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

151. A nurse is educating a patient newly diagnosed with diabetes mellitus about dietary management. Which statement by the patient indicates an understanding of the importance of carbohydrate counting?

     क‘I just need to eat less sugar’ ख‘I can eat anything I want as long as I exercise regularly’ ग‘I will count how many grams of carbohydrates are in each meal and snack’ घ‘It's important to avoid all fruits because they contain too much sugar’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

152. A 72-year-old male with a history of chronic obstructive pulmonary disease (COPD) is admitted to the hospital with increasing dyspnea and cough productive of yellow sputum. His ABG results show: pH 7.38, PaCO2 65 mmHg, HCO3 24 mEq/L. Which intervention would be MOST important for the nurse to implement at this time?

     कAdminister furosemide (Lasix) intravenously खEncourage frequent coughing and deep breathing exercises गMaintain a patent airway with suctioning as needed घElevate the head of the bed to promote lung expansion
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

153. A client presents to the emergency department complaining of sudden onset chest pain radiating to their left arm, accompanied by shortness of breath and nausea. An ECG reveals ST-segment elevation in leads V1-V3. Which is the MOST appropriate initial nursing intervention?

     कAdminister morphine for pain relief only खInitiate oxygen therapy at 2L/min via nasal cannula गStart intravenous access with normal saline घMonitor vital signs continuously and await cardiology consult
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

154. A nurse is teaching a patient newly diagnosed with COPD about inhaled corticosteroid medications. Which instruction should the nurse include in the teaching?

     क’Swallow the tablet quickly to minimize the amount of medication in your mouth.’ ख’Rinse your mouth thoroughly with water after using the inhaler to prevent oral thrush.’ ग’Shake the inhaler vigorously before each use to ensure proper dosage.’ घ’Use the inhaler while exercising to maximize drug absorption.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

155. A client is admitted with suspected diabetic ketoacidosis (DKA). What assessment finding would be MOST concerning to the nurse?

     कNormal blood glucose levels consistent with their usual range खAnuria (absence of urine output) गClear, pale skin with no edema घDecreased deep tendon reflexes
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

156. A client taking opioid pain medication reports a dry cough as a side effect. What is the nursing intervention that BEST addresses this?

     कAdminister an antihistamine to suppress the reflex खIncrease fluid intake to soothe the airway गPrescribe a bronchodilator for respiratory relief घSuggest a humidifier to add moisture to the air
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

157. A client post-operatively following an abdominal surgery is prescribed ferrous sulfate for iron deficiency anemia. Which dietary recommendation should the nurse instruct the client to make?

     कConsume large amounts of green leafy vegetables खDrink coffee with meals to enhance absorption गTake the medication with orange juice or grapefruit juice घAvoid consuming foods rich in Vitamin C
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

158. A client with pneumonia presents with fever, productive cough and shortness of breath. Which intervention is MOST important for the nurse to implement immediately?

     कAdminister oxygen via nasal cannula at 3 liters per minute खEncourage frequent oral fluid intake to prevent dehydration गMaintain bed rest to minimize respiratory effort घMonitor blood glucose levels every 4 hours
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

159. A client with a recent diagnosis of heart failure is prescribed furosemide. What is the primary nursing action for this client?

     कAdminister oxygen via nasal cannula at 2L/min खMonitor potassium levels closely and administer potassium chloride as ordered गAssess the client's lungs for crackles and edema घEncourage fluid intake to maintain hydration
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

160. A client has just undergone an esophagogastroduodenoscopy (EGD). Which nursing action is MOST important in assessing for potential complications immediately after the procedure?

     कAssess breath sounds. खMonitor urine output hourly. गApply ice packs to the injection site. घCheck gag reflex.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।