FREE NURSING AND STUDY GAMES ABOUT MED SURG

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FREE NURSING AND STUDY GAMES ABOUT MED SURG

FINAL EXAM QUESTIONS

Qs and Ans Expert- Explanation

This Exam contains:

-Guarantee passing score -101 Questions and Answers -format set of multiple-choice -Expert- Explanation

Question 1: How are dressings changed?

Answer:

Using sterile technique, clean middle, farthest, closest (cleanse in the direction of least contaminated to most contaminated)

Question 2: Hodgkin's Disease

Answer:

Giant multinucleus lymphocytes "Reed-Sternburg Cells" Night sweats, need to treat it early Question 3: HIV Tx:

Answer:

multiple drugs, monitor CD4, compliance!

Question 4: Contusion

Answer:

bruising of the surface of the brain r/t accelleration and deceleration injuries

Question 5: Leukocytosis & Leucopenia

Answer:

Leukocytosis elevated WBC's Leucopenia insufficient WBC's

Question 6: Maslow

Answer:

Physical, Safety, Psychological...

Question 7: Meningitis

Answer:

viral (mild) or bacterial (more serious) inflamation of meninges (dura mater/pia mater) covering of the brain. Early signs: STIFF NECK, HA, increased temp. Later positive kernig and Brudzinski's sign .Seizure precautions, bed in low position,

Question 8: Miniere's disease

Answer:

chronic disease of inner ear. vertigo, N/V, 8th cranial nerve, bedrest, restrict fluids, low salt diet

Question 9: S & S Anemia

Answer:

fatigue, SOB. (Check hemoglobin in COPD, emphysema pt's) Give O2, fluids, monitor VS

Question 10: Progressive Systemic Sclerosis AKA Scleroderma

Answer:

abnormal growth of connective tissue, skin hardens causing contractures, organd will harden as well.Pain management

Question 11: Hematoma

Answer:

subdural - under the dura/covering - has highest mortality rate r/t not catching it in time.

Question 12: What's in cerebrospinal fluid?

Answer:

Glucose, no RBC, a few WBC

Question 13: Parkinson's

Answer:

dopamine deficiency. 1st symptom painful muscle cramps. shuffling, propulsive gait, risk for falls, movement decreases tremors, inactivity worsens tremors

Question 14: How do you instruct patient to use incentive spirometer?

Answer:

Inspire and hold for 5 seconds Question 15: What are the S & S of increased intracranial pressure (IICP)? (normal pressure 0-15)

Answer:

diplopia, HA, decreased LOC, slower response in pupils, also affects speech, motor function and VS, WIDENING PULSE PRESSURE, projectile vomiting, uncontrolled temp, seizures, pos. babinski

Question 16: What is the early phase of migraine headache?

Answer:

Prodromal phase may present with auras, parathesias, visual disturbance, stomach upset, hearing

acuity (Recommended diet: restrict caf, choc, yogurt, fermented food)

Question 17: attenuated vaccine

Answer:

weakened like virus e.g. flumist Question 18: What safety precautions do you need to take with a patient about to receive a pain med?

Answer:

Encourage your patient to go to the bathroom, put bed in lowest position with side rails up (not a restraint) and MONITOR every 15 minutes

Question 19: What is the purpose for incentive spirometry?

Answer:

prevent or treat atelectasis, improve lung expansion, improve oxygenation

Question 20: HIV antibody testing

Answer:

• ELISA then Western Blot

Question 21: Amyotrophic lateral sclerosis (ALS) (Michael Keaton "My Life")

Answer:

motor neurons in brain and spinal cord degenerate. It will end in death in 2-5 years respirtory failure, starts in single muscle group, lower limbs last.

Question 22: If your patient changes status, what do you do?

Answer:

Notify the RN or physician, then do assessment

Question 23: Duke's staging system

Answer:

colorectal cancer

Question 24: Cancer staging

Answer:

• cancer in situ 2 tumor limited to organ 3 extensive local and regional spread 4 metastisis

Question 25: Thrombocytopenia

Answer:

platelets below 100,000. Possible splenectome (spleen loves platelets)Teach to use soft toothbrush, electric razors, avoid chips, popcorn, hot beverages

Question 26: what is status epilepticus?

Answer:

prolonged seizure activity - longer than 30 minutes.

Question 27: Natural Immunity

Answer:

active - body's own immune response passive - breastmilk