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

191. A client presenting with sudden onset abdominal pain, nausea, and vomiting has a history of gallstones. The nurse’s initial assessment reveals guarding and rebound tenderness. Based on these findings, which intervention is MOST appropriate at this stage? a) Administer intravenous fluids. b) Initiate antiemetic medication. c) Prepare the client for an exploratory laparotomy. d) Encourage oral intake of clear liquids.

     कa) Administer intravenous fluids. खb) Initiate antiemetic medication. गc) Prepare the client for an exploratory laparotomy. घd) Encourage oral intake of clear liquids.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

192. A nurse is preparing a client with Crohn's disease for discharge. The client has been prescribed mesalamine. What is the MOST important teaching point to convey to the patient regarding this medication?

     कTake the medication on an empty stomach to maximize absorption. खContinue taking probiotics alongside mesalamine to improve gut flora. गReport any signs of bleeding, fever or abdominal pain to the physician immediately घMonitor your stools for white or pale colored mucus.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

193. A client diagnosed with diabetic ketoacidosis (DKA) is exhibiting Kussmaul respirations (deep, rapid breathing). Which nursing intervention is MOST important to implement IMMEDIATELY?

     कAdminister intravenous fluids as prescribed. खMonitor blood glucose levels every 15 minutes. गEncourage the patient to consume frequent carbohydrate-containing snacks. घAdminister insulin as prescribed by the physician.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

194. A nurse is assessing a client with heart failure who reports experiencing orthopnea (shortness of breath when lying flat) and paroxysmal nocturnal dyspnea (sudden episodes of shortness of breath at night). Which intervention would BEST assist the patient in managing these symptoms?

     कEncourage frequent ambulation throughout the day. खAdminister a diuretic as prescribed by the physician. गRestrict fluid intake to 1500 ml per day. घMaintain bed elevation with sandbags under the legs.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

195. A nurse is caring for a patient post-operatively following a total hip arthroplasty. The patient reports increasing pain at the surgical site, despite being prescribed opioid analgesics. Which of the following interventions should the nurse implement FIRST?

     कAdminister an additional dose of opioid analgesic as prescribed by the physician. खAssess the patient's vital signs and neurological status. गEncourage the patient to utilize non-pharmacological pain relief methods such as relaxation techniques and ice packs. घNotify the surgeon regarding the patient’s report.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

196. A 68-year-old client is admitted with respiratory distress and a chest X-ray reveals a pneumothorax. The nurse observes that the client's breath sounds are absent unilaterally, and the client’s vital signs show decreased oxygen saturation. What immediate nursing action is MOST important? a) Administer oxygen via nasal cannula. b) Assess capillary refill in all extremities. c) Elevate the affected side of the body with a sandbag. d) Initiate chest expansion exercises

     कAdminister oxygen via nasal cannula. खAssess capillary refill in all extremities. गElevate the affected side of the body with a sandbag. घInitiate chest expansion exercises.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

197. A client with diabetes mellitus is prescribed a beta-blocker medication. Which statement by the client requires immediate nursing intervention? a) "I’ve been experiencing occasional dizziness." b) “I’m monitoring my blood glucose levels regularly." c) “I’ve noticed that I’m sweating more than usual.” d) “My heart rate feels a little slower than normal.”

     कI’ve been experiencing occasional dizziness. खI’m monitoring my blood glucose levels regularly. गI’ve noticed that I’m sweating more than usual. घMy heart rate feels a little slower than normal.”
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

198. A patient presents to the clinic complaining of pain and swelling in both knees that started this morning. The swelling is symmetrical and affects the small joints of their hands as well. Based on these findings, which of the following conditions should the nurse suspect FIRST? a) Rheumatoid Arthritis b) Osteoarthritis c) Gout d) Systemic Lupus Erythematosus

     कRheumatoid Arthritis खOsteoarthritis गGout घSystemic Lupus Erythematosus
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

199. A client with chronic obstructive pulmonary disease (COPD) is experiencing increasing shortness of breath. Auscultation reveals diffuse rhonchi. Which nursing intervention would be MOST appropriate at this time?

     कAdminister bronchodilator via nebulizer खEncourage the patient to sit upright गInstruct the patient to use pursed-lip breathing घAdminister oxygen at 3 liters/minute via nasal cannula
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

200. A client with a new diagnosis of diabetes mellitus type 2 presents to the clinic. The nurse educates the patient about dietary modifications. Which statement by the patient indicates a good understanding of their teaching?

     क‘So I can eat as much sugar as I want, just to keep my energy levels up.’ ख‘I should avoid all carbohydrates completely.’ ग‘I need to count carbohydrates and adjust my insulin accordingly.’ घ‘Fruits are always okay for me to eat because they contain vitamins’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।