Med Surg Exam 3 New 2024 Latest Version with
All Questions from Actual Past Exam and 100%
Correct Answers
What nursing action is essential in order to prevent heat loss through evaporation?
a. Apply blankets.
b. Move a space heater closer to the client.
c. Dry the client with a towel when perspiring.
d. Apply a warm cloth to the forehead. ---------- Correct Answer ----------- Answer: c
Cognitive Level: Analyze
Explanation: Evaporation is the returning of water to the air through vapor. Water on the
body's surface can be perspiration (sweat) or water from an outside source, such as a
shower. Water evaporation causes a cooling effect. The body normally loses about 500
mL of water per day due to insensible (unnoticed) evaporation. It would be important to
dry the client off so that the perspiration does not cause evaporation. Moving a space
heater close to the client is not a safe intervention and can cause burns. Applying
blankets without drying the client will trap the moisture under the blankets. Applying a
warm cloth to the head would not cover the body surface caused by the perspiration.
The nurse is preparing to apply a moist dressing to a sacral pressure wound. What is a
priority action by the nurse?
a. Medicate with analgesics one-half hour prior to the procedure.
b. Have the client sign a consent form to perform the procedure.
c. Document the procedure so that it won't be forgotten.
d. Remove the necrotic tissue with forceps. ---------- Correct Answer ----------- Answer: a
Cognitive Level: Apply
Explanation: Analgesics provide pain relief and relaxation. The client's cooperation is
necessary when applying dressings. Premedicating to minimize pain during the
procedure facilitates cooperation and promotes healing. A consent form is not required
for a dressing change. The procedure should not be documented until it is complete.
The nurse should not remove the necrotic tissue from the wound because it is not within
the scope of practice.
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