2024 Med Surg Final Exam New Latest Versions Best
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A nurse assessing a patient who is receiving a blood transfusion finds that the patient is
anxiously fidgeting in bed. The patient is afebrile but dyspneic. The nurse auscultates
crackles in both lung bases and sees jugular vein distention. On which transfusion
complication will
the nurse focus interventions?
a. Fluid volume excess
b. Hemolytic reaction
c. Anaphylactic shock
d. Septicemia -------- Correct Answer ---------- a. Fluid volume excess
A nurse preparing to start a blood transfusion will use which type of tubing?
a. Two-way valves to allow the patient's blood to mix and warm the blood transfusing
b. An injection port to mix additional electrolytes into the blood
c. One with a filter to ensure that clots do not enter the patient
d. An air vent to let bubbles into the blood -------- Correct Answer ---------- c. One with a
filter to ensure that clots do not enter the patient
Which of the following best describes an iatrogenic infection?
1. It results from a diagnostic or therapeutic procedure.
2. It results from an extended infection of the urinary tract.
3. It involves an incubation period of 3 to 4 weeks before it can be detected.
4. It occurs when patients are infected with their own organisms as a result of
immunodeficiency. -------- Correct Answer ---------- 1. It results from a diagnostic or
therapeutic procedure.
Place the following steps in correct order for performing a wound irrigation.
1. Use slow continuous pressure to irrigate the wound
2. Attach 19-gauge angiocatheter to syringe
3. Fill syringe with irrigation fluid
4. Assess wound
5. Position angiocatheter over wound -------- Correct Answer ---------- 4, 3, 2, 5, 1
A student nurse practicing primary leadership skills would demonstrate all of the
following except:
1. Being sensitive to the group's feelings
2. Recognizing others for their contributions
3. Developing listening skills and being aware of personal motivation
4. Assuming primary responsibility for planning, implementation, follow-up, and
evaluation -------- Correct Answer ---------- 4. Assuming primary responsibility for
planning, implementation, follow-up, and evaluation
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