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Medical Surgical Nursing 10th Edition Lewis PDF Free - College Learners
This medical surgical nursing 10th edition lewis pdf free is very useful in all areas of surgical nursing as it cover all topics in a precise and concise manner. The medical surgical nursing book lewis pdf solutions is an improvement of the previous medical surgical nursing lewis 9th edition pdf to enhance the student understanding on surgical 14/03/ · medical-surgical nursing 10th edition pdf free download: March 14, by dramjad Leave a Comment In this post we have shared an overview and download link of MEDICAL-SURGICAL NURSING 10TH EDITION PDF 25/07/ · This medical surgical nursing 10th edition lewis pdf free is very useful in all areas of surgical nursing as it cover all topics in a precise and concise manner. The medical surgical nursing book lewis pdf solutions is an improvement of the previous medical surgical nursing lewis 9th edition pdf to enhance the student understanding on surgical nursing
Medical surgical nursing lewis 10th edition pdf download free
When discussing risk factor modification for a patient who has a 5-cm abdominal aortic aneurysm, the nurse will focus teaching on which patient risk factor? Male gender c. Abdominal trauma history b. Turner syndrome d. DIF: Cognitive Level: Apply application REF: TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity. A patient has a 6-cm thoracic aortic aneurysm that was discovered during routine chest x-ray. When obtaining an admission history from the patient, it will be most important for the nurse to ask about a.
low back pain. abdominal tenderness. trouble swallowing. changes in bowel habits. ANS: B Difficulty swallowing may occur with a thoracic aneurysm because of pressure on the esophagus. The other symptoms will be important to assess for in patients with abdominal aortic aneurysms. DIF: Cognitive Level: Analyze analysis REF: TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity.
Several hours after a patient had an open surgical repair of an abdominal aortic aneurysm, the UAP reports to the nurse that urinary output for the past 2 hours has been 45 mL. The nurse notifies the health care provider and anticipates an order for a n a. hemoglobin count. serum creatinine level. additional antibiotic. increased IV infusion rate. ANS: D The decreased urine output suggests decreased renal perfusion and monitoring of renal function is needed.
There is no indication that infection is a concern, so antibiotic therapy and a WBC count are not needed. DIF: Cognitive Level: Apply application REF: TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity.
A patient in the outpatient clinic has a new diagnosis of peripheral artery disease PAD. Which group of drugs will the nurse plan to include when teaching about PAD management? Statins c. Thrombolytics b. Antibiotics d. There is no research that supports the use of the other drug categories in PAD. An older patient with chronic atrial fibrillation develops sudden severe pain, medical surgical nursing lewis 10th edition pdf download free, pulselessness, pallor, and coolness in the right leg.
The nurse should notify the health care provider and immediately a. apply a compression stocking to the leg. elevate the leg above the level of the heart. assist the patient in gently exercising the leg. keep the patient in bed in the supine position. Elevating the leg or applying an elastic wrap will further compromise blood flow to the leg. Exercise will increase oxygen demand for the tissues of the leg. The pain goes away after I stop walking, medical surgical nursing lewis 10th edition pdf download free, though.
look for the presence of tortuous veins bilaterally on the legs. ask about any skin color changes that occur in response to cold. assess for unilateral swelling, redness, and tenderness of either leg. palpate for the presence of dorsalis pedis and posterior tibial pulses. ANS: D The nurse should assess for other clinical manifestations of peripheral arterial disease in a patient who describes intermittent claudication.
Tortuous veins on the legs suggest venous insufficiency. Unilateral leg swelling, redness, and tenderness indicate venous thromboembolism. DIF: Cognitive Level: Apply application REF: TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity.
The nurse performing an assessment of a patient who has chronic peripheral artery disease PAD of the legs and an ulcer on the right second toe would expect to find a. dilated superficial veins. swollen, dry, scaly ankles. prolonged capillary refill in all the toes.
serosanguineous drainage from the ulcer. The other listed clinical manifestations are consistent with chronic venous disease. use a heating pad on my feet at night to increase the circulation. buy some loose clothes that do not bind across my legs or waist. walk to the point of pain, rest, and walk again for at least 30 minutes 3 times a week. change my position every hour and avoid long periods of sitting with my legs crossed. The other patient statements are correct and indicate that teaching has been successful.
DIF: Cognitive Level: Apply application REF: TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity. The patient exercises indoors during the winter months.
The patient immerses hands in hot water when they turn pale. The patient takes pseudoephedrine Sudafed for cold symptoms. The patient avoids taking nonsteroidal antiinflammatory drugs NSAIDs. ANS: A Patients should avoid temperature extremes by exercising indoors when it is cold. To avoid burn injuries, the patient should use warm rather than hot water to warm the hands. Pseudoephedrine is a vasoconstrictor and should be avoided.
The health care provider has prescribed bed rest with the feet elevated for a patient admitted to the hospital with venous thromboembolism. The patient is placed in the Trendelenburg position.
Two pillows are positioned under the affected leg. The bed is elevated at the knee and pillows are placed under the feet. One pillow is medical surgical nursing lewis 10th edition pdf download free under the thighs and two pillows are placed under the lower legs. Placing the patient in the Trendelenburg position will lower the head below heart level, which is not indicated for this patient.
Placing medical surgical nursing lewis 10th edition pdf download free under the calf or elevating the bed at the knee may cause blood stasis at the calf level. DIF: Cognitive Level: Analyze analysis REF: TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity.
The health care provider prescribes an infusion of heparin and daily partial thromboplastin time PTT testing for a patient with venous thromboembolism VTE, medical surgical nursing lewis 10th edition pdf download free.
The nurse will plan to a. decrease the infusion when the PTT value is 65 seconds. avoid giving IM medications to prevent localized bleeding. have vitamin K available in case reversal medical surgical nursing lewis 10th edition pdf download free the heparin is needed. monitor posterior tibial and dorsalis pedis pulses with the Doppler. ANS: B Intramuscular injections are avoided in patients receiving anticoagulation to prevent hematoma formation and bleeding from the site.
A PTT of 65 seconds is medical surgical nursing lewis 10th edition pdf download free the therapeutic range. Vitamin K is used to reverse warfarin. Pulse quality is not affected by VTE. A patient with a venous thromboembolism VTE is started on enoxaparin Lovenox and warfarin Coumadin. The patient asks the nurse why two medications are necessary. Which response by the nurse is most accurate?
LMWH has no thrombolytic properties. The use of two anticoagulants is not related to the risk for pulmonary embolism, and two are not necessary to reduce the risk for another VTE. Anticoagulants do not thin the blood. The nurse has started discharge teaching for a patient who is to continue warfarin Coumadin after hospitalization for venous thromboembolism VTE. The nurse determines that additional teaching is needed when the patient says which of the following?
The other patient statements are accurate. A yr-old service-counter worker undergoes sclerotherapy for treatment of superficial varicose veins at an outpatient center. Which instructions should the nurse provide to the patient before discharge? Sitting at the work counter, rather than standing, is recommended. Exercise, such as walking or jogging, can cause recurrence of varicosities.
Elastic compression stockings should be applied before getting out of bed. Taking an aspirin daily will help prevent clots from forming around venous valves. ANS: C Elastic compression stockings are applied with the legs elevated to reduce pressure in the lower legs.
Medical Surgical Nursing 10th Edition Lewis Test Bank Chapter 1
, time: 4:38Medical surgical nursing lewis 10th edition pdf download free
14/03/ · medical-surgical nursing 10th edition pdf free download: March 14, by dramjad Leave a Comment In this post we have shared an overview and download link of MEDICAL-SURGICAL NURSING 10TH EDITION PDF Lewis Medical Surgical 10th Edition - Nursing Test Banks at blogger.com - Free download as .rtf), PDF File .pdf), Text File .txt) or read online for free. Lewis Medical Surgical 10th Edition - Nursing Test Banks at blogger.com5/5(7) This medical surgical nursing 10th edition lewis pdf free is very useful in all areas of surgical nursing as it cover all topics in a precise and concise manner. The medical surgical nursing book lewis pdf solutions is an improvement of the previous medical surgical nursing lewis 9th edition pdf to enhance the student understanding on surgical
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