Med-Surg 5

Question 1

Hypothyroidism s/s
a) Tremors
b) Weight loss
c) Feeling cold
d) Loss of body hair
e) Persistent lethargy
f) Puffiness of the face

Answer 1

c,d,e,f
hyperthyroidism s/s

Question 2

Hyperthyroidism s/s?

Answer 2

Everything is high and hot
Grave’s disease
fever, nausea, tremors, confusion

Question 3

Hyperthyroidism
Treatment
a) radioactive iodine?
b) PTU?
c) Thyroidectomy?

Answer 3

a) PT should in a room by themselves in 24hrs
Watch out in urine, if urine spills on the floor, the hazmat team must be called
b) Slows thyroid down
Monitor WBC count!!
c) Total need lifelong med, watch out hypocalcemia
Sub-total watch out thyroid storm

Question 4

Thyroid storm s/s

Answer 4

Super high fever (105&up)
Extremely high BP
Severe tachycardia
Psychotic delirium

Question 5

Addison’s disease
They cannot adapt to stress. When they stress….
a) what vitals are changed?
b) What complication will occur?
c) treatment?

Answer 5

a) Decrase BP and glucose
b) shock
c) glucocorticoids
all steroids endin “SONE”
Add sone=addison

Question 6

If you are on steroids and you are diabetic, what do you do?

Answer 6

Need a lot more insulin
Steroids increase blood glucose!

Question 7

impetigo
s/s
why is it so important to complete antibiotics?

Answer 7

Lesion is commonly around the mouth and nose but it may show up on broken skin such as an insect bite
leads secondary infections such as glomerulonephritis

Question 8

Prescribed lindane shampoo to treat lice.
Who is contraindication?

Answer 8

child younger than 2 years old
because they have more permeable skin and high systemic absorption may occur

Question 9

Which factor will affect?
Glomerulonephritis
CKD stage 5
AKI(pre-renal)
a) GFR
b) Tachycardia
c) BUN
d) Hypertension
e) Inc K

Answer 9

a) CKD and AKI
b) all
c) all
d) glomerulonephritis and CKD
e) all

Question 10

a) uremia?
b) Kidney disease cause anemia, what treatment?

Answer 10

a) A condition involving abnormally high levels of waste products in the blood d/t kidney disfunction
b) Type and cross for 2u PRBC

Question 11

Pre-renal AKI
a) What vital must immediately follow up?
b) Treatment for this issue?

Answer 11

a) Hypotension
This cause decreased perfusion to organs, only 20 min poor perfusion causes tubular necrosis
Blood can’t get into kidny d/t obstraction
b) IV fluid

Question 12

UTI cause infection
cystitis
pyelonephritis
urosepsis
a) they all will occur?
b) cystitis characteristic?
c) pyelonephritis
d) urosepsis

Answer 12

a) urgency, dysuria, hematuria
b) NOT present with systemic s/s so vital won’t change
c) CVA tenderness
d) Tachycardia, hypotension

Question 13

What is dysuria?

Answer 13

the sensation of pain and/or burning, stinging, or itching associated with urination

Question 14

Before administering alteplase(tPA) what nurse need to check?

Answer 14

the pt’s current weight
because tPA dosing is weight-based

Question 15

a) dependent position?
b) rubor
c) s1 sound? s2 sound?
d) what is Glycosylated hemoglobin?

Answer 15

a) hanging down
b) redness or erythema of the skin
c) APT-M 2245
s1-T4 left s2 P2 left
d) HbA1c

Question 16

A pt with Parkinson’s disease takes benztropine. What ADR?

a) Urinary retention
b) Diarrhea
c) Constipation
d) Blurred vision
e) Tinnitus
f) Dry mouth
g) Drowsiness

Answer 16

a,c,d,f
Parkinson’s=ABC advaers reacion

Question 17

Guillain-Barre syndrome
a) Respiratory failure
b) Pulmonary congestion
c) Hypertension
d) Flaccid paralysis
e) Hemiplegia
f) Urinary retention

Answer 17

a,d,f
a-classic s/s
A condition in which the immune system attacks the nerves

Question 18

A older adult pt refused to eat and drink for several days. Which action by the nurse is best?
a) Check the pt’s oral temp
b) Assess pt’s urine output
c) Check the skin turgor on the back of the hand
d) Obtain the BP in the sitting and standing position

Answer 18

d
They are dehydrated and have an increased risk for orthostatic hypotension.
When check skin turgor on the older pt, we check on their sternum or forehead

Question 19

A pt with DM2 taking Metformin. which are common adverse effect?
a) Hypoglycemia
b) Nausea
c) DIarrhea
d) Vomiting
e) Increased appetite
f) headache

Answer 19

b,c,d
a-Metformin decreases glucose levels in the liver(decrease production) they don’t produce extra insulin

Question 20

A pt with NG tube is vomitus a moderate amount of green fluid. What action should be taken?
a) Change the suction from intermittent mode to continuous mode
b) Measure the amount of vomitus
c) Replace the NG tune with a larger one
d) Irrigate the NG tube with 20ML of normal saline

Answer 20

d
If a pt with NG tube vomiting, the tube is obstructed. Use normal saline (NS) for irrigation.
b- vomiting is result of an obstruction, which is the primary problem

Question 21

What is a myelogram?

Answer 21

The test involves a lumbar puncture with an injection of contrast medium, allowing x-ray visualization of the vertebral canal

Question 22

a) Accountability?
b) Advocacy?
c) Beneficence

Answer 22

a) responsibility
b) Respect pt’s decision
Acting to protect their right
participate in the decision-making process
Help pt become more independent
c) promotion of good and prevention of harm

Question 23

a) IVP what order would expect before?
b) After right-side cataract surgery, which side should avoid lying down
c) euthanasia?

Answer 23

a) cleansing enemas improves visualization of the urinary tract
b) Affected side(right)
c) 安楽死

Question 24

a) What is Erythrocytes?
b) What is Psoriasis?
c) NG tube pH normal level
d) Which disease reduces pain when move joint? OA or RA?

Answer 24

a) RBC
b) Silver white scaly patches
patches are everywhere but most commonly on the elbow, knees
autoimmune disease
c) 1-5
d) RA

Question 25

NG tube how to insert?

Answer 25

Place the tube at the tip of the nose, and measure by extending the tube to earlobe and then down to the xiphoid process

Question 26

A pt with dementia has been identified as having a high BUN in lab results. Which non-pharmacological actions would be best for the nurse to take?
a) Assist the pt to the bathroom every morning
b) Place water in front of the pt every hour to encourage oral hydration
c) Notify HCP

Answer 26

b
BUN=dehydration
DO NOT confuse with creatine level and BUN. creatine indicates Kindy failed.