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Introductory Medical-Surgical Nursing 10e Comprehensive Test Bank by Barbara K Timby, Nancy E. Smith Pub. Date: September 2009 Converted From Electronic Source - 11/7/2009 12:43:33 am Table of Contents Unit I Nursing Roles and Responsibilities Unit II Psychosocial Aspects of Client Care Unit III Concepts of Health and Illness Unit IV Common Medical-Surgical Problems Unit V Caring for Clients with Respiratory Disorders Unit VI Caring for Clients with Cardiovascular Disorders Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorders Unit VIII Caring for Clients with Immune Disorders Unit IX Caring for Clients with Neurologic Disorders Unit X Caring for Clients with Sensory Problems Unit XI Caring for Clients with Gastrointestinal Problems Unit XII Caring for Clients with Endocrine Problems Unit XIII Disturbances of Sexual Structures or Reproductive Function Unit XIV Caring for Clients with Urinary and Renal Problems Unit XV Caring for Clients with Musculoskeletal Problems Unit XVI Caring for Clients with Integumentary Problems Appendix: Answers MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1)The nurse is assisting a postoperative client in using an incentive spirometer. Which of the following postoperative complications is this nurse attempting to avoid with this client? 1) _______ A)Hemorrhage B) Pulmonary embolism C)Deep vein thrombosis D) Atelectasis 2)A client who is recovering from abdominal surgery has a penrose drain. Which of the following should the nurse include in the care of this client? 2) _______ A)Make sure there is a safety pin on the end of the drain. B)Clean the wound with normal saline every two hours. C)Empty the drain every 30 minutes. Stuvia.com - The Marketplace to Buy and Sell your Study Material

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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialD)Remove the drain four hours postoperatively. 3)A client is in the recovery room. Which of the following members of the healthcare team should the nurse contact regarding the client's level of pain control? 3) _______ A)The surgeon B) The anesthesiologist C)The scrub nurse D) The circulating nurse 4)During the assessment of a postoperative client's bowel sounds, the nurse auscultates high-pitched sounds over all four abdominal quadrants. The nurse realizes this finding could indicate: 4) _______ A)Normal bowel function. B) The onset of stool. C)The onset of flatus. D) Paralytic ileus. 5)A client is being transferred from the operating room to the recovery room. The nurse in the recovery room will be providing which phase of nursing care? 5) _______ A)Intraoperative B) Preoperative C)Restorative D) Postoperative 6)A client is being scheduled for surgery. Which of the following should be included in the preoperative teaching provided by the nurse? 6) _______ A)The credentials of the anesthesiologist B)Information concerning the surgical procedure which will be performed by the surgeon C)Cost of the procedure D)Planned length of stay at the hospital 7)A client is being positioned for a hip replacement procedure. In which of the following positions will this client most likely be placed? 7) _______ A)Dorsal recumbent B) Lateral chest C)Semi-sitting D) Prone 8)A postoperative client tells the nurse, "A book I read said that I should not eat after surgery for at least a week." Which of the following statements would be an appropriate nursing response? 8) _______ A)"You don't need any food to heal anyway." B)"That's true." C)"That's not true. You could get an infection in your stomach." Stuvia.com - The Marketplace to Buy and Sell your Study Material

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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialD)"I'll be giving you intravenous feedings anyway." 9)An elderly postoperative client is given an antiemetic for nausea. Which of the following signs would indicate this client is experiencing a possible reaction to the medication? 9) _______ A)Dry mouth B)Involuntary muscle movements C)Breakthrough vomiting D)Confusion 10)A client is signing a surgical consent. Afterwards, the nurse also signs the form. What is the meaning of the nursing signature? 10) ______ A)It means the client was alert and aware of what was being signed. B)It means there is a likelihood of a successful outcome. C)It means the client understood the procedure as described by the nurse. D)It means the surgeon was too busy to wait for the client to sign the form. 11)A client's endotracheal tube is being removed after the surgical procedure. The intra-operative nurse realizes this client is in which phase of the general anesthesia process? 11) ______ A)Induction B) Maintenance C)Reduction D) Emergence 12)An elderly client is being prepared for orthopedic surgery. The nurse realizes this client is at risk for which of the following? 12) ______ A)Prolonged effects of anesthesia because of herbal supplements B)Decreased tolerance of general anesthesia C)Increased hypotensive effects of anesthesia D)Wound dehiscence 13)The client who is preparing for surgery asks the nurse to keep their glasses and hearing aid in-place until they are under anesthesia. Which of the following statements by the nurse demonstrates accurate, therapeutic communication? 13) ______ A)"I will contact the surgery department to discuss you requests." B)"Certainly, you can keep them for that time." C)"You cannot keep those in." D)"The policies in the surgery unit will not allow it." Stuvia.com - The Marketplace to Buy and Sell your Study Material

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