MSNCB Medical-Surgical Nursing Exam Prep - Question List

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16. A client who had a Billroth I procedure is beginning to eat solid foods. The nurse should assess the client for the development of dumping syndrome by determining the presence of which of the following?
  1. Bradycardia
  2. Diarrhea
  3. Fever
  4. Tumor formation
17.

The client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. A Penrose drain is in place. Which of the following actions would the nurse include in the client's postoperative plan of care?

  1. Position the client on the affected side
  2. Irrigating the Penrose drain using sterile procedure
  3. Changing dressings frequently around the Penrose drain
  4. Weighing dressings and adding the amount to the output
18.

After her gastrectomy, actress Sandra Newton asks the nurse when the nasogastric tube will be removed. The nurse responds ______________.

  1. "According to standard procedures only, it will be removed on the fourth postoperative day."
  2. "When bowel sounds are established and you have passed flatus or stool."
  3. "Thirty-six hours after the cessation of bloody drainage."
  4. "After two days of alternate clamping and unclamping of the tube."
19. Mr. Chandler has trouble remembering to rotate his sites for insulin injections. In the past week he has self-injected into the right abdomen, left abdomen, right upper arm, left thigh, and right thigh. Into which site should he self-inject his insulin next?
  1. Left ankle
  2. Right abdomen
  3. Left midback
  4. Left upper arm
20.

Julie Johnson is receiving total parenteral nutrition (TPN). The nurse reviews the following lab values:

Glucose = 72 mg/dL
Chloride = 98 mg/dL
Sodium = 138 mEq/L
Potassium = 3.0 mEq/L

Based on the nurse's review of the lab values, which nursing action is appropriate?

  1. Discontinue the TPN administration
  2. Notify the physician and discuss the need for potassium replacement
  3. Administer 50% dextrose immediately
  4. Assess the patient's vital signs and perform a physical assessment

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