मेडिकल-सर्जिकल नर्सिङ – Medical-Surgical Nursing MCQ

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

171. A client presents to the emergency department with suspected deep vein thrombosis (DVT) based on unilateral leg swelling and pain. The physician orders a lower extremity ultrasound. What is the primary purpose of this diagnostic test?

     कa) To measure the circumference of the affected limb and assess for edema. खb) To identify blood clots within the veins of the leg. गc) To evaluate for peripheral artery disease, which can mimic DVT symptoms. घd) To determine the client's risk factors for developing venous thromboembolism.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

172. A patient with a deep wound on their lower leg has demonstrated signs of infection including increased redness, warmth, swelling, and purulent drainage. Which nursing intervention is the MOST critical in this situation?

     कApplying antibiotic ointment to the wound खIncreasing the amount of sterile saline irrigation गConsulting with the physician for prescription antibiotics घDocumenting the client's subjective report of pain
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

173. A client is diagnosed with type 1 diabetes and instructed to monitor their blood glucose levels frequently. The nurse should emphasize which aspect of self-management?

     कStrict adherence to a low-carbohydrate diet खRegular exercise for at least 30 minutes daily गFrequent monitoring of urine ketone levels घConsistent timing of insulin injections
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

174. A patient with a history of heart failure is experiencing shortness of breath and edema. The nurse auscultates crackles in both lungs. Which laboratory value would MOST likely be elevated in this client?

     कSerum Potassium (K+) खSerum Calcium (Ca++) गArterial Blood Gas (pH, PaCO2, HCO3-) घSerum Albumin (Alb)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

175. A client recovering from elective total knee replacement surgery is advised to avoid bending their knee past 90 degrees for the first week post-operatively. What is the PRIMARY rationale for this restriction?

     कTo prevent damage to the patellar tendon खTo minimize stress on the quadriceps muscle गTo allow proper healing of the joint capsule and reduce pain घTo ensure accurate alignment of the prosthetic implant
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

176. A patient presents to the clinic complaining of persistent heartburn that occurs primarily after lying down. Which intervention would be MOST appropriate for the nurse to implement first?

     कAdminister antacids as prescribed by the physician खInstruct the patient to elevate the head of their bed at night गRecommend over-the-counter H2 receptor antagonists घSuggest dietary modifications, avoiding spicy and fatty foods
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

177. A client with severe hypertension develops an acute headache, blurred vision, and nausea. Which intervention should the nurse implement FIRST?

     कAdminister oxygen via nasal cannula. खElevate the client's legs. गMonitor blood pressure continuously. घAdminister a sliding scale dose of antihypertensive medication.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

178. A client is receiving intravenous fluids containing potassium chloride. Which assessment finding would MOST closely indicate hyperkalemia?

     कMuscle weakness. खRegular heart rhythm on ECG monitoring. गDecreased urine output. घIncreased capillary refill time.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

179. A nurse is assessing a client recovering from total hip arthroplasty (THA). Which assessment finding would warrant immediate intervention?

     कClient reports mild pain with range of motion. खPresence of seroma at the surgical site. गSkin around the incision is red and warm to the touch. घClient demonstrates full, painless range of motion in the affected hip.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

180. A client with chronic obstructive pulmonary disease (COPD) is experiencing increased shortness of breath. Which finding would MOST likely indicate a worsening of their condition?

     कCrackles heard bilaterally during auscultation. खClear lung sounds throughout both lungs. गIncreased activity tolerance with exertion. घNormal oxygen saturation levels at rest.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।