Medical-Surgical Nursing Discussion Questions

Medical-Surgical Nursing Discussion Questions
The nurse counts an adult’s apical heart beat at
110 beats per minute. The nurse describes this as:
1. asystole.
2. bigeminy.
3. tachycardia.
4. bradycardia.
2. A client has an elevated AST 24 hours following
chest pain and shortness of breath. This is
suggestive of which of the following?
1. Gallbladder disease
2. Liver disease
3. Myocardial infarction
4. Skeletal muscle injury
3. An adult has a coagulation time of 20 minutes.
The nurse should observe the client for which of
the following?
1. Blood clots
2. Ecchymotic areas
3. Jaundice
4. Infection
4. A prothrombin time test should be performed
regularly on persons who are taking which
medication?
1. Heparin
2. Warfarin
3. Phenobarbital
4. Digoxin
5. Which prothrombin time value would be
considered normal for a client who is receiving
warfarin (Coumadin)?
1. 12 seconds
2. 20 seconds
3. 60 seconds
4. 98 seconds
6. The nurse is caring for a client who is receiving
heparin. What drug should be readily available?
1. Vitamin K
2. Caffeine
3. Calcium gluconate
4. Protamine sulfate
7. An adult who is receiving heparin asks the nurse
why it cannot be given by mouth. The nurse
responds that heparin is given parenterally
because:
1. it is destroyed by gastric secretions.
2. it irritates the gastric mucosa.
3. it irritates the intestinal lining.
4. therapeutic levels can be achieved more quickly.
8. An adult who is admitted for a cardiac
catheterization asks the nurse if she will be asleep
during the cardiac catheterization. What is the
best initial response for the nurse to make?
1. “You will be given a general anesthesia.”
2. “You will be sedated but not asleep.”
3. “The doctor will give you an anesthetic if you
are having too much pain.”
4. “Why do you want to be asleep?”
9. During the admission interview, a client who is
admitted for a cardiac catheterization says, “Every
time I eat shrimp I get a rash.” What action is
essential for the nurse to take at this time?
1. Notify the physician.
2. Ask the client if she gets a rash from any other
foods.
3. Instruct the dietary department not to give the
client shrimp.
4. Teach the client the dangers of eating shrimp
and other shellfish.
10. The nurse is preparing a client for a cardiac
catheterization. Which action would the nurse
expect to take?
1. Administer a radioisotope as ordered.
2. Give the client a cleansing enema.
3. Locate and mark peripheral pulses.
4. Encourage high fluid intake before
the test.
11. A young adult with a history of rheumatic fever
as a child is to have a cardiac catheterization.
She asks the nurse why she must have a
cardiac catheterization. The nurse’s response
is based on the understanding that cardiac
catheterization can accomplish all of the
following EXCEPT:
1. assessing heart structures.
2. determining oxygen levels in the heart
chambers.
3. evaluating cardiac output.
4. obtaining a biopsy specimen.
12. When a client returns from undergoing a cardiac
catheterization, it is most essential for the nurse
to:
1. check peripheral pulses.
2. maintain NPO.
3. apply heat to the insertion site.
4. start range of motion exercises immediately.
13. A male client with angina pectoris has been
having an increased number of episodes of pain
recently. He is admitted for observation. During
the admission interview, he tells the nurse that he
has been having chest pain during the last week.
Which statement by the client would be of greatest
concern to the nurse?
1. “I had chest pain while I was walking in the
snow on Thursday.”
2. “We went out for a big dinner to celebrate my
wife’s birthday, but I couldn’t enjoy it because
I got the pain before we got home from the
restaurant.”

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