MEDICAL SURGICAL NURSING TESTBANK (Ignatavicius: Medical-Surgical Nursing, 10th Edition) IT CONTAINS MORE THAN 100 QUESTIONS WIT 100% ANSWERS

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A preoperative nurse is assessing a client prior to surgery. Which information would be most important for the nurse to relay to the surgical team? a. Allergy to bee and wasp stings b. History of l... actose intolerance c. No previous experience with surgery d. Use of multiple herbs and supplements ANS: D Some herbs and supplements can interact with medications, so this information needs to be reported as the priority. An allergy to bee and wasp stings should not affect the client during surgery. Lactose intolerance should also not affect the client during surgery but will need to be noted before a postoperative diet is ordered. Lack of experience with surgery may increase anxiety and may require higher teaching needs, but client safety is more important. DIF: Applying TOP: Integrated Process: Communication and Documentation KEY: Perioperative nursing, Nursing assessment MSC: Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A nurse works on the postoperative floor and has four clients who are being discharged tomorrow. Which one has the greatest need for the nurse to consult other members of the health care team for postdischarge care? a. Married young adult who is the primary caregiver for children. b. Middle-age client who is post-knee replacement, and needs physical therapy. c. Older adult who lives alone at home despite some memory loss. d. Young client who lives alone, and has family and friends nearby. ANS: C The older adult has the most potentially complex discharge needs. With memory loss, the client may not be able to follow the prescribed home regimen. The client’s physical abilities may be limited by chronic illness. This client has several safety needs that should be assessed. The other clients all have evidence of a support system and no known potential for serious safety issues. DIF: Applying TOP: Integrated Process: Communication and Documentation KEY: Perioperative nursing, Interprofessional team MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care 3. A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best? a. Assess the client for anxiety. b. Break the information into smaller bits. c. Give the client written information. d. Review the information again. [Show More]

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