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

71. A nurse is teaching a client newly diagnosed with type 1 diabetes about insulin administration. Which statement BEST demonstrates effective teaching?

    क‘You should always check your blood glucose before giving yourself insulin.’ ख‘It’s important to inject the insulin into the abdomen because it absorbs faster there.’ ग‘You can adjust the amount of insulin you take based on how hungry you feel.’ घ‘Once you start taking insulin, you won't need to monitor your blood glucose levels anymore.’
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

72. A client following a colectomy for colon cancer reports experiencing urgency and frequent small amounts of stool throughout the day. Which nursing intervention is MOST important at this time?

    कAdminister loperamide (Imodium) as prescribed by the physician. खEncourage increased fluid intake to prevent dehydration. गInstruct the client on dietary modifications, including a low-fiber diet. घRecommend a referral to a physical therapist for pelvic floor muscle training.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

73. A nurse is caring for a client with heart failure experiencing pulmonary edema. Which assessment finding would MOST likely indicate successful treatment?

    कCrackles heard bilaterally throughout both lung fields. खDecreased breath sounds in the lower lobes of both lungs. गPleural rub noted on auscultation of the left hemithorax. घIncreased blood pressure and respiratory rate.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

74. A client recovering from a total hip arthroplasty (THA) is experiencing increased pain with hip flexion. Which nursing intervention would be MOST appropriate at this time?

    कEncourage the client to perform passive range-of-motion exercises. खApply heat to the affected hip for 20 minutes. गAdminister analgesics as prescribed by the physician. घInstruct the client to avoid weight-bearing on the operated leg.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

75. A client with a Stage II pressure ulcer on their sacrum is being treated with frequent padding, moisture management, and nutritional support. Which intervention would be MOST important for the nurse to implement to promote continued healing?

    कAdminister prophylactic antibiotics as prescribed by the physician. खEncourage the client to reposition themselves every 2 hours. गEnsure meticulous skin hygiene with gentle cleansing solutions. घApply a topical antimicrobial ointment twice daily.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

76. A client with a new colostomy has been discharged from the hospital. Upon assessment, the nurse observes that the stoma appears pale, smooth, and slightly reddened. Which of the following findings would indicate a healthy colostomy stoma?

    कDark red, granular surface खBright pink, ulcerated area गFuzzy membrane with clear fluid leakage घDry, white, and scabbed appearance
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

77. A nurse is assessing a client who underwent a partial gastrectomy for stomach cancer. The client reports experiencing nausea and vomiting approximately 30 minutes after eating. Which intervention would the nurse implement FIRST?

    कAdminister antiemetic medication खEncourage small, frequent meals गInstruct the client to avoid fatty foods घElevate the head of the bed before eating
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

78. A client with chronic obstructive pulmonary disease (COPD) has an arterial blood gas (ABG) analysis showing: pH 7.30, PaCO2 55 mmHg, HCO3- 24 mEq/L. The nurse interprets this result as:

    कRespiratory acidosis खRespiratory alkalosis गMetabolic acidosis घNormal ABG values
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

79. A client recovering from major surgery is prescribed pyridoxine (vitamin B6) concurrently with isoniazid for the treatment of tuberculosis. The nurse understands that this medication is given to prevent which adverse effect?

    कPeripheral neuropathy खLiver damage गSkin rash घHypotension
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

80. A client presents to the emergency department with shortness of breath, productive cough with yellow sputum, and chest pain. The physician suspects pneumonia. Which nursing intervention is MOST important at this time?

    कAdminister oxygen via nasal cannula at 2L/min खEncourage the client to sit upright गAdminister morphine for pain relief घNotify the physician immediately regarding the suspected diagnosis
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।