Med-Surg Certification Study Guide Exam Questions with Correct Answers

Med-Surg Certification Study Guide Exam Questions with Correct Answers Other risk factors: elevated serum lipids, DM, sedentary lifestyle A patient who has type 2 diabetes is prescribed carvedilol (Coreg) for hypertension. The nurse monitors for A. Hypoglycemia B. Hyperglycemia C. Hypocalcemia D. Hypercalcemia - Answer-A. Hypoglycemia In patients with DM, Coreg may increase the effects of hypoglycemic drugs (prevent adrenalin from stimulating the liver to make glucose) and mask symptoms of hypoglycemia. Which of the following is an AHA recommendation for patients with coronary artery disease for stroke prevention? A. Fibrate therapy B. Heparin therapy C. Beta-blocker therapy D. Aspirin therapy - Answer-D. Aspirin therapy This is a core measure for patients with CAD Heparin is not indicated nor is it really sustainable for home use, betablockers don't decrease your risk of stroke directly although it does reduce bp which reduces risk of stroke A client complains of crushing chest pain that radiates to his left arm. Which of the following treatments should you anticipate: A. Aspirin, oxygen, nitroglycerin, and morphine B. Aspirin, oxygen, nitroglycerin, and codeine C. Oxygen, nitroglycerin, meperidine, and thrombolytics D. Aspirin, oxygen, nitroprusside, and morphine - Answer-A. Aspirin, oxygen, nitroglycerin, and morphine MONA A patient is recovering from an uncomplicated MI. Which of the following rehabilitation guidelines is a priority to include in the teaching plan? A. Refrain from sexual activity for a minimum of 3 weeks. B. Plan a diet program that aims for a 1- to 2-pound weight loss per week. C. Begin an exercise program that aims for at least five 30-minute sessions per week. D. Consider the use of erectile agents and prophylactic NTG before engaging in sexual activity. - Answer-C Avoid intercourse for 4-6 weeks The need for a weight loss plan would be patient specific You do not want to mix nitrates and ED meds because this can cause and unsafe drop in BP The most common finding in individuals at risk for sudden cardiac death is: A. aortic valve disease B. mitral valve disease C. left ventricular dysfunction D. atherosclerotic heart disease - Answer-C. left ventricular dysfunction Those with LV dysfunction are at high risk for ventricular arrythmias. Typically, the LV dysfunction is secondary to MI, cardiomyopathy or advanced heart failure. A patient with a history of myocardial infarction (MI) complains of chest pain while walking to the restroom. Which action should the nurse perform first?