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
