Med Surg 3 Final

Assessment findings of an allergic reaction includes

- Bronchospasms - Urticaria - Itching

Which of the following can trigger a cluster headache?

- Nitroglycerine - Histamine - Alcohol

The goal for autoimmune disorders is

- Remission - Slowing of destruction

Cessation of the menstrual cycle

Menopause

In patients with otosclerosis, decreased hearing occurs because of the decreased vibration of what?

Stapes

Apply ice for the first 48 hrs after injury then apply heat ?

True

Which instrument is most appropriate for the nurse to use to test for conductive or Sensio neural hearing loss?

Tuning fork

Teaching for patients who have had an allergic reaction include

- Avoid environmental substances that cause symptoms - Keep records of symptoms and food/exposure - Seek immediate medical attention if symptoms worsen or new symptoms occur

What are the most common complaints in a client with refractive errors?

- Blurred vision - Recurrent headaches

Which of the following is true regarding Chronic Fatigue Syndrome

- Does not improve with rest - Characterized by muscle pain and weakness, unrefreshing sleep and/or low grade fever

Otitis media is an infection of the middle ear that presents with which of the following symptoms?

- Fever - Earache - Diminished hearing

You are caring for a patient being seen in the ER for retinal detachment. Which of the following symptoms would she most likely complain of?

- Flashes of light - Sensation of a curtain being drawn over her line of vision - Seeing floaters

Which of the following are signs and symptoms of a TIA?

- Lightheadedness - Speech disturbances - Diplopia

Mr. Samuels has just been diagnosed with a seizure disorder. Which of the following is important to include in his discharge teaching?

- Take the prescribed medication exactly as ordered - If unable to take medication for any reason, notify doctor

Which of the following are involved in treatment for a NONSEVERE Hordeolum (Sty)?

- Warm soak - Topical antibiotics

hearing impairment can result from what

- excessive noise - conductive loss - sensorineural loss

Organs involved with PID

- ovaries - tubes - pelvic system

subdural hematoma

- symptoms worsen within 24 hours to 1 week of injury with this type of hematoma - hematoma that results from a venous bleed

Risk factors for for cervical or endometrial cancer

- uterine prolapse - hx of smoking - pelvic radiation - after age 50

Samuel suffered a fractured femur during a football game. He asks how long until the bone is back to its former structural strength. What should the nurse tell him?

12 months

Your patient has been diagnosed with a concussion after a sports injury. The patient's wife is asking what a concussion is. Which of the following would be the appropriate response?

A concussion is a blow to the head that jars the brain resulting in diffuse and microscopic injury to the brain

Which of the following treatments will be ordered for a patient with prostatitis?

Antibiotics

A sensation that may precede an attack of an epileptic seizure is called

Aura

Which disorder involves the 7th cranial nerve that originates in the pons?

Bell's Palsy

Which of the following is the earliest sign of cervical and endometrial cancer

Bleeding

What is used to relieve pressure, remove clot, and stop bleeding?

Burr holes

Which of the following defines an aching in the head?

Cephalgia

CSF is normally

Clear and colorless

Mr. Yeager presents to the ER complaining of sudden eye pain, stating his eye feels hard as a rock and he can't see. Your assessment reveals a reddened conjunctive and a "steamy" cornea.. You should suspect which of the following?

Closed-angle glaucoma

The condition in which one or both testes fail to descend into the scrotum is called

Cryptorchidism

The purpose of a Pap smear is to

Diagnose and classify the stage of cervical cancer

Which of the following would the nurse expect to be done to assess the size of the prostate?

Digital rectal exam

Parkinson's disease results from a deficiency of which neurotransmitter?

Dopamine

What is the first test generally run to see if a patient is HIV positive?

ELISA

What is the hallmark finding with autoimmune disorders?

Elevation of circulating antibodies

Which of the following stems from arterial bleeding with blood accumulation above the dura

Epidural hematoma

Increased ICP may cause downward displacement of the brain and may cause it to herniate through which of the following structures?

Foramen magnum

A standardized system for assessing the level of consciousness and for assessing a patient's response to stimuli is known as

Glasgow coma scale

While giving shift report on Mr. Carroll, it was noted that his uric acid level was elevated. Which of the following inflammatory processes would the oncoming nurse screen for while doing a physical assessment?

Gout

Which symptom would the nurse expect to note in the patient's history that is directly related to the development of cataracts?

Gradual loss of vision

A patient who has undergone a Snellen eye chart test and has 20/40 vision. Which of the following is true for this patient?

He sees letters at 20 feet that others can read at 40 feet

Blindness in half of the normal visual field is known as which of the following?

Hemianopia

Which type of CVA occurs from the rupture of a cerebral blood vessel?

Hemorrhagic

Which sexually transmitted disease has fluid filled vesicles that may be accompanied by swelling of inguinal lymph nodes, flu-like symptoms and headache?

Herpes

During anaphylaxis, there is massive release of which of the following?

Histamine

An abnormal hereditary condition characterized by choreiform movements and mental deterioration that terminates in dementia is

Huntington's disease

An abnormal hereditary condition characterized by choreiform movements and metal deterioration that terminates in dementia is

Huntington's disease

Surgical removal of the uterus

Hysterectomy

Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test?

I will need to stop using any vaginal medications for at least 48 hours before the test

Mr. Carroll presents to the office complaining of decreased hearing. Which of the following should be the first thing the nurse checks for?

Impacted cerumen

You are caring for a patient with an inoperable brain tumor. Which of the following would be a major threat to them?

Increased ICP

The most common cause of Pelvic Inflammatory Disease (PID) is

Infection

A patient comes into the walk in clinic yelling she has a bug in her ear. What action should be taken?

Instill mineral oil into the ear

Which type of stroke occurs from a thrombus obstructing a cerebral artery?

Ischemic

The nurse is caring for Mr. Kline who had a surgical amputation of the left leg related to complications from diabetes. He asks the nurse, "if my leg is really gone, then why am i having such bad pain in my foot?". What is the best response given by the nurse?

It is called phantom pain and may come and go

Ms. Carter was admitted with an allergic reaction to Penicillin. She asks the nurse what an allergic reaction is. The best response is:

It's caused by an excessive reaction by the body to a usually harmless substance

The MOST frequent malignancy seen in AIDS is

Kaposi's sarcoma

Locales presents to the clinic complaining of join pain, muscle pain and extreme fatigue. She has a butterfly shaped rash across the bridge of her nose. The nurse knows that she could have which of the following?

Lupus

An infection or inflammation of the membranes covering the brain and spinal cord is

Meningitis

Chronic fatigue is defined as profound fatigue without any identifiable cause for how long

More than 6 months

The chronic, progressive disease that is characterized by disseminated demyelination of nerve fibers of the brain and spinal cord is

Multiple sclerosis

The most common manifestations of this disorder are ptosis of the eyelids, difficulty chewing and swallowing, and weakness that can be severe at times

Myasthenia gravis

Which of the following exams is used to identify and locate disorders of the nervous system?

Neurological exam

What sign should be placed over the bed of a post-op left mastectomy patient?

No blood pressure, venipuncture or injections in the left arm

The usual cause of death for an AIDS patient is caused by

Opportunistic infection

Ms. Stapleton, a 55 year old female, came to the walk-in clinic complaining of feeling like a mask is on her face. While doing the initial assessment, the nurse notes the patient demonstrating pill-rolling movement in her right hand and stooped posture. Physical exam shows bradykinesia and a shuffling gait. Which of the following would the nurse suspect is the causative factor for these symptoms?

Parkinson's disease

A patient is diagnosed with blepharitis. What symptoms should a nurse monitor in this patient?

Patchy flakes clinging to the eye lashes

Which of the following best describes a CVA?

Prolonged interruption in the blood flow through one of the arteries supplying the brain

Which of the following laboratory tests will be elevated in a patient with prostate cancer?

Prostate specific antigen

Mr. Thompson, a patient you are caring for, experiences a seizure. Which of the following would be a priority nursing action?

Protect him from injuring himself

One symptom that occurs with a stroke that is the inability to understand spoken and written language is which of the following?

Receptive aphasia

A nurse is monitoring a patient diagnosed with Lyme disease. Which finding would suggest the disease is in the early stages?

Red macule or papule

RICES

Rest, ice, compression, elevation and stabilization

The nurse is assessing a male client with genital warts. Which of the following symptoms would the nurse expect to find?

Soft, fleshy growths on the perineum

Tonic/clonic seizures in which the patient doesn't regain consciousness between seizures is called

Status epilepticus

Which of the following qualifies as an abnormal result in a Romberg test?

Swaying, losing balance or arm drifting

Mr. Jackson underwent an invasive joint examination of his knee. The nurse should monitor him closely for which of the following post op:

Swelling and drainage

Mr. Somers has been diagnosed with degenerative joint disease. Which of the following statements made by Mr. Somers shows he understands the diagnosis?

This is a progressive disease that causes slow and steady destruction

The nurse is assessing a patient who was admitted to the hospital for possible Meniere's disease. Which subjective symptom is the patient most likely to report?

Vertigo

The most common etiology with encephalitis is which of the following?

Viruses

Which of the following would the nurse expect to assess as the most common finding associated with fibromyalgia?

Widespread chronic pain

Define AML

against medical leave

Do brain cells regenerate or not ?

brain cells do not regenerate

Ceruminous glands secrete

cerumen

Which of the following assessments should the nurse observe in a patient with a cataract?

complaints of blurred or cloudy vision

What is the priority teaching for cataract surgery

don't bend at the waist

Uterine prolapse

downward displacement of the uterus into the vagina

what meds do you give with migraines

not mild analgesics

What is the most important protective sense

pain

what can you see if you have macular degeneration

peripheral vision

if a patient has a lower leg fracture you should support the leg by ?

placing hand under the knee and heel

D&C involves what

procedure in which the cervical is dilated and the inside of the uterus is scraped with a curette

treatment for cataract is what ?

surgery

The best place on the body to do intradermal injection tests is

the back