NCLEX NEED TO KNOW MED-SURG PATIENTS/DX

Question 1

Number #1 Priority for Burn Patients?

Answer 1

maintaining a patent airway

Question 2

Order of Assessment?

Answer 2

Inspection
Auscultation
Palpation
Percussion

Question 3

Order of Assessment for Abdomen/Children?

Answer 3

Inspection
Auscultation
Percussion
Palpation (In Kids, go from least to most invasive)

Question 4

What is the first sign of hypoxia?

Answer 4

Restlessness

Question 5

Murphy’s sign

Answer 5

pain with palpation of gallbladder area seen with cholecystitis

Question 6

Cullen’s sign

Answer 6

ecchymosis in umbilical area, seen with pancreatitis

Question 7

Turner’s sign

Answer 7

flank grayish blue (turn around to see your flanks) pancreatitis

Question 8

McBurney’s Point

Answer 8

RLQ pain indicative of appendicitis

Question 9

How long after blood is removed from the blood banks refrigerator do you have to start it?

Answer 9

30 mins

Question 10

How long must you stay with the client after transfusion is started?

Answer 10

15 mins

Question 11

What do you do if an adverse reaction occurs when hanging blood?

Answer 11

Stop blood and run the normal saline that hangs with blood, do vitals, notify physician and blood bank,. Make sure urine and blood cultures are done.

Question 12

What drug is also used to treat anemia because it increases red blood cell production?

Answer 12

Epogen (epoetin alfa)

Question 13

Clients taking Epogen should be monitored for what?

Answer 13

hypertension and seizures

Question 14

_________ is an adverse reaction seen with the use of ACE inhibitors?

Answer 14

Angioedema

Question 15

Signs of angioedema are?

Answer 15

Swelling of the lips and mouth

Question 16

Buerger’s Disease (thromboangiitis obliterans) is the obstruction and inflammations of blood vessels mainly where?

Answer 16

hands and feet

Question 17

Clients with Buerger’s Disease present with what symptoms?

Answer 17

pale, blue, cold hands and feet, they may tingle or be painful

Question 18

who is at most risk for buerger’s disease?

Question 19

What are the treatment goals for buerger’s disease?

Answer 19

there is no cure, only symptom control