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

131. A patient with end-stage heart failure presents with pulmonary edema. Which nursing intervention is MOST important at this time?

     कAdminister oxygen via nasal cannula at 2L/min खEncourage the patient to cough forcefully गMonitor blood pressure and administer diuretics as prescribed घElevate the head of the bed to promote lung expansion
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

132. Which intervention would the nurse prioritize when caring for a patient with severe burns?

     कApply cold compresses to the affected areas खAdminister IV fluids rapidly to maintain hydration गMaintain euvolemia and monitor fluid balance closely घElevate the burned extremities above the heart
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

133. A client with a newly diagnosed deep vein thrombosis (DVT) is prescribed warfarin. Which statement by the client indicates understanding of this medication?

     क‘I will take this medication every day, regardless of when I feel symptoms.’ ख‘It’s important to monitor my bleeding time regularly.’ ग‘I should report any signs of easy bruising or prolonged bleeding immediately.’ घ‘This medication prevents blood clots from forming in my veins.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

134. A patient has recently undergone a laparoscopic cholecystectomy. Which nursing intervention is MOST important to prevent emesis?

     कAdminister antiemetic medication as prescribed खAssess for signs of pain and provide comfort measures गEncourage the patient to lie flat with knees drawn up घMonitor blood glucose levels closely
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

135. A client with cirrhosis is complaining of nausea and early satiety. Which nursing intervention would be MOST appropriate?

     कA) Encourage the client to eat small, frequent meals. खB) Administer antiemetic medication as prescribed. गC) Provide a high-protein diet to promote wound healing. घD) Restrict fluid intake to prevent ascites formation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

136. A client with heart failure is prescribed furosemide (Lasix). Which nursing assessment finding would warrant immediate notification of the physician?

     कA) Mild peripheral edema. खB) Potassium level of 3.8 mEq/L. गC) An order for a urine output of 20-30 ml per hour. घD) Blood pressure of 130/80 mmHg.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

137. A nurse is caring for a client with a deep vein thrombosis (DVT). Which intervention is MOST important to prevent pulmonary embolism?

     कA) Administering an anticoagulant medication as prescribed. खB) Encouraging the patient to perform calf muscle exercises regularly. गC) Applying sequential compression devices to the affected leg. घD) Restricting the client’s fluid intake.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

138. A client is being discharged from the hospital after a total hip arthroplasty. Which statement by the client indicates an understanding of discharge instructions?

     कA) ‘I will continue taking my pain medication for at least 2 weeks.’ खB) ‘I should wear elastic stockings all the time to prevent swelling.’ गC) ‘I can bend my knee fully and rotate my hip as soon as I get home.’ घD) ‘I need to avoid heavy lifting for six months’.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

139. A nurse is assessing a patient admitted with chronic obstructive pulmonary disease (COPD). Which of the following findings would be MOST indicative of worsening respiratory status?

     कA) Auscultation reveals clear breath sounds bilaterally with no adventitious sounds. खB) The patient reports experiencing increased shortness of breath and mild cyanosis. गC) The patient’s peak flow rate is consistently above 6 liters per minute. घD) The patient has a stable oxygen saturation level of 94% on room air.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

140. A client with diabetes mellitus is experiencing symptoms of hyperglycemia including excessive thirst, frequent urination, and blurred vision. The nurse knows that insulin helps to improve how the body uses glucose. Which specific mechanism of action does insulin primarily affect?

     कStimulating glycogen synthesis. खInhibiting glucagon secretion. गIncreasing lipolysis (fat breakdown). घDecreasing renal glucose reabsorption.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।