Chapter 37 Medical Surgical Nursing 2nd Edition By Osborn Wraa Watson

Chapter 37 Medical Surgical Nursing 2nd Edition By Osborn Wraa Watson

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A patient has been diagnosed with type 1 herpes simplex lesions on the mouth and face. Which statement indicates that the patient understands the information provided by the nurse?

1. “I will have this condition for life.”
2. “This was caused by a bacterial infection.”
3. “I have come into contact with some type of fungal infection.”
4. “An antibiotic will help heal these sores in about 3 days.”

Correct Answer: 1

Rationale 1: Herpes simplex is a viral infection. There is no cure for the condition. When the sores heal, the virus lies dormant in the body.

Rationale 2: The condition is not caused by a bacterial infection.

Rationale 3: The condition is not caused by a fungus.

Rationale 4: The condition is not managed with antibiotic therapy.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 37-1

Question 2

Type: MCMA

Acyclovir (Zovirax) ointment has been prescribed for a patient with oral herpes lesions. What should the nurse include when instructing the patient regarding this medication?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Adverse effects include vomiting and diarrhea.
2. It can reduce the length of the herpes outbreak.
3. It is an antibiotic medication.
4. Repeated usage of the drug will lead to a permanent state of remission.
5. It is most effective when administered intravenously.

Correct Answer: 1,2

Rationale 1: Adverse effects include headache, nausea, vomiting, and diarrhea.

Rationale 2: Acyclovir is used to reduce the severity and length of an outbreak of herpes simplex.

Rationale 3: Acyclovir is an antiviral agent.

Rationale 4: Herpes simplex is a viral condition that is not curable, and outbreaks are likely to occur when the patient is physically and/or emotionally stressed.

Rationale 5: For patients with intact immune systems, oral acyclovir (Zovirax) is generally used.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 37-1

Question 3

Type: MCSA

A patient is experiencing manifestations consistent with an oral fungal infection. The patient’s health history is unremarkable. Which medication does the nurse anticipate being ordered to manage this condition initially?

1. Nystatin
2. Ciprofloxacin
3. Ampicillin
4. Viscous lidocaine

Correct Answer: 1

Rationale 1: Initial management of an oral fungal infection typically includes nystatin. The medication is administered as a “swish and swallow.”

Rationale 2: Ciprofloxacin in an antibiotic and would not be used for the initial management of a fungal infection.

Rationale 3: Ampicillin is an antibiotic and is used to manage bacterial infections.

Rationale 4: Viscous lidocaine is used to manage oral discomfort, but it is not first-line therapy for fungal infections.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 37-1

Question 4

Type: MCSA

The nurse is developing the postoperative plan of care for a patient recovering from surgery for oral cancer. Which nursing diagnosis has the highest priority?

1. Ineffective Airway Clearance
2. Impaired Verbal Communication
3. Body Image Disturbance
4. Risk for Imbalanced Nutrition: More than Body Requirements

Correct Answer: 1

Rationale 1: Ineffective Airway Clearance is appropriate for this patient and has the highest priority.

Rationale 2: Impaired Verbal Communication is an appropriate nursing diagnosis for this patient, but it is not of the highest priority.

Rationale 3: Depending on the extent of the resection, Body Image Disturbance may be an appropriate nursing diagnosis, but it does not hold the highest priority.

Rationale 4: The nutrition nursing diagnosis is more likely to be Risk for Imbalanced Nutrition: Less than Body Requirements.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 37-1