मेडिकल-सर्जिकल नर्सिङ – Medical-Surgical Nursing MCQ
मेडिकल-सर्जिकल नर्सिङ – अन्तर्राष्ट्रिय नर्सिङ
Medical-Surgical Nursing · International Nursing (NCLEX-RN, DHA, HAAD) · ४११ प्रश्न
४११ प्रश्न उपलब्ध। मोड छान्नुहोस्:
मेडिकल-सर्जिकल नर्सिङ: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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Which of the following laboratory findings would most likely indicate a complication related to a colostomy?
सही उत्तर: ख) Elevated white blood cell count.
A rising white blood cell count (leukocytosis) is a common indicator of inflammation and infection, often associated with complications such as mucous fistula or peristomal skin breakdown around a colostomy. Elevated albumin suggests protein loss which might be noted but less indicative than an inflammatory response.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a diagnosis of chronic obstructive pulmonary disease (COPD) is experiencing exacerbation symptoms including increased shortness of breath, productive cough, and wheezing. Which nursing intervention would be MOST appropriate?
सही उत्तर: घ) Provide supplemental oxygen at 2L/min via nasal cannula.
For COPD exacerbations, bronchodilators (not corticosteroids) are typically used as first line treatment. Supplemental oxygen is crucial to maintain adequate oxygen saturation and addressing the breathing difficulty through positioning aids in comfort. Hyperventilation is detrimental in COPD patients.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient following total knee arthroplasty (TKA) reports significant pain, swelling, and redness around the surgical site 24 hours post-operatively. Which intervention should the nurse implement FIRST?
सही उत्तर: ग) Elevate the operative leg above heart level.
The primary concern in this scenario is potential infection or compartment syndrome. Prompt administration of analgesics, as ordered and assessing for signs of worsening inflammation (pain, swelling, redness) are priority actions to manage pain and potentially prevent serious complications. Elevating the leg is important but comes after initial assessment and pain management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is admitted with a diagnosis of acute appendicitis. Which nursing intervention is MOST important at the time of initial assessment?
सही उत्तर: ख) Assess abdominal pain, vital signs, and bowel sounds.
The most crucial first step in assessing a client with acute appendicitis is evaluating their immediate symptoms (pain, vital signs) and abdominal findings (bowel sounds). This allows for rapid identification of worsening conditions. Administering antibiotics immediately or providing a specific diet isn't the priority at initial assessment; these are subsequent interventions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a deep wound presents to the clinic. The nurse assesses that the wound shows signs of purulence and increased redness surrounding the area. Which nursing intervention is MOST appropriate at this time?
सही उत्तर: घ) Cleanse the wound with saline solution and notify the physician
Purulent drainage and increased redness indicate infection. Cleansing the wound with saline and reporting it to the physician are essential steps in managing an infected wound. The other options could worsen the situation or not address the primary issue – a potential infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client newly diagnosed with type 2 diabetes about dietary modifications. Which of the following instructions should the nurse emphasize?
सही उत्तर: ग) Monitor blood glucose levels regularly and adjust food intake accordingly
Regular blood glucose monitoring and adjusting food intake based on those readings is crucial for managing type 2 diabetes. Emphasis should be placed on personalized dietary adjustments, while other options are generally not beneficial or are potentially harmful practices.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of chronic obstructive pulmonary disease (COPD) presents to the emergency department complaining of severe shortness of breath and chest tightness. The nurse recognizes that which medication should be administered immediately to provide rapid relief?
सही उत्तर: ग) Intramuscular Epinephrine
Intramuscular epinephrine is a bronchodilator and vasoconstrictor that rapidly opens the airways and decreases vascular congestion in acute COPD exacerbations. While albuterol (nebulized) can be used, it takes longer to take effect than epinephrine. Prednisone is an anti-inflammatory medication with slower onset. Morphine has no role in treating acute respiratory distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with severe heart failure who is experiencing dyspnea. Which intervention would be most appropriate as a priority?
सही उत्तर: ख) Elevate the head of the bed to 30 degrees
Elevating the head of the bed to 30 degrees is a key intervention for reducing dyspnea in heart failure by promoting lung expansion. Oxygen administration alone may not be sufficient, and encouraging forceful coughing could potentially worsen fluid accumulation. Furosemide, while important for managing heart failure, is not the immediate priority when addressing acute dyspnea.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who has recently undergone an open abdominal aortic aneurysm repair. The nurse should primarily assess for signs and symptoms related to which complication?
सही उत्तर: क) Cardiogenic Shock
Cardiogenic shock is a common complication following open abdominal aortic aneurysm repair due to reduced cardiac output resulting from the surgery. While edema, pain/pallor, and respiratory distress can occur, they are less directly linked to the immediate surgical process than cardiogenic shock. The other options represent complications of other surgical procedures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is admitted with suspected Addison's disease. Which laboratory finding would MOST strongly support this diagnosis?
सही उत्तर: ख) Decreased serum cortisol levels
Option 1 is correct. Low serum cortisol levels are a hallmark of Addison’s disease. The other options reflect findings associated with other hormonal imbalances or normal adrenal function.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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