Medical and Surgical Nursing MCQ Set-32

Medical and Surgical Nursing MCQ Question 241:-


While assessing and unconscious client who was awarded into Emergency Room after a road traffic accident, the nurse would be most concerned if the assessment revealed

(a) An elevated temperature
(b) An increased blood pressure
(c) bleeding from ears
(d) all of the above

Medical and Surgical Nursing MCQ Question 242:-


The Emergency Room nurse is assessing an adult patient who was brought in following a road traffic accident. Which of the following manifestations could have resulted from sympathetic nervous system simulations?

(a)Increase awareness and attention
(b) decrease physiological functioning
(c) increased salivation
(d) Rapid pulse and increased respiratory rate

Medical and Surgical Nursing MCQ Question 243:-


A 42 year old male patient is to undergo lumbar puncture. Which of the following is the least important information about lumbar puncture?

(a) It may be used to withdraw CSF from the Diagnostic purpose
(b) specimens obtained to be labelled in their proper sequence
(c) force Fluids before and after the procedure
(d) assess movement and sensation in the lower extremity after the procedure

Medical and Surgical Nursing MCQ Question 244:-


Which of the following is considered to be the earliest signs of increased ICP?

(a) Ipsilateral Dilation of The Pupils
(b) Contralateral hemiparesis
(c) Progression from restlessness to confusion and disorientation to lethargy
(d) widening of pulse pressure

Medical and Surgical Nursing MCQ Question 245:-


Which of the following pharmacological management is inappropriate regarding medical management of a client with CVA?

(a) Osmotic diuretics are given to decrease cerebral edema
(b) aspirin is used in the a acute management of completed stroke
(c) corticosteroids are given to decrease cerebral edema
(d) thrombolytics are most useful within 3 hours of an occlusive CVA

Medical and Surgical Nursing MCQ Question 246:-


A nurse is caring for a patient with Myasthenia gravis. Which of the following nursing diagnoses is a priority which needs immediate intervention?

(a) High risk for injury related to muscle weakness
(b) ineffective coping related to illness
(c) ineffective Airway clearance related to muscles weakness
(d) pain related to muscle weakness

Medical and Surgical Nursing MCQ Question 247:-


Which of the following conditions are early symptoms of Myasthenia gravis?

(a) Dysphagia
(b) fatigue improving in the evening
(c) ptosis
(d) respiratory distress

Medical and Surgical Nursing MCQ Question 248:-


An adult male client has undergone spinal surgery. Which of the following interventions is appropriate for these clients?

(a) Assess client’s feet for sensation and circulation
(b) Encourage client to drink plenty of fluids
(c) Log roll the client to prone position
(d) Observe the client’s bowel movement and voiding patterns

Medical and Surgical Nursing MCQ Question 249:-


Which of the following is a function of parasympathetic nervous system

(a) contraction of arrector pili
(b) stimulation of sweat glands
(c) accelerations of heart rate
(d) constriction of pupil

Medical and Surgical Nursing MCQ Question 250:-


Which of the following functions is not likely to be affected by vagus nerves?

(a)Tongue movements
(b) peristaltic movements
(c) pancreatic secretion
(d) heart rate

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