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

181. A nurse is caring for a client who has a deep second-degree burn on their lower leg. What is the primary nursing intervention to minimize pain and promote healing?

     कAdminister morphine intravenously as prescribed. खApply cool water compresses to the burned area. गElevate the burned limb above the level of the heart. घMassage the burned area gently to stimulate circulation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

182. A nurse is assessing a client with suspected meningitis. The nurse notes nuchal rigidity (stiff neck), positive Kernig’s sign, and photophobia. Which of the following nursing interventions is MOST important to implement immediately?

     कAdminister analgesics for pain relief खPlace the client in a side-lying position with knees bent गMaintain a quiet environment with minimal stimulation घMonitor blood pressure closely
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

183. A client following a total hip arthroplasty (THA) has developed unilateral swelling, warmth, and pain in their affected leg. Which finding would MOST strongly suggest prosthetic infection?

     कSerum white blood cell count of 10,000/μL खAbsence of redness or tenderness at the incision site गA temperature of 37.8°C (100.04°F) घDecreased range of motion in the affected hip
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

184. A client with a diagnosis of pneumonia is exhibiting signs of respiratory distress including rapid shallow breathing, use of accessory muscles, and cyanosis. The nurse recognizes that the primary goal of nursing intervention at this stage is to:

     कPromote maximal gas exchange through postural drainage खAdminister antibiotics as prescribed by the physician गMaintain oxygen saturation levels above 92% घEncourage the client to cough forcefully
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

185. A nurse is caring for a client recovering from an open-heart surgery. The patient reports experiencing pain at the incision site that is described as sharp and radiating. Which nursing action is MOST important?

     कApply a cold compress to the surgical site खAdminister prescribed analgesics as ordered by the physician गEncourage the patient to perform gentle range-of-motion exercises घChange the dressing without assessing the surgical site further
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

186. A patient with chronic heart failure presents to the clinic with increased shortness of breath and swelling in their ankles. The nurse assesses that the client’s dyspnea is worse when lying flat. Which nursing intervention is MOST appropriate at this time?

     कAdminister oxygen via nasal cannula at 2L/min खEncourage the patient to sit upright with leg elevation गNotify the physician of the findings and await orders for diuretic medication घProvide a warm blanket to reduce anxiety related to shortness of breath
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

187. A client with severe burns presents to the emergency department exhibiting signs of hypovolemic shock (tachycardia, hypotension, decreased urine output). What is the MOST immediate nursing intervention? a) Administering intravenous fluids rapidly. b) Applying a cooling blanket. c) Elevating the client’s legs. d) Monitoring blood glucose levels.

     कa) Administering intravenous fluids rapidly. खb) Applying a cooling blanket. गc) Elevating the client’s legs. घd) Monitoring blood glucose levels.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

188. Which of the following interventions is MOST appropriate for a client experiencing diabetic ketoacidosis (DKA)? a) Administering glucose intravenously. b) Initiating fluid replacement with 0.9% sodium chloride. c) Monitoring serum bicarbonate levels frequently. d) Providing frequent small meals.

     कa) Administering glucose intravenously. खb) Initiating fluid replacement with 0.9% sodium chloride. गc) Monitoring serum bicarbonate levels frequently. घd) Providing frequent small meals.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

189. A client with chronic heart failure is being discharged on digoxin. Which laboratory value requires careful monitoring? a) Serum potassium levels. b) Serum creatinine levels. c) Serum digoxin levels. d) White blood cell count.

     कa) Serum potassium levels. खb) Serum creatinine levels. गc) Serum digoxin levels. घd) White blood cell count.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

190. Which of the following nursing actions is MOST important when caring for a client recovering from a total hip arthroplasty (THA)? a) Encouraging deep breathing and coughing exercises immediately after surgery. b) Maintaining the patient's legs at a 90-degree angle to prevent nerve compression. c) Assessing the surgical site frequently for signs of infection, including drainage or redness. d) Applying ice packs directly to the incision site.

     कa) Encouraging deep breathing and coughing exercises immediately after surgery. खb) Maintaining the patient's legs at a 90-degree angle to prevent nerve compression. गc) Assessing the surgical site frequently for signs of infection, including drainage or redness. घd) Applying ice packs directly to the incision site.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।