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

111. A client diagnosed with Type 1 Diabetes Mellitus is experiencing diabetic ketoacidosis (DKA). The nurse observes the patient’s breath to be fruity. What laboratory finding would MOST strongly support the diagnosis of DKA?

     कSerum glucose level of 60 mg/dL. खSerum bicarbonate level of 28 mEq/L. गArterial blood gas showing pH 7.30, PaCO2 45 mmHg, and HCO3- 12 mEq/L. घSerum potassium level of 5.5 mEq/L.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

112. Which intravenous fluid infusion should be used with caution when administering a blood transfusion to a client experiencing hypovolemic shock?

     क0.9% Sodium Chloride (Normal Saline). ख5% Dextrose in Water. गLactated Ringer's Solution. घ3% Hypertonic Sodium Chloride.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

113. A client with cirrhosis is experiencing ascites. The physician orders lactulose 30 mg orally every 8 hours. What is the PRIMARY rationale for administering this medication in this case?

     कTo reduce sodium reabsorption in the kidneys. खTo decrease ammonia levels in the blood by promoting bacterial fermentation in the colon. गTo dilate peripheral veins and improve venous return. घTo stimulate aldosterone production, increasing fluid excretion.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

114. A client recovering from a total hip arthroplasty (THA) reports pain rated as an 8 on a scale of 0 to 10. The nurse assesses that the client also states, ‘I can’t sleep because it hurts so much.’ What is the MOST appropriate nursing intervention?

     कAdminister analgesics as prescribed and encourage the client to try distraction techniques. खInstruct the client to apply ice packs continuously to the surgical site for 30 minutes every hour. गAssess the client's vital signs, including temperature, and document findings. घEncourage the client to remain active with light walking to promote healing.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

115. A patient is admitted with a diagnosis of acute respiratory distress syndrome (ARDS). The nurse understands that maintaining adequate pulmonary perfusion is crucial for treatment. Which intervention BEST supports this goal?

     कPromoting prolonged periods of bed rest खAdministering high-dose morphine for pain relief गImplementing frequent coughing and deep breathing exercises घRestricting fluid intake to prevent edema
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

116. A nurse is assessing a client with suspected meningitis. Which finding would be MOST indicative of increased intracranial pressure?

     कDilated pupils खAbsent corneal reflex गDecreased level of consciousness घClear, active bowel sounds
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

117. A patient recovering from open-heart surgery develops edema in the lower extremities. Which nursing intervention would be MOST effective to reduce this edema?

     कElevating the affected legs above heart level खApplying heat to the swollen area गEncouraging deep breathing and coughing exercises घAdministering a high-protein diet
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

118. A client with chronic heart failure is prescribed furosemide (Lasix). The nurse monitors the patient closely for which electrolyte imbalance as a potential side effect?

     कHypercalcemia खHypokalemia गHypermagnesemia घHyponatremia
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

119. A patient has been admitted with peritonitis following an exploratory laparotomy. The nurse anticipates administering intravenous fluids. Which fluid type is MOST appropriate for initial resuscitation in this situation?

     कNormal Saline खDextrose 5% in Water गLactated Ringer's Solution घHypertonic Sodium Chloride Solution
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

120. A client recently diagnosed with type 2 diabetes mellitus has been prescribed metformin. Which instruction is MOST important for the nurse to provide regarding medication administration?

     क'Take this medication with a sugary drink to enhance absorption.' ख'You should take this medication before meals to control your blood glucose.' ग'It is okay to miss a dose if you feel unwell.' घ'This medication may cause nausea; try eating light foods when taking it.'
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।