Med Surg Quiz 1 Review.

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Med-surg Quiz review. 1. List the co mplic ation s asso ciate d with flui d resu scita tion. a. Fl ui d over lo ad  b. CHF c. pulmo na ry ed ema d. car di ovascula r ove rl oad e. anaphyl actic syndrome f. hypothermia g. generalized edema. 2. A 69 year ol d is admi tted to ed wi th sudde n onsigh t of eye pai n, blurr ed visi on, halos , ocular erythema, and loss peripheral vision while mowing the lawn. You suspect the client is exhibiting: a. Cl os ed ang le gl aucoma. 3. Compar tment syndr ome a. Pain  b. numbness, tingling and pain with cast. c. Leg is bl ue p ai n ge ts wors e. 4. Mitotic medicat ion p rescr ibed with glaucoma. Purpos e of medic ation . a. Medica tion cau ses pup il con stri ction an d will reli eve pres sure i n the eye . 5. Once skin t racti on is set up as sess circu lation: a. eve ry 30 minutes i nit ial ly then eve ry 2 hours . 6. Erect ile d ysfunction. Which clien t is not s uitab le cand idate for Cial is. a. A 75 y/o Ca uca sia n man wit h diabeti c reti nopa thy. 7. Menieres dx a. controll in g ver ti go  b. avoid sudden head movements. 8. Ca rdio geni c shock a. rece ives di al ys is  b. heart rate sinus tachy to atrial fibrill ation c. sk in is ye llo w d. St ag e o f shock  i. Ir revers ible . 9. Alpha blo cki ng age nts for BPH: a. Flomax.

Transcript of Med Surg Quiz 1 Review.

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Med-surg Quiz review.

1. List the complications associated with fluid resuscitation.

a. Fluid overload b. CHF

c. pulmonary edema

d. cardiovascular overloade. anaphylactic syndrome

f. hypothermia

g. generalized edema.

2. A 69 year old is admitted to ed with sudden onsight of eye pain, blurred vision, halos,

ocular erythema, and loss peripheral vision while mowing the lawn. You suspect the

client is exhibiting:

a. Closed angle glaucoma.

3. Compartment syndromea. Pain

 b. numbness, tingling and pain with cast.

c. Leg is blue pain gets worse.

4. Mitotic medication prescribed with glaucoma. Purpose of medication.

a. Medication causes pupil constriction and will relieve pressure in the eye.

5. Once skin traction is set up assess circulation:

a. every 30 minutes initially then every 2 hours.

6. Erectile dysfunction. Which client is not suitable candidate for Cialis.

a. A 75 y/o Caucasian man with diabetic retinopathy.

7. Menieres dx

a. controlling vertigo

 b. avoid sudden head movements.

8. Cardiogenic shock 

a. receives dialysis

 b. heart rate sinus tachy to atrial fibrillationc. skin is yellow

d. Stage of shock 

i. Irreversible.

9. Alpha blocking agents for BPH:

a. Flomax.

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10. Compensatory stage of shock 

a. Hormone to decrease urinary output ADH/Renin/Aldosterone.

11. Do not give to a patient in shock:

a. 0.45% Normal Saline.

12. Client having undergoing cataract extraction with intraocular implantation. Home care

measure nurse will include in the plan:

a. Avoid bending over  b. Place eyeshield on surgical eye at bedtime

c. Contact doctor if decrease in visual acuity occurs

d. Take Tylenol for minor eye discomfort.

13. Which statement made by nurse is wrong in regards to dopamine:

a. I will stop abruptly.

14. What stage of shocks is patient experiencing: PH 7.25, co2=37, hco=16, the nurse noticeshis skin has small pinpoint red spots (petachie)

a. progressive.

15. Hx of client who has hx bph - To determine whether client is experiencing difficulty the

nurse asks of early symptom:a. decreased force in the urine stream.

16. Client admitted to hospital with bph. The Turp is performed. Four hours after vs are taken

and empties foley bag. Which would indicate a need to notify physician:a. Blood pressure 100/50

 b. pulse 130.

17. Internal radiation implant - nurse should observe which principal:

a. Do not allow pregnant women in clients room.

18. Child with right femur fx. In skin traction. Nurse notices dorsalis pedis pulse is absent:

a. Notify physician.

19. Patient needs further teaching after mastoid surgery if making following statement.a. I should avoid ambulating.

20. Ortho nurse should be particularly alert for fat embolus in client with greatest risk for complication:

a. 21 year old with fracture femur (long bone)

21. Client treated for fat embolism. What is most favorable indication of fat embolus

resolution:

a. Clear mentation (A/O)

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22. True or False: I should limit fluids after my TURP.

a. False

23. Priority nursing diagnosis for a client recovering from hip surgery

a. Keep hips in ABduction.

24. Student nurse teaching senior citizen class in hospital about diseases that can lead to

 blindness. Which is not a cause of blindness.

a. Exophthalmos and conjunctivitis.

25. Client dx involving inner ear. Common complain of that part of the ear:

a. Ringing of the ear.