  • 6. 
    An adult is receiving Total Parenteral Nutrition (TPN). Which of the following assessment is essential?
    • A. 

      Evaluation of the peripheral IV site

    • B. 

      Confirmation that the tube is in the stomach

    • C. 

      Assess the bowel sound

    • D. 

      Fluid and electrolyte monitoring

  • 7. 
    Maria Sison, 40 years old, single, was admitted to the hospital with a diagnosis of Breast Cancer. She was scheduled for radical mastectomy. Nursing care during the preoperative period should consist of
    • A. 

      Assuring Maria that she will be cured of cancer

    • B. 

      Assessing Maria's expectations and doubts

    • C. 

      Maintaining a cheerful and optimistic environment

    • D. 

      Keeping Maria's visitors to a minimum so she can have time for herself

  • 8. 
    Maria refuses to acknowledge that her breast was removed. She believes that her breast is intact under the dressing. The nurse should
    • A. 

      Call the MD to change the dressing so Kathy can see the incision

    • B. 

      Recognize that Kathy is experiencing denial, a normal stage of the grieving process

    • C. 

      Reinforce Kathy’s belief for several days until her body can adjust to stress of surgery.

    • D. 

      Remind Kathy that she needs to accept her diagnosis so that she can begin rehabilitation exercises.

  • 9. 
    A chemotherapeutic agent 5FU is ordered as an adjunct measure to surgery. Which of the ff. statements about chemotherapy is true?
    • A. 

      It is a local treatment affecting only tumor cells

    • B. 

      It affects both normal and tumor cells

    • C. 

      It has been proven as a complete cure for cancer

    • D. 

      It is often used as a palliative measure.

  • 10. 
    A post-operative complication of mastectomy is lymphedema. This can be prevented by
    • A. 

      Ensuring patency of wound drainage tube

    • B. 

      Placing the arm on the affected side in a dependent position

    • C. 

      Restricting movement of the affected arm

    • D. 

      Frequently elevating the arm of the affected side above the level of the heart.