MSNCB Medical-Surgical Nursing Exam Prep - Question List

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21. Marcus Pinel, 43-years-old, is brought back to the nursing unit following a thyroidectomy. Which of the following methods should the nurse use to assess for bleeding?
  1. Inspect the dressing for signs of hemorrhage
  2. Change the dressing applied in the operating room
  3. Check the latest hemoglobin to determine if there has been a drop in value
  4. Palpate the back of the neck and shoulders for evidence of bleeding
22. Mr. HP recently undergone a colostomy. During his first day post-operative, the nurse does not find any measurable fecal drainage from the colostomy. What should the nurse do?
  1. Continue the current plan of care
  2. Call the doctor immediately
  3. Irrigate the stoma
  4. Encourage the patient to increase fluid intake
23.

Lanie, the new day-shift nurse, is developing a health promotion program for intestinal health. Which of the following pieces of information should the nurse include in the program?

  1. The addition of dietary fiber can reduce the risk of diverticulosis
  2. A diet high in fat increases the risk of developing Crohn's disease
  3. Irritable bowel syndrome is caused by a deficiency in soluble fiber
  4. Laxatives can improve motility and bowel health
24. For which complication of thyroidectomy would the nurse monitor?
  1. Hypercalcemia
  2. Respiratory obstruction
  3. Elevated serum T4
  4. Paralytic ileus
25. A client receiving heparin sodium asks the nurse how the drug works. Which of the following points would the nurse include in the explanation to the client?
  1. It dissolves existing thrombi.
  2. It prevents the conversion of factors that are needed in the formation of clots.
  3. It inactivates thrombin that forms and dissolves existing thrombi.
  4. It interferes with vitamin K absorption.

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