Medical-surgical Nursing Demystified

(Sean Pound) #1

  1. Which member of the surgical team does not scrub in the operating room?
    (a) The surgeon.
    (b) The circulating nurse.
    (c) The scrub nurse or surgical tech.
    (d) The holding area nurse.

  2. Mary has been dieting and exercising daily. Her weight is well below the
    recommended minimum for her height. Assessment for Mary would include
    looking for:
    (a) ecchymosis and extraocular movements.
    (b) temporal wasting and irregular heart rhythm.
    (c) peripheral edema and rales.
    (d) periorbital edema and chorea.

  3. Steps to prevent a pressure ulcer may include:
    (a) not disturbing the patient.
    (b) changing the position of a bed-bound patient every 4 hours.
    (c) vigorously rubbing the skin with alcohol.
    (d) avoiding pressure on the heels of a bed-bound patient.

  4. When assessing a skin lesion, you look for A—asymmetry, B—irregular
    borders, C—variegated colors, D—diameter, and E—
    (a) edema.
    (b) erythema.
    (c) elevation.
    (d) ever-changing.

  5. Mandy is a 17-year-old female. On physical examination you note partial
    erosion of her tooth enamel and callus formation on the posterior aspect of
    the knuckles of her hand. This is indicative of:
    (a) a connective tissue disorder; she should be referred to dermatology.
    (b) self-induced vomiting; she likely has bulimia nervosa.
    (c) self-mutilation; this correlates with anxiety.
    (d) a genetic disorder; her siblings should also be tested.

  6. Three days after surgery, Mark notices that the wound site is more painful
    now than it was the day before. When you inspect the surgical site you are
    looking for redness or inflammation. Other indicators of infection would
    include:
    (a) elevated RBC and elevated respiratory rate.
    (b) elevated WBC and elevated temperature.


(^574) Medical-Surgical Nursing Demystified

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