Med Surg Final

Front 1

Pt had open heart surgery trackside valve replacement biologic valve w/ a biologic valve you must

Back 1

Maintain heart healthy diet and exercise plan.

Front 2

Nurse palpating pulse on top of the foot cannot find pulse next action is...

Back 2

Use a dappled stethoscope

Front 3

Pt with right Sided HF should be observed for prominence of_______when pt is at 45 degree position

Back 3

Jugular veins

Front 4

Ortho static hypotension is a common cause if_______in the elderly

Back 4

Syncope

Front 5

Probably scheduled for cardiac cath using radio dye the nurse should check for what first

Back 5

Allergy to iodine or shellfish

Front 6

Heart disease in women manifest in subtle ways such as

Back 6

Indigestion and fatigue

Front 7

Lovenox and fragmin are examples of

Back 7

Low molecular weight heparin

Front 8

Compression dressing ace wraps and elastic hose are used for_______insufficiency

Back 8

Venous

Front 9

Nurse explains to pt implanted cardioverter defibrillator ICD will...

Back 9

Shock arrhythmia into sinus rhythm

Front 10

Pt with DVT suddenly has chest pain, dyspnea, and visible anxiety, nurse checks for s/s of..

Back 10

Pulmonary embolism

Front 11

Pt doesn't speak English and is legally blind what nursing action....

Back 11

Recruit a translator to provide instructions

Front 12

Nurse explains that after an MI the pumping efficiency is altered because...

Back 12

Necrosis of the myocardium

Front 13

The nurse would anticipate that a pt with right Sided HF would exhibit

Back 13

Edema

Front 14

Pt complains of seeing halos when she looks at objects the nurse suspects...

Back 14

Digitalis toxicity

Front 15

Nurse records a light pulse as...

Back 15

2

Front 16

Cardiac pt has a procedure performed in which a carbon dioxide laser is used to drill tiny holes in the toilet left ventricle. This procedure is called...

Back 16

Transmyocardial laser revascularization

Front 17

The SA node or natural pace maker is located in the....

Back 17

Right atrium

Front 18

Monitor shows ventricular fibrillation pt suddenly loses consciousness the nurse should immediately

Back 18

Call for help and initiate CPR

Front 19

What dressing should you use for venous stasis ulcer is....

Back 19

Transparent dressing

Front 20

Pt complains of leg pain after having walked a short distance the disappears with elevating the legs pt has...

Back 20

Intermittent claudication

Front 21

Nurse explains that pain of coronary artery disease is related to

Back 21

Ischemia

Front 22

In an older adult cardiac dysrhythmias are most commonly associated with

Back 22

Loss of cells in the sink atrial nodes

Front 23

What diagnosis for a pt with Smith shiny thinned skin with little to no hair on the surface

Back 23

Ineffective tissue perfusion

Front 24

Pt with aterial flutter asks why she needs to take warfarin

Back 24

Prevent clots from forming in the atria

Front 25

Drug if choice for HF is

Back 25

Coumadin

Front 26

To best hear a murmur have the pt

Back 26

Leaf forward

Front 27

Most MI occur in the

Back 27

Left ventricle

Front 28

Laboratory tests to monitor coumadin are

Back 28

PT INR

Front 29

To prevent future pulmonary embolism the surgeon will insert

Back 29

A vena cava filter

Front 30

An ambulatory ECG is a

Back 30

Holter monitor

Front 31

A whooshing or purring sounds is made when blood passes through partially obstructed artery called

Back 31

A bruit

Front 32

______________is a genetic disorder in which the gene is inherited from both parents

Back 32

Sickle cell anemia

Front 33

Red blood cells live

Back 33

For 120 days

Front 34

The term penia refers to

Back 34

Deficient amounts of blood cells are present

Front 35

_______refers to the painful swelling of the hands and feet related to bone infection

Back 35

Hand foot syndrome

Front 36

Pt with aplastic anemia will not be able to produce an inflammatory response related to low levels of

Back 36

Leukocytes

Front 37

The nurse explains that in the event of a massive very hemorrhagic episode the______contracts and releases stored blood to the circulating volume

Back 37

Spleen

Front 38

The term hemarthrosis

Back 38

Bleeding into the joints

Front 39

Because of a deficiency of iron the person with iron deficiency anemia is unable to make sufficient

Back 39

Hemoglobin

Front 40

Older adults are thought to have dementia when the real underlying problem is

Back 40

Deficiency in RBC resulting in cerebral hypoxia

Front 41

The term iatrogenic refer to

Back 41

Blood disorders brought in by medical treatment

Front 42

Hemolysis refers to

Back 42

Destruction of RBC

Front 43

Cyroprecipitate is used to

Back 43

Add clotting factors

Front 44

Most Pt with hematologic disorders should never have

Back 44

Aspirin

Front 45

Nurse would expect a pt with polycythemia vera to have

Back 45

High hemoglobin

Front 46

Stomatitis

Back 46

Inflammation of the mouth

Front 47

Neutrophils engulf and destroy

Back 47

Phagocytosis

Front 48

_____________anemia results from deficiency of b12

Back 48

Pernicious

Front 49

Laboratory test used to check hydration

Back 49

Hematocrit

Front 50

When transporting a pt with advanced multiple myeloma use extreme caution to prevent

Back 50

Pathologic fractures

Front 51

A pt with a hemoglobin of 6 indicates the pt has

Back 51

Moderate anemia

Front 52

The nurse explains that the mechanism that triggers rate and depth of respiration is based on

Back 52

Blood pH

Front 53

Nurse uses a visual aid to show the mechanisms of inhaling...

Back 53

Diaphragm moves down

Front 54

Nurse explains that the substance that decreases the surface tension of the alveolar wall is

Back 54

Surfactant

Front 55

Inspired oxygen is carried to the tissues by the

Back 55

Red blood cells

Front 56

After auscultating a coarse low pitched sonorous rattling in the left lower lobe the nurse is concerned the pt may be developing

Back 56

An accumulation of the secretions in the larger air passages

Front 57

When the nurses places the diaphragm of the stethoscope over one of the main bronchi the expected normal breath sounds heard is

Back 57

Bronchovesicular

Front 58

The nurse performing suctioning of the patient with a respiratory disorder should suction no longer than

Back 58

10 to 15 seconds

Front 59

After having postoperative patient deep-seated and cough the nurse should offer

Back 59

Mouth care

Front 60

Pt complains of shortness of breath and asks the nurse to turn up his oxygen to compensate his labored breathing what is the nurse best response

Back 60

Assess the pt in an attempt to identify the cause of the sob

Front 61

The TB test is positive is the area around the injection site has an area of swelling______

Back 61

15:48

Front 62

The nurse is teaching a pt proper use of the peak flow meter the nurse knows there needs to be further teaching when observing which action by the pt

Back 62

Breathing in deeply through the mouth piece

Front 63

The nurse auscultating coarse crackles in the lower left lobe what should the nurse do next

Back 63

Ask the ot to cough

Front 64

The nurse is preparing the pt for a thoracentesis what must be completed prior to the procedure?

Back 64

Informed consent

Front 65

The LPN is administering a man tour TST to a pt. The nurse draws up_____ml of purified protein derivative. This injection is given using the______route

Back 65

0.1 ml, ID

Front 66

How should the just administer the medications be cloven 2 puffs BID and xopenex 2 puffs BID

Back 66

2 puffs xopenex wait 5 mins then administer 2 puffs beclovent