NUR 4500 All Med Surge Exams Quizzes & Ans 100% Verified Solution Latest Update 2023, Exams of Nursing

Download NUR 4500 All Med Surge Exams Quizzes & Ans 100% Verified Solution Latest Update 2023 and more Exams Nursing in PDF only on Docsity! NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 1) A nurse is caring for a patient who has an immunodeficiency. What assessment finding should prompt the nurse to consider the possibility that the patient is developing an infection? a. Persistent diarrhea 2) The nurse is applying standard precautions in the care of a patient who has an immunodeficiency. What are key elements of standard precautions? Select all that apply. a. Using appropriate personal protective equipment b. Using safe injection practices c. Performing hand hygiene 3) A home health nurse is reinforcing health education with a patient who is immunosuppressed and his family. What statement best suggests that the patient has understood the nurse's teaching? a. “My family needs to understand that I'll probably need lifelong treatment.” NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 4) The nurse is preparing to administer IVIG to a patient who has an immunodeficiency. What nursing guideline should the nurse apply? a. Administer pretreatment medications as ordered 30 minutes prior to infusion. 5) A nurse has created a plan of care for an immunodeficient patient, specifying that care providers take the patient's pulse and respiratory rate for a full minute. What is the rationale for this aspect of care? a. These patients' blunted inflammatory responses can cause subtle changes in status. 6) A patient's rheumatoid arthritis (RA) has failed to respond appreciably to first-line treatments and the primary care provider has added prednisone to the patient's drug regimen. What principle will guide this aspect of the patient's treatment? a. The drug should be used for as short a time as possible. 7) A nurse is admitting a patient with an immunodeficiency to the medical NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 14) Since the emergence of HIV/AIDS, there have been significant changes in epidemiologic trends. Members of what group currently have the greatest risk of contracting HIV? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Gay, bisexual, and other men who have sex with men 15) A hospital patient is immunocompromised because of stage 3 HIV infection and the physician has ordered a chest radiograph. How should the nurse most safely facilitate the test? a. Arrange for a portable x-ray machine to be used 16) A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors (NRTIs). What dietary counseling will the nurse provide based on the patient's medication regimen? a. Take this medication without regard to meals. 17) A nurse is performing the admission assessment of a patient who has AIDS. What components should the nurse include in this comprehensive assessment? Select all that apply. a. Current medication regimen b. Identification of patient's support system c. Immune system function d. History of sexual practices 18) A patient is in the primary infection stage of HIV. What is true of this NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 patient's current health status? a. The patient is infected with HIV but lacks HIV-specific antibodies. 19) A nurse is aware of the need to assess patients' risks for anaphylaxis. What health care procedure constitutes the highest risk for anaphylaxis? a. Computed tomography with contrast solution 20) A patient with multiple food and environmental allergies tells the nurse that he is frustrated and angry about having to be so watchful all the time and wonders if it is really worth it. What would be the nurse's best response? a. “I can only imagine how you feel. Would you like to talk about it? 21) A nurse is caring for a patient who has allergic rhinitis. What intervention would be most likely to help the patient meet the goal of improved breathing pattern? a. Modify the environment to reduce the severity of allergic NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 3. A young couple visits the nurse practitioner stating that they want to start a family. The husband states that his brother died of a severe infection at age 6 months. He says he never knew what was wrong but his mother had him undergo ìblood testingî as a child. Based on these statements, what health problem should the nurse practitioner suspect? a. X-linked agammaglobulinemia 4. The parents of a 1-month-old infant bring their child to the pediatrician with symptoms of congestive heart failure. The infant is ultimately diagnosed with DiGeorge syndrome. What will prolong this infant's survival? a. Thymus gland transplantation 5. A patient who has received a heart transplant is taking cyclosporine, an immunosuppressant. What should the nurse emphasize during health education about infection prevention? a. Perform frequent hand-washing 6. The nurse is caring for a patient who has a diagnosis of paroxysmal nocturnal hemoglobinuria. When planning this patient's care, the nurse NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 should recognize the patient's heightened risk of what complication? a. Venous thromboembolism 7. A patient diagnosed with common variable immune deficiency (CVID) has been admitted to the acute medicine unit. When reviewing this patient's laboratory findings, the nurse should prioritize what values? a. Hemoglobin and vitamin B12 8. Patient teaching regarding infection prevention for the patient with an immunodeficiency includes which of the following guidelines? a. Cook all food thoroughly 9. A nurse has admitted a patient diagnosed with severe combined immunodeficiency disease (SCID) to the unit. The patient's orders include IVIG. How will the patient's dose of IVIG be determined? a. The dose will be determined by the patient's response 10. IVIG has been ordered for the treatment of a patient with an immunodeficiency. Which of the following actions should the nurse perform before administering this blood product? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Weigh the patient before administration to verify the correct dose. 11. A patient with a diagnosis of common variable immunodeficiency begins to develop thick, sticky, tenacious sputum. The patient has a history of episodes of NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 patient states, ìMy specialist says that I will likely be cured after I get my treatment tomorrow. To what treatment is the patient most likely referring? a. Hematopoietic stem cell transplantation 19. A nurse educator is explaining that patients with primary immunodeficiencies are living longer than in past decades because of advances in medical treatment. This increased longevity is associated with an increased risk of what? a. Cancer 20. The nurse educator is differentiating primary immunodeficiency diseases from secondary immunodeficiencies. What is the defining characteristic of primary immunodeficiency diseases? a. They have a genetic origin 21. The nurse is caring for a patient with an immunodeficiency who has experienced sudden malaise. The nurse's colleague states, ìI'm pretty sure that it's not an infection, because the most recent blood work looks fine.î What principle should guide the nurse's response to the colleague? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Immunodeficient patients will usually exhibit subtle and atypical signs of infection 22. A patient with a diagnosis of primary immunodeficiency informs the nurse that he has been experiencing a new onset of a dry cough and occasional shortness of breath. After determining that the patient's vital signs are within reference ranges, what action should the nurse take? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Assess the patient for signs and symptoms of infection 23. A nurse is preparing to administer a scheduled dose of IVIG to a patient who has a diagnosis of severe combined immunodeficiency disease (SCID). What medication should the nurse administer prior to initiating the infusion? a. Diphenhydramine 24. An immunocompromised patient is being treated in the hospital. The nurse's assessment reveals that the patient's submandibular lymph nodes are swollen, a finding that represents a change from the previous day. What is the nurse's most appropriate action? a. Inform the patient's primary care provider of this finding 25. A nurse caring for a patient who has an immunosuppressive disorder knows that continual monitoring of the patient is critical. What is the primary rationale behind the need for continual monitoring? a. So that early signs of impending infection can be detected and treated 26. A nurse is planning the care of a patient who requires NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 CHP 37 1. A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes that these symptoms are most likely related NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 to the onset of what complication? a. HIV encephalopathy 2. A nurse is assessing a 28-year-old man with HIV who has been admitted with pneumonia. In assessing the patient, which of the following observations takes immediate priority? a. Tachypnea and restlessness 3. A patient has come into the free clinic asking to be tested for HIV infection. The patient asks the nurse how the test works. The nurse responds that if the testing shows that antibodies to the AIDS virus are present in the blood, this indicates what? a. The patient has been infected with HIV 4. The mother of two young children has been diagnosed with HIV and expresses fear of dying. How should the nurse best respond to the patient? a. Can you tell me what concerns you most about dying? 5. The nurse is addressing condom use in the context of a health promotion workshop. When discussing the correct use of condoms, what should the nurse tell the attendees? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Hold the condom by the cuff upon withdrawal 6. A nurse is planning the care of a patient with AIDS who is admitted to the unit with Pneumocystis pneumonia (PCP). Which nursing diagnosis has the highest priority for this patient? a. Ineffective Airway Clearance 7. A public health nurse is preparing an educational campaign to address a recent local increase in the incidence of HIV infection. The nurse should prioritize which of the following interventions? a. Educational programs that focus on control and prevention 8. During the admission assessment of an HIV-positive patient whose CD4+ count has recently fallen, the nurse carefully assesses for signs and symptoms related to opportunistic infections. What is the most common life-threatening infection? a. Pneumocystis pneumonia 9. A nurse is performing an admission assessment on a patient with stage 3 HIV. After assessing the patient's gastrointestinal system and analyzing NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 14. A nurse is caring for a patient hospitalized with AIDS. A friend comes to visit the patient and privately asks the nurse about the risk of contracting HIV when visiting the patient. What is the nurse's best response? a. AIDS isn't transmitted by casual contact 15. A patient with HIV has a nursing diagnosis of Risk for Impaired Skin Integrity. What nursing intervention best addresses this risk? a. Utilize a pressure-reducing mattress (or low-air loss beds) 16. A nurse would identify that a colleague needs additional instruction on standard precautions when the colleague exhibits which of the following behaviors? a. The nurse puts on a second pair of gloves over soiled gloves while performing a bloody procedure 17. A nurse is addressing the incidence and prevalence of HIV infection among older adults. What principle should guide the nurse's choice of educational interventions? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Many older adults do not see themselves as being at risk for HIV infection 18. A 16-year-old has come to the clinic and asks to talk to a nurse. The nurse asks the teen what she needs and the teen responds that she has become sexually active and is concerned about getting HIV. The teen asks the nurse what she can do keep from getting HIV. What would be the nurse's best response? a. Other than abstinence, only the consistent and correct use of condoms is effective in preventing HIV 19. A patient's primary infection with HIV has subsided and an equilibrium now exists between HIV levels and the patient's immune response. This physiologic state is known as which of the following? a. Viral set point 20. A patient with HIV will be receiving care in the home setting. What aspect of self-care should the nurse emphasize during discharge education? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Importance of personal hygiene 21. A patient is beginning an antiretroviral drug regimen shortly after being diagnosed with HIV. What nursing action is most likely to increase the likelihood of successful therapy? a. Addressing possible barriers to adherence 22. The nurse is caring for a patient who has been admitted for the treatment of AIDS. In the morning, the patient tells the nurse that he experienced night sweats and recently ìcoughed up some blood.î What is the nurse's most appropriate action? a. Place the patient on respiratory isolation and inform the physician (Note: this is a sign of possible TB) 23. A patient has come into contact with HIV. As a result, HIV glycoproteins have fused with the patient's CD4+ T-cell membranes. This process characterizes what phase in the HIV life cycle? a. Attachment 24. An HIV-infected patient presents at the clinic for a scheduled CD4+ count. The results of the test are 45 cells/μL, and the nurse recognizes NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Peri-anal region and oral mucosa 29. A hospital nurse has experienced percutaneous exposure to an HIV-positive patient's blood as a result of a needlestick injury. The nurse has informed the supervisor and identified the patient. What action should the nurse take next? a. Report to the emergency department or employee health department 30. The nurse care plan for a patient with AIDS includes the diagnosis of Risk for Impaired Skin Integrity. What nursing intervention should be included in the plan of care? a. Keep the patient's bed linens free of wrinkles 31. A patient who has AIDS is being treated in the hospital and admits to having periods of extreme anxiety. What would be the most appropriate nursing intervention? a. Teach the patient guided imagery 32. A patient who has AIDS has been admitted for the treatment of Kaposi's sarcoma. What nursing diagnosis should the nurse associate with NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 this complication of AIDS? a. Impaired Skin Integrity Related to Kaposi's Sarcoma b. (This is a disease that involves the endothelial layer of blood and lymphatic vessels. This malignancy does not directly affect swallowing or bowel motility and it doesn’t constitute a risk for disuse syndrome) CHP 38 1. A patient with a family history of allergies has suffered an allergic response based on a genetic predisposition. This atopic response is usually mediated by what immunoglobulin? a. Immunoglobulin E 2. An office worker takes a cupcake that contains peanut butter. He begins wheezing, with an inspiratory stridor and air hunger and the occupational health nurse is called to the office. The nurse should recognize that the worker is likely suffering from which type of hypersensitivity? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Anaphylactic (type 1) 3. A patient is learning about his new diagnosis of asthma with the asthma nurse. What medication has the ability to prevent the onset of acute asthma NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 9. A nurse is caring for a teenage girl who has had an anaphylactic reaction after a bee sting. The nurse is providing patient teaching prior to the patient's discharge. In the event of an anaphylactic reaction, the nurse informs the patient that she should self- administer epinephrine in what site? a. Thigh 10. A nurse has included the nursing diagnosis of Risk for Latex Allergy Response in a patient's plan of care. The presence of what chronic health problem would most likely prompt this diagnosis? a. Spina bifida 11. A patient has a documented history of allergies presents to the clinic. She states that she is frustrated by her chronic nasal congestion, anosmia (inability to smell) and inability to concentrate. The nurse should identify which of the following nursing diagnoses? a. Ineffective Individual Coping with Chronicity of Condition and Need for Environmental Modification 12. A patient's decline in respiratory and renal function has been NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 attributed to Goodpasture syndrome, which is a type II hypersensitivity reaction. What pathologic process underlies the patient's health problem? a. The patient's body has mistakenly identified a normal constituent of the body as foreign 13. A child is undergoing testing for food allergies after experiencing NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 unexplained signs and symptoms of hypersensitivity. What food items would the nurse inform the parents are common allergens? a. Eggs and wheat The most common causes of food allergies are seafood (lobster, shrimp, crab, clams, fish), legumes (peanuts, peas, beans, licorice), seeds (sesame, cottonseed, caraway, mustard, flaxseed, sunflower seeds), tree nuts, berries, egg white, buckwheat, milk, and chocolate. 14. A patient has been admitted to the emergency department with signs of anaphylaxis following a bee sting. The nurse knows that if this is a true allergic reaction the patient will present with what alteration in laboratory values? a. Increased eosinophils 15. After the completion of testing, a child's allergies have been attributed to her family's cat. When introducing the family to the principles of avoidance therapy, the nurse should promote what action? a. Removing the cat from the family's home NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 type of hypersensitivity? a. Cytotoxic (type II) 23. Which of the following individuals would be the most appropriate candidate for immunotherapy? a. A patient with severe allergies to grass and tree pollen 24. A nurse has asked the nurse educator if there is any way to predict the NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 severity of a patient's anaphylactic reaction. What would be the nurse's best response? a. The faster the onset of symptoms, the more severe the reaction 25. A nurse knows of several patients who have achieved adequate control of their allergy symptoms using over-the-counter antihistamines. Antihistamines would be contraindicated in the care of which patient? a. A pregnant woman at 30 weeks' gestation 26. A patient has been living with seasonal allergies for many years, but does not take antihistamines, stating, ìWhen I was young I used to take antihistamines, but they always put me to sleep.î How should the nurse best respond? a. The newer antihistamines are different than in years past, and cause lesssedation 27. A child has been transported to the emergency department (ED) after a severe allergic reaction. The ED nurse is evaluating the patient's NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 respiratory status. How should the nurse evaluate the patient's respiratory status? Select all that apply. a. Assess breath sounds b. Measure the child’s oxygen saturation by oximeter c. Monitor the child’s respiratory pattern d. Assess the child’s respiratory rate 28. A nurse at an allergy clinic is providing education for a patient starting immunotherapy for the treatment of allergies. What education should the nurse prioritize? a. The importance of keeping appointments for desensitization procedures (b/c dosages are adjusted on a weekly basis, and missed appts may interfere w/the dosage adjustment) 29. A patient was prescribed an oral antibiotic for the treatment of sinusitis. The patient has now stopped, stating she developed a rash shortly after taking the first dose of the drug. What is the nurse's most appropriate response? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 anaphylaxis. What is the ED nurse's priority for care? a. Protect the patient's airway CHP 39 1. A patient is suspected of having rheumatoid arthritis and her diagnostic regimen includes aspiration of synovial fluid from the knee for a definitive diagnosis. The nurse knows that which of the following procedures will be involved? a. Arthocentesis 2. A nurse is providing care for a patient who has just been diagnosed as being in the early stage of rheumatoid arthritis. The nurse should anticipate the administration of which of the following? a. Methotrexate (Rheumatrex) 3. A nurse is performing the initial assessment of a patient who has a recent diagnosis of systemic lupus erythematosus (SLE). What skin manifestation would the nurse expect to observe on inspection? a. Butterfly rash NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 4. A clinic nurse is caring for a patient with suspected gout. While explaining the pathophysiology of gout to the patient, the nurse should describe which of the following? a. Increased uric acid levels 5. A patient's decreased mobility is ultimately the result of an autoimmune reaction originating in the synovial tissue, which caused the formation of pannus. This patient has been diagnosed with what health problem? a. Rheumatoid arthritis (RA) 6. A nurse is performing the health history and physical assessment of a patient who has a diagnosis of rheumatoid arthritis (RA). What assessment finding is most consistent with the clinical presentation of RA? a. Joint stiffness, especially in the morning 7. A patient has a diagnosis of rheumatoid arthritis and the primary care provider has now prescribed cyclophosphamide (Cytoxan). The nurse's subsequent assessments should address what potential adverse effect? a. Infection NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 8. A clinic nurse is caring for a patient newly diagnosed with fibromyalgia. When developing a care plan for this patient, what would be a priority nursing diagnosis for this patient? a. Fatigue Related to Pain 9. A nurse is assessing a patient for risk factors known to contribute to osteoarthritis. What assessment finding would the nurse interpret as a risk factor? a. The patient's body mass index is 34 (obese). 10. A patient is undergoing diagnostic testing to determine the etiology of recent joint pain. The patient asks the nurse about the difference between osteoarthritis (OA) and rheumatoid arthritis (RA). What is the best response by the nurse? a. OA is a considered a noninflammatory joint disease. RA is characterized byinflamed, swollen joints 11. A patient with systemic lupus erythematosus (SLE) is preparing for discharge. The nurse knows that the patient has NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Raynaud's phenomenon 16. Allopurinol (Zyloprim) has been ordered for a patient receiving treatment for gout. The nurse caring for this patient knows to assess the patient for bone marrow suppression, which may be manifested by which of the following diagnostic findings? a. Decreased platelets 17. A patient with rheumatic disease is complaining of stomatitis. The nurse caring for the patient should further assess the patient for the adverse effects of what medications? a. Gold-containing compounds (Stomatitis is associated with gold therapy) 18. A nurse is planning patient education for a patient being discharged home with a diagnosis of rheumatoid arthritis. The patient has been prescribed antimalarials for treatment, so the nurse knows to teach the patient to self-monitor for what adverse effect? a. Visual changes (caused by anti-malaria meds, so regular ophthalmologic exams are NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 necessary) 19. A nurse is working with a patient with rheumatic disease who is being treated with salicylate therapy. What statement would indicate that the patient is experiencing adverse effects of this drug? a. “I have this ringing in my ears that just won’t go away” (Tinnitis is associated with salicylate therapy) 20. Patient develops hirsutism, what is this associated with? a. Corticosteroid therapy 21. A patient has been admitted to a medical unit with a diagnosis of polymyalgia rheumatica (PMR). The nurse should be aware of what aspects of PMR? Select all that apply. a. PMR has an association with the genetic marker HLA-DR4 b. Immunoglobulin deposits occur in PMR c. PMR occurs predominately in Caucasians 22. A nurse is providing care for a patient who has a recent diagnosis of giant cell arteritis (GCA). What aspect of physical assessment should the nurse prioritize? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Assessment for headaches and jaw pain 23. A nurse is caring for a patient who is suspected of having giant cell arteritis (GCA). What laboratory tests are most useful in diagnosing this rheumatic NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 worsening of her symptoms. The patient also states that many of her skin surfaces are ìstiff, like the skin is being stretched from all directions.î The nurse should recognize the need for medical referral for the assessment of what health problem? a. Scleroderma Scleroderma starts insidiously with Raynaud's phenomenon and swelling in the hands. Later, the skin and the subcutaneous tissues become increasingly hard and rigid and cannot be pinched up from the underlying structures. This progression of symptoms is inconsistent with GCA, FM, or RA 31. A patient with rheumatoid arthritis comes to the clinic complaining of pain in the joint of his right great toe and is eventually diagnosed with gout. When planning teaching for this patient, what management technique should the nurse emphasize? a. Restrict consumption of foods high in purines 32. A clinic nurse is caring for a patient diagnosed with rheumatoid arthritis (RA). The patient tells the nurse that she has not been taking her NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 medication because she usually cannot remove the childproof medication lids. How can the nurse best facilitate the patient's adherence to her medication regimen? a. Encourage her to have her pharmacy replace the tops with NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 alternatives that are easier to open 33. A nurse's plan of care for a patient with rheumatoid arthritis includes several exercise-based interventions. Exercises for patients with rheumatoid disorders should have which of the following goals? a. Preserve and increase range of motion while limiting joint stress 34. A patient has just been told by his physician that he has scleroderma. The physician tells the patient that he is going to order some tests to assess for systemic involvement. The nurse knows that priority systems to be assessed include what? a. Gastrointestinal 35. A nurse is providing care for a patient who has a rheumatic disorder. The nurse's comprehensive assessment includes the patient's mood, behavior, LOC, and neurologic status. What is this patient's most likely diagnosis? a. Systemic lupus erythematosus (SLE) 36. A patient with rheumatoid arthritis comes into the clinic for a routine NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 syndrome. When completing a physical assessment, the nurse should specifically observe for what integumentary manifestation? a. Hirsutism 7. An 82-year-old patient is being treated in the hospital for a sacral pressure ulcer. NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 What age-related change is most likely to affect the patient's course of treatment? a. Increased time required for wound healing 8. A young student is brought to the school nurse after falling off a swing. The nurse is documenting that the child has bruising on the lateral aspect of the right arm. What term will the nurse use to describe bruising on the skin in documentation? a. Ecchymoses 9. A nurse educator is teaching a group of medical nurses about Kaposi's sarcoma. What would the educator identify as characteristics of endemic Kaposi's sarcoma? Select all that apply. a. Affects people predominately in the eastern half of Africa b. Affects men more than women c. Can progress to lymphadenopathic forms 10. A nurse is caring for a patient whose skin cancer will soon be removed by excision. Which of the following actions should the nurse perform? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Teach the patient about self-care after treatment 11. A public health nurse is participating in a health promotion campaign that has the goal of improving outcomes related to skin cancer in the community. What action has the greatest potential to achieve this goal? a. Educating participants about the early signs and symptoms of skin cancer 12. A patient with a chronic diabetic wound is being discharged after receiving a skin graft to aid wound healing. What direction should the nurse include in home care instructions? a. Protect the graft from direct sunlight and temperature extremes 13. A 35-year-old kidney transplant patient comes to the clinic exhibiting new skin lesions. The diagnosis is Kaposi's sarcoma. The nurse caring for this patient recognizes that this is what type of Kaposi's sarcoma? a. Immunosuppression-related 14. A nurse practitioner is seeing a 16-year-old male patient who has NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 systemic effects) 18. An emergency department nurse learns from the paramedics that they are transporting a patient who has suffered injury from a scald from a hot kettle. What variables will the nurse consider when determining the depth of burn? a. The causative agent b. The patient’s preinjury health status c. The patient’s prognosis for recovery d. The circumstances of the accident (Don’t get this question confused with the one before it. The following factors are considered in determining the depth of a burn: how the injury occurred, causative agent (such as flame or scalding liquid), temperature of the burning agent, duration of contact with the agent, and thickness of the skin. The patient's preinjury status, circumstances of the accident, and prognosis for recovery are important, but are not considered when determining the depth of the burn) NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 19. A patient has experienced burns to his upper thighs and knees. Following the application of new wound dressings, the nurse should perform what nursing action? a. Assess the patient’s peripheral pulses distal to the dressing 20. A home care nurse is performing a visit to a patient's home to perform wound care following the patient's hospital treatment for severe burns. While interacting with the patient, the nurse should assess for evidence of what complication? a. PTSD 21. A nurse who is taking care of a patient with burns is asked by a family member why the patient is losing so much weight. The patient is currently in the intermediate phase of recovery. What would be the nurse's most appropriate response to the family member? a. “His body has consumed his fat deposits for fuel because his calorie intake is lower than normal” NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 22. A patient who is in the acute phase of recovery from a burn injury has yet to experience adequate pain control. What pain management strategy is most likely to meet this patient's needs? a. A patient-controlled analgesia (PCA) system 23. A nurse is teaching a patient with a partial-thickness wound how to wear his elastic pressure garment. How would the nurse instruct the patient to wear this garment? a. Continuously 24. A patient has sustained a severe burn injury and is thought to have an impaired intestinal mucosal barrier. Since this patient is considered at an increased risk for infection, what intervention will best assist in avoiding increased intestinal permeability and prevent early endotoxin translocation? a. Early enteral feeding 25. A nurse who provides care on a burn unit is preparing to apply a patient's ordered topical antibiotic ointment. What action should the nurse perform when administering this medication? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Macules 5. An African American is admitted to the medical unit with liver disease. To correctly assess this patient for jaundice, on what body area should the nurse look for yellow discoloration? a. Sclera 6. A nurse is doing a shift assessment on a group of patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new rash on the patient's chest. The nurse should ask what priority question regarding the presence of a reddened rash? a. “Are you allergic to any foods or medications” 7. A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults. How should these students best integrate these changes into care planning? a. By protecting older adults against shearing injuries 8. A patient is diagnosed with atrial fibrillation and the physician orders Coumadin (warfarin). For what skin lesion should the nurse monitor NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 this patient? a. Ecchymosis 9. A new patient has come to the dermatology clinic to be assessed for a reddened rash on his abdomen. What diagnostic test would most likely be ordered to identify the causative allergen? a. Patch testing (performed to identify substances to which the pt has developed an allergy. Skin scrapings are done for suspected fungal lesions. A skin biopsy is completed to rule out malignancy and to establish an exact diagnosis of skin lesions. A Tzanck smear is used to examine cells from blistering skin conditions such as herpes zoster) 10. A patient with a suspected malignant melanoma is referred to the dermatology clinic. The nurse knows to facilitate what diagnostic test to rule out a skin malignancy? a. Skin biopsy 11. A nurse is explaining the importance of sunlight on the skin to a woman with decreased mobility who rarely leaves her house. The nurse NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 would emphasize that ultraviolet light helps to synthesize what vitamin? a. Vitamin D 12. The outer layer of the epidermis provides the most effective barrier to NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 suspect what type of health problem? a. Hormonal imbalance 19. A nurse is preparing to perform the physical assessment of a newly admitted patient. During which of the following components of the assessment should the nurse wear gloves? Select all that apply. a. Palpation of a rash on the patient’s trunk b. Palpation of a lesion on the patient’s upper back 20. A patient with an exceptionally low body mass index has been admitted to the emergency department with signs and symptoms of hypothermia. The nurse should know that this patient's susceptibility to heat loss is related to atrophy of what skin component? a. Subcutaneous tissue 21. An 80-year-old patient is brought to the clinic by her son. The son asks the nurse why his mother has gotten so many ìspotsî on her skin. What would be an appropriate response by the nurse? a. “As people age, they normally develop uneven pigmentation in their skin” NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 22. An older adult patient is diagnosed with a vitamin D deficiency. What would be an appropriate recommendation by the nurse? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Spend time outdoors at least twice per week 23. A nurse in the emergency department (ED) is triaging a 5-year-old who has been brought to the ED by her parents for an outbreak of urticaria. What would be the most appropriate question to ask this patient and her family? a. “Has she eaten any new foods today?” 24. A nurse practitioner working in a dermatology clinic finds an open lesion on a patient who is being assessed. What should the nurse do next? a. Assess the characteristics of the lesions 25. The nurse is performing a comprehensive assessment of a patient's skin surfaces and intends to assess moisture, temperature, and texture. The nurse should perform this component of assessment in what way? a. By palpating the patient’s skin 26. A nurse is assessing the skin of a patient who has been diagnosed with bacterial cellulitis on the dorsal portion of the great toe. When NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 condition? a. Tzanck smear (this test is used to examine cells from blistering skin conditions, such as herpes zoster, varicella, herpes simplex, and all forms of pemphigus. The secretions from a suspected lesion are applied to a glass slide, stained, and examined) NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 CHP 61 1. A nurse is caring for a patient who has been diagnosed with psoriasis. The nurse is creating an education plan for the patient. What information should be included in this plan? a. Use caution when taking nonprescription medications 2. A nurse is planning the care of a patient with herpes zoster. What medication, if administered within the first 24 hours of the initial eruption, can arrest herpes zoster? a. Acyclovir (Zovirax) 3. A patient with squamous cell carcinoma has been scheduled for treatment of this malignancy. The nurse should anticipate that treatment for this type of cancer will primarily consist of what intervention? a. Surgical excision 4. When writing a plan of care for a patient with psoriasis, the nurse would know that an appropriate nursing diagnosis for this patient would be what? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Impaired Skin Integrity Related to Scaly Lesions 5. A patient who has sustained third-degree facial burns and a facial fracture is undergoing reconstructive surgery and implantation of a prosthesis. The nurse has identified a nursing diagnosis of Disturbed Body Image Related to Disfigurement. What would be an appropriate nursing intervention related to this diagnosis? a. Teaching the patient how to use and care for the prosthesis 6. While performing an initial assessment of a patient admitted with appendicitis, the nurse observes an elevated blue-black lesion on the patient's ear. The nurse knows that this lesion is consistent with what type of skin cancer? a. Malignant melanoma 7. A nurse is providing care for a patient who has developed Kaposi's sarcoma secondary to HIV infection. The nurse should be aware that this form of malignancy originates in what part of the body? a. Endothelial cells lining small blood vessels NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 Subsequent diagnostic testing results in a diagnosis of seborrheic keratosis. The nurse should recognize what significance of this diagnosis? a. The patient requires no treatment unless he finds the lesion to be cosmetically unacceptable (they’re benign) 14. A patient is admitted to the intensive care unit with what is thought to be toxic epidermal necrolysis (TEN). When assessing the health history of the patient, the nurse would be alert to what precipitating factor? a. Recent administration of new medications (This is usually triggered by a reaction to medications. Antibiotics, anti-seizure agents, butazones, and sulfonamides are the most frequent medications implicated) 15. A patient has received a diagnosis of irritant contact dermatitis. What action should the nurse prioritize in the patient's subsequent care? a. Helping the patient identify and avoid the offending agent 16. A nurse is caring for a patient whose chemical injury has NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 necessitated a skin graft to his left hand. The nurse enters the room and observes that the patient is performing active range of motion (ROM) exercises with the affected hand. How should the nurse best respond? a. Remind the patient of the need to immobilize the graft to facilitate healing 17. A school nurse has sent home four children who show evidence of pediculosis capitis. What is an important instruction the nurse should include in the note being sent home to parents? a. Nits may have to be manually removed from the child’s hair shafts (treatment for headlice should begin promptly and may require manual removal of nits following medicating shampoo. Head lice are not r/t lack of hygiene. Treatment is necessary b/c the condition will not resolve spontaneously within 1 week) 18. A patient has just been diagnosed with psoriasis and frequently has lesions around his right eye. What should the nurse teach the patient NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 about topical corticosteroid use on these lesions? a. Cataract development is possible 19. A nurse is caring for a patient who has a diagnosis of bullous pemphigoid and who is being treated on the medical unit. When providing hygiene for this patient, the nurse should perform which of the following actions? a. Apply cornstarch to the patient’s skin after bathing to facilitate mobility 20. A nurse is caring for a patient admitted to the medical unit with a diagnosis of pemphigus vulgaris. When writing the care plan for this patient, what nursing diagnoses should be included? Select all that apply. a. Risk for Infection r/t Lesions b. Impaired Skin Integrity r/t Epidermal Blisters c. Disturbed Body Image r/t Presence of Skin Lesions d. Acute Pain r/t Disruption in Skin Integrity 21. A patient's blistering disorder has resulted in the formation of multiple lesions in the patient's mouth. What intervention should be NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 25. A patient has just undergone surgery for malignant melanoma. Which of the following nursing actions should be prioritized? a. Anticipate the need for, and administer, appropriate analgesic medications 26. A patient has recently been diagnosed with advanced malignant melanoma and is scheduled for a wide excision of the tumor on her chest. In writing the plan of care for this patient, what major nursing diagnosis should the nurse include? a. Deficient Knowledge about Early Signs of Melanoma (the fact that the patient's disease was not reported until an advanced stage suggests that the patient lacked knowledge about skin lesions) 27. A 65-year-old man presents at the clinic complaining of nodules on both legs. The man tells the nurse that his son, who is in medical school, encouraged him to seek prompt care and told him that the nodules are related to the fact that he is Jewish. What health problem should the nurse suspect? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. Classic Kaposi’s Sarcoma (occurs predominantly in men of Mediterranean or Jewish ancestry between 40 and 70 years of age. Most patients have nodules or plaques on the lower extremities that rarely metastasize beyond this area. Classic KS is chronic, relatively benign, and rarely fatal) 28. A 55-year-old woman is scheduled to have a chemical face peel. The nurse is aware that the patient is likely seeking treatment for which of the following? a. Wrinkles near the lips and eyes (it doesn’t remove acne scars, vascular lesions, or reshape the eyes) 29. A 30-year-old male patient has just returned from the operating room after having a ìflapî done following a motorcycle accident. The patient's wife asks the nurse about the major complications following this type of surgery. What would be the nurse's best response? a. “The major complication is when the blood supply fails and the tissue in the flap dies” 30. An older adult resident of a long-term care facility has been NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 experiencing generalized pruritus that has become more severe in recent weeks. What intervention should the nurse add to this resident's plan of care? a. Avoid using hot water during the patient’s baths 31. A patient has a diagnosis of seborrhea and has been referred to the dermatology clinic, where the nurse contributes to care. When planning this NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 and respiratory distress, detection and treatment of concomitant injuries, and initial wound assessment and care. The priorities during the rehabilitation phase include prevention of scars and contractures, rehabilitation, functional and cosmetic reconstruction, and psychosocial counseling) 3. A patient in the emergent/resuscitative phase of a burn injury has had blood work and arterial blood gases drawn. Upon analysis of the patient's laboratory studies, the nurse will expect the results to indicate what? a. Hyperkalemia, hyponatremia, elevated hct & metabolic acidosis 4. A patient has experienced an electrical burn and has developed thick eschar over the burn site. Which of the following topical antibacterial agents will the nurse expect the physician to order for the wound? a. Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream 5. An occupational health nurse is called to the floor of a factory where a worker has sustained a flash burn to the right arm. The nurse arrives and NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 the flames have been extinguished. The next step is to ìcool the burn.î How should the nurse cool the burn? a. Wrap cool towels around the affected extremity intermittently 6. A nurse on a burn unit is caring for a patient in the acute phase of burn care. While performing an assessment during this phase of burn care, the nurse recognizes that airway obstruction related to upper airway edema may occur up to how long after the burn injury? NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023 a. 2 days 7. A patient has been admitted to a burn intensive care unit with extensive full- thickness burns over 25% of the body. After ensuring cardiopulmonary stability, what would be the nurse's immediate, priority concern when planning this patient's care? a. Fluid status 8. The nurse is preparing the patient for mechanical dÈbridement and informs the patient that this will involve which of the following procedures? a. Removal of eschar until the point of pain and bleeding occurs (achieved through the use of surgical scissors, scalpels, or forceps to remove the eschar until the point of pain and bleeding occurs. Mechanical dÈbridement can also be accomplished through the use of topical enzymatic dÈbridement agents. The spontaneous separation of dead tissue from the viable tissue is an example of natural dÈbridement. Shaving the burned skin layers and early wound closure are examples of surgical dÈbridement) NUR 4500ALL MED SURGE EXAMS QUIZZES & ANS 100% VERIFIED SOLUTION LATEST UPDATE 2023