Medsurg 6 Flashcards
____ is classified as a urinary tract spasmolytic.
Flavoxate (Urispas)
____ is a sign of cardiogenic shock in a patient with a myocardial infarction,
Hypotension
The _____ are cramping pain, vomiting, distention, and inability to pass feces or flatus.
predominant signs of mechanical ileus
For a patient with a _____ , the nurse should monitor fluid intake and output meticulously, Too little intake causes dehydration, and too much may cause pulmonary edema.
myocardial infarction
_____ relaxes smooth muscle, causing vasodilation and relieving the chest pain associated with myocardial infarction and angina.
Nitroglycerin
The ____ is based on the patient’s signs and symptoms, electrocardiogram tracings, and serum enzyme studies.
diagnosis of an acute myocardial infarction
____ are the predominant problem during the first 48 hours after a myocardial infarction.
Arrhythmias
Clinical manifestations of _____ include weight loss, muscle wasting, bloating and steatorrhea.
malabsorption
_____ , an enzyme that inhibits the synthesis of deoxyribonucleic acid and protein, is used to treat acute lymphocytic leukemia.
Asparaginase
To relieve a patient’s sore throat that’s caused by nasogastric tube irritation, the nurse should provide _____ as prescribed.
anesthetic lozenges
For the first 12 to 24 hours after gastric surgery, the stomach contents obtained by Suctioning) are _____ .
brown
After gastric suctioning is discontinued, a patient who is recovering from a ____ should receive a clear liquid diet.
subtotal gastrectomy
The ____ is the preferred site for a permanent colostomy.
descending colon
____ in the veins commonly causes varicosity.
Valvular insufficiency
A patient with a ____ should restrict fat and fibrous foods and should avoid foods that can obstruct the stoma, such as corn, nuts, and cabbage.
colostomy
A patient who is ____ is placed in reverse isolation because the white blood cell count may be depressed.
receiving chemotherapy
Symptoms of ____ are caused by improper emptying of the left atrium.
mitral valve stenosis
Persistent bleeding ____ may require the administration of protamine sulfate to reverse the effects of heparin sodium used during surgery
after open heart surgery
The nurse should teach a patient with heart failure to take _____ and other drugs as prescribed, to restrict sodium intake, to restrict fluids as prescribed, to get adequate rest, to increase walking and other activities gradually, to avoid extremes of temperature, to report signs of
digoxin
The nurse should check and maintain the patency of all connections for a ____ . If an air leak is detected, the nurse should place one Kelly clamp near the insertion site. If the bubbling stops, the leak is in the thoracic cavity and the physician should be notified immediately. If the leak continues, the nurse should take a second clamp, work down the tube until the leak is located, and stop the leak.
chest tube
In ____ , the rescuers administer 60 chest compressions per minute and 1 breath for every 5 compressions.
two-person cardiopulmonary resuscitation
____ can result from rheumatic fever.
Mitral valve stenosis
____ is incomplete expansion of lung segments or lobules (clusters of alveoli). It may cause the lung or lobe to collapse.
Atelectasis
The nurse should instruct a patient who has an ____ to empty the collection device frequently because the weight of the urine may cause the device to slip from the skin.
ileal conduit
A patient who is receiving ____ should be placed on a solid, flat surface.
cardiopulmonary resuscitation
____ occurs 4 to 6 minutes after cardiopulmonary function ceases.
Brain damage
_____ is the transition period during which a woman’s reproductive function diminishes and gradually disappears.
Climacteric
After ____ , the patient should remain on his side, flat in bed.
infratentorial surgery
In a patient who has an _____ , milk is contraindicated because its high calcium content stimulates secretion of gastric acid.
ulcer
A patient who has a ____ for human immunodeficiency virus has been exposed to the virus associated with acquired immunodeficiency syndrome (AIDS), but doesn’t necessarily have AIDS.
positive test result
A common _____ is circulatory failure caused by bleeding.
complication after prostatectomy
In ____ , a major focus of nursing care is decreasing the workload of the heart
right-sided heart failure
Signs and symptoms of ____ include nausea, vomiting, confusion, and arrhythmias.
digoxin toxicity
An ____ typically begins with wheezing, coughing, and increasing respiratory distress.
asthma attack
In a patient who is recovering from a tonsillectomy, ____ suggests hemorrhage.
frequent swallowing
ileostomies and Hartmann’s colostomies are _____. Loop colostomies and double-barrel colostomies are temporary ones,
permanent stomas
A patient who has an ileostomy should eat foods, such as ____ , because they act as intestinal tract deodorizers.
spinach and parsley
An_____ can decrease steroid production, which can cause extensive loss of sodium and water
adrenalectomy
Before administering ____ (Duramorph) to a patient who is suspected of having a myocardial infarction, the nurse should check the patient’s respiratory rate. If it’s less than 12 breaths/minute, emergency equipment should be readily available for intubation if respiratory depression occurs.
morphine
A patient who is recovering from ____ is normally allowed out of bed 14 to 48 hours after surgery. A patient who is recovering from infratentorial surgery normally remains on bed rest for 3 to 5 days.
supratentorlal surgery
After a patient undergoes a ____, the nurse must closely monitor the peripheral pulses distal to the operative site and circulation.
femoral-popliteal bypass graft
After a ____, the patient should initially be maintained in a semi-Fowler position to avoid flexion of the graft site. Before discharge, the nurse should instruct the patient to avoid positions that put pressure on the graft site until the next followup visit.
femoral-popliteal bypass graft
Of the five senses, ____is the last to be lost in a patient who is entering a coma.
hearing
____ causes an enlarged, edematous gallbladder with multiple stones and an elevated bilirubin level
Cholelithiasis
The antiviral agent ____ successfully slows replication of the human immunodeficiency virus, thereby slowing the development of acquired immunodeficiency syndrome.
zidovudine (Retrovir)
____ causes marked edema and congestion, spindle-shaped joints, and severe flexion deformities
Severe rheumatoid arthritis
