MED SURG

You have been caring for a 58-year-old male who underwent a radical neck dissection. He is being transferred from the PACU to a step-down unit. You are giving handover to the nurse from the step-down unit. What is the main purpose of your report?

Which of the following statements is true regarding delayed awakening?

You are caring for a 72-year-old female who underwent a hysterectomy, salpingo-oopherectomy, and bilateral LND. She is post-op day 2. You received handover this morning and the night nurse told you that the patient has had a low urine output. During your assessment, you notice that her extremities are cold, her BP is low, her HR is high, and she seems restless. You suspect that the patient may be experiencing...

Of the following nursing interventions, which is the most important to prevent cardiac complications?

What is the minimum amount of urine output we want patients to have?

The manifestations of acute pain reflect the ________ nervous system activation, whereas chronic pain manifests as predominantly ________ changes.

What does the acronym PQRST stand for with regard to assessing pain?

What is one of the most important the first signs that a patient may be developing a tolerance to a certain analgesic?

You are caring for an 82-year-old female who is recovering from a hip replacement. The patient is experiencing acute pain in addition to her chronic pain. The daughter asks you, "Why aren't the doctors giving her naproxen? I use it all the time and it works for me." What is the best response to the daughter's question?

Which of the following is the best definition of "failure to rescue"?

Which of the following is the most common cause of coronary artery disease (CAD)?

You enter a patient's room at the start of your shift. The patient says, "Nurse, I have a funny feeling in my chest and I feel like I might throw up." What is the best course of action?

What is the cause of insufficient oxygen supply in patients with chronic stable angina?

What is the most common reported symptom of chronic stable angina?

A patient reports feeling pressure, burning, and crushing sensation in their chest. You notice that their forehead is dotted with sweat. What might this patient be experiencing?

A patient reports feeling episodes of heaviness in their chest that last 3-5 minutes. The pain goes away when they sit down and rest and feels similarly to heartburn. What is this patient most likely experiencing?

Which form of atypical chronic stable angina is asymptomatic and is associated with diabetes mellitus?

Which form of atypical chronic stable angina occurs only while lying down and is relieved by standing or sitting?

You are caring for a patient who has unstable angina. The patient's son asks you, "Why did my dad have a heart attack?" Which of the following is the best response?

What is the first line of treatment for patients with a confirmed MI?

_______ is the term for a state of decreased partial pressure of oxygen in arterial blood, whereas ________ is the term for a state of increased partial pressure of carbon dioxide in arterial blood.

Pneumonia, pulmonary edema, and ventilator-induced lung injury are all common causes of...

COPD, drug overdoses with CNS depressants, and trauma to the spinal cord are all common causes of...

A patient reports having morning headaches, feeling disoriented, and generalized weakness. You note that the patient exhibits dyspnea and shallow respirations. You suspect that this client is exhibiting signs of....

A patient reports feeling agitated. She is unable to speak without pausing and has a prolonged expiration. You suspect that she is exhibiting signs of...

Your patient is tachycardic, tachypnic, and has a decreased O2 saturation. You note an audible stridor and nasal flaring. You suspect that this patient...

While performing preoperative teaching, a patient asks when she needs to stop drinking water before the surgery. Based on the most recent practice guidelines, the nurse tells the patient that:

Choose the term that matches this description: "a minimally depressed level of consciousness with maintenance of the patient's protective airway reflexes."

Choose the term that best matches the following description: "The technique of choice for surgical procedures requiring significant skeletal muscle relaxation, control of respirations, or long procedures."

Choose the term that best matches the following description: "Injection of anesthetic into the CSF below L2."

How much blood is in the average human body?

The three main components of blood are plasma, erythrocytes, and the buffy coat. Plasma makes up __% of the blood, whereas erythrocytes make up __% of blood. The remainder is the buffy coat.

How much whole blood is collected per donation?

__ is known as the "universal donor" of RBCs, whereas __ is known as the "universal recipient" of RBCs.

Bob's blood type is O. Maria is type B. In theory, can Bob donate blood to Maria?

Peter's blood type is AB. Susan's blood type is B. In theory, could Peter donate plasma to Susan?

You are caring for a patient who has thrombocytopenia. You suspect that this patient may be ordered a transfusion of which of the following?

You are caring for a patient who needs treatment for a massive bleed, who also has a low fibrinogen concentration. You suspect that this patient may be ordered a transfusion of which of the following?

Can an RN independently obtain informed consent prior to a procedure or surgery?

When administering blood products, the nurse knows that s/he can only use _____ to administer, as other solutions will cause hemolysis.

Blood products should be administered over a period of ___ if tolerated. The maximum infusion time for a blood product is ___.

You are administering a blood product to your patient. 15 minutes after the start of the infusion, the patient reports nausea. You notice he is experiencing dyspnea, urticaria, and a fever. You suspect he is having a transfusion reaction. What should you do first?