Adult Med Surg Review

Question 1

SLE
systemic lupus erythematosus finding

Answer 1

fatigue, joint pain, butterfly rash, positive ANA titer

Question 2

Left sided stroke

Answer 2

Inability to speak and understand language

Question 3

Right sided stroke

Answer 3

Left-sided weakness,
poor judegement and impulse control
overestimation of abilities.

Question 4

bilateral joint pain, morning stiffness, swan neck deformity, and boutonniere deformity

Answer 4

Rheumatoid arthritis

Question 5

Right-sided HF

Answer 5

peripheral edema, ascites, jugular vein distention, and hepatomegaly.

Question 6

Left-sided HF

Answer 6

Crackles in the lungs

Question 7

Autonomic Dysreflexia after Spinal Cord Injury

Answer 7

Extreme hypertension,
Diaphoresis

Soultion ot resolve hypertension;
sit the patient up and loosen any restrictive clothing.

Question 8

Pericarditis

Answer 8

Pleural Friction Rub

Question 9

Stress incontinence

Answer 9

aused by a weak pelvic floor. It results in small urine loss when sneezing, coughing, or laughing. Kegel exercises, weight loss, and vaginal cone therapy are all treatment options for stress incontinence.

Question 10

When caring for a patient diagnosed with unilateral lung disease, how should the nurse position this patient?

Answer 10

Laterally with the unaffected lung down

Question 11

Synchronized cardioversion

Answer 11

SVT, Afib, Aflutter

Question 12

Defib

Answer 12

Vtach (pulseless), Vfib

Question 13

Asystole

Answer 13

CPR

Question 14

Which renal disorder would require the nurse to strain the patient’s urine

Answer 14

Urolithiasis is the presence of stones within the urinary tract.

Question 15

The patient was hyperventilating due to panic-level anxiety. Which imbalance is occurring in this patient?

Answer 15

Respiratory Alkalosis

Question 16

Which type of angina occurs with exercise or at rest and increases in duration, frequency, or severity over time?

Answer 16

Unstable Angina

Question 17

A nurse is caring for a patient who has had a loss of central vision. The nurse understands this is a sign of which eye disorder?

Answer 17

Macular Degeneration

Question 18

DKA

Answer 18

Metabolic Acidosis

Question 19

Splinter hemorrhages are a key sign of which cardiac disorder?

Answer 19

Infective endocarditis

Question 20

Fluid Vol Overload

Answer 20

weight gain, edema, tachycardia, tachypnea, hypertension, bounding pulses, dyspnea, crackles, and jugular vein distension.

Question 21

Synchronized cardioversion

Answer 21

reatment of SVT, stable ventricular tachycardia, and atrial fibrillation with rapid ventricular response.

Patients with pulseless ventricular tachycardia should receive defibrillation.