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Med Surg II > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Known for a goiter?

A

Grave’s disease (hyperthyroidism)

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2
Q

List 4 characteristics of breast cancer tumor?

A

Hard, painless, irregular edges, fixed

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3
Q

2 nursing care recommendations for patient with mastitis?

A

Cold compresses and supportive bra

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4
Q

HPV most important risk factor for?

A

Cervical cancer

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5
Q

Vaginal birth contraindicated for what disease?

A

Active herpes

You would need to do C- section

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6
Q

Rapid transit from stomach to intestines causing diaphoresis, discomfort, etc?

A

Dumping syndrome

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7
Q

Continuous dull ache in RUQ, epigastric or back is what?

A

Liver cancer

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8
Q

2 things you assess on dialysis fistula?

A

Bruit and thrill

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9
Q

Explain the difference between paraphimosis and phimosis?

A

Paraphimosis is foreskin is retracted backward and stuck there, phimosis is unable to retract over glans

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10
Q

Monistat is used for what condition?

A

Yeast infection (candidiasis)

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11
Q

The foremost factor that may influence the development of disease is what?

A

Genetic makeup

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12
Q

What medication used for genital herpes?

A

Acyclovir (Zithromax); Valtrex

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13
Q

What kind of surgery to fix large bowel obstruction?

A

Surgical resection

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14
Q

Too much or build-up of what by-product contributes to hepatic encephalopathy?

A

Ammonia

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15
Q

Priority post organ transplant is implementing?

A

Infection control measures

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16
Q

Raising hands during breast examination will increase chance of finding or detecting what?

A

Dimpling

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17
Q

To prevent recurrent vaginal infections?

A

Do not douche

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18
Q

Life threatening complication of gallstones is what?

A

Gangrene of the gallbladder

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19
Q

Pain related to first tampon use is called what?

A

Vulvodynia

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20
Q

What patient population most likely to be associated with hypothyroidism?

A

Elderly

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21
Q

What condition includes a complaint of painful and/or bloody ejaculation?

A

Prostatitis

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22
Q

Increasing what at home will decrease incidence of kidney stones?

A

Increased fluid intake

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23
Q

With peptic ulcer disease (PUD) physician order test to check for presence of what?

A

H. pylori

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24
Q

People who do this have 2x increase of bladder cancer?

A

Smoking

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25
Man and women both have sickle cell trait (they are carriers); what chance does child have of inheriting condition?
25% kid will HAVE sickle cell, 50% chance of having trait → autosomal recessive 25%; autosomal dominant 50%
26
What lab work expect to be abnormal when diagnosing cholecystitis?
Bilirubin and WBC
27
Who should you call if a patient has catheter removed and a few hours later has urgency and 2 small volume voids?
No one- that is normal
28
How many years earlier than youngest family member with breast cancer should screening and mammography start?
5-10 years earlier
29
Name the 2 important screening tests for prostate cancer?
PSA, DRE
30
Impaired wound healing is a risk associated with what type of therapy?
Radiation
31
Sister Mary Joseph nodules indicative of what?
Gastric cancer
32
What is considered foundation of genetic testing?
Family history
33
What medication can be used to treat thrombocythemia?
Hydroxyurea
34
Over-secretion of ACTH and GH from anterior pituitary causes what 3 conditions?
Gigantism, acromegaly, Cushing's
35
What kind of care includes taking care of patient and family during end-of-life care at home?
Hospice
36
Research suggests 25-30% reduction in breast cancer risk attributed to doing what?
Physical activity
37
Name 2 requirements you would need to complete informed consent for genetic testing for Hispanic couple?
Interpreter, alert and oriented/ competent
38
Define penetrance?
The extent to which a particular disease is expressed in those carrying it
39
- Permanent vascular damage if this condition not fixed?
Priapism
40
Medication used first for esophageal varices?
Octreotide
41
Rubbing or scratching area of skin irritated from radiation therapy can cause what?
Infection from impaired skin integrity
42
2 medications requires stimulation to work, can cause headache, flushing, and dry mouth, taken 1 hour prior to intercourse?
Cialis, Viagra
43
Small bowel obstruction with N/V may require what intervention?
NGT
44
If Reglan is antiemetic, why used for GERD who is not nauseated?
Increases GI motility
45
Chemicals secreted by adrenal medulla?
Epinephrine and Norepinephrine
46
Proper disposal of sharps helps prevent which 2 types of hepatitis?
B and C
47
What two types of hepatitis are fecal oral route?
A and E
48
Most common cause of hypoparathyroidism is what?
Surgery of thyroid (removal)
49
Delaying surgery a few days for cholecystitis would be considered for what reason?
To allow acute signs and symptoms to subside
50
Major complications of surgery, especially with kidney is what?
Bleeding
51
What are the first and second most common clinical presentations of colorectal cancer?
Blood in stool, change in bowel habits
52
Give 3 possible reasons for post-renal failure?
Stones, tumor, BPH, strictures, blood clots
53
Variceal bleeding is associated with portal hypertension from what disease?
Cirrhosis
54
A patient with hemophilia has orders for IM and subQ meds on his MAR, what would you do?
Call doctor and ask to have route changed
55
Patient informed he has Huntington’s disease, he insists you don’t tell his family?
Respect wishes, keep confidential, ask him to reconsider?
56
With hiatal hernia what nutrition/ consumption advice give to patient?
Smaller meals more frequently, no spicy foods
57
Patient treated for fluid volume deficit? Effectiveness of treatment what parameter do you monitor for?
I&Os
58
Used to treat multiple myeloma, potentially serious side effect of Bortezomib?
Peripheral neuropathy
59
What is the 5 year survival rate for breast cancer with lymph node involvement and signs of metastasis?
15%
60
What nursing intervention who just had procedure for esophageal cancer to prevent reflux?
Position with HOB up
61
What classification interfere with and can cause adverse reactions when also taking Synthroid?
Benzo’s
62
Undiagnosed acute pancreatitis leads to episodes of what?
Chronic pancreatitis
63
Name 3 risk factors for pancreatic cancer?
Smoking, exposure to chemicals or toxins, diet high in fat or meat
64
How does UDCA work?
Inhibits synthesis and secretion of cholesterol which desaturates bile
65
With AML, hallmark diagnosis is excess of what?
Immature blast cells (immature leukocytes)
66
Teaching patients to wear sunscreen is what kind of prevention?
Primary
67
Massive leukemic cell destruction from chemo resulting in release of intracellular contents and fluid into circulation is referred to as what complication?
Tumor lysis syndrome
68
Anal itching, painful bowel movements and bright red blood on bathroom tissue indicative of what?
Hemorrhoids
69
Only cure for MDS often unavailable to most patients due to comorbidities is what?
Hematopoietic stem cell transplant
70
What nursing diagnosis related to both thrombocythemia and hypercoagulation?
Risk for ineffective tissue perfusion
71
What is pernicious anemia and what is the cause?
Not having enough intrinsic factor, due to lack of Vit B12
72
Survivors of what condition have high risk of secondary cancers?
Hodgkin’s lymphoma
73
Avoiding irritating foods, beverages and seasoning is strategy to manage what condition?
Chronic gastritis
74
Collection of fluid in tunica vaginalis of testes is referred to as what?
Hydrocele
75
Process used to remove excess iron is what?
Chelation therapy
76
What surgical option used to treat ITP?
Splenectomy
77
Factor 8 used to treat trauma patient with what condition?
Hemophilia A
78
DIC is a combination of what two problems?
Clotting and bleeding
79
A desired increase on a aPTT on lab work occurs with what IV drip?
Heparin

Med Surg II (1 decks)

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