Medsurg 8

Question 1

The classic sign of an ___ is a vacant facial expression.

Answer 1

absence seizure

Question 2

____ cause persistent, severe pain that usually occurs in the temporal region

Answer 2

Migraine headaches

Question 3

A patient who is in a ____ should be given an opportunity to void every 2 hours during the day and twice at night.

Answer 3

bladder retraining program

Question 4

In a patient with a ____, a decrease in level of consciousness is a cardinal sign of increased intracranial pressure.

Answer 4

head injury,

Question 5

_____ (Ergomar) is most effective when taken during the prodromal phase of a migraine or vascular headache.

Answer 5

Ergotamine

Question 6

_____ includes nasogastric suctioning to decompress the stomach and meperidine (Demerol) for pain.

Answer 6

Treatment of acute pancreatitis

Question 7

____ include a feeling of fullness in the upper abdomen or chest, heartburn, and pain similar to that of angina pectoris.

Answer 7

Symptoms of hiatal hernia

Question 8

The incidence of ____ is higher in women who have had children than in any other group.

Answer 8

cholelithiasis

Question 9

____ can severely damage the liver.

Answer 9

Acetaminophen (Tylenol) overdose

Question 10

The prominent clinical signs of ____ are ascites and jaundice.

Answer 10

advanced cirrhosis

Question 11

The ____ is steady epigastric pain or left upper quadrant pain that radiates from the umbilical area or the back

Answer 11

first symptom of pancreatitis

Question 12

____ is the medical term for sleepwalking.

Answer 12

Somnambulism

Question 13

___ (Adrenalin) is a vasoconstrictor.

Answer 13

Epinephrine

Question 14

An ____ can progress rapidly to hypovolemic shock

Answer 14

untreated liver laceration or rupture

Question 15

___ is extreme, intractable constipation caused by an intestinal obstruction.

Answer 15

Obstipation

Question 16

The definitive test for diagnosing cancer is ____ with cytologic examination of the specimen

Answer 16

biopsy

Question 17

____ requires injection of a contrast medium and can identify joint abnormalities.

Answer 17

Arthrography

Question 18

____ is prescribed to help relieve pain in patients who have terminal cancer.

Answer 18

Brompton’s cocktail

Question 19

A ____ is a malignant tumor in connective tissue.

Answer 19

sarcoma

Question 20

____ (Amphojel) neutralizes gastric acid,

Answer 20

Aluminum hydroxide

Question 21

_____ is partial dislocation or separation, with spontaneous reduction of a joint.

Answer 21

Subluxation

Question 22

____ can cause confusion and delirium in an elderly patient who has an organic brain disorder.

Answer 22

Barbiturates

Question 23

In a patient with _____ , physical therapy is indicated to promote optimal functioning.

Answer 23

arthritis

Question 24

Some patients who have ___ may be anicteric (without jaundice) and lack symptoms but some have headaches, jaundice, anorexia, fatigue, fever, and respiratory tract infection.

Answer 24

hepatitis A

Question 25

____ is usually mild and won’t advance to a carrier state.

Answer 25

Hepatitis A

Question 26

In the ____ of all forms of hepatitis, the patient is highly contagious.

Answer 26

preicteric phase

Question 27

____ are required for a patient who has hepatitis A.

Answer 27

Enteric precautions

Question 28

_____ is ineffective in a patient who has jaundice as a result of gallbladder disease. The liver cells can’t transport the contrast medium to the biliary tract.

Answer 28

Cholecystography

Question 29

In a patient who has ____ dehydration is a concern because diabetes causes polyuria.

Answer 29

diabetes insipidus

Question 30

In a patient who has a ____ , the protruding mass spontaneously retracts into the abdomen.

Answer 30

reducible hernia

Question 31

To prevent ____ , a nurse shouldn’t administer 1.V. phenytoin (Dilantin) through a vein in the back of the hand, but should use a larger vessel.

Answer 31

purple glove syndrome

Question 32

During ____ unconsciousness occurs and surgery is permitted.

Answer 32

stage Ill of surgical anesthesia

Question 33

____ include spinal, caudal, intercostal, epidural, and brachial plexus

Answer 33

Types of regional anesthesia

Question 34

The ____ or drug toxicity is to establish and maintain an airway.

Answer 34

first step in managing drug overdose

Question 35

__ occurs in stage IV of anesthesia (toxic stage).

Answer 35

Respiratory paralysis

Question 36

In ____ the patient is conscious and tranquil.

Answer 36

stage l of anesthesia

Question 37

Dyspnea and sharp, stabbing pain that increases with respiration are symptoms of ____ , which can be a complication of pneumonia or tuberculosis.

Answer 37

pleurisy

Question 38

____ is the major symptom of inner ear infection or disease.

Answer 38

Vertigo

Question 39

____ is a sign of hearing impairment.

Answer 39

Loud talking

Question 40

A patient who has an upper respiratory tract infection should blow his nose with both ____

Answer 40

nostrils open.

Question 41

A patient who has had a cataract removed can begin most normal activities in ____ ; however, the patient shouldn’t bend and lift until a physician approves these activities.

Answer 41

3 or 4 days

Question 42

Symptoms of _____ include eye irritation and decreasing visual field.

Answer 42

corneal transplant rejection

Question 43

___ (hyperthyroidism) is manifested by weight loss, nervousness, dyspnea, palpitations, heat intolerance, increased thirst, exophthalmos (bulging eyes), and goiter

Answer 43

Graves disease

Question 44

The ____ are chylomicrons (the lowest-density lipoproteins), verylow-density lipoproteins, low-density lipoproteins, and high-density lipoproteins. Health care professionals use cholesterol level fractionation to assess a patient’s risk of coronary artery disease.

Answer 44

four types of lipoprotein

Question 45

If a patient who is taking ____ (Fungizone) bladder irrigations for a fungal infection has systemic candidiasis and must receive I.V. fluconazole (Diflucan), the irrigations can be discontinued because fluconazole treats the bladder infection as well

Answer 45

amphotericin B

Question 46

Patients with adult ____ can have high peak inspiratory pressures. Therefore, the nurse should monitor these patients closely for signs of spontaneous pneumothorax, such as acute deterioration in oxygenation, absence of breath sounds on the affected side, and crepitus beginning on the affected side.

Answer 46

respiratory distress syndrome

Question 47

Adverse reactions to ____ (Sandimmune) include renal and hepatic toxicity, central nervous system changes (confusion and delirium), GI bleeding, and hypertension.

Answer 47

cyclosporine

Question 48

____ is a metabolic bone disorder in which the rate of bone resorption exceeds the rate of bone formation.

Answer 48

Osteoporosis

Question 49

The hallmark of ____ is recurrent bloody diarrhea, which commonly contains pus and mucus and alternates with asymptomatic remissions.

Answer 49

ulcerative colitis

Question 50

____ include massaging, hugging, body rubbing, friendly kissing (dry), masturbating, hand-to-genital touching, wearing a condom, and limiting the number of sexual partners

Answer 50

Safer sexual practices

Question 51

____ who contract cytomegalovirus (CMV) are at risk for CMV pneumonia and septicemia, which can be fatal.

Answer 51

Immunosuppressed patients