Jake Med Surg Feb 9 quizlet

The nurse is interviewing a patient who says he has a dry, irritating cough that is not "bring anything up." What medication should the nurse question the patient about taking?

Angiotensin converting enzyme (ACE) inhibitors

A patient playing softball was hit in the nose by the ball and has been determined to have an uncomplicated fractured nose with epistaxis. The nurse should prepare to assist the physician with what tasks?

Applying nasal packing

The nurse is planning to obtain blood for arterial blood gas analysis from a client with chronic obstructive pulmonary disease. The nurse should plan time for which activity after the arterial blood specimen is drawn?

Applying pressure to the puncture site by applying a 2 × 2 gauze for 5 minutes

A patient is prescribed spironolactone (Aldactone) for treatment of heart failure. Which dietary adjustment should the nurse advise the patient to make while taking this medication?

Avoid bananas and orange juice.

The nurse inspects the thorax of a patient with advanced emphysema. What does the nurse expect the chest configuration to be for this patient?

Barrel chest

A patient with pulmonary hypertension has a positive vasoreactivity test. What medication does the nurse anticipate administering to this patient?

Calcium channel blockers

The nurse is reviewing the arterial blood gas analysis results for a client in the respiratory care unit who is receiving nasal oxygen and notes a pH of 7.38 (7.38), Paco2 of 38 mm Hg (38 mm Hg), Pao2 of 86 mm Hg (86 mm Hg), and HCO3 of 23 mEq/L (23 mmol/L). What action should the nurse take in response to these results?

Continue monitoring the client.

The nurse is assessing a patient in respiratory failure. What finding is a late indicator of hypoxia?

Cyanosis

During a preadmission assessment, for what diagnosis would the nurse expect to find decreased tactile fremitus and hyperresonant percussion sounds?

Emphysema

A patient is prescribed a medication for hypertension started taking it 3 days ago and arrives in the emergency department with an edematous face and tongue and having a difficult time speaking. What medication is the nurse aware of that may produce this type of side effect?

Enalapril (Vasotec)

A physician wants a study of diaphragmatic motion because of suspected pathology. What does the nurse anticipate that the physician will most likely order?

Fluoroscopy

A patient comes to the clinic and is diagnosed with tonsillitis and adenoiditis. What bacterial pathogen does the nurse know is commonly associated with tonsillitis and adenoiditis?

Group A, beta-hemolytic streptococcus

A patient being treated for an acute arterial occlusion is prescribed intravenous (IV) heparin. On day 5 of heparin therapy, the patient is started on oral warfarin (Coumadin). What should the nurse explain about the use of both of these medications?

It takes 3 to 5 days for warfarin to reach a therapeutic level.

A patient with a recent myocardial infarction continues to exhibit tachycardia and an elevated blood pressure. Which situation or finding should cause the nurse the most concern?

Lab results indicate serum magnesium = 1.2 mg/dL.

A patient is prescribed atorvastatin (Lipitor) to help lower serum cholesterol. Which laboratory test should the nurse closely monitor for this patient?

Liver function tests

A patient with signs and symptoms of a possible myocardial infarction within the past 2 hours is brought into the emergency department. Blood studies reveal slightly elevated C-reactive protein levels but normal troponin levels. Which additional blood study should the nurse expect to be ordered to help in diagnosis and prediction of cardiac risk?

Myoglobin

A patient has been receiving 100% oxygen therapy by way of nonrebreather mask for several days. Now the patient complains of tingling fingers and shortness of breath, is extremely restless, and describes a pain beneath the breastbone. What should the nurse suspect?

Oxygen toxicity

The nurse is reviewing the blood gas results for a patient with pneumonia. What arterial blood gas measurement best reflects the adequacy of aveolar ventilation?

PaCO2

The most common major suppurative complication of sore throat?

Peritonsillar abscess

The nurse is reviewing the arterial blood gas values of a client and notes that the pH is 7.31 (7.31), Paco2 is 50 mm Hg (50 mm Hg), and the bicarbonate (HCO3) level is 26 mEq/L (26 mmol/L). The nurse concludes that which acid-base disturbance is present in this client?

Respiratory acidosis

Arterial blood gas analysis yields the following results: pH 7.48 (7.48), Paco2 32 mm Hg (32 mm Hg), Pao2 94 mm Hg (94 mm Hg), HCO3 level 24 mEq/L (24 mmol/L) for a client seen in the health care clinic. The nurse interprets that the client has which acid-base disturbance?

Respiratory alkalosis

The nurse is performing chest auscultation for a patient with asthma. How does the nurse describe the high-pitched, sibilant, musical sounds that are heard?

Wheezes

A patient is diagnosed with a dysrhythmia that originated in the ventricles. What should the nurse expect to observe in this patient's electrocardiogram tracing?

Wide QRS complex (QRS complex greater than 0.10 seconds)

The most serious complication of tonsillectomy is?

hemorrhage

The patient has had emphysema for a number of years. Which set of arterial blood gas values indicates that the patient is in respiratory acidosis?

pH 7.30, Paco2 50, HCO3-24