Medical-surgical Nursing Demystified

(Sean Pound) #1

(^492) Medical-Surgical Nursing Demystified



  • Monitor intake and output.

  • Monitor color and amount of fluid drained from NG tube.

  • Ask patient if he or she is passing any flatus rectally or having bowel move-
    ment.


Quiz



  1. Donna is a healthy, 46-year-old female scheduled for elective surgery next
    week. You would include in her preoperative preparation:
    (a) a pulmonary function test and chest x-ray.
    (b) a CBC, chemistry panel, and pregnancy test.
    (c) urine culture, thyroid panel, and cortisol level.
    (d) glucose tolerance test, ankle-brachial index, and electrocardiogram
    (EKG).

  2. Lucinda is a 37-year-old with a history of asthma who is scheduled for an
    appendectomy later today. Because of her asthma, you would include as
    part of her preoperative teaching her need to perform postoperatively:
    (a) coughing and deep breathing exercises.
    (b) leg exercises.
    (c) wound dressing changes.
    (d) all of the above.

  3. Josie is the mother of a healthy 19-year-old having surgery tomorrow. After
    the surgeon discusses the surgery, risks, and benefits with the patient and
    her mother, the mother wants to sign the consent form. The most appropri-
    ate response to this would be:
    (a) Of course she can sign the consent form; after all the patient is her
    daughter.
    (b) No, she can’t sign the form.
    (c) While you appreciate her concern for her daughter, the patient is a con-
    senting adult and legally has to sign her own consent form.
    (d) Why don’t both the patient and her mother sign the form?

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