CMSRN Medical-Surgical Nursing

FREE CMSRN Medical-Surgical Nursing Guide Questions and Answers

Two days ago, a hemicolectomy was performed on a customer. A tiny portion of the abdominal viscera was visible peeking through the wound when the nurse examined it today. This wound healing problem is referred to as:

evisceration

excoriation

dehiscence

decortication

Correct! Wrong!

When the cavity's contents leak out of the incision, it is called evisceration.

A man who underwent a six-hour left femoral popliteal bypass graft has returned to the Unit. Later, the client's foot appears chilly and dark, and the nurse should have seen that his dorsalis pedis pulse was absent.

assure the client that his foot is fine

continue to monitor the foot.

immediately notify the physician

notify the head nurse

Correct! Wrong!

The patient is in danger of losing his left foot and/or leg due to a lack of blood supply, hence it is imperative that the doctor be called very once.

Three hours after knee reduction surgery, a 27-year-old patient complains of soreness in his right leg. The nurse's initial course of action should be to:

elevate the extremity

assess vital signs

remind the client of the PCA pump and re-instruct the client on its use

perform a lower extremity neurovascular check

Correct! Wrong!

It is crucial to assess the postoperative area in order to identify any bleeding, edema, or reduced circulation.

Stephen Douglas was involved in a car accident. The best IV treatment for a patient hypovolemic shock sufferer would be:

Colloids

Hypertonic

Isotonic

Hypotonic

Correct! Wrong!

Isotonic solutions are used to raise intravascular volume and improve critical tissue perfusion organs.

In her health sciences class, 20-year-old Allison Lynn requests you to elaborate on the cause of Type I Diabetes's insulin shortage. You mention that this is the most widely accepted theory:

inflammation of the pancreas causes irregular release of insulin.

the body's immune system destroyed the cells that make insulin.

not enough insulin is made to manage the metabolic needs.

the insulin produced is not effective at the tissue level.

Correct! Wrong!

The most widely recognized idea regarding the etiology of Type I diabetes is an autoimmune mechanism. There is insufficient insulin because the body makes an antibody that targets and kills the beta cells.

Stage II Hodgkins disease was identified in 18-year-old Ramona Gunther, who is getting ready to receive She informs the nurse that she is afraid ""of having to get radiation"" from external radiation therapy. treatments all over my body. What is the best course of action to do in response?

You know you don't have to worry about being radioactive.

The dose will be very low based on the disease staging.'

With Stage II, you'll only have radiation over half your body.

I know it's scary, but it will help to decrease the potential of fractures.

Correct! Wrong!

Since all of the affected lymph nodes in Stage II are on the same side of the diaphragm, that body part will receive radiation therapy.

A client's surgical incision is noted by the nurse as having red, granulated tissue. This suggests that the injury is:

healing

infected

not healing

necrotic

Correct! Wrong!

The wound is appropriately healing. Fragile capillaries and crimson granular tissue abound within.

It's a left pneumonectomy for a client. Nursing interventions for a postoperative left pneumonectomy that would be planned for this client would include:

positioning the client in the semi-Fowler's position with a pillow under the shoulder and back

monitoring the right lung for an increase in rales

monitoring the chest tubes

positioning the client on the right side

Correct! Wrong!

Usually audible over the base of the residual lung, respiration sounds could suggest vascular overload; hence, rales should be closely watched.

The most widely recognized explanation for Type I diabetes's underlying cause is an autoimmune mechanism. Lack of insulin results from the body's production of an antibody that targets and kills beta cells.

perform a lower extremity neurovascular check.

elevate the extremity

assess vital signs.

remind the client of the PCA pump and re-instruct the client on its use.

Correct! Wrong!

It's critical to evaluate the postoperative region to check for bleeding, edema, or impaired circulation.

This morning, a 44-year-old male client underwent stomach surgery. A tiny quantity of red discharge was seen by the nurse on the patient's surgical dressing. This style of guttering is:

sanguineous

serosanguineous

purulent

catarrhal

Correct! Wrong!

In general, drainage from a surgical incision is sanguineous (red), progressing to serosanguineous (pink), and finally to serous (straw-colored). A substantial quantity of serosanguineous drainage may be expected in the first 24 hours after the incision is made with a Penrose drain.

A patient returns after a coronary artery bypass graft to the Cardiovascular Intensive Care Unit." (CABG). The most crucial electrolyte to keep an eye on when organizing the client's care is:

potassium

chloride

bicarbonate

sodium

Correct! Wrong!

Since potassium affects the heart, it will need to be closely watched. Tachyarrhythmias of the supraventricular triad may be caused by hypokalemia.

FREE CMSRN Medical-Surgical Nursing Guide Questions and Answers

Two days ago, a hemicolectomy was performed on a customer. A tiny portion of the abdominal viscera was visible peeking through the wound when the nurse examined it today. This wound healing problem is referred to as:

A man who underwent a six-hour left femoral popliteal bypass graft has returned to the Unit. Later, the client's foot appears chilly and dark, and the nurse should have seen that his dorsalis pedis pulse was absent.

Three hours after knee reduction surgery, a 27-year-old patient complains of soreness in his right leg. The nurse's initial course of action should be to:

Stephen Douglas was involved in a car accident. The best IV treatment for a patient hypovolemic shock sufferer would be:

In her health sciences class, 20-year-old Allison Lynn requests you to elaborate on the cause of Type I Diabetes's insulin shortage. You mention that this is the most widely accepted theory:

Stage II Hodgkins disease was identified in 18-year-old Ramona Gunther, who is getting ready to receive She informs the nurse that she is afraid ""of having to get radiation"" from external radiation therapy. treatments all over my body. What is the best course of action to do in response?

A client's surgical incision is noted by the nurse as having red, granulated tissue. This suggests that the injury is:

It's a left pneumonectomy for a client. Nursing interventions for a postoperative left pneumonectomy that would be planned for this client would include:

The most widely recognized explanation for Type I diabetes's underlying cause is an autoimmune mechanism. Lack of insulin results from the body's production of an antibody that targets and kills beta cells.

This morning, a 44-year-old male client underwent stomach surgery. A tiny quantity of red discharge was seen by the nurse on the patient's surgical dressing. This style of guttering is:

A patient returns after a coronary artery bypass graft to the Cardiovascular Intensive Care Unit." (CABG). The most crucial electrolyte to keep an eye on when organizing the client's care is:

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