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

211. A client recovering from an open fracture has developed compartment syndrome. Which of the following findings would be MOST indicative of this condition?

     कa) Warmth and redness in the affected limb खb) Decreased capillary refill time distal to the injury site गc) Pain out of proportion to the severity of the wound घd) Sensation loss in the affected limb
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

212. A client with chronic heart failure presents to the emergency department complaining of increasing shortness of breath and edema in their lower extremities. Assessment reveals an S3 gallop heart sound. Which nursing intervention is MOST appropriate at this time?

     कa) Administering furosemide (Lasix) intravenously immediately खb) Encouraging the client to sit upright and provide oxygen गc) Educating the client about sodium restriction in their diet घd) Placing the client on a fluid restriction of 1 liter per day
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

213. A client following a total knee replacement (TKR) is experiencing persistent pain and swelling in the affected limb. The nurse understands that this could be related to:

     कa) Infection secondary to surgical site contamination खb) Early postoperative stiffness due to muscle guarding गc) Nerve damage causing phantom pain sensation घd) Residual mechanical instability of the joint
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

214. A nurse is caring for a client following a total hip arthroplasty. The nurse knows that the client should be kept in slight Trendelenburg position (hip elevated) for 24-72 hours postoperatively. What is the *primary* reason for this positioning?

     कTo prevent plantarflexion of the foot खTo promote venous return from the lower extremities गTo encourage lung expansion घTo reduce edema formation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

215. A client with heart failure is receiving diuretics. The nurse observes that the client's potassium level has decreased significantly. Which action should the nurse take FIRST? a) Notify the physician regarding the potassium deficiency. b) Encourage the client to consume more fruits and vegetables. c) Administer a potassium supplement as prescribed. d) Monitor the client’s urine output closely.

     कa) Notify the physician regarding the potassium deficiency. खb) Encourage the client to consume more fruits and vegetables. गc) Administer a potassium supplement as prescribed. घd) Monitor the client’s urine output closely.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

216. A client with chronic obstructive pulmonary disease (COPD) is experiencing an exacerbation of their condition. Which nursing intervention would be MOST beneficial? a) Encouraging the client to cough forcefully. b) Administering bronchodilators as prescribed. c) Restricting fluids to prevent fluid overload. d) Placing the client in a supine position.

     कa) Encouraging the client to cough forcefully. खb) Administering bronchodilators as prescribed. गc) Restricting fluids to prevent fluid overload. घd) Placing the client in a supine position.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

217. A client post-operative following a colectomy reports severe abdominal pain, nausea, and vomiting. Upon examination, the nurse observes bright red blood in the patient’s emesis. Which intervention is the MOST appropriate initial action? a) Administer antiemetic medications as prescribed. b) Insert an NG tube to decompress the stomach. c) Assess the client's vital signs and monitor for signs of shock. d) Apply ice packs to the abdomen.

     कa) Administer antiemetic medications as prescribed. खb) Insert an NG tube to decompress the stomach. गc) Assess the client's vital signs and monitor for signs of shock. घd) Apply ice packs to the abdomen.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

218. A client with pneumonia is prescribed intravenous antibiotics. Which nursing assessment finding would indicate the antibiotic therapy is effective? a) Decreased respiratory rate. b) Decrease in sputum volume. c) Elevated temperature. d) Increased white blood cell count.

     कa) Decreased respiratory rate. खb) Decrease in sputum volume. गc) Elevated temperature. घd) Increased white blood cell count.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

219. A client presents to the clinic with complaints of increasing fatigue, swelling in their ankles and feet, and shortness of breath. Laboratory results reveal elevated serum creatinine and BUN levels. Which nursing intervention is MOST appropriate at this time? a) Encourage the patient to increase their fluid intake. b) Monitor the patient's weight daily and report any significant changes. c) Administer a potassium supplement as ordered. d) Instruct the patient to avoid salty foods.

     कa) Encourage the patient to increase their fluid intake. खb) Monitor the patient's weight daily and report any significant changes. गc) Administer a potassium supplement as ordered. घd) Instruct the patient to avoid salty foods.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

220. Which of the following findings would be MOST indicative of Cushing's Syndrome?

     कa) Increased skin turgor and edema खb) Hypertension and bradycardia गc) Facial puffiness, thin skin, and hypertension घd) Hypotension and delayed wound healing
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।