(Complete 120 Q&A) Med Surg 2(II) Midterm Update 2023 |Grade A+

(Complete 120 Q&A) Med Surg 2(II) Midterm Update 2023 |Grade A+

1. A patient is admitted to the ED complaining of severe abdominal pain, stating that he has been vomiting "coffee-ground" like emesis. The patient is diagnosed with a perforated gastric ulcer and is informed that he needs surgery. When can the patient most likely anticipate that the surgery will be scheduled?

A) Within 24 hours

B) Within the next week

C) Without delay because the bleed is emergent

D) As soon as all the day's elective surgeries have been completed

The nurse is performing a preoperative assessment on a patient going to surgery. The patient informs the nurse that he drinks approximately two bottles of wine each day and has for the last several years. What postoperative difficulties can the nurse anticipate for this patient?

A) Alcohol withdrawal syndrome immediately following surgery

B) Alcohol withdrawal syndrome 2 to 4 days after his last alcohol drink

C) Alcohol withdrawal syndrome upon administration of general anesthesia

D) Alcohol withdrawal syndrome 1 week after his last alcohol drink

3. In anticipation of a patient's scheduled surgery, the nurse is teaching her to perform deep breathing and coughing to use postoperative. What action should the nurse teach the patient?

A) The patient should take three deep breaths and cough hard three times, at least every 15 minutes for the immediately postoperative period.

B) The patient should take three deep breaths and exhale forcefully and then take a quick short breath and cough from deep in the lungs.

C) The patient should take a deep breath in through the mouth and exhale through the mouth, take a short breath, and cough from deep in the lungs.

D) The patient should rapidly inhale, hold for 30 seconds or as long as possible, and exhale slowly.

4. The nurse is preparing a patient for surgery prior to her hysterectomy without oophorectomy. The nurse is witnessing the patient's signature on a consent form. Which comment by the patient would best indicate informed consent?

A) "I know I'll be fine because the physician said he has done this procedure hundreds of times."

B) "I know I'll have pain after the surgery but they'll do their best to keep it to a minimum."

C) "The physician is going to remove my uterus and told me about the risk of bleeding."

D) "Because the physician isn't taking my ovaries, I'll still be able to have children."

5. The nurse is planning patient teaching for a patient who is scheduled for an open hemicolectomy. The nurse intends to address the topics of incision splinting and leg exercises during this teaching session. When is the best time for the nurse to provide teaching?

A) Upon the patient's admission to the postanesthesia care unit (PACU)

B) When the patient returns from the PACU

C) During the intraoperative period

D) As soon as possible before the surgical procedure

6. The nurse is caring for a hospice patient who is scheduled for a surgical procedure to reduce the size of his spinal tumor in an effort to relieve his pain. The nurse should plan this patient care with the knowledge that his surgical procedure is classified as which of the following?

A) Diagnostic

B) Laparoscopic

C) Curative

D) Palliative

7. A nurse is providing preoperative teaching to a patient who will soon undergo a cardiac bypass. The nurse's teaching plan includes exercises of the extremities. What is the purpose of teaching a patient leg exercises prior to surgery?

A) Leg exercises increase the patient's muscle mass postoperatively.

B) Leg exercises improve circulation and prevent venous thrombosis.

C) Leg exercises help to prevent pressure sores to the sacrum and heels.

D) Leg exercise help increase the patient's level of consciousness after surgery.

8. During the care of a preoperative patient, the nurse has given the patient a preoperative benzodiazepine. The patient is now requesting to void. What action should the nurse take?

A) Assist the patient to the bathroom.

B) Offer the patient a bedpan or urinal.

C) Wait until the patient gets to the operating room and is catheterized.

D) Have the patient go to the bathroom.

9. The nurse is preparing a patient for surgery. The patient states that she is very nervous and really does not understand what the surgical procedure is for or how it will be performed. What is the most appropriate nursing action for the nurse to take?

A) Have the patient sign the informed consent and place it in the chart.

B) Call the physician to review the procedure with the patient.

C) Explain the procedure clearly to the patient and her family.

D) Provide the patient with a pamphlet explaining the procedure.

10. The nurse is caring for a patient who is admitted to the ER with the diagnosis of acute appendicitis. The nurse notes during the assessment that the patient's ribs and xiphoid process are prominent. The patient states she exercises two to three times daily and her mother indicates that she is being treated for anorexia nervosa. How should the nurse best follow up these assessment data?

A) Inform the postoperative team about the patient's risk for wound dehiscence.

B) Evaluate the patient's ability to manage her pain level.

C) Facilitate a detailed analysis of the patient's electrolyte levels.

D) Instruct the patient on the need for a high-sodium diet to promote healing.