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

41. A client is recovering from a total hip arthroplasty (THA). Which intervention by the nurse is MOST important to minimize the risk of deep vein thrombosis (DVT)?

    कEncouraging the client to perform active range-of-motion exercises immediately after surgery. खApplying continuous, intermittent compression to the lower extremities. गAdministering prophylactic anticoagulants as prescribed. घMaintaining the client in a Trendelenburg position for 24 hours postoperatively.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

42. A client with chronic kidney failure (CKD) stage 4 presents with edema, shortness of breath, and hypertension. The nurse understands that which laboratory value is MOST directly related to the patient’s fluid volume overload and contributing to their symptoms?

    कSerum Albumin Level खBlood Urea Nitrogen (BUN) गCreatinine Level घPotassium Level
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

43. A client with severe burns is exhibiting signs of hypothermia. Which nursing intervention is MOST critical to prevent further heat loss?

    कApply a warm compress to the burn sites. खCover the patient with a light blanket. गElevate the burned extremities above the level of the heart. घAdminister an oral electrolyte solution.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

44. A client with a deep wound on their lower leg is receiving continuous wound vac therapy. The nurse observes that the dressing has become heavily saturated with serosanguineous drainage. Which action should the nurse take NEXT?

    कChange the dressing immediately without consulting the physician. खIncrease the suction setting on the wound vac device. गContact the physician to report the increased drainage volume. घApply additional gauze pads to absorb the excess fluid.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

45. A patient recovering from a total hip arthroplasty (THA) is experiencing pain rated as 7/10 on a numerical rating scale. The physician orders morphine sulfate 2mg IV every 4 hours as needed. Which of the following interventions should the nurse implement FIRST?

    कAdminister the prescribed dose of morphine immediately. खNotify the physician about the patient's pain level. गAssess the patient’s respiratory rate and effort. घEncourage the patient to use non-pharmacological methods for pain relief.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

46. A client diagnosed with pneumonia is prescribed intravenous antibiotics. Which nursing action is MOST important to implement upon administering the medication?

    कAdminister the full prescribed dose immediately. खMonitor vital signs every 15 minutes for the first hour. गDocument the patient’s allergies in the medical record. घAssess the site of injection for redness or swelling.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

47. A patient with chronic heart failure presents to the clinic with increasing shortness of breath and swelling in their ankles. Their current medications include furosemide (Lasix) and digoxin. Based on this information, which intervention should the nurse prioritize?

    कAdminister an additional dose of furosemide as prescribed by the physician. खInstruct the patient to increase their fluid intake to maintain hydration. गMonitor the patient's potassium levels closely due to potential side effects of digoxin. घEducate the patient about sodium restriction in their diet.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

48. A nurse is teaching a client newly diagnosed with type 1 diabetes about managing their blood glucose levels. Which statement BEST reflects the importance of carbohydrate counting?

    कIt allows the client to eat whatever they want, as long as they take insulin. खIt helps the client match insulin dosage to carbohydrate intake. गIt’s only necessary for large meals and snacks. घIt solely determines the amount of exercise the client can perform.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

49. A client with severe burns is experiencing uncontrolled shivering, tachypnea (32 breaths/min), and vasoconstriction. The nurse recognizes these signs as indicative of which condition?

    कHypothermia खHyperthermia गAnaphylaxis घShock
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

50. A nurse is assessing a client recovering from a surgical incision on their abdomen. The nurse notes signs of redness, warmth, and increased pain at the site. Which intervention should the nurse implement FIRST?

    कAdminister an analgesic medication. खApply a cool compress to the area. गElevate the affected limb above heart level. घCleanse the wound with sterile saline.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।