MED SURG 2 FINAL

What condition triggers the general adaptation syndrome?

Distress

A client with extensive endometriosis is a scheduled for a pan hysterectomy. Which statement by the client indicates a need for further teaching?

I will not have to deal with symptoms of menopause

Disulfiram is prescribed for a client recovering from alcohol dependency. What is the primary reason for prescribing this drug

Makes consuming any type of alcohol unpleasant

A client has been referred to an ophthalmologist for suspected macular degeneration. The nurse knows to prepare for what test for the physician to give the client?

amsler grid

A client has been diagnosed with bulimia nervosa, which assessment findings contribute to this diagnosis select all that apply?

-Electrolyte imbalance -dehydration -constipation -chronic sore throat

What is another name for the drug classification known as minor tranquilizers?

Anxiolytics

Clients with anorexia nervosa frequently use method to avoid eating, or to prevent weight gain. Which documentation most accurately describes the behavior of a client with anorexia?

Client observed to move food around the plate, arranged various patterns

The nurse is caring for a client in heart failure with signs of hypervolemia. Which vital sign is indicative of the disease process?

Elevated blood pressure

A client is diagnosed with polycystic kidney disease. Which symptom would the nurse most likely assess?

Hypertension

The nurse is obtaining a visual history from a client who has noted an increase in glare and changes in color perception. Which assessment were the nurse anticipate to confirm a definite diagnosis?

Identification of opacities on the lens

A client is having problems with dizziness and complains of the room spinning. The physician performs a caloric stimulation test. The nurse knows that a diminished response in one eye during the caloric stimulation test is indicated of what?

Inner ear disorder

The nurse is instructing a community education class on stress. The nurse asked the participants is all stress bad for you? Which answer by the participants indicates that teaching has been effective.

No, the right amount of stress can be motivating to accomplish goals

The nurse is caring for a client with an autoimmune disease. What is a characteristic of autoimmune disorders?

Progressive tissue damage without any verifiable etiology.

The nurse is caring for a client immediately after a spinal cord injury. Which assessment finding as essential when caring for a client in spinal shock with injury to the lower thoracic region

pulse and blood pressure

The nurse is caring for a client who underwent surgery for for a retinal detachment. The surgery included the injection in of an air bubble to promote cataract between the retina and choroids. What position should the nurse keep the client?

with face parallel to the floor

The lactation nurse is caring for a mother who is 2 weeks postpartum and has mastitis. Which statement, made by the client, requires instruction and is the probable cause of the mastitis?

" I nurse the baby on one breast each feeding."

The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching?

"I hope they find a bone marrow donor who matches."

A client with chronic glomerulonephritis has generalized edema. Which response by the nurse best describes why anasarca occurs with this disorder?

"Loss of serum protein causes the body's fluids to shift."

The nurse is caring for a client with paralysis as a result of a spinal cord injury. When planning care related to the musculoskeletal system what complication would the nurse consider select all that apply

-Spinal shock -respiratory arrest

A family member comes to the clinic to talk to the nurse about a client who has had a stroke on the right side of the brain. The family member is concerned because of the deficits the client is exhibiting. The nurse knows that when a client experiences a stroke on the right side of the brain, common defects include what select all that apply

-neglect of objects and people on the left side. -Tendency to distractibility. -Left-sided hemiplegia

A six-year-old child has come to the emergency department after falling off a bike. The healthcare provider diagnosis a concussion and the child's parent asks the nurse what a concussion is. What should the nurses response be

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

The nurse is differentiating between anorexia and bulimia. What clinical manifestation would correlate with anorexia?

Amenorrhea

The nurse is completing a medication, history for a client diagnosed with bipolar disorder. When assessing the medication which medication classification is noted as an adjunct to lithium therapy?

Anti-convulsants

The nurse is to check residual urine amounts for a client experiencing urinary retention. Which would be most important?

Catheterize the client immediately after the client voids.

The nurse is caring for clients at a long-term care facility. When considering activities in the summer heat, which physiologic change of renal aging can also result in geriatric dehydration?

Decreased ability to concentrate urine

The client is consulting with a physician regarding a potential diagnosis of Ménière's disease. The nurse is assisting in positional testing and documentation. Which diagnostic test with the nurse anticipate to obtain a more precise evaluation of vestibular function?

Electronystagmography

A client with lupus has had anti-neoplastic drugs prescribed. Why would the physician prescribe these medications for an autoimmune disease?

For their immunosuppressant effects.

Which of the following is a behavioral manifestation of panic anxiety?

Fragmented thoughts

Anti-convulsants enhance, which neurotransmitter and clients diagnosed with bipolar disorder?

GABA

A client with Hodgkin's disease has bilateral lymph nodes that are affected with extension through the spleen as well as affecting the bone marrow. What stage of the disease does the nurse recognize the client is in?

IV

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

Maintaining optimal bladder emptying

The nurse is completing a community education via a pamphlet on sexually transmitted diseases. Which key point is most important for the nurse to emphasize?

Many people are asymptomatic and show no symptoms contributing to the spread of the disease

The client has brought to the emergency department with hallucinations, acne and black and teeth during the nursing assessment. A generalized seizure begins the nurse interprets this as possible, toxicity to which substance.

Methamphetamine

A client with a diagnosis of pernicious anemia come to the clinic complaining of numbness and tingling in his arms and legs. What do these symptoms indicate?

Neurologic involvement

The nurse is assisting a 30-year-old client in scheduling an appointment for a cervical biopsy. The nurse would recommend that the client schedule the testing at which time?

One week after completion of the clients menstrual cycle

What is the result of the appropriate use of coping mechanisms?

Physiological growth

The nurse is teaching a family member how to instill eardrops to the client to remove impacted cerumen. What is important to teach this family member?

Place the container in warm water before installation

A client with non-Hodgkin's lymphoma is receiving chemotherapy for treatment. The client is complaining of nausea during the treatment. To maintain fluid intake what type of food or fluid could the nurse offer the client?

Popsicle

The nurse is reviewing client lab work for a critical lab value. Which value is called to the health care provider for additional prescriptions?

Potassium: 5.8 mEq/L

A client with bipolar disorder is having a disturbed thought process what nursing intervention can help the client to be oriented, and accurately perceived circumstances surrounding admission?

Reduce distracting stimuli

The nurse is caring for a client who reports not feeling very well when asking the client for specific symptoms a client is vague with details, but does state feeling better when the sun is shining with this information the nurse would document which disorder as a possibility?

Seasonal effective disorder (SAD)

Client who has experienced an initial transient ischemic attack States I am glad that it wasn't anything serious. What is the best nursing response to the statement

Tia is a warning sign. Let's talk about lowering your risk

A client come to the occupational health nurse, complaining of a irritation. The client works in a dusty outdoor environment. Why should the nurse advise periodic blinking to this client ?

To minimize the impact of the wind on the eye and to trap foreign debris

A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom?

Urinary retention

The nurse is providing care to a client who has had a renal biopsy. The nurse would need to be alert for signs and symptoms of what?

bleeding

The nurse is caring for a client experiencing hearing loss. The nurse uses the auto scope to assess the ear canal and tympanic membrane and noticed significant accumulation of cerumen. Which documentation of hearing loss type would be accurate?

conductive

The nurse is obtaining medication history information from a client with Crohn's disease. What medication would the nurse include when asking what medications the client has taken for suppression of the inflammatory and immune response?

corticosteroids

A client is admitted for evaluation of cerebral aneurysm. Which assessment finding is of greatest importance in prioritizing nursing care to this client

nausea

A nursing student is presenting a report on Ménière's disease to other members of the class. What symptom were the student list?

nystagmus of the eyes

A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of male not producing viable sperm to enable ovum fertilization. Which mouth structures of the nurse consider if the problem is narrow to sperm survivability?

prostate gland

A client asks the nurse why cystitis is more common in women than in men. Which of the following body parts will the nurse include in the answer?

the urethra

A nurse is providing an afternoon shift report and relates morning assessment findings to the oncoming nurse. Which daily assessment data is necessary to determine changes in the client's hypervolemia status?

weight