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

221. A client presents with sudden onset of severe abdominal pain two hours after a fatty meal, relieved by eating. Which condition is MOST likely?

     कa) Peptic Ulcer Disease खb) Cholecystitis गc) Gastritis घd) Appendicitis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

222. Which of the following statements regarding IV potassium chloride administration is correct?

     कa) It should always be administered slowly over 15-20 minutes to prevent cardiac arrhythmias खb) The concentration of potassium chloride should always be diluted before administration गc) It can be administered rapidly if the patient is experiencing symptoms of hypokalemia घd) Monitoring the client's respiratory rate and depth is not necessary
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

223. A client is admitted with a deep vein thrombosis in the calf. Which intervention would be MOST appropriate for the nurse to implement?

     कa) Administer an oral anticoagulant medication immediately खb) Encourage ambulation and leg exercises as tolerated गc) Apply heat packs to the affected calf to reduce inflammation घd) Elevate the client's legs above heart level
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

224. A patient presents to the clinic complaining of persistent fatigue, muscle weakness, and hypotension. Laboratory results reveal low serum sodium and potassium levels. Which endocrine disorder is most likely causing these symptoms?

     कa) Type 1 Diabetes Mellitus खb) Addison's Disease गc) Graves’ Disease घd) Hyperthyroidism
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

225. A client with a deep leg ulcer has been prescribed topical silver sulfadiazine ointment for dressing changes. The nurse should instruct the patient to:

     कA) Apply a thick layer of ointment directly to the base of the wound. खB) Avoid applying ointment to surrounding healthy skin. गC) Cover the wound with a non-breathable dressing material. घD) Apply the ointment only once daily, regardless of wound size.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

226. During wound care of a client with a surgical incision, the nurse notices increased redness, warmth, and swelling at the edges of the dressing. The nurse’s initial action should be:

     कA) Apply antibiotic ointment to the affected area. खB) Change the dressing immediately without further assessment. गC) Report the findings to the surgeon promptly. घD) Elevate the affected extremity and apply a cold compress.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

227. A client diagnosed with chronic heart failure is being discharged home. The nurse’s education should include which of the following regarding dietary modifications?

     कA) Increased intake of sodium to maintain blood pressure. खB) Restriction of fluid and potassium-rich foods. गC) High carbohydrate intake for increased energy levels. घD) Unlimited protein consumption for muscle repair.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

228. A client recovering from major gastrointestinal surgery (e.g., colectomy) is experiencing frequent episodes of bloating, distention, and gas production. The nurse understands that this is most likely due to:

     कA) Decreased intestinal motility. खB) Increased peristalsis and altered gut flora. गC) Hypovolemia secondary to fluid losses. घD) An allergic reaction to the surgical anesthesia.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

229. A client presents to the clinic complaining of increasing abdominal pain, nausea, and vomiting. Physical examination reveals guarding and rebound tenderness. The nurse’s priority assessment should be:

     कA) Administering antiemetic medication. खB) Assessing vital signs and blood glucose levels. गC) Obtaining a detailed history regarding dietary intake and bowel movements. घD) Initiating intravenous fluids with electrolytes.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

230. A client with chronic kidney disease (CKD) stage 4 presents with edema and shortness of breath. The nurse understands that which electrolyte imbalance is most likely contributing to these symptoms?

     कSodium Excess खPotassium Deficiency गCalcium Excess घMagnesium Deficiency
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।