Chapter 43 Medical Surgical Nursing Preparation For Practice 2nd Edition

Chapter 43  Medical Surgical Nursing Preparation For Practice 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
A patient recently diagnosed with herpes simplex 2 asks how to best manage the lesions. What information should be given to the patient?
1. The use of soap should be restricted.
2. A solution of 50% rubbing alcohol and 50% water can be used to clean the lesions.
3. Wearing nylon panties will reduce discomfort.
4. Warm soaks may be used to cleanse the area.
Correct Answer: 4
Rationale 1: The lesions need to be kept clean and dry. It is safe to use mild soap and water.
Rationale 2: Rubbing alcohol would cause burning of the lesions and should not be used.
Rationale 3: Nylon panties promote moisture and reduce ventilation to the perineal area.
Rationale 4: Warm soaks can cleanse the area, increase circulation, and enhance healing.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 43-3

Question 2
Type: MCSA
A patient recently treated for pelvic inflammatory disease asks how she can best prevent a recurrence of the disease. What information should the nurse provide?
1. The physician will prescribe prophylactic antibiotic therapy.
2. The use of condoms will be beneficial.
3. Annual gynecological examinations should be scheduled.
4. Douching after intercourse will assist in removing potential pathogens from the genital area.
Correct Answer: 2
Rationale 1: Prophylactic antibiotics are not used to manage pelvic inflammatory disease.
Rationale 2: Condoms provide a barrier against the introduction of pathogens to the woman’s body.
Rationale 3: Annual gynecological examinations are recommended but will not prevent the spread of the disease.
Rationale 4: Douching can actually increase the incidence of pelvic inflammatory disease. Douching forces fluids higher into the woman’s vagina and cervical area.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 43-4

Question 3
Type: MCSA
The nurse is determining diagnoses appropriate for a pregnant patient newly diagnosed with herpes simplex. Which nursing diagnosis has the highest priority?
1. Risk for Injury related to the disease process
2. Deficient Knowledge related to the diagnosis
3. Anxiety related the diagnosis
4. Interrupted Family Processes related to the effects of the diagnosis on her relationship with her partner
Correct Answer: 1
Rationale 1: The patient’s and neonate’s greatest risk is related to the potential for complications from the herpes simplex.
Rationale 2: The knowledge deficit can be addressed after a higher-priority diagnosis is addressed.
Rationale 3: Anxiety can be managed after the highest-priority diagnosis is addressed.
Rationale 4: Interrupted Family Processes can be managed after the highest-priority diagnosis is addressed.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Diagnosis
Learning Outcome: 43-2

Question 4
Type: MCSA
A female patient diagnosed with a chlamydial infection denies any symptoms and asks when she contracted the disease. What information should be provided to the patient?
1. The patient has most likely had the infection for about 1 to 3 weeks.
2. The infection has been in her body for less than 1 month, as no symptoms are present.
3. The infection might have been in her body for an indefinite period of time.
4. Symptoms typically begin a few months after infection.
Correct Answer: 3
Rationale 1: The infection can be asymptomatic in the woman’s body for months or years before symptoms are produced.
Rationale 2: The infection can be asymptomatic in the woman’s body for months or years before symptoms are produced.
Rationale 3: The infection can be asymptomatic in the woman’s body for months or years before symptoms are produced. The incubation period for the disease is 1 to 3 weeks.
Rationale 4: Symptoms may not appear for years after infection.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 43-1