Chapter 65 Medical Surgical Nursing Preparation For Practice 2nd Edition By Osborn

Chapter 65 Medical Surgical Nursing Preparation For Practice 2nd Edition By Osborn

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

Law enforcement authorities have notified the emergency department that several people who have been exposed to nerve gas will be arriving. The nurse manager alerts the department nursing staff to expect patients with which assessment findings?

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

Standard Text: Select all that apply.

1. Muscle pain
2. Flaccid paralysis
3. Shortness of breath
4. Miosis
5. Rhinorrhea

Correct Answer: 3,4,5

Rationale 1: Muscle pain is typically not a symptom of nerve gas exposure.

Rationale 2: Flaccid paralysis is not a symptom of nerve gas exposure. Muscle fasciculations are.

Rationale 3: Almost all people affected by a nerve agent have shortness of breath.

Rationale 4: Miosis is defined as constricted pupils and is one of the most reliable signs of nerve poisoning.

Rationale 5: Almost all people affected by a nerve agent have rhinorrhea, or a runny nose.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 65-2

 

Question 2

Type: MCMA

The emergency department has been notified of a possible Category A biologic exposure in a rural community. When preparing staff for these patients, the nurse manager explains care for victims of which agents?

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

Standard Text: Select all that apply.

1. Botulism
2. Anthrax
3. Plague
4. Tularemia
5. Salmonella

Correct Answer: 1,2,3,4

Rationale 1: Botulism is a Category A biologic agent.

Rationale 2: Anthrax is a Category A biologic agent.

Rationale 3: Plague is a Category A biologic agent.

Rationale 4: Tularemia is a Category A biologic agent.

Rationale 5: Salmonella is a Category B biologic agent.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 65-2

 

Question 3

Type: MCSA

A patient is brought into the emergency department after an acute exposure to radiation from the local atomic power plant. The patient has skin burns on the face, arms, and neck. The nurse implements which priority intervention?

1. Prepare to administer a blood transfusion.
2. Determine amount of radiologic exposure.
3. Begin antibiotic therapy.
4. Provide support for the onset of hypotension and diarrhea.

Correct Answer: 2

Rationale 1: Blood transfusion may be necessary but is not the priority intervention.

Rationale 2: Most hospitals have Geiger counters to determine the presence or absence of radiation in the environment. The Geiger counter can be used to help assess the dose of radiation the patient received.

Rationale 3: Antibiotic therapy may be necessary but is not the priority intervention.

Rationale 4: Hypotension and diarrhea may develop, but this is not the priority intervention.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 65-2

 

Question 4

Type: MCSA

A patient is brought into the emergency department after being exposed to over 1,000 rads of radiation. Which intervention will take priority in the care of this patient?

1. Administer sedatives and analgesics.
2. Provide antibiotic therapy.
3. Prepare intravenous fluids and order a bland diet.
4. Provide antiemetics.

Correct Answer: 1

Rationale 1: The patient exposed to over 1,000 rads of radiation will have central nervous system symptoms. Death will occur within hours to days. Care involves administering sedatives and analgesics to control seizures and anxiety.

Rationale 2: Antibiotic therapy is indicated for the hematopoietic symptoms of the illness phase of acute radiation syndrome.

Rationale 3: Intravenous fluids and a bland diet would be indicated for the gastrointestinal symptoms of the illness phase of acute radiation syndrome.

Rationale 4: Antiemetics are indicated for the gastrointestinal symptoms of the illness phase of acute radiation syndrome.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 65-2