med surg 2 exam 1 (test
bank)/136 Questions and
Answers(A+)
A mother of three young children has a 3-year history of MG and
recently stopped helping in the children's classrooms because of
fatigue. Which advice does the nurse give to help the patient best
cope with the problem? - ="Time your medication so its action peaks
during the time you need the most energy."
-A patient comes to the emergency room exhibiting confusion and
manifestations related to dementia. Records from previous visits
indicate a history of drug and alcohol abuse along with frequent
treatment for sexually transmitted infections (STIs). Which laboratory
test does the nurse consider to be unnecessary? -
=Anticholinesterase testing with antibody titers
-A patient diagnosed with Guillain-Barré syndrome (GBS) asks how
the disease developed since the patient rarely has an illness. Which
nursing response is the most accurate? - ="It may be an autoimmune
reaction to a virus."
-A patient has an injury resulting in a major damage to the pinna of
the right ear. The patient expresses fear about hearing loss in the
damaged ear. Which statement by the nurse will alleviate the
patient's fear? - ="The impulses for hearing come from the middle
and inner ear."
-A patient has been on opioids for 3 months to control pain caused
by injuries from a motor vehicle crash. The patient asks about the
risk of withdrawal symptoms when the drugs are no longer needed.
How should the nurse respond to the patient? - ="As long as you
,taper the drug dose down slowly, you should not experience
withdrawal symptoms."
-A patient in the plateau stage of GBS is frustrated because there
has been no improvement in manifestations for 5 days. Which
explanation does the nurse provide to the patient? - =The
manifestations can last up to 2 weeks
-A patient is being admitted to a long-term care facility. Medical
history includes a recent stroke with dysarthria. Which factor does
the nurse consider when providing care for this patient? - =A picture
board will help the patient with word searching.
-A patient is brought to the emergency department after being hit by
a baseball bat during a game. Which nursing intervention is
immediately reported to the HCP or RN? - =Changes in heart and
respiratory rate, fever, and diaphoresis
-A patient is brought to the health care provider's office with a
headache, lethargy, nausea, vomiting, and a fever, which has
developed over the past few days. The nurse begins collecting data
about the possible causes of the symptoms. Which information
indicates a possible cause for encephalitis? - =The patient has been
camping within the last few weeks.
-A patient is diagnosed with bacterial encephalopathy. Which
symptoms exhibited by the patient indicate late signs of the patient's
diagnosis? - =Lack of involvement and lip smacking or chewing
-A patient is diagnosed with Ménière disease. Which therapeutic
measures does the nurse expect the HCP to prescribe? - =A salt-
restricted diet and prescribed antihistamines and vasodilators
, -A patient is diagnosed with otosclerosis and is scheduled for a
stapedectomy. Which postoperative finding does the nurse report to
the health care provider (HCP) or the registered nurse (RN)
immediately? - =The patient received an antiemetic for nausea, but
vomits after the medication.
-A patient is distressed to learn that a sibling is diagnosed with both
neurologic and cognitive manifestations of Huntington disease.
When the patient asks the nurse how to determine the incidence of
the disease, which answer is most appropriate? - ="You definitely
need to have genetic testing for the disease."
-A patient is prescribed the dopamine agonist pramipexole (Mirapex)
for Parkinson disease. Which instructions are important for the nurse
to include when teaching about this medication? (Select all that
apply.) - ="Taking the medication with food may reduce nausea."
"You may experience sudden bouts of excessive sleepiness."
"Do not drive until the effects of this drug on you are fully known."
-A patient is scheduled for a thymectomy. For which peripheral
nervous system disorder does the nurse plan care for this patient? -
=MG
-A patient is scheduled to have cataract surgery. Which structure of
the patient's eye does the nurse explain will be involved in the
procedure? - =The lens
-A patient presents with vertigo, tinnitus, and sensorineural hearing
loss and is diagnosed with labyrinthitis. Which patient teaching does
the nurse reinforce with this patient? - =Instruct to not turn the head
quickly
bank)/136 Questions and
Answers(A+)
A mother of three young children has a 3-year history of MG and
recently stopped helping in the children's classrooms because of
fatigue. Which advice does the nurse give to help the patient best
cope with the problem? - ="Time your medication so its action peaks
during the time you need the most energy."
-A patient comes to the emergency room exhibiting confusion and
manifestations related to dementia. Records from previous visits
indicate a history of drug and alcohol abuse along with frequent
treatment for sexually transmitted infections (STIs). Which laboratory
test does the nurse consider to be unnecessary? -
=Anticholinesterase testing with antibody titers
-A patient diagnosed with Guillain-Barré syndrome (GBS) asks how
the disease developed since the patient rarely has an illness. Which
nursing response is the most accurate? - ="It may be an autoimmune
reaction to a virus."
-A patient has an injury resulting in a major damage to the pinna of
the right ear. The patient expresses fear about hearing loss in the
damaged ear. Which statement by the nurse will alleviate the
patient's fear? - ="The impulses for hearing come from the middle
and inner ear."
-A patient has been on opioids for 3 months to control pain caused
by injuries from a motor vehicle crash. The patient asks about the
risk of withdrawal symptoms when the drugs are no longer needed.
How should the nurse respond to the patient? - ="As long as you
,taper the drug dose down slowly, you should not experience
withdrawal symptoms."
-A patient in the plateau stage of GBS is frustrated because there
has been no improvement in manifestations for 5 days. Which
explanation does the nurse provide to the patient? - =The
manifestations can last up to 2 weeks
-A patient is being admitted to a long-term care facility. Medical
history includes a recent stroke with dysarthria. Which factor does
the nurse consider when providing care for this patient? - =A picture
board will help the patient with word searching.
-A patient is brought to the emergency department after being hit by
a baseball bat during a game. Which nursing intervention is
immediately reported to the HCP or RN? - =Changes in heart and
respiratory rate, fever, and diaphoresis
-A patient is brought to the health care provider's office with a
headache, lethargy, nausea, vomiting, and a fever, which has
developed over the past few days. The nurse begins collecting data
about the possible causes of the symptoms. Which information
indicates a possible cause for encephalitis? - =The patient has been
camping within the last few weeks.
-A patient is diagnosed with bacterial encephalopathy. Which
symptoms exhibited by the patient indicate late signs of the patient's
diagnosis? - =Lack of involvement and lip smacking or chewing
-A patient is diagnosed with Ménière disease. Which therapeutic
measures does the nurse expect the HCP to prescribe? - =A salt-
restricted diet and prescribed antihistamines and vasodilators
, -A patient is diagnosed with otosclerosis and is scheduled for a
stapedectomy. Which postoperative finding does the nurse report to
the health care provider (HCP) or the registered nurse (RN)
immediately? - =The patient received an antiemetic for nausea, but
vomits after the medication.
-A patient is distressed to learn that a sibling is diagnosed with both
neurologic and cognitive manifestations of Huntington disease.
When the patient asks the nurse how to determine the incidence of
the disease, which answer is most appropriate? - ="You definitely
need to have genetic testing for the disease."
-A patient is prescribed the dopamine agonist pramipexole (Mirapex)
for Parkinson disease. Which instructions are important for the nurse
to include when teaching about this medication? (Select all that
apply.) - ="Taking the medication with food may reduce nausea."
"You may experience sudden bouts of excessive sleepiness."
"Do not drive until the effects of this drug on you are fully known."
-A patient is scheduled for a thymectomy. For which peripheral
nervous system disorder does the nurse plan care for this patient? -
=MG
-A patient is scheduled to have cataract surgery. Which structure of
the patient's eye does the nurse explain will be involved in the
procedure? - =The lens
-A patient presents with vertigo, tinnitus, and sensorineural hearing
loss and is diagnosed with labyrinthitis. Which patient teaching does
the nurse reinforce with this patient? - =Instruct to not turn the head
quickly
