Adult Med-Surg

Question 1

Suctioning

Answer 1

Pre-oxygenate for 30 seconds prior to suction

Question 2

Sildenafil med interaction

Answer 2

Isosorbide mononitrate

Question 3

Fluid volume overload

Answer 3

Distended neck veins

Question 4

Hypoglycemia s/s

Answer 4

Cool, clammy skin

Question 5

NG tube for small bowel obstruction

Answer 5

Assess for passage of flatus

Question 6

Suspected cholecystitis

Answer 6

Vague pain radiating to right shoulder

Question 7

Hypothyroidism

Answer 7

Assess for constipation

Question 8

Hold gentamicin for

Answer 8

Elevated serum creatinine

Question 9

Lactulose potential adverse reaction

Answer 9

Hypokalemia

Question 10

Mag sulfate adverse effect

Answer 10

Respiratory paralysis

Question 11

TURP priority finding

Answer 11

Red concentrated urine with intermittent clots

Question 12

Increased joint pain for rheumatoid arthritis pt

Answer 12

Lab finding shows increased ESR

Question 13

Heart failure pt

Answer 13

Needs regular exercise routine

Question 14

Gastric lavage for upper GI bleed

Answer 14

Insert large bore NG tube

Question 15

Hyperthyroidism pt report

Answer 15

Elevated BP

Question 16

Tension pneumothorax

Answer 16

Chest asymmetry

Question 17

COPD pt with thick secretions

Answer 17

Administer guafenesin as prescribed

Question 18

Prevent contractures

Answer 18

Firm mattress

Question 19

HRT pt should report

Answer 19

Calf pain
Numbness in arms
Intense HA

Question 20

Erythropoietin pt teaching

Answer 20

Iron supplements
Given to reduce need for transfusions
Have frequent blood tests

Question 21

Digoxin pt teaching

Answer 21

Take antacid at least an hr after digoxin
Notify dr if n/v occurs
Take pulse before digoxin

Question 22

Prevent dumping syndrome

Answer 22

Lie in supine position after meals

Question 23

Properly functioning pacemaker

Answer 23

Discharges to maintain programmed HR

Question 24

Irrigate and dress pressure ulcer

Answer 24

Use 30 mL syringe

Question 25

Metformin

Answer 25

Take with meal

Question 26

Allergic reaction steps

Answer 26

``` Inject epinephrine Remove stinger Clean area with soap and water Apply ice Seek medical treatment ```

Question 27

Morphine administration

Answer 27

Monitor for N/V

Question 28

If pt experiencing anaphylactic shock has patent airway

Answer 28

Administer O2 via non-rebreather mask

Question 29

Right hemisphere stroke

Answer 29

Manifests impulsive behavior

Question 30

Conscious sedation intervention needed if

Answer 30

Client has decreased pulse ox | Signifies resp. depression

Question 31

Hearing aid

Answer 31

May have difficulty with background noise

Question 32

Levothyroxine

Answer 32

Calcium supp can interfere with med

Question 33

Arterial line

Answer 33

Place pressure bag around flush solution

Question 34

Stage II Lyme disease

Answer 34

Joint pain | Cardiac and neuro complications

Question 35

Elasticized bandage pt teaching

Answer 35

Wrap foot and work up Bend knee slightly when applying bandage Maintain even pressure as wrapping Leave toes unwrapped

Question 36

Chemo pt

Answer 36

Report fever

Question 37

Warfarin

Answer 37

DC 1 week prior to surgery

Question 38

2 hr post-op open cholecystectomy need for further assessment

Answer 38

Unilateral swelling of lower extremity

Question 39

Blood transfusion fluid

Answer 39

0.9% sodium chloride

Question 40

Detached retina

Answer 40

Like a curtain closing over eye

Question 41

Increased ICP s/s

Answer 41

Sleepiness Widening pulse pressure Decerebate and decoritate posturing

Question 42

Cholinergic crisis

Answer 42

Increased muscle weakness and twitching

Question 43

Adverse effect of propranolol hydrochloride

Answer 43

Bronchoconstriction

Question 44

Central venous catheter insertion

Answer 44

Place pt in trendelenberg

Question 45

Acute pancreatitis priority finding

Answer 45

Absent bowel sounds

Question 46

Left sided heart failure

Answer 46

Oliguria during the day is expected finding

Question 47

Red tag

Answer 47

Incomplete amputation of arm