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

141. A client following a total hip replacement has developed increased swelling, warmth, and pain in the surgical site 24 hours postoperatively. What is the MOST important nursing intervention?

     कApply a cold compress to the affected area. खElevate the leg above the level of the heart. गAdminister prescribed analgesics as ordered. घMonitor vital signs every 15 minutes.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

142. A client with chronic heart failure is experiencing fluid retention, manifesting as edema in the ankles and shortness of breath. Which diuretic medication would be MOST appropriate for immediate relief of this symptom?

     कSpironolactone (Aldactone) खFurosemide (Lasix) गMetoprolol (Lopressor) घDigoxin (Lanoxin)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

143. Which of the following findings would MOST likely indicate a developing pulmonary embolism (PE)?

     कSudden onset of left shoulder pain. खPersistent cough with green sputum production. गIncreased arterial blood pressure and tachycardia. घLocalized edema in the lower extremities.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

144. A client presents to the clinic with complaints of persistent cough, shortness of breath and fatigue. Physical examination reveals crackles in both lung fields. The nurse suspects pneumonia. Which initial nursing intervention is MOST appropriate?

     कAdminister oxygen via nasal cannula at 2L/min. खEncourage oral fluid intake to maintain hydration. गAssess the client’s temperature and respiratory rate. घNotify the physician immediately about the potential diagnosis.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

145. A client diagnosed with deep vein thrombosis (DVT) is being discharged home. Which statement by the client demonstrates an understanding of their condition and self-care instructions?

     क‘I will take a daily dose of aspirin to prevent future clots.’ ख‘I should wear compression stockings whenever I am sitting or lying down.’ ग‘It’s important to elevate my legs when possible.’ घ‘I can continue exercising vigorously without any limitations.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

146. A 70-year-old client with a history of atrial fibrillation is experiencing dizziness and lightheadedness. Their pulse is irregularly irregular. Which finding would be *most* concerning and requires immediate attention?

     कBlood pressure 90/60 mmHg खHeart rate of 55 bpm गRespiratory rate of 18 breaths per minute घCapillary refill time of 3 seconds
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

147. A client with chronic obstructive pulmonary disease (COPD) is prescribed inhaled corticosteroids. The nurse should instruct the client to:

     कDrink large amounts of water immediately after inhalation खAvoid rinsing their mouth after each use गUse a full-face mask for optimal delivery घExhale forcefully through pursed lips
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

148. A client recovering from a surgical incision on their abdomen reports experiencing increased pain, redness, swelling, and drainage at the wound site. Which nursing action is MOST important at this time?

     कApply cold compresses to the affected area खAdminister prescribed antibiotics immediately गElevate the affected extremity above the heart घMonitor vital signs closely for any changes
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

149. A client presents to the clinic complaining of persistent, sharp chest pain radiating to their left arm. Their blood pressure is elevated and they report feeling short of breath. Based on this information, which action should the nurse take *first*?

     कAdminister nitroglycerin via oral route खNotify the physician immediately and obtain an ECG गEncourage the client to rest and drink water घPerform a thorough assessment of the client's cardiovascular system
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

150. A patient has been admitted with suspected disseminated intravascular coagulation (DIC). Laboratory results show platelet count 80,000/µL, fibrinogen level 150 mg/dL, and elevated D-dimer. Which nursing intervention is MOST important at this time?

     कAdminister large volumes of intravenous fluids to maintain hemodynamic stability खApply direct pressure to any observed bleeding sites गMonitor vital signs closely for hypotension घMaintain a strict diet high in protein and calories
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।