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1 Exam 1-NUR242_NUR 242 (New 2023-2024) Medical- Surgical Nursing Exam Questions and Verified Answers 100% Correct Grade A- Galen complete The patient is undergoing surgery to fix a cleft palate. What type of surgery is this considered? - ANSWER✅✅Constructive A biopsy is what type of procedure? - ANSWER✅✅Diagnostic This type of surgery prolongs life but does not cure the underlying disease - ANSWER✅✅Palliative A patient has received 10 mg of Morphine via IV 20 minutes ago and is noticeably groggy. The physician requests you witness the signature of his informed consent. How would you, as a patient advocate, proceed? - ANSWER✅✅Informed consent should be received before patient is given any preop analgesics to ensure a clear state of mind.
Side note: A nurse is not responsible for clarification of risks or procedure explanation.
A nurse can witness signature.Pneumonia and Atelectasis are serious concerns post op. What are some things that we can encourage the patient to do to prevent these complications? - ANSWER✅✅Incentive spirometry, coughing, and deep breathing After surgery, Pt A verbalizes they do not want to cough because it is uncomfortable. What are some things the nurse can do to minimize discomfort? - ANSWER✅✅Analgesic administration and educating on splinting incision site when coughing. 1 / 3
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2 Why is it important for a pt to ambulate and wear SCDs or TED stockings after a procedure? - ANSWER✅✅To reduce the risk of DVT A pt's health history states that they are on corticosteroids. The PACU nurse that this increases the risk of what? - ANSWER✅✅wound dehiscence After a procedure, what should the nurse assess immediately? - ANSWER✅✅ABC's
Make sure airway is clear, note respiration depth, listen to lung sounds
After a procedure, a pt's vitals signs are the following:
BP: 90/50
RR: 26
HR: 110
O2: 88%
What is this a potential sign of?
A.Infection
- Heavy blood loss
- These vitals are to be expected after a procedure - ANSWER✅✅B
Normal RBC Lab Values - ANSWER✅✅Women: 4.2 to 5.4 million/uL 2 / 3
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Men: 4.7 to 6.1 million/uL
Children: 4.6 to 4.8 million/uL
A pt presents with muscle weakness, trouble walking, and a beefy red tongue. Based on these symptoms, what might we conclude the patient will be diagnosed with? - ANSWER✅✅B-12 Deficiency What signs and symptoms might you suspect a patient exhibit if they were iron deficient?Select all that apply.
- weakness
- palor
- tachypnea
- fatigue
e. beefy red tongue - ANSWER✅✅Answer:
A, B, and D When caring for a patient with Sickle Cell Anemia, what are some nursing interventions you'll need to implement? - ANSWER✅✅- Avoid extreme temperatures
- Keep room warm
- Encourage fluid intake
- / 3
-Encourage ROM