Medsurg 8 Flashcards
The classic sign of an ___ is a vacant facial expression.
absence seizure
____ cause persistent, severe pain that usually occurs in the temporal region
Migraine headaches
A patient who is in a ____ should be given an opportunity to void every 2 hours during the day and twice at night.
bladder retraining program
In a patient with a ____, a decrease in level of consciousness is a cardinal sign of increased intracranial pressure.
head injury,
_____ (Ergomar) is most effective when taken during the prodromal phase of a migraine or vascular headache.
Ergotamine
_____ includes nasogastric suctioning to decompress the stomach and meperidine (Demerol) for pain.
Treatment of acute pancreatitis
____ include a feeling of fullness in the upper abdomen or chest, heartburn, and pain similar to that of angina pectoris.
Symptoms of hiatal hernia
The incidence of ____ is higher in women who have had children than in any other group.
cholelithiasis
____ can severely damage the liver.
Acetaminophen (Tylenol) overdose
The prominent clinical signs of ____ are ascites and jaundice.
advanced cirrhosis
The ____ is steady epigastric pain or left upper quadrant pain that radiates from the umbilical area or the back
first symptom of pancreatitis
____ is the medical term for sleepwalking.
Somnambulism
___ (Adrenalin) is a vasoconstrictor.
Epinephrine
An ____ can progress rapidly to hypovolemic shock
untreated liver laceration or rupture
___ is extreme, intractable constipation caused by an intestinal obstruction.
Obstipation
The definitive test for diagnosing cancer is ____ with cytologic examination of the specimen
biopsy
____ requires injection of a contrast medium and can identify joint abnormalities.
Arthrography
____ is prescribed to help relieve pain in patients who have terminal cancer.
Brompton’s cocktail
A ____ is a malignant tumor in connective tissue.
sarcoma
____ (Amphojel) neutralizes gastric acid,
Aluminum hydroxide
_____ is partial dislocation or separation, with spontaneous reduction of a joint.
Subluxation
____ can cause confusion and delirium in an elderly patient who has an organic brain disorder.
Barbiturates
In a patient with _____ , physical therapy is indicated to promote optimal functioning.
arthritis
Some patients who have ___ may be anicteric (without jaundice) and lack symptoms but some have headaches, jaundice, anorexia, fatigue, fever, and respiratory tract infection.
hepatitis A
____ is usually mild and won’t advance to a carrier state.
Hepatitis A
In the ____ of all forms of hepatitis, the patient is highly contagious.
preicteric phase
____ are required for a patient who has hepatitis A.
Enteric precautions
_____ 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.
Cholecystography
In a patient who has ____ dehydration is a concern because diabetes causes polyuria.
diabetes insipidus
In a patient who has a ____ , the protruding mass spontaneously retracts into the abdomen.
reducible hernia
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.
purple glove syndrome
During ____ unconsciousness occurs and surgery is permitted.
stage Ill of surgical anesthesia
____ include spinal, caudal, intercostal, epidural, and brachial plexus
Types of regional anesthesia
The ____ or drug toxicity is to establish and maintain an airway.
first step in managing drug overdose
__ occurs in stage IV of anesthesia (toxic stage).
Respiratory paralysis
In ____ the patient is conscious and tranquil.
stage l of anesthesia
Dyspnea and sharp, stabbing pain that increases with respiration are symptoms of ____ , which can be a complication of pneumonia or tuberculosis.
pleurisy
____ is the major symptom of inner ear infection or disease.
Vertigo
____ is a sign of hearing impairment.
Loud talking
A patient who has an upper respiratory tract infection should blow his nose with both ____
nostrils open.
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.
3 or 4 days
Symptoms of _____ include eye irritation and decreasing visual field.
corneal transplant rejection
___ (hyperthyroidism) is manifested by weight loss, nervousness, dyspnea, palpitations, heat intolerance, increased thirst, exophthalmos (bulging eyes), and goiter
Graves disease
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.
four types of lipoprotein
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
amphotericin B
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.
respiratory distress syndrome
Adverse reactions to ____ (Sandimmune) include renal and hepatic toxicity, central nervous system changes (confusion and delirium), GI bleeding, and hypertension.
cyclosporine
____ is a metabolic bone disorder in which the rate of bone resorption exceeds the rate of bone formation.
Osteoporosis
The hallmark of ____ is recurrent bloody diarrhea, which commonly contains pus and mucus and alternates with asymptomatic remissions.
ulcerative colitis
____ include massaging, hugging, body rubbing, friendly kissing (dry), masturbating, hand-to-genital touching, wearing a condom, and limiting the number of sexual partners
Safer sexual practices
____ who contract cytomegalovirus (CMV) are at risk for CMV pneumonia and septicemia, which can be fatal.
Immunosuppressed patients
