Advanced Med Surg Midterm CFUQ's With Complete Solutions
Assessment of an IV cocaine user with infective endocarditis should focus on which signs and symptoms (select all the apply). - ANS--• Retinal hemorrhages
• Splinter hemorrhages
• Presence of oslers nodes
• Painless erythematous macules on the palms and soles
The nurse is caring for a patient with chronic constrictive pericarditis. Which assessment
finding reflects a more serious complication of this condition? - ANS--Jugular Venous Distention (JVD)
A patient is admitted with myocarditis. While performing the initial assessment, the nurse may find which clinical signs and symptoms (select all that apply)? - ANS--• Angina
• Pleuritic chest pain
• Pericardial friction rub
Priority nursing management for a patient with myocarditis includes interventions related
to: - ANS--Oxygenation and ventilation
When teaching a patient about the long-term consequences of rheumatic fever, the nurse should discuss the possibility of: - ANS--Valvular heart disease
Which is a priority nursing intervention for a patient during the acute phase of rheumatic fever? - ANS--Administrations of antibiotics as ordered
Which clinical finding would most likely indicate decreased cardiac output in a patient with aortic valve regurgitation? - ANS--Shortness of breath on minimal exertion and a diastolic murmur
A patient is diagnosed with mitral stenosis and new-onset atrial fibrillation. Which interventions could the nurse delegate to unlicensed assistive personnel (UAP) (select all that apply). - ANS--• Obtain and record daily weight
• Observe for overt signs of bleeding
• Obtain and record vital signs, including pulse oximetry
Which diagnostic study best differentiates the various types of cardiomyopathy? - ANS--
Echocardiography The nurse is caring for a patient newly admitted with heart failure secondary to dilated cardiomyopathy. Which intervention would be a priority? - ANS--Monitor the patient's response to prescribed medication
A characteristic common to all hormones is that they: - ANS--influence cellular activity of
specific target tissues
A patient is receiving radiation therapy for cancer of the kidney. The nurse monitor the pt. for s/s of damage to the: - ANS--adrenal glands
The pt. has serum sodium level of 152 mEq/L. the normal hormonal response to this situation is: - ANS--release of ADH
All cells in the body are believed to have intracellular receptors for: - ANS--thyroid hormone
When obtaining subjective data from a pt. during assessment of the endocrine system, the nurse asks specifically about: - ANS--energy level
Endocrine disorders often go unrecognized in the older adult because: - ANS--
symptoms are often attributed to aging
An abnormal finding by the nurse during an endocrine assessment would be (select all that apply): - ANS--• Excessive facial hair on a woman
• Hyperpigmented coloration in lower legs
A patient has a total serum calcium level of 3 mg/dL. If this finding reflects hypoparathyroidism, the nurse would expect further diagnostic testing to reveal: - ANS--
decreased serum PTH
After a hypophysectomy for acromegaly, postoperative nursing care should focus on - ANS--frequent monitoring of serum and urine osmolality
A patient with a head injury develops SIADH. Manifestations the nurse would expect to find: - ANS--low urine output and hyponatremia
The health care provider prescribes levothyroxine (Synthroid) for a patient with hypothyroidism. After teaching regarding this drug, the nurse determines that further instruction is needed when the patient says: - ANS--"I only need to take this drug until my symptoms are improved"
After thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops: - ANS--laryngospasms and tingling in the hands and feet.
Assessment of an IV cocaine user with infective endocarditis should focus on which signs and symptoms (select all the apply). - ANS--• Retinal hemorrhages
• Splinter hemorrhages
• Presence of oslers nodes
• Painless erythematous macules on the palms and soles
The nurse is caring for a patient with chronic constrictive pericarditis. Which assessment
finding reflects a more serious complication of this condition? - ANS--Jugular Venous Distention (JVD)
A patient is admitted with myocarditis. While performing the initial assessment, the nurse may find which clinical signs and symptoms (select all that apply)? - ANS--• Angina
• Pleuritic chest pain
• Pericardial friction rub
Priority nursing management for a patient with myocarditis includes interventions related
to: - ANS--Oxygenation and ventilation
When teaching a patient about the long-term consequences of rheumatic fever, the nurse should discuss the possibility of: - ANS--Valvular heart disease
Which is a priority nursing intervention for a patient during the acute phase of rheumatic fever? - ANS--Administrations of antibiotics as ordered
Which clinical finding would most likely indicate decreased cardiac output in a patient with aortic valve regurgitation? - ANS--Shortness of breath on minimal exertion and a diastolic murmur
A patient is diagnosed with mitral stenosis and new-onset atrial fibrillation. Which interventions could the nurse delegate to unlicensed assistive personnel (UAP) (select all that apply). - ANS--• Obtain and record daily weight
• Observe for overt signs of bleeding
• Obtain and record vital signs, including pulse oximetry
Which diagnostic study best differentiates the various types of cardiomyopathy? - ANS--
Echocardiography The nurse is caring for a patient newly admitted with heart failure secondary to dilated cardiomyopathy. Which intervention would be a priority? - ANS--Monitor the patient's response to prescribed medication
A characteristic common to all hormones is that they: - ANS--influence cellular activity of
specific target tissues
A patient is receiving radiation therapy for cancer of the kidney. The nurse monitor the pt. for s/s of damage to the: - ANS--adrenal glands
The pt. has serum sodium level of 152 mEq/L. the normal hormonal response to this situation is: - ANS--release of ADH
All cells in the body are believed to have intracellular receptors for: - ANS--thyroid hormone
When obtaining subjective data from a pt. during assessment of the endocrine system, the nurse asks specifically about: - ANS--energy level
Endocrine disorders often go unrecognized in the older adult because: - ANS--
symptoms are often attributed to aging
An abnormal finding by the nurse during an endocrine assessment would be (select all that apply): - ANS--• Excessive facial hair on a woman
• Hyperpigmented coloration in lower legs
A patient has a total serum calcium level of 3 mg/dL. If this finding reflects hypoparathyroidism, the nurse would expect further diagnostic testing to reveal: - ANS--
decreased serum PTH
After a hypophysectomy for acromegaly, postoperative nursing care should focus on - ANS--frequent monitoring of serum and urine osmolality
A patient with a head injury develops SIADH. Manifestations the nurse would expect to find: - ANS--low urine output and hyponatremia
The health care provider prescribes levothyroxine (Synthroid) for a patient with hypothyroidism. After teaching regarding this drug, the nurse determines that further instruction is needed when the patient says: - ANS--"I only need to take this drug until my symptoms are improved"
After thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops: - ANS--laryngospasms and tingling in the hands and feet.
