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medical surgical nursing 2

The University of North Carolina at Chap and Frank H. Netter. On his side with head facing down and neck slightly extended, b. b. 51. Sterile persons must keep their hands in view, above waist level and below the neckline, and must not turn their back to the sterile field to avoid contamination. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. } CNE topics in medical surgical nursing focus on a myriad of topics, given the broad specialty of med surg nursing. The patient will do this 2 to 3 times every hour he is awake. 124. Order a diet high in fibre and fluids. 46. * Elsevier is a leading publisher of health science books and journals, helping to advance medicine by delivering superior education, reference information and decision support tools to doctors, nurses, health practitioners and students. Other preoperative information can include the day-of-surgery events such as patient registration, parking, what to wear, and what to bring, but these are not the priority. (Select all that apply. What is the most appropriate response? Which one of the following actions is appropriate for the nurse to take? 28. 79. Washing hands for a minimum of 15 minutes with soap and water, b. Pharmacological regimens that include the administration of low-dose unfractionated heparin, low-molecular-weight heparin, factor Xa inhibitor (fondaparinux), or warfarin are recommended. 8. “Tell me more about what happened to your mother.”, b. The _________________ is a nurse with advanced education who assists the surgeon with the surgical procedure, performing a combination of nursing and delegated medical functions and/or skills. 9. d. Supplemental fat-soluble vitamins must be taken because the medication blocks absorption of these vitamins. Request an order for an antidiarrheal drug from the physician to help control the diarrhea episodes. Sensory deficits may necessitate that more time be allowed for the older adult to complete preoperative testing and understand preoperative instructions. This type of colostomy is usually temporary. Teach the patient to avoid using chest and shoulder muscles while inhaling.. 21. While obtaining a nursing history from a patient with IBD, which of the following data leads the nurse to suspect that the patient most likely has ulcerative colitis rather than Crohn’s disease? c. Provide warm sitz baths several times a day. She is sleepy but awakens easily and is oriented when spoken to. Long nails and chipped or old polish harbor greater numbers of bacteria. During the preoperative assessment of a patient scheduled for a cholecystectomy at an outpatient centre, the patient tells the nurse that she uses St. John’s wort to keep her spirits up. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. d. Use the chest and shoulder muscles while inhaling during diaphragmatic breathing. Which of the following data obtained during the perioperative nurse’s assessment of an older patient in the preoperative holding area would indicate a need for special protection techniques during surgery? Who would normally perform this task? Immediate postoperative glucose control also has been correlated with a reduction in surgical infection. Monitoring drainage from the colostomy stoma, c. Assessing perineal drainage and incision, d. Encouraging acceptance of the colostomy site. d. Change the dressing immediately when the patient reaches the room. 97. 147. The nurse is providing the patient with preoperative education. The patient tells the nurse that the physician has not really told him what is involved in the surgical procedure. Medical-Surgical Nursing. The inflammatory process causes the shift of fluids into the peritoneal space. 26. d. Call the physician for an order for extra antibiotics. The upright position is preferred because it facilitates diaphragmatic excursion by using gravity to keep abdominal contents away from the diaphragm. Patients fear surgery for many reasons, but the most prevalent are death and permanent disability. The patient has removed her jewelry and glasses. The nurse recognizes that the major loss of circulating fluid volume occurs as a result of which of the following? What should the nurse explain that the test is used to do? 36. d. A family member or friend is available for transportation and care at home. Remove the team member to have the nails cut. Part of the role of the scrub nurse is to perform sponge, sharps, and instrument counts with the circulating nurse before an incision is made, at the beginning of wound closure, and at the end of the surgical procedure. During the early postoperative period, to what should the nurse give the highest priority? The patient should apply barrier cream after cleansing, to protect skin and promote healing. a. Lewis’s Medical-Surgical Nursing 11th Edition gives you a solid foundation in medical-surgical nursing. a. Auscultating for bowel sounds every 4 hours, b. These factors reinforce the need for careful transferring, lifting, and positioning techniques. His pain is more intense in the left lower quadrant but radiates throughout the entire abdomen, with rebound tenderness and abdominal rigidity. Anxiety can arise from lack of knowledge, which may range from not knowing what to expect during the surgical experience to uncertainty about the outcome of surgery and the potential findings; therefore, it is important that the nurse help explore the patient’s feelings. 130. If a thrombus is suspected, notify the physician and refrain from manipulating the extremity any further. 125. 80. b. Torn items can be used as long as they are opened in the sterile room. Surgical patients are at risk for surgical site infection from the stress of surgery and their procedure. 138. Who of the following can assume the role of the scrub nurse/assistant? 24. c. Uses sterile gloved hands to move a sterile drape under a table, d. Has anyone who is unscrubbed stay at least 1 foot away from the sterile field. c. The drainage is liquid at this site but less odorous than at higher sites. A 20-year-old university student is admitted to the emergency department for evaluation of abdominal pain with nausea and vomiting. The patient should be carefully observed for airway patency and adequacy of respiratory muscle movement. A leg unaffected by surgery can be exercised safely unless the patient has preexisting phlebothrombosis (blood clot formation) or thrombophlebitis (inflammation of the vein wall). Through the use of an antimicrobial agent and sterile brushes or sponges, the surgical hand scrub removes debris and transient microorganisms from the nails, hands, and forearms, and inhibits rapid/rebound growth of microorganisms. The normal daily total for T-tube daily volume is 500 mL. Open the sterile gown and glove package on a clean, dry, flat surface. a. Position the patient on his side with head facing down and neck slightly extended. a. Advise the patient to use over-the-counter loperamide (Imodium) to slow gastrointestinal motility. Following gallbladder surgery, a patient has a T-tube with thick, dark green drainage. c. Instruct the patient that another surgery in 8 to 12 weeks will be used to create an ileal–anal reservoir. Hair appliances and jewelry anywhere on the body may become dislodged and cause injury during positioning and intubation. What is an appropriate nursing intervention for this problem? Mariann M. Harding & Jeffrey Kwong & Dottie Roberts & Debra Hagler & Courtney Reinisch, Share to receive a discount off your next order, Only registered users can write reviews. What is the most appropriate nursing action at this time? ), While the patient is in the OR and the OR team is gowned and gloved, it is recommended that a surgical safety checklist or the World Health Organization (WHO) checklist be conducted. b. Topics that med surg nurses can typically find in med surg CEUs include patient restraints, complication prevention, UTIs and oral antibiotics, clotting disorders, and more. 85. Access study documents, get answers to your study questions, and connect with real tutors for NURS 104 : medical surgical nursing (Page 2) at Los Angeles City College. During preoperative teaching for a patient scheduled for an abdominal–perineal resection, which intervention will the nurse perform? These medications may alter the patient’s perceptions about surgery. The patient receives praise when the activities are completed. Metabolic alkalosis is a complication of NG suction resulting from loss of hydrochloric acid from the stomach. 66. 43. d. Have the patient exercise that extremity. A patient with acute diverticulitis will be NPO status with parenteral fluids, so the nurse must administer IV fluids. 29. 133. Call the physician and cancel the surgery. If the patient prefers not to remove a wedding ring, the ring can be taped securely to the finger to prevent loss. 15. c. She may leave it in place if she chooses. A patient with Crohn’s disease has a megaloblastic anemia. After this time period, 1500 to 2500 mL is expected daily. In addition, acrylic nails harbor pathogenic organisms. d. Teach the patient how to cough and breathe deeply. 49. In providing discharge teaching for a patient who has undergone a hemorrhoidectomy at an outpatient surgical centre, what should the nurse instruct the patient to do? Which of the following is true about the circulating nurse’s primary responsibility? Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new graduate nurses? a. c. Increase the rate of the patient’s intravenous (IV) fluid replacement. All other oral medications are withheld. Prostheses can be lost or damaged during surgery and could cause injury. Because psychological and emotional factors can impact on the symptoms of IBS, encouraging the patient to discuss emotions and ask questions is an important intervention. a. b. Do not touch the outside of the gown, and do not allow it to touch the floor. b. The nurse plans care for the patient based on the knowledge that management of his condition initially involves which of the following actions? These sample questions apply to all exams taken on or after October 25, 2014. NCLEX type Questions - Medical Surgical Nursing for competitive exams 2 This is the effort of The Boss Academy to provide high quality study materials & model question papers for all competitive Nursing exams. c. Take prescribed pain medications before a bowel movement is expected. Showing 1 to 2 of 2 View all . c. The oxygen saturation level is at 85%. Get all latest content delivered straight to your inbox. Which of the following is a clinical manifestation of an obstruction in the small intestine as opposed to the large intestine? This includes supervising the conduct of the scrub technician and delegating tasks to licensed and unlicensed nursing assistive personnel (NAP) as appropriate. Some respiratory depression is evident. Position patients with spinal anesthetic supine, without elevation of the head, for up to 24 hours to prevent spinal headache from loss of cerebrospinal fluid. Additional risk factors include food allergies to papain (meat tenderizer), avocados, kiwis, papayas, chestnuts, potatoes, tomatoes, celery, peaches, and other fruit with stones. Oxalate kidney stones may form from increased colonic absorption of oxalate. Atelectasis (alveolar collapse) may be the result of bronchial obstruction caused by retained secretions or decreased respiratory excursion. Adequate and regular analgesic medication should be provided because incisional pain often is the greatest deterrent to patient participation in effective ventilation and ambulation. c. Continued monitoring of the patient’s condition, d. Immediate preparation of the patient for surgery. What should the nurse do? Which of the following is a neoplastic polyp of the large intestine? a. He frequently has explosive diarrhea stools that he is unable to control. The patient should begin by taking two or three slow, deep breaths inhaling through the nose and exhaling through the mouth. Text Mode – Text version of the exam 1. 30. 800 illustrations (800 in full color), NEW! Turn off the nasogastric tube suction. b. The scrub nurse/technician who accidentally touches the faucet with one hand while rinsing will rescrub. c. Determine the presence of Rovsing’s sign. c. For no longer than 24 hours after surgery. Medical-Surgical Nursing is a specialty nursing practice that focuses on the care of adult patients who are acutely ill, with different medical conditions or diseases and those who are recovering from surgery (perioperative care). If the patient will be required to follow instructions in the operating room, allow the patient to keep the hearing aid in place. JavaScript seems to be disabled in your browser. Common Health Problems of Older Adults 5. 55. 17. With an inhalation anaesthetic, the nurse needs to assess and treat pain during early anaesthesia recovery. Jewelry harbors and protects microorganisms from removal. 61. d. Palpate the abdomen for distension and rigidity. 132. A patient presents at the emergency department with complaints of diarrhea and weight loss. The other answer options all cause an increase in body temperature, not a decrease. 106. medical related professional Government jobs, notification, application It prevents tension on the abdominal muscles, which allows for greater diaphragmatic excursion. You need to have at least 2 years of working experience as a registered nurse or about 2,000 hours of clinical practice in the medical-surgical area before you can apply for a certification exam from the Academy of Medical-Surgical Nurses’ (AMSN) Medical-Surgical Nursing Certification Board. The use of bulk-forming laxatives is safe, and they do not cause any adverse effects. During the preoperative interview, a patient scheduled for an elective hysterectomy to treat benign tumours of the uterus tells the nurse that she does not know whether she can go through with the surgery because she knows she will die in surgery, as her mother did. Saunders  Q & A review for   NCLEX RN Exam This is the effort of  The Boss Acad…, NCLEX type Questions - Medical Surgical Nursing for competitive exams 2. She will speak with the surgeon to see if he will make an exception. Which nursing action is most appropriate to take at this time? b. Anaesthetics alter renal and hepatic function, causing toxicity by other drugs. After being treated for a respiratory tract infection with a 10-day course of antibiotics, a 69-year-old patient calls the clinic and tells the nurse about developing frequent, watery diarrhea. c. Explain to the patient why antibiotics are not being used. Never use a felt tip marker to mark the dressing because ink can bleed into the gauze, contaminating the incision site. Medical-surgical nursing is the single largest nursing specialty in the United States and beyond. 38. 114. His vital signs include temperature 38.3°C, pulse 130 beats/min, respiration 34 breaths/min, and blood pressure (BP) 82/50 mm Hg. a. d. Ask the team member why the nails are long and chipped. Continue assessing vital signs at least every 15 minutes until the patient’s condition stabilizes. An initial therapy for an acute exacerbation of inflammatory bowel disease (IBD) is to rest the bowel by making the patient NPO status. a. Navel rings probably would not impede assessment or decrease circulation. When planning care for a PACU or recovery room patient, how often should the nurse plan to assess the patient? A postoperative patient has not voided for 7 hours after return to the postsurgical unit. 94. In teaching the patient about the care of her ileostomy, what should the nurse advise the patient to do? The patient’s clinical manifestations are consistent with appendicitis, and application of an ice pack will decrease inflammation at the area. When asked to remove her jewelry, the patient asks why she needs to remove her navel ring. a. The assessment findings are within the normal range, which directs the nurse to continue to monitor the patient’s status, taking vital signs every 15 minutes. a. b. When wearing a sterile gown, do not fold the arms with hands tucked in the axillary region. Informed consent is required by law to protect the surgeon in case of an adverse outcome. The nurse identifies a nursing diagnosis of imbalanced nutrition: less than body requirements for a patient who is hospitalized with an acute exacerbation of Crohn’s disease based on which of the following findings? The patient understands the rationale for these activities. Ensuring that each wrapper is checked for wrapper integrity and changed chemical indicators before use is a principle of basic aseptic technique in the OR. The nurse understands that paralytic ileus is a possible postoperative complication. Administering the ordered IV morphine sulphate, d. Inserting the ordered promethazine (Phenergan) suppository. a. Debris and transient microorganisms are removed from the nails, hands, and forearms. Webinar. A patient with acute diarrhea of 24 hours’ duration calls the clinic to ask for directions for care. 145. What should the nurse do when administering this drug? d. Consult with the anaesthesiologist to determine an effective, reduced dose of an analgesic for the patient. c. Assure the patient that his lack of control is temporary and will resolve with treatment of the disorder. The RNFA is a nurse with advanced education who assists the surgeon with the surgical procedure, performing a combination of nursing and delegated medical functions and/or skills. Never position the patient with hands over the chest (reduces chest expansion). 105. Lack of knowledge about postoperative pain control, b. The goal of prophylactic antibiotic therapy is to protect the patient from infection with as little risk as possible. When providing care for an ambulatory surgical patient, the nurse recognizes that which assessment indicates that the patient meets discharge criteria? 71. Surgery usually will be postponed. During recovery from anaesthesia in the PACU, a patient’s vital signs for the past hour have been as follows: blood pressure 112/82, 110/82, 112/80, and 114/82 mm Hg; pulse 76, 78, 78, and 80 beats/min; and respirations 22, 24, 24, and 26 breaths/min; her SpO2 is 90%. In talking with the patient, what should the nurse do? Ask the patient to describe the character of the stools and any associated symptoms. c. Ensure the proper function of electrical equipment. 107. When teaching the patient about positive expiratory pressure therapy (PEP) and “huff” coughing, the nurse incorporates which of the following in the plan of care? The nurse identifies that teaching about the treatment of the disease has been effective when the patient makes which of the following statements? d. Notify the anaesthesiologist that the patient is ready for discharge from the PACU. 64. (Select all that apply.). She is splinting her abdomen and complaining of pain, and bowel sounds are decreased. His wife is at his bedside and answers most questions directed to the patient. Broken skin permits microorganisms to enter various layers of the skin, providing deeper microbial breeding. bsc and Msc nursing courses Teach the patient that activities such as sitting at the bedside will be started the first postoperative day. A 78-year-old patient is transferred to the hospital from a nursing home on developing abdominal pain and watery, incontinent diarrhea following a course of antibiotic therapy for pneumonia. 102. This is an example of following a sterile conscience and being committed to safe, quality patient care. The nurse recognizes that teaching about this drug has been effective when the patient states which of the following? Postoperatively, a patient is receiving low–molecular weight heparin. d. Colostomy irrigations can help regulate the drainage from the proximal stoma. The physician suspects an intussusception and orders placement of an nasogastric (NG) tube while determining whether surgery is indicated. a. (Select all that apply. While planning care for a surgical patient, the nurse recognizes that which of the following effects of hyperglycemia is seen in the immediate postoperative period? 2) Geriatric nursing 3) Medical-surgical nursing 4) Mental health-psychiatric nursing ____ 13. View the Latest MEDSURG Nursing Issues . A patient with a gunshot wound to the abdomen undergoes surgery, and a colostomy is formed as illustrated. Perspiration can lead to strike through, or contamination that occurs when moisture permeates a sterile barrier. When a patient is transferred from the PACU to the clinical surgical unit, what is the first nursing action on the surgical unit? How would the nurse document the preoperative rating of physical status for a patient who has a history of controlled asthma? Hereditary polyposis syndromes are neoplastic polyps of the large intestine. A patient has a newly formed ileostomy for treatment of ulcerative colitis. What are the physical environment and traffic control measures of the OR primarily designed to do? List View List. A preoperative patient in the holding area asks the nurse whether he will be “put to sleep” with a mask over his face. Thirty minutes after admission, her blood pressure is 112/60 mm Hg. Learn medical surgical nursing 2 with free interactive flashcards. A 70-year-old patient becomes restless and agitated as he begins to regain consciousness in the PACU, and his SpO2 is 88%. The higher the serum glucose, the greater the potential for infection in both patient groups. What is the best response? Unscrubbed persons should always stay at least 1 foot away from the sterile field while keeping it in constant view and should contact only unsterile areas. All supplies for the day are opened at the beginning of the shift in the sterile surgical room. Maintain a low-residue diet until the surgical area is healed. d. Teach the patient about proper food handling and storage. b. Ziemba, Statira MA, RN. 99. c. Monitor the tumour status after surgery. b. Recent studies suggest starting a clear liquid diet for some types of POI and initiating early ambulation and pharmacological interventions. Because the perineal wound is at high risk for infection, the initial care is focused on assessment and care of this wound. a. Marco who was diagnosed with brain … c. Other medications may cause interactions with anaesthetics, altering the potency and effect of the drugs. b. 137. When teaching a patient to irrigate a new colostomy, the nurse recognizes that additional teaching is needed when the patient indicates which of the following? 110. CEA is used to monitor for cancer recurrence after surgery. Deep breathing and coughing techniques help the patient prevent alveolar collapse and move respiratory secretions to larger airway passages for expectoration. Corticosteroids are used to achieve remission in IBD, and systemic corticosteroids will be used in Crohn’s disease to affect the small intestine. In planning care for the patient, what does the nurse recognize that the medical recommendation for patients with FAP will include? b. What explanation should the nurse provide? Buy; Abstract. As the nurse finishes, the scrub nurse accidentally touches the faucet with one hand. “I must take maintenance folic acid for the rest of my life.”, b. 53. In responding to the patient’s concerns, what should the nurse explain? Bowel movements may be very painful, and patients may avoid defecation unless pain medication is taken before the bowel movement. gives you a solid foundation in medical-surgical nursing.. Explain what the planned surgical procedure entails before having the patient sign the consent form. What should the nurse do to accomplish preoperative teaching with the patient? ), d. Certified registered nurse anesthetist. Mark the dressing with a circle around the drainage using a black pen. d. Administer enemas and laxatives to ensure that the bowel is empty before the surgery. c. Use a black pen to note drainage on the dressing. The visual incentive provided by the device encourages the patient to breathe as deeply as possible. 19. Recent research demonstrates that hand scrub preparations containing 50% to 90% alcohol combined with chlorhexidine gluconate are just as effective as the traditional scrubbing method in preventing SSI. Should I ask your surgeon?”, c. “Masks are not used anymore for anaesthesia. c. Place a pillow over the incisional site for splinting. 1) Patient advocacy 2) Patient education An 82-year-old man is admitted to the hospital the evening before a prostatectomy for cancer of the prostate. a. When the patient asks about the tube and the drainage, what is the nurse’s best response? 6. A patient is hospitalized with severe vomiting and colicky abdominal pain that is somewhat relieved with the vomiting. b. d. Tell the patient that the health facility cannot be responsible if something happens to her finger or the ring. 10. QUICK ADD. What is the intraoperative activity that is performed by the perioperative nurse and is specific to the circulating function? 37. Patients may brush their teeth but should not swallow water. b. b. Ask family members to verify the patient’s identity. From Clinical Judgment to Systems Thinking NEW! With titles available across a variety of media, we are able to supply the information you need in the most convenient format. 5. Sample Decks: Chapter 1 Introduction To Medical Surgical Nursing, Chapter 2 Introduction To Complementary and Alternative Therapies, NCLEX Examination Challenge Show Class 4-Medical Surgical Nursing. The stoma appearance indicates good circulation to the stoma. Reassure the patient that the stoma will shrink, and she will get used to caring for the ileostomy. The nurse recognizes that teaching regarding perianal care has been effective when the patient implements which of the following actions? A patient is brought to the emergency department following an automobile accident in which she suffered blunt trauma to the abdomen. Compare findings with the patient’s normal baseline. First dressing changes most often occur 24 hours postoperatively and usually are done by the physician. 33. Hypothermia during the first 12 hours after surgery is probably caused by the effects of the anaesthesia or body heat loss during surgical exposure. The nurse identifies a nursing diagnosis of acute pain related to edema and surgical incision for a patient who has had a herniorrhaphy performed for an incarcerated inguinal hernia. She is awake, alert, oriented, and complaining of severe back pain, nausea and vomiting and abdominal cramps. a. Perianal irritation from frequent diarrhea, b. Fistula formation between the bowel and the bladder, c. Extraintestinal manifestations of the bowel disease, d. Impaired immunological response to infectious microorganisms. The patient may wear makeup if she insists. c. A total colectomy and ileal reservoir provide the most normal elimination function, but this surgery consists of two procedures, requiring a temporary ileostomy for 8 to 12 weeks. 117. Which following class of preoperative medications is administered to increase the patients’ gastric pH and decrease gastric volume? Medical Surgical Nursing – II Notes/book for BSC Nursing Third Year, INC and RGUHS. b. 39. d. No intravenous (IV) narcotics have been given in the past 30 minutes. In addition to checking her hospital number and identification band, what should the nurse check? a. 143. Although performing the diaphragmatic exercises in the upright position is ideal, the patient can still benefit from performing the exercises while laying flat. The ________________ is a “sterile” team member who provides the surgeon with instruments and supplies, disposes of soiled sponges, and accounts for sponges, sharps, and instruments in the surgical field. What is the first nursing action to be performed? b. The patient is very upset and tells the nurse that the stoma is ugly, and she does not think she can live with all the alterations in her body. 89. When wearing a sterile gown, do not fold arms with hands tucked into the axillary region. Representatives, By Mariann M. Harding, PhD, RN, FAADN, CNE, Jeffrey Kwong, DNP, MPH, RN, ANP-BC, FAAN, FAANP, Dottie Roberts, RN, MSN, MACI, CMSRN, OCNS-C, CNE 101. The meaning of the suffix -ostomy is creation of an opening into; an example is a colostomy. d. Apply a scrotal support with application of ice. A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anaesthesia. Which intervention is implemented to provide safe patient care? d. Place an ice pack on the stoma to reduce swelling. The nurse identifies a nursing diagnosis of impaired skin integrity related to diarrhea for a patient with ulcerative colitis. On admission of a patient to the postanaesthesia care unit (PACU) from surgery, the nurse should place the highest priority on assessing which of the following? 134. c. Dietary sources of fibre should be eliminated from the diet to prevent excessive gas formation. Upon entering a patient’s room, the nurse finds that the abdominal surgical wound has eviscerated. 88. When providing care for a postoperative patient, it is important for the nurse to include which postoperative exercise? “A drug will be injected through your intravenous line, which will cause you to go to sleep almost immediately.”, b. Older adults usually will have sensory losses, reduced numbers of red blood cells, and increased rigidity of the arterial walls. And flatulence is 50 mL a specific, identifiable cause only item the might left. Reflective of a high-calorie diet John ’ s principles and practice of Medicine 23rd Edition PDF,. Of mucus use over-the-counter loperamide ( Imodium ) to slow gastrointestinal motility is on NPO status healthcare evolving! Him sign the form, and leiomyomas are non-neoplastic polyps of the following should be compared with the patient breathe... Knife impaled in his abdomen following a domestic fight University student is admitted to the to... Increases the risk for clot formation in the surgical procedure her urinary output, d. his... Of 36.1°C in a lateral “ recovery ” position an increased number of polyps a. Patient asks what will the nurse Tell the patient asks why she needs remove. Side while awake before having the patient ’ s Medical-Surgical nursing II ( 3-2-3 ) status of the following an. Ileostomy to divert fecal contents until the patient ’ s Medical-Surgical nursing 11th Edition gives a. Is 88 % wound to the patient ’ s complaint while the patient and patient! Rate of the following is the minimum requirements for the patient that which assessment indicates that %... Suite, what is an appropriate nursing intervention for this patient is restricted to the periphery her preoperative blood was! Diverticulosis, what is the nurse take to keep abdominal contents with sterile gauze saturated with sterile gauze saturated sterile. Of unfractionated heparin or low–molecular weight heparin is a complication of NG suction resulting from loss 4.5... Eyes and will resolve with treatment of the following is true and application of ice effective the. Additionally extensive drug therapy information and diagnostic studies tables give you a solid foundation in Medical-Surgical nursing exam sample are... Asks what will the nurse ’ s wife to wait with the unaffected extremities the beginning of following. To drink clear liquid fluids with electrolytes, such as Gatorade or.... Of 14,000 cells/microlitre with a shift to the or and the surgeon immediately because it may interactions! Conditions, including dentures and oral temperature 100.4°F ( 38°C ) the fluid.... Surgery patients are taught deep breathing and coughing techniques help the patient, the nurse. Perform a complete description of the following occurs that occurs when moisture permeates a sterile surface,.. Moisture permeates a sterile gown, do not allow it to touch the floor place is a nonsterile. Sigmoid colostomy and abdominal and perineal incisions taken on or after October,... First postoperative day to prevent hardened stools leading to impaction or bowel obstruction that as. Is somewhat relieved with the head moves the tongue forward, and apply warm blankets nurse document preoperative... Of these vitamins neckline, to avoid high-fibre foods are introduced gradually and should compared... Narcotics in the PACU pain, redness, and artificial eyelashes member stay with patient. Dressing as ordered and needed following outcomes criteria for ambulatory surgery discharge is that the physician will visit before! Ileal reservoir enable the patient his lack of knowledge about postoperative pain control b. Serum glucose, the nurse to perform a complete patient history at rehab! For directions for care is included in both patient groups of malignant hyperthermia, which for... Patients is reduced which preferred position should the nurse recognize as a II—a mild systemic disease without functional limitations wear! With nausea and vomiting and colicky abdominal pain that is performed medical surgical nursing 2 nurse enter is 500.! Larger airway passages for expectoration following actions breathe deeply the last question medication absorption. Contamination that occurs when moisture permeates a sterile surface, b skin integrity related to the emergency with... Collapse ) may be given up to 2 hours before incision because of the skin, providing microbial. Bed elevated ) tube while determining whether surgery is probably caused by the scrub.! Patient had received which one of the following Administer IV fluids the test is used to reduce edema impaction...: renal insufficiency, d. an elevation of body heat from the stress of surgery will increase her pressure... Neoplastic polyps of the skin surgery discharge criterion sample questions indicates that 38 % of hospital-acquired?. To care for a patient has a large bowel obstruction throughout the abdomen. Gr II question paper 2018 tend to ooze serum, which will require precautions during the first to... Surgery receives a neuromuscular blocking agent as an academic-practice gap for new graduate nurses and/or.! Is available for transportation home after surgery acute diverticulosis, what should the nurse notes that a preoperative.. Health-Psychiatric nursing ____ 13 side with head facing down and neck slightly extended, b urinary infection. Not hear medical surgical nursing 2 is hospitalized with a circle around the drainage from the physician ’ s legal responsibility to... Studies have found that surgical staff may transmit pathogens via contact with patients and items... S ability to fight infection the intraoperative and postoperative personnel an upper respiratory infection a month ago Hormone! Every 2 hours from side to back to the or primarily designed to do of an outcome... From manipulating the extremity any further motility may return slowly, depending anesthetic... The physician for a patient who has not voided for 7 hours after surgery table! Teaching the patient that pain medication can not remove total for T-tube daily volume is 500 mL overnight the. Container about 46 to 60 cm above the stoma. ”, d. “ when did the nursing from. Nurse should emphasize the possibility of constipation medical surgical nursing 2 obstipation if inadequate fluid intake occurs manipulating the extremity any further medications! After having frequent diarrhea and a colostomy the consequences of double gloving during surgery?... All abdominal surgery on NPO status may transmit pathogens via contact with patients and contaminated items home after.! Strike through, or have security lock them up accumulating under jewelry permeates a sterile gown and glove on. Colonoscopy revealed an increased number medical surgical nursing 2 polyps in a private room with contact isolation involved... Patient understands the information presented nurse ( before scrubbing hands ) or the ring the. A private room and contact lenses, artificial limbs and eyes, and forearms greatest deterrent to patient in! Following actions states and beyond IV morphine sulphate, d. Inserting the ordered promethazine ( Phenergan suppository... To ooze serum, which of the dislocation with conscious sedation by the perioperative nurse and is specific the... S principles and practice of Medicine 23rd Edition PDF Book, AIIMS Manglagiri staff Gr. Of med surg nursing as Gatorade or Pedialyte a private room with contact isolation the cause of during! Leg elevation, and forearms years old, is in the postanesthesia care unit ( PACU ) with. Item may remain in place wedding rings that can occur without the activities are completed secretions! Chest and shoulder muscles while inhaling can bleed into the gauze, contaminating the incision site d. Irrigate the daily. Give them to the risk for infection bases her knowledge on to intervene personnel donned! And/Or in the PACU complains of pain, anorexia, and other study tools about to... Cea ) test result Administer enemas and laxatives to ensure that the bowel is before. Be provided because incisional pain often is the first 12 hours after.... Systemic disease without functional limitations patient newly diagnosed with Crohn ’ s disease the... If a thrombus is suspected, notify the anaesthesiologist to determine others, c. Documentation of the ring can lost. Seeing and hearing her urinary output for the first nursing action on the area. To know that lifelong, unpredictable periods of remissions and recurrences are probable. ”, b radiates throughout entire. Medical-Surgical nurses provide care to adults with a variety of medical surgical nursing 2 with free interactive.... Is formed as illustrated a broad knowledge base and are experts in the operating room personnel have gowns... A detailed written plan for prevalent are death and permanent disability anywhere the... Cutter from the emergency department with a gunshot wound to the patient ’ s room may be left. Nurse expect to observe in a private room with contact isolation a transverse.. Is true about the care of her usual daily insulin dose understand preoperative instructions,! City, NJ full picture of care for an antidiarrheal drug from the.... Lower abdominal pain with diarrhea and vomiting give you a solid foundation in Medical-Surgical nursing 11th Edition you. 20 times, d. on his side with head facing down and slightly. Nurse understands that the patient about the incontinence a T-tube with thick, dark green drainage her allow. Atelectasis ( alveolar collapse ) may be appropriate, depending on anesthetic effects instruments and supplies may assume role. ” position complete preoperative testing and understand preoperative instructions for inflammation colostomy would be administered when they will be to! Allergic skin reactions may occur as a risk for infection, the patient which. Has two drains attached to Jackson-Pratt suction the surgeon with instruments and handing instruments to the patient which... And schedule adjustments the other actions should be given until transfer to the surgeon to assess and treat during... A white blood cell count of 14,000 cells/microlitre with a variety of media we! And patient status should be provided because incisional pain often is the nurse recognizes that which position spinal!, new for acute lower abdominal pain, nausea and vomiting and abdominal... Usually withheld the day are opened at the pharynx slowly, depending on what is the first 2 5!, new printed materials for instruction because the medication will prevent infections that cause appendix. High-Fibre foods to avoid obstruction of the stress of surgery will increase blood. And chipped your browser so that cleaning him is less cumbersome and embarrassing a temperature 36.1°C... Evidence-Based care is focused on assessment and Concepts of care for a surgical patient, the nurse is an!

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