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WorksheetsMEDICAL-SURGICAL NURSING
Total questions: 20
Worksheet time: 25mins
An adolescent in sickle cell crisis (pain episode) is complaining of right knee pain. The BEST nursing intervention would be to:
Decrease IV fluids
Wrap the right knee with a cold pack
Apply a warm soak to the right knee
Give analgesic such as Morphin sulfate 0.5mg as ordered slow IV
Aliana, a 5 year old child, is diagnosed with Acute Lymphoid Leukemia (ALL). You as a nurse would LEAST likely find which of the following manifestations?
Pallor, weakness
Dyspnea, easy fatigability
Nose bleeding, ecchymosis
Jaundice, edema
The nurse is CORRECT in teaching his client who is about to undergo Fecal Occult Blood Test (FOBT) that intake of ___________ can cause false NEGATIVE result.
Citrus juice
Full Cream Milk
Red Meat
Cauliflower
Mang Inggo, a known smoker for 10 years, is rushed to the ED due to sudden episode of dizziness and chest pain. Upon history taking, the ED physician finds out that the pain was occurred while the client is resting. This type of angina is __________.
Stable
Unstable
Nocturnal
Variant
The drug of choice for the pain of a client diagnosed with cholecystitis is:
Morphine Sulfate
Meperidine (Demerol)
Hyoscine-N-Butyl-Bromide (Buscopan)
Ibuprofen
Nurse Flora is planning the care of a client with Diabetes Insipidus while admitted in the Medicine Ward of a public hospital. Based on the disease manifestation, she will prioritize which of the following nursing diagnosis?
Risk for Infection
Risk for Fluid Volume Deficit
Risk for Fluid Volume Excess
Activity Intolerance
While reviewing the fight-or-flight response, the clinical instructor emphasizes that all of the following are due to sympathetic nervous system stimulation, except:
Decreased salivation and gastric secretion
Decreased heart rate
Dilation of pupils
Tachypnea
The client has been diagnosed to have Meniere's Disease. This client should avoid which of the following to prevent acute attacks of the disease. Check all that apply
Alcohol
High Sodium Foods
Fruits rich in Vitamin C
Alcohol
Garden Fresh Salad
Which of the following cranial nerves is MOST FREQUENTLY affected by acoustic neuroma?
Olfactory
Facial
Oculomotor
Trochlear
Which of the following activities is CONTRAINDICATED immediately after cataract extraction?
Eating
Shaving
Tooth brushing
Sleeping
The MOST COMMON complaint of a client with ear disorder is:
Earache
Tinnitus
Ear discharge
Hearing loss
The nurse is to administer ear irrigation as prescribed by the physician. Which of the following is an appropriate action?
Warm solution at 98 degree Farenheit
Direct flow of solution to the ear drum
Use cold water
Position the client with the ear to be irrigated facing upward
You are a newly hired geriatric nurse in a hospice. While caring for confused elderly, you will: (Check all that Apply)
Use touch to convey concern
Have clocks or calendars in the environment
Keep a routine of activities of daily living and minimize changes
Orient the patient regularly
Acetic acid aided inspection is a secondary preventive tool that aims to identify early signs of ____________:
Diabetes Mellitus
GERD
Status Asthmaticus
Cancer
According to the current PSA statistics, the number one cause of adult mortality in the Philippines
Stroke
ischemic Heart Disease
Cancer
Pulmonary Tuberculosis
Which of the following is the PRIORITY nursing diagnosis after Mastectomy?
Alteration in cardiac output
Self-care deficit
Disturbance in self-concept
Activity Intolerance
Lymphedema is the most common postoperative complication following axillary lymph node resection. The following actions would minimize this problem EXCEPT:
Avoid BP taking on affected arm
Avoid wearing constricting clothing on affected arm
Avoid injections and blood draw from the affected arm
Avoid elevation and abduction of the affected arm
Which of the following sign/signs are indicative of LEFT SIDED heart failure. Check all that apply
Orthopnea
Ascites
Clubbing of fingers
Hemoptysis
The Drug of Choice for pain caused by Myocardial Infarction is:
(a)
The nurse administers Digoxin (Lanoxin) to a cardiac client. the nurse should FIRST:
Check pulse rate
Check blood pressure
Check RR
Check apical rate
