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

81. A nurse is preparing to administer intravenous fluids to a client with severe dehydration. Which statement BEST describes the priority when determining the rate of fluid replacement?

    कA) The patient’s weight, measured in kilograms, should be used to calculate the infusion rate खB) The patient’s blood pressure and heart rate should dictate the infusion rate गC) The patient's urine output should be carefully monitored during the first hour घD) The patient's age alone is sufficient for determining the appropriate infusion rate
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

82. A client is admitted to the hospital with a diagnosis of acute kidney injury (AKI) secondary to dehydration. The nurse understands that maintaining adequate hydration is crucial for recovery. Which fluid should the nurse primarily administer?

    कA) Intravenous hypotonic saline solution (0.45% NaCl) खB) Intravenous isotonic saline solution (0.9% NaCl) गC) Intravenous hypotonic glucose solution (5% dextrose) घD) Oral cranberry juice
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

83. A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who has been prescribed inhaled corticosteroids and long-acting beta-agonists. Which assessment finding would BEST indicate that this medication regimen is effective?

    कA) Decreased peak expiratory flow rate (PEFR) खB) Increased daytime dyspnea (shortness of breath) गC) Improved FEV1/FVC ratio घD) Elevated arterial carbon dioxide (PaCO2) levels
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

84. A patient following a total hip arthroplasty (THA) is experiencing pain that fluctuates throughout the day. The nurse recognizes that this is typical and should focus on providing comfort measures. Which of the following interventions would be MOST appropriate in managing this pain?

    कA) Administering an opioid analgesic every 4 hours as prescribed खB) Applying a warm compress to the affected hip for 20 minutes at a time गC) Encouraging the patient to engage in light, low-impact activities such as walking slowly घD) Positioning the patient on the unaffected side with the affected leg elevated
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

85. A client presents to the emergency department with signs and symptoms of severe sepsis. The nurse knows that which laboratory finding would most strongly support the diagnosis of septic shock?

    कA) Elevated white blood cell count (WBC) above 15,000/µL खB) Decreased serum lactate levels ( गC) Increased serum creatinine levels (>1.5 mg/dL घD) Normal body temperature (37°C)
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

86. A client with chronic obstructive pulmonary disease (COPD) is prescribed a bronchodilator via metered-dose inhaler (MDI). Which nursing instruction is MOST important to ensure proper medication use?

    कInstruct the patient to exhale forcefully while activating the inhaler खInstruct the patient to take three deep breaths after using the inhaler गInstruct the patient to hold their breath for 10 seconds after inhaling घInstruct the patient to rinse their mouth with water after each use
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

87. A nurse is caring for a client who has just undergone a thoracostomy (chest tube insertion). Which assessment finding would warrant immediate notification of the physician?

    कClear, serosanguinous drainage from the chest tube खDecreased inspiratory pressure readings on the ventilator गThe chest tube spontaneously disconnecting from the system घThe patient reporting mild discomfort at the insertion site
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

88. Which of the following nursing interventions is MOST appropriate for a client with a new diagnosis of type 2 diabetes mellitus?

    कInstructing the patient to follow a low-fat, high-carbohydrate diet खTeaching the patient to monitor blood glucose levels regularly and adjust insulin dosage as needed गRecommending that the patient abstain from all carbohydrates in order to maintain stable blood glucose levels घAdvising the patient to only consume fruit juices for hydration due to their natural sugar content
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

89. A client recovering from major abdominal surgery develops diarrhea and dehydration. Which nursing intervention is MOST important at this time?

    कAdministering antiemetic medication as prescribed खReplacing fluid and electrolyte losses with intravenous fluids rapidly गEncouraging the patient to increase their fiber intake for regular bowel movements घMonitoring vital signs every 15 minutes to detect hypotension
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

90. A patient has been admitted with pneumonia. The nurse knows that the primary goal of treatment is to:

    कReduce inflammation in the lungs by administering corticosteroids immediately खIncrease oxygen intake and improve gas exchange गAdminister antibiotics directly into the affected lung tissue for optimal delivery घMaintain strict bed rest and limit fluid intake to decrease pulmonary congestion
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।