Socrative review for Med Surg Exam #3

Anabolic Drug Example

Teriparatide

Opioids Drug Example

Morphine

Analgesic Drug Example

Acetaminophen

Which of the following O2 delivery methods offers 100% FiO2 capabilities? Select all that apply. A Trach collar B Simple mask C Nonrebreather mask D Endotracheal tube E Venturi mask

A Trach collar C Nonrebreather mask D Endotracheal tube

Which of the following symptoms would the nurse assess to say that "Fluid volume deficit" has resolved in her patient? Select all that apply. A Urine output that is straw colored with an osmolality of 1.0 B Non-tenting skin turgor C Oliguria D Patient reports feeling "clear headed", instead of confused E Patient reports frequent, liquid stools

A Urine output that is straw colored with an osmolality of 1.0 B Non-tenting skin turgor D Patient reports feeling "clear headed", instead of confused

Which of the following is not an appropriate education point for an elderly patient with constipation? A Use laxatives as liberally as necessary for daily bowel movements B Ensure good hydration with water C Make sure to include high-fiber foods in the diet D Regular, daily physical activity can help prevent constipation

A Use laxatives as liberally as necessary for daily bowel movements

What term describes the collapse of alveoli, leading to a loss of total lung volume? A Hypoxia B Pneumonia C Atelectasis D Hypoxemia

Atelectasis Atelectasis is the collapse of alveoli, leading to loss of lung volume; it can lead to pneumonia and hypoxia/hypoxemia.

A patient diagnosed with gastroesophageal reflux disease (GERD) presents to the clinic for a follow-up appointment. Which dietary instruction is appropriate for the nurse to provide? A. "Eat a small snack before bedtime." B. "Avoid alcohol and caffeine." C. "Drink 160z. (0.5L) of water with each meal." D. "Eat three well-balanced meals every day."

B. "Avoid alcohol and caffeine."

Clear Diet

Liquids that leave little residue

Antispasmodics Drug Example

Cyclobenzaprine

Which of the following patients is most appropriate for a bariatric surgery consult? A A patient with BMI of 21 B A patient with GERD C A patient with achalasia D A patient with a BMI of 42

D A patient with a BMI of 42

Which of the following is the best nurse-driven action to prevent atelectasis? A Bronchodilators B Supplemental O2 C IV antibiotics D Incentive spirometry

D Incentive spirometry

Which of the following is not a type of atelectasis? A Absorptive B Obstructive C Compressive D Infiltrative

D Infiltrative

Comminuted Fracture

Fracture in which bone has splintered into several fragments

Pathologic Fracture

Fracture occurs through an area of diseased bone

Transvers Fracture

Fracture that is straight across the bone shaft

Simple Fracture

Fracture that remains contained with no disruption of the skin integrity

Compression Fracture

Fracture which bone has been compressed

Open Fracture

Fracture which damage also involves the skin and mucous membranes, also called a compound fracture

Greenstick Fracture

Fracture which one side of a bone is broken and the other side is bent

NPO Diet

No food or fluid by mouth at all​

Regular Diet

No restricition to diet

Total Lung Capacity

The volume of air in the lungs after maximum inhalation

Biphosphates Drug Example

Alendronate

Tidal Volume (VT or TV)

Amount of air inhaled and exhaled with each breath

Residual Volume (RV)

Amount of air left in lungs after a maximum exhalation

FEV1

Amount of forced expiratory volume in the 1st second

A nurse is caring for a client with pneumonia who was prescribed Ceftriaxone oral suspension 600mg once daily. The medication label indicates that the strength is 125 mg/ 5mL. How many mL of medication would the nurse pour to administer the correct dose? Your answer is a whole number. A. 60mL B. 124 mL C. 24 mL D. 120 mL

C. 24 mL

Endotracheal tubes are ideal for long term, >21 day use. TRUE OR FALSE

FALSE

Residual volume is the maximum volume of air exhaled from the point of maximum inspiration. TRUE or FALSE

False

Which of the following are risk factors/triggers for GERD? Select all that apply. A Alcohol and caffeine B Tight fitting clothes C Heavy use of cream in meals D High carb diets E Drinking large amounts of fluid with meals F Laying down after eating

A Alcohol and caffeine B Tight fitting clothes E Drinking large amounts of fluid with meals F Laying down after eating

Which of the following are symptoms of a pulmonary embolism (PE)? Select all that apply. A Blood-tinged sputum B Chest pain/pressure C Bradycardia D Respiratory alkalosis E Respiratory acidosis F Tachycardia

A Blood-tinged sputum B Chest pain/pressure D Respiratory alkalosis F Tachycardia

Which of the following are characteristic of BiPAP? Select all that apply. A Each inspiration is initiated by the patient or machine B Provides positive pressure to the airways through the respiratory cycle C Allows independent control of inspiratory and expiratory pressures while providing pressure-support ventilation D Has higher pressure with inspiration and lower pressure with expiration E Is the most effective treatment for OSA F Has a backup rate to ensure patient receives a set number of breaths/min

A Each inspiration is initiated by the patient or machine C Allows independent control of inspiratory and expiratory pressures while providing pressure-support ventilation D Has higher pressure with inspiration and lower pressure with expiration F Has a backup rate to ensure patient receives a set number of breaths/min

Your patient reports a feeling of fullness in the bladder, but "does not feel the urge to urinate", and has "a little urine" that "comes out here and there." This is indicative of what type of incontinence? A Overflow B Stress C Reflex D Urge

A Overflow

The nurse notices constant bubbling in the water seal chamber of the chest tube. What are possible explanations for this finding? Select all that apply. A The chest tube has an air leak B The chest tube is leaking fluid C The pneumothorax has resolved D The pneumothorax has gotten worse E This is a normal finding F The chest tube is clamped off

A The chest tube has an air leak C The pneumothorax has resolved

Soft Diet

Low in fiber, easy to digest​

Which of the following teaching points are important for the nurse to include for a patient with iron-deficiency anemia? Select all that apply. A Iron supplements do not cause GI side effects B Iron can be given IV or PO C Iron supplementation is optional; iron isn't a required nutrient D Do not take with milk or antacids E Must take on an empty stomach F Iron cannot absorb in the presence of Vitamin C

B Iron can be given IV or PO E Must take on an empty stomach D Do not take with milk or antacids

Which of the following are characteristic of CPAP? Select all that apply. A Each inspiration is initiated by the patient or the machine B Provides positive pressure to the airways through the respiratory cycle C Is the most effective treatment for OSA D Acts as a splint, keeping the airway and trachea open E Has a backup rate to ensure patient will receive a set number of breaths/min F Patient must be breathing independently

B Provides positive pressure to the airways through the respiratory cycle C Is the most effective treatment for OSA D Acts as a splint, keeping the airway and trachea open F Patient must be breathing independently

A nurse, assigned to a client with emphysema, is providing shift report. Which nursing interventions would be appropriate to include? Select all that apply. A. Reduce fluid intake to less than 850 mL per shift B. Teach diaphragmatic, pursed-lip breathing C. Administer low-flow oxygen as needed D. Maintain the client in a supine positions as much as possible E. Encourage alternating client activity with rest periods F. Teach the use of postural drainage and chest physiotherapy

B. Teach diaphragmatic, pursed-lip breathing C. Administer low-flow oxygen as needed E. Encourage alternating client activity with rest periods F. Teach the use of postural drainage and chest physiotherapy

our patient reports daytime sleepiness, difficulty falling asleep at night, and states his wife says he "snores like a freight train". Which of the following diagnoses does the nurse suspect? A Aspiration pneumonia B Chronic bronchitis C Asthma D Obstructive sleep apnea

D Obstructive sleep apnea

Which of the following diets would most benefit a COPD patient? A Thickened liquids and mechanical soft, to prevent aspiration B Large, protein-dense frequent meals to support energy needs C Three large meals high in carbohydrates to fuel breathing efforts D Small, protein-dense, frequent meals to conserve energy

D Small, protein-dense, frequent meals to conserve energy

Low levels of cellular O2 is ________; low levels of O2 in the blood is __________.

Hypoxia; hypoxemia Hypoxia is the state of low levels of oxygen on a cellular level; hypoxemia is the state of low levels of oxygen in the blood.

Which of the following is a sign that an asthma patient's condition is worsening? A Clear lung sounds B They report using their rescue inhaler once or twice in six months C Audible wheezing D Decreased complaints of dyspnea

C Audible wheezing

Which of the following teaching points should the RN make for a patient with emphysema? Select all that apply. A Diaphragmatic, pursed-lip breathing B Remain supine as much as possible C Alternate periods of activity with rest D Use O2 as needed E Limit activity as much as possible F Teach chest PT and postural drainage

A Diaphragmatic, pursed-lip breathing C Alternate periods of activity with rest D Use O2 as needed F Teach chest PT and postural drainage

Which of the following are symptoms characteristic of COPD? Select all that apply. A Dyspnea B Nail clubbing C Orthopnea D Barrel chest E JVD F Chronic cough

A Dyspnea B Nail clubbing D Barrel chest F Chronic cough

Which of the following are signs/symptoms of atelectasis? Select all that apply. A Dyspnea B Clear breath sounds C Cough D Fever E Oliguria

A Dyspnea C Cough D Fever

After a hip replacement surgery, a patient will be allowed: A No movement; should remain on bed rest B Full activity, no restrictions C Limited weight bearing D Bed rest for 2 weeks, then full activity

C Limited weight bearing

Stress Fracture

A fracture that results from repeated loading of bone and muscle

The nurse is teaching a client about the risk factors for developing osteoporosis. What is the most important information for the nurse to include? Select all that apply. A. Inadequate dietary intake of calcium B. Blood pressure medications C. Family history D. Smoking E. Oral hypoglycemics

A. Inadequate dietary intake of calcium C. Family history D. Smoking

The nurse is caring for a patient on total parenteral nutrition (TPN). What is the nurse's priority intervention for the client? A. Monitoring electrolytes B. Monitoring urinary output C. Assessing ability to swallow D. Assessing consistency of stool

A. Monitoring electrolytes

The nurse is assessing a patient with diarrhea. Which outcome would indicate that fluid rescucitation has been successful? A. The patient passes formed stools at regular intervals. B. The patient reports a decrease in stool frequency and liquidity. C. The patient exhibits firm skin turgor. D. The client no longer experiences perianal burning.

A. The patient passes formed stools at regular intervals.

Which of the following should the nurse assess before and during treatment with Tamsulosin for BPH? A The patient's serum testosterone level B The size of the patient's prostate C The patient's voiding pattern D Kidney ultrasound results

C The patient's voiding pattern

Which disease process is characterized by cough & sputum production for at least 3 months in each of 2 consecutive years? A Asthma B Chronic bronchitis C Emphysema D Pneumonia

B Chronic bronchitis

Your patient is on TPN (total parenteral nutrition). Which of the following is most important for the nurse to monitor? A Urine output B Electrolytes C Bowel movements D Patient's ability to swallow

B Electrolytes

Your patient is receiving feedings through a Dob Hoff tube. This is an example of what kind of nutrition? A Parenteral nutrition B Enteral nutrition

B Enteral nutrition

Your patient's daughter has brought her mother to the ER because she fell getting down the front steps to go to church. The patient is pale, complains of pain with sitting, and cannot bear weight on her right leg. You notice that leg is shorter than her left leg, and when you ask about medical history, the daughter reports osteopenia, HTN, and a history of UTIs. What do you suspect is the issue with this patient? A Osteoporosis B Hip fracture C Leg fracture D Compression fractures in the spine

B Hip fracture

A nurse is teaching the family of a patient with a tracheostomy in place how to suction the patient. The nurse determines that teaching was effective when the family uses: A. Intermittent suction while advancing the catheter B. Continuous suction for no longer than 10 seconds while withdrawing the catheter C. Continuous suction for no longer than 20 seconds while withdrawing the catheter D. Continuous suction while advancing the catheter

B. Continuous suction for no longer than 10 seconds while withdrawing the catheter

Which of the following statements indicate the patient with iron deficiency anemia understands the nurse's instructions for taking iron? A. "I should eat less beans and organ meats." B. "I should take iron with food no matter what." C. "I will take the iron on an empty stomach." D. " I will take the iron with milk."

C. "I will take the iron on an empty stomach."

COX2 Drug Example

Celebrex

Mechanical Diet

Clears + fulls + diced/ground food​

Full liquid Diet

Clears + liquid dairy products, all juices​

After instructing a client to use beclomethasone (Vanceril) a steroid inhaler, which of the following statements by the client indicates to the nurse that the teaching has been successful? A. "I will limit myself to two cups of coffee per day." B. "I will take it before bed each night." C. "I will take it with meals to mask the taste." D. "I will perform mouth care after each use."

D. "I will perform mouth care after each use."

The nurse is aware that elevating a casted limb will prevent swelling. How should the nurse elevate the casted limb? A. Place the limb with the cast close to the body B. Place the limb with the cast at the level of the heart. C. Place the limb with the cast below the level of the heart. D. Place the limb with the case above the level of the heart.

D. Place the limb with the case above the level of the heart.

The nurse is teaching a patient with iron-deficiency anemia about ferrous gluconate therapy. Which statement, if made by the client, would indicate a correct understanding of the teaching? A."I will take the medication with an antacid." B."I will take the medication with a glass of milk." C."I will take the medication with whole-grain cereal." D."I will take the medication on an empty stomach with orange juice."

D."I will take the medication on an empty stomach with orange juice."

NSAID Drug Example

Ibuprofen

Steroid Drug Example

Prednisone

Tidal volume (VT or TV) is the volume of each breath taken. TRUE or FALSE

True