Chapter 10 Medical Surgical Nursing Preparation For Practice 2nd Edition By Osborn

Chapter 10 Medical Surgical Nursing Preparation For Practice 2nd Edition By Osborn

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

An elderly patient leaves the home for several hours most days of the week and attends a facility where care is provided specific to the needs of the elderly. The patient is attending which type of community-based nursing care program?

1. Adult day care
2. Health care clinic
3. Residential care facility
4. Outpatient center

Correct Answer: 1

Rationale 1: One type of community-based nursing care setting is adult day care, which provides care specific to the needs of the elderly.

Rationale 2: A health care clinic provides care to patients of different ages.

Rationale 3: A residential care facility is the formal name for the type of facility commonly referred to as “board and care” living.

Rationale 4: An outpatient center provides care to patients of all ages and for a variety of health care needs.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-6

 

Question 2

Type: MCSA

Upon discharge from the hospital, a patient is going home and will need medication injected weekly, assistance with meal preparation, and minor assistance with activities of daily living. The nurse would identify which community-based care service as appropriate for this patient?

1. Home care
2. Hospice care
3. Ambulatory surgical care
4. Long-term care

Correct Answer: 1

Rationale 1: The patient who is returning home and needs assistance with medications, care, and meals would benefit from the community-based service of home care.

Rationale 2: Hospice care is provided to patients who are approaching the end of life or have a chronic illness.

Rationale 3: Ambulatory surgical care is for patients who need minor surgical procedures on an outpatient basis.

Rationale 4: Long-term care is provided to patients who are in residence at a facility.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-6

 

Question 3

Type: MCSA

A 78-year-old patient’s respiratory vital capacity measurement is decreased. How would the nurse evaluate this information?

1. The patient will likely also have cardiac insufficiency.
2. This finding can be normal in older patients.
3. This finding indicates neurological deterioration.
4. This patient has had undiagnosed chronic respiratory disease.

Correct Answer: 2

Rationale 1: This finding alone is not sufficient to raise concern about cardiac insufficiency.

Rationale 2: Structural changes of the thoracic cavity are often seen with aging and can affect respiratory function.

Rationale 3: There is not enough information to raise concern about neurological deterioration.

Rationale 4: There is not enough information to indicate undiagnosed chronic respiratory disease.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-2

 

Question 4

Type: MCSA

An elderly female patient tells the nurse that she is having trouble “holding her water” and doesn’t want to drink fluids anymore. How should the nurse interpret this statement?

1. The patient has a urinary tract infection.
2. The patient needs estrogen cream.
3. The patient has a reduced thirst reflex.
4. The patient is experiencing incontinence.

Correct Answer: 4

Rationale 1: There is not enough evidence to suggest a urinary tract infection.

Rationale 2: The use of estrogen cream would be indicated for atrophic vaginitis or a decrease of estrogen in the vaginal tissues. Those conditions are not indicated by the patient’s statement.

Rationale 3: The patient states that she does not want to drink fluids, which would not support a reduced thirst reflex.

Rationale 4: One common disorder seen in the genitourinary tract of the elderly is incontinence—stress incontinence, urge incontinence, overflow incontinence, or any combination of the three.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 10-2