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

161. A nurse is caring for a patient with peritonitis secondary to bowel obstruction. The patient exhibits abdominal distension, nausea and vomiting, and an inability to pass gas. Which nursing intervention is MOST critical at this time?

     कAdminister antiemetic medication. खMaintain NPO status. गAssess the patient’s vital signs every 5 minutes. घEncourage frequent small sips of clear liquids.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

162. A client recovering from a total hip arthroplasty reports pain rated as 8/10. The nurse assesses that the client's pain is associated with guarding, grimacing, and muscle tension. Which intervention is most appropriate to implement FIRST?

     कAdminister prescribed opioid analgesic. खEncourage the client to perform deep breathing exercises. गAssist the client in assuming a position of comfort and relaxation. घApply heat to the affected limb.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

163. A patient with chronic heart failure presents with dyspnea and edema. The nurse knows that dietary restriction of sodium is a key component of management. Which intervention would the nurse implement FIRST?

     कAdminister oxygen at 2L/min via nasal cannula. खEncourage fluid intake to maintain hydration. गInstruct the client on a low-sodium diet (typically less than 2 grams per day). घMonitor blood pressure continuously.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

164. During wound care for a client with a pressure ulcer on their sacrum, the nurse notices significant purulent drainage and odor. Which of the following actions is *most* appropriate?

     कContinue with gentle cleansing using warm water. खApply a topical antibiotic ointment to the affected area. गDocument the findings accurately and consult the physician immediately. घIncrease the frequency of dressing changes to promote healing.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

165. A 68-year-old client with a history of type 2 diabetes presents to the emergency department complaining of sudden onset severe flank pain, nausea, vomiting, and fever. Initial assessment reveals a blood glucose level of 650 mg/dL and fruity breath odor. What is the *priority* nursing intervention?

     कAdminister sliding scale insulin. खInitiate intravenous fluids with dextrose. गPrepare the client for immediate admission to an intensive care unit. घMonitor urine output closely.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

166. A patient with severe heart failure is experiencing shortness of breath and edema. Which of the following interventions would be *most* effective in reducing fluid overload?

     कAdministering a large oral dose of calcium gluconate. खEncouraging the client to increase their sodium intake. गElevating the head of the bed to at least 30 degrees. घApplying cool compresses to the dependent body parts.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

167. A client presents to the clinic with a history of persistent headaches, blurry vision and recent unexplained changes in their peripheral vision. An ophthalmologist suspects retinal detachment. What is the *most* immediate nursing intervention?

     कAdminister an oral medication for pain control immediately. खInstruct the client to apply a cold compress to their forehead. गPrepare the client for an emergency referral to a specialist ophthalmologist. घMonitor vital signs closely and maintain oxygen saturation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

168. A client with long-standing hypertension reports experiencing intermittent claudication in their left leg while walking. Which finding would further support the diagnosis of peripheral artery disease (PAD)?

     कa) Decreased pulses in the lower extremities compared to the upper extremities. खb) Coolness and pallor of the affected limb upon ambulation. गc) Increased capillary refill time in the foot compared to the hand. घd) Absence of pain during rest.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

169. A client with newly diagnosed type 2 diabetes mellitus has a blood glucose level of 350 mg/dL and reports feeling very thirsty and confused. Which intervention should the nurse prioritize?

     कa) Administer sliding scale insulin based on current readings. खb) Immediately initiate intravenous fluid replacement with isotonic saline. गc) Assess the client’s airway, breathing, and circulation (ABCs). घd) Encourage the client to drink more fluids to combat dehydration.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

170. A client with chronic obstructive pulmonary disease (COPD) is prescribed inhaled bronchodilators. Which statement by the client indicates a correct understanding of their medication regimen?

     कa) ‘I will take these medications every 6 hours, regardless of how I feel.’ खb) ‘I should wait until my symptoms are severe before taking these inhalers’ गc) ‘I will rinse my mouth with water after using my inhaler to prevent oral thrush’ घd) ‘These inhalers will completely eliminate the need for oxygen therapy’.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।