med surg II exam 3 practice

You are called to a residence for a 60-year-old male complaining of chest pain. You find the patient seated in bed. His past medical history includes hypertension and high cholesterol. The patient presents with hives over the chest, stridor, a swollen tongue, and wheezing in the upper fields. He denies any shortness of breath or respiratory distress. What condition do you suspect? A. Anaphylaxis B. Asthma C. Acute myocardial infarction D. Angina pectoris

A. Anaphylaxis

Studies show that individuals in the health care profession are growing increasingly allergic to: a. iodine. b. alcohol. c. natural latex. d. plastics.

C. Natural latex

The nurse is caring for the client who has had skeletal traction applied to the left leg. The client is complaining of severe left leg pain. Which action should the nurse take first?

Check the client's alignment in bed.

A client with a hip fracture asks the nurse why Buck's extension traction is being applied before surgery. The nurse's response is based on the understanding that Buck's extension traction has which primary function?

Provides comfort by reducing muscle spasms and provides fracture immobilization

The nurse is instructing the client who was newly diagnosed with peptic ulcers. Which of the following diagnostic studies would the nurse anticipate reviewing with the client?

Serum antibodies for H.pylori

The nurse is caring for a client with a diagnosis of gout. Which laboratory value should the nurse expect to note in the client?

Uric acid level of 8 mg/dL

A patient with a history of allergies comes to the clinic for an evaluation. The following laboratory test findings are recorded in a patient's medical record: Total serum IgE levels: 2.8 mg/mL White blood cell count: 5,100/cu mm Eosinophil count: 4% Erythrocyte sedimentation rate: 20 mm/h The nurse identifies which result as suggesting an allergic reaction? a) Eosinophil count b) Erythrocyte sedimentation rate c) White blood cell count d) Serum IgE level

d) Serum IgE level

Epinephrine, given for severe allergic reactions, helps reverse the effects of the allergic reaction by: a. increasing the heart rate. b. dilating the blood vessels. c. constricting the bronchioles. d. dilating the bronchioles.

d. Dilating the bronchioles

The nurse understands that the client with pernicious anemia will have which distinguishing laboratory findings?

intrinsic factor absent

After teaching the client with severe rheumatoid arthritis about prescribed methotrexate (Rheumatrex), which of the following statements indicates the need for further teaching? 1. "I will take my vitamins while I'm on this drug." 2. "I must not drink any alcohol while I'm taking this drug." 3. "I should brush my teeth after every meal." 4. "I will continue taking my birth control pills."

1. Because some over-the-counter vitamin supplements contain folic acid, the client should avoid self-medication with vitamins while taking methotrexate, a folic acid antagonist. Because methotrexate is hepatotoxic, the client should avoid the intake of alcohol, which could increase the risk for hepatotoxicity. Methotrexate can cause bone marrow depression, placing the client at risk for infection. Therefore, meticulous mouth care is essential to minimize the risk of infection. Contraception should be used during methotrexate therapy and for 8 weeks after the therapy has been discontinued because of its effect on mitosis. Methotrexate is considered teratogenic.

On a visit to the clinic, a client reports the onset of early symptoms of rheumatoid arthritis. The nurse should conduct a focused assessment for: 1. Limited motion of joints. 2. Deformed joints of the hands. 3. Early morning stiffness. 4. Rheumatoid nodules.

3. Initially, most clients with early symptoms of rheumatoid arthritis complain of early morning stiffness or stiffness after sitting still for a while. Later symptoms of rheumatoid arthritis include limited joint range of motion; deformed joints, especially of the hand; and rheumatoid nodules.

Which of the following is a group of mediators that initiate the inflammatory response? a) Prostaglandins b) Leukotrienes c) Lymphokines d) Mast cells

b) Leukotrienes

Which statement would would alert the nurse to suspect a client is experiencing a mild anaphylactic reaction? a) "I'm having difficulty swallowing." b) "I feel like my face is so flushed." c) "My throat feels like it's full." d) "I'm having tightness in my chest."

c) "My throat feels like it's full."

Which of the following is clinical manifestation of cholelithiasis?

clay colored stools