Medsurg 6

Question 1

____ is classified as a urinary tract spasmolytic.

Answer 1

Flavoxate (Urispas)

Question 2

____ is a sign of cardiogenic shock in a patient with a myocardial infarction,

Answer 2

Hypotension

Question 3

The _____ are cramping pain, vomiting, distention, and inability to pass feces or flatus.

Answer 3

predominant signs of mechanical ileus

Question 4

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.

Answer 4

myocardial infarction

Question 5

_____ relaxes smooth muscle, causing vasodilation and relieving the chest pain associated with myocardial infarction and angina.

Answer 5

Nitroglycerin

Question 6

The ____ is based on the patient’s signs and symptoms, electrocardiogram tracings, and serum enzyme studies.

Answer 6

diagnosis of an acute myocardial infarction

Question 7

____ are the predominant problem during the first 48 hours after a myocardial infarction.

Answer 7

Arrhythmias

Question 8

Clinical manifestations of _____ include weight loss, muscle wasting, bloating and steatorrhea.

Answer 8

malabsorption

Question 9

_____ , an enzyme that inhibits the synthesis of deoxyribonucleic acid and protein, is used to treat acute lymphocytic leukemia.

Answer 9

Asparaginase

Question 10

To relieve a patient’s sore throat that’s caused by nasogastric tube irritation, the nurse should provide _____ as prescribed.

Answer 10

anesthetic lozenges

Question 11

For the first 12 to 24 hours after gastric surgery, the stomach contents obtained by Suctioning) are _____ .

Answer 11

brown

Question 12

After gastric suctioning is discontinued, a patient who is recovering from a ____ should receive a clear liquid diet.

Answer 12

subtotal gastrectomy

Question 13

The ____ is the preferred site for a permanent colostomy.

Answer 13

descending colon

Question 14

____ in the veins commonly causes varicosity.

Answer 14

Valvular insufficiency

Question 15

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.

Answer 15

colostomy

Question 16

A patient who is ____ is placed in reverse isolation because the white blood cell count may be depressed.

Answer 16

receiving chemotherapy

Question 17

Symptoms of ____ are caused by improper emptying of the left atrium.

Answer 17

mitral valve stenosis

Question 18

Persistent bleeding ____ may require the administration of protamine sulfate to reverse the effects of heparin sodium used during surgery

Answer 18

after open heart surgery

Question 19

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

Answer 19

digoxin

Question 20

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.

Answer 20

chest tube

Question 21

In ____ , the rescuers administer 60 chest compressions per minute and 1 breath for every 5 compressions.

Answer 21

two-person cardiopulmonary resuscitation

Question 22

____ can result from rheumatic fever.

Answer 22

Mitral valve stenosis

Question 23

____ is incomplete expansion of lung segments or lobules (clusters of alveoli). It may cause the lung or lobe to collapse.

Answer 23

Atelectasis

Question 24

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.

Answer 24

ileal conduit

Question 25

A patient who is receiving ____ should be placed on a solid, flat surface.

Answer 25

cardiopulmonary resuscitation

Question 26

____ occurs 4 to 6 minutes after cardiopulmonary function ceases.

Answer 26

Brain damage

Question 27

_____ is the transition period during which a woman’s reproductive function diminishes and gradually disappears.

Answer 27

Climacteric

Question 28

After ____ , the patient should remain on his side, flat in bed.

Answer 28

infratentorial surgery

Question 29

In a patient who has an _____ , milk is contraindicated because its high calcium content stimulates secretion of gastric acid.

Answer 29

ulcer

Question 30

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.

Answer 30

positive test result

Question 31

A common _____ is circulatory failure caused by bleeding.

Answer 31

complication after prostatectomy

Question 32

In ____ , a major focus of nursing care is decreasing the workload of the heart

Answer 32

right-sided heart failure

Question 33

Signs and symptoms of ____ include nausea, vomiting, confusion, and arrhythmias.

Answer 33

digoxin toxicity

Question 34

An ____ typically begins with wheezing, coughing, and increasing respiratory distress.

Answer 34

asthma attack

Question 35

In a patient who is recovering from a tonsillectomy, ____ suggests hemorrhage.

Answer 35

frequent swallowing

Question 36

ileostomies and Hartmann’s colostomies are _____. Loop colostomies and double-barrel colostomies are temporary ones,

Answer 36

permanent stomas

Question 37

A patient who has an ileostomy should eat foods, such as ____ , because they act as intestinal tract deodorizers.

Answer 37

spinach and parsley

Question 38

An_____ can decrease steroid production, which can cause extensive loss of sodium and water

Answer 38

adrenalectomy

Question 39

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.

Answer 39

morphine

Question 40

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.

Answer 40

supratentorlal surgery

Question 41

After a patient undergoes a ____, the nurse must closely monitor the peripheral pulses distal to the operative site and circulation.

Answer 41

femoral-popliteal bypass graft

Question 42

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.

Answer 42

femoral-popliteal bypass graft

Question 43

Of the five senses, ____is the last to be lost in a patient who is entering a coma.

Answer 43

hearing

Question 44

____ causes an enlarged, edematous gallbladder with multiple stones and an elevated bilirubin level

Answer 44

Cholelithiasis

Question 45

The antiviral agent ____ successfully slows replication of the human immunodeficiency virus, thereby slowing the development of acquired immunodeficiency syndrome.

Answer 45

zidovudine (Retrovir)

Question 46

____ causes marked edema and congestion, spindle-shaped joints, and severe flexion deformities

Answer 46

Severe rheumatoid arthritis