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Week 2 Readiness Quiz Lewis Medical Surgical for Nursing

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Week 2 Readiness Quiz
1. Which of the following data obtained by the nurse during the preoperative assessment of a
client requires further assessment?
a)
b)
c)
d)
The client uses several herbal remedies routinely.
The client recently visited a chiropractor for back pain.
The client has used acupressure to relieve postoperative nausea in the past.
The client expresses a wish to use acupuncture for postoperative pain control.
2. A client who uses multiple herbal products is scheduled to undergo knee replacement surgery.
The nurse informs the client that herbs that should be discontinued at least 2–3 weeks before
surgery include which of the following? (Select all that apply.)
a)
b)
c)
d)
e)
Garlic
Ginger
Feverfew
Echinacea
Ginkgo biloba
3. The nurse is assessing a client the morning of the first postoperative day and notes redness and
warmth around the incision. Which of the following actions should the nurse implement?
a)
b)
c)
d)
Obtain wound cultures.
Document the assessment.
Notify the health care provider.
Assess the wound every 2 hours.
4. The nurse is planning care for a client and is preparing to complete a wet-to-dry dressing. Which
of the following wound descriptions is appropriate for using this type of dressing?
a)
b)
c)
d)
Pressure injury with pink granulation tissue
Surgical incision with pink, approximated edges
Full-thickness burn filled with dry, black material (remove dead tissue with wet to dry)
Wound with purulent drainage and dry dark green brown crusting
5. The nurse is caring for a client with diabetes who had abdominal surgery one week ago, and
obtains the following data. Which of these findings should be reported immediately to the
health care provider?
a)
b)
c)
d)
Blood glucose 7.6 mmol/L
Oral temperature 38.3°C (100.9°F)
Client has increased incisional pain
New 5-cm separation of the proximal wound edges
6. Which of the following findings should the nurse expect when assessing an older-adult client
who has osteoarthritis (OA) of the left knee?
a)
b)
c)
d)
Heberden nodules
Pain upon joint movement
Redness and swelling of the knee joint
Stiffness that increases with movement
7. Which of the following assessment findings about a client who has been using naproxen for 3
weeks to treat osteoarthritis is most important for the nurse to report to the health care
provider?
a)
b)
c)
d)
The client has dark-coloured stools.
The client’s pain has not improved.
The client is using capsaicin cream.
The client has gained 3 pounds over 3 weeks.
8. The nurse is teaching a client with osteoarthritis (OA) of the left hip and knee about how to
manage the OA. Which of the following client statements indicates a need for more education?
a)
b)
c)
d)
“I can take glucosamine to help decrease my knee pain.”
“I will take 1 g of acetaminophen every 4 hours.”
“I will take a shower in the morning to help relieve stiffness.”
“I can use a cane to decrease the pressure and pain in my hip.”
9. A client who has rheumatoid arthritis is seen in the outpatient clinic and the nurse notes that
rheumatoid nodules are present on the client’s elbows. Which of the following actions should
the nurse take?
a)
b)
c)
d)
Draw blood for rheumatoid factor analysis.
Teach the client about injection of the nodule.
Assess the nodules for skin breakdown or infection.
Discuss the need for surgical removal of the nodule.
10. The nurse is caring for a client with an acute exacerbation of rheumatoid arthritis and is
prescribed prednisone. Which of the following laboratory results should the nurse monitor to
determine whether the medication has been effective?
a)
b)
c)
d)
Blood glucose test
Liver function tests
C-reactive protein level
Serum electrolyte levels
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