“Medical Surgical Nursing Review Questions Part 3” plus 2 more nursing article(s): NursingCrib.com Updates

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• Medical Surgical Nursing Review Questions Part 3
• Medical Surgical Nursing Review Questions Part 2
• Marfan’s Syndrome Signs and Symptoms

Medical Surgical Nursing Review Questions Part 3 Posted: 23 Nov 2010 11:36 PM PST December 2010 Nursing Board Exam Review Questions on Medical Surgical Nursing. Mark the letter of your choice then click on the next button. Your score will be posted as soon as the you are done with the quiz. We will be posting more of this soon. 1.    Which of the following interventions will be most effective in improving Transcultural communications with oncology clients and their families? a. Use touch to show concern and caring for the client b. Focus attention on verbal communication skills only c. Establish a rapport and listen to their concerns d. Maintain eye contact at all times 2.    The nurse is assisting the physician with a thoracentesis for a client with suspected lung cancer. If the client has malignant effusion, the nurse would expect the fluid to be a. Milky white b. Straw colored c. Turbid d. Bloody 3.    Which of the following has been associated with fatigue from cancer chemotherapy? a. Decreased quality of life b. Increase risk of infection c. Improved disease prognosis d. Pericardial effusion 4.    Which of the following would be considered an iatrogenic cause of cancer? a. Ionizing radiation from radon b. Ionizing radiation from uranium one c. X-rays used to treat a tumor d. Ultraviolet radiation from sun 5.    In addition to acetaminophen, which drugs are recommended from Step 1 of the World Health Organiztion (WHO) analgesic ladder for the treatment of mild to moderate cancer-related pain? a. Oxycodone b. NSAIDs c. Codeine d. Propoxyphene 6.    A terminally ill 82 year old client in hospice care is experiencing nausea and vomiting because of a partial bowel obstruction. Conservative management of the nausea and vomiting may be achieved with the use of. a. A nasogastric suction tube b. Intravenous antiemetics c. Osmotic laxatives d. A clear liquid diet 7.    Any biologic response modifiers (BRMs) have expected side effects of fever and chills or a flu like syndrome. These side effects typically: a. Are controlled with antipyretics b. Increased in intensity with continued therapy c. Last 24 to 72 hours d. Have a biphasic pattern 8.    Which of the following represents the most appropriate nursing intervention for a client with pruritus caused by cancer or the treatments? a. Administration of antihistamines b. Steroids c. Medicated cool baths d. Silk sheets 9.    The nurse caring for a client who is receiving external radiation therapy for treatment of lung cancer should anticipate that the client will have which of the following? a. Diarrhea b. Improved energy level c. Dysphagia d. Normal white blood cell count 10.    Carcinogenesis is irreversible in which of the following stages? a. Progression stage b. Promotion stage c. Initiation stage d. Regression stage 11.    Cancer prevalence is defined as: a. The number of new cancers in a year b. All cancer cases more than 5 years c. The like hood cancer will occur in a lifetime d. The number of persons with cancer at a given point in time 12.    A nurse us providing education in community setting about general measures to avoid excessive sun exposure. Which of the following recommendations is appropriate? a. Apply sunscreen only after going to the water b. Avoid peek exposure from 9am to 1pm c. Wear a loosely woven clothing for added ventilation d. Apply sunscreen with a sun protection factor of 15 or more before sun exposure 13.    Which of the following reasons explains why Meperidine (Demerol) is not recommended for chronic cancer-related pain? a. It has a high potential for abuse b. It has agonist-antagonist properties c. It must be given intravascular to be effective d. It contains a metabolite that causes seizures 14.    Which of the following nursing interventions would be most helpful in making the respiratory effort of a client with metastatic lung cancer more efficient? a. Teaching the client diaphragmatic breathing techniques b. Administering cough suppressants as ordered c. Teaching an encouraging pursed-lip breathing d. Placing the client in a low semi-fowlers position 15.    A 58-year old client is receiving chemotherapy for lung cancer. He asks the nurse how the chemotherapeutic drugs will work. The most accurate explanation  the nurse can give is which of the following? a. " Chemotherapy affects all rapidly dividing cells" b. " the molecular structure of the DNA is altered" c. " Cancer cell are susceptible to drug toxins" d. " Chemotherapy encourages cancer cells to divide" 16.    A 56-year old client is receiving chemotherapy that has the potential to cause pulmonary toxicity. Which of the following symptoms indicates a toxic response to the chemotherapy? a. Decrease in appetite b. Drowsiness c. Spasms of the diaphragm d. Cough and shortness of breath 17.    A 62-year old woman has had a left modified radical mastectomy with axillary node dissection. The nurse is aware that lymphedema is a common complication that can occur a. With right-sided radical mastectomies b. In older women c. From 6 to 20 years after surgery d. At any time after the procedure 7 to 10 days after surgery or not all 18.    The nurse is assessing a 42- year old client with cancer. He has lost 1 pound in 4 weeks. He is taking ondansetron (Zofran) for nausea. He has a temperature of 38.3. the fever is indicative of a. Inadequate nutrition b. New resistance to current antiemetic therapy c. Expected response to chemotherapy treatment d. Infection 19.    Which of the following variables is most important to asses when determining the impact of the cancer diagnosis and treatment modalities on a long term survivor's quality of life a. Occupation and employability b. Functional status c. Evidence of disease d. Individual values and beliefs 20.    A 57-year old woman has difficulty with mobility after her cancer treatment therapies and states, "Why should I bother trying to get better? It doesn't seem to make any difference that I do" the nurse response by helping the client establish reasonable activity goals, choose her own foods from the menu, and make choices about her daily activities. These interventions represent the nurse's attempt to address which of the following nursing diagnoses? a. Ineffective coping b. Powerlessness c. Impaired adjustment d. Dysfunctional grieving 21.    Which of the following activities indicates that the client with cancer is adapting well to body image changes? a. The client names his brother as the person to call if he is experiencing suicidal intention b. The client discusses changes in body structure and function c. The client discusses the date he has to return work d. The client serves as a volunteer in a client-to-client visitation program 22.    When a 62-year old client and his family receive the initial diagnosis of colon cancer, the nurse can act as an advocate: a. Helping them maintain a sense of optimism and hopefulness b. Determining their understanding of the results of the diagnostic testing c. Listening carefully to their perceptions of what their needs are d. Providing them with written materials about the cancer site and its treatment 23.    In an attempt to call public attention to the cancer survivor's needs, a bill of rights was put forth by the: a. American cancer society b. National coalition of Cancer Survivors c. National Cancer Institute d. National Hospice Organization 24.    A 72-year old woman with cancer needs assistance with her financial concerns. The nurse would suggest which of the following persons see the client? a. Bank representative b. Social worker c. Oncology nurse d. Representative of the hospital billing department 25.    The nurse is caring for a client with cancer who has intractable dyspnea. The nurse is aware that the physician may order which of the following types of drugs to relieve the dyspnea a. Mucolytic agents b. Antidepressants c. Opiods d. Diuretics Related posts: Medical Surgical Nursing Review Questions Part 2 Medical Surgical Nursing Review Questions Nursing Board Review: Medical Surgical Nursing Practice Test Part 1

Medical Surgical Nursing Review Questions Part 2 Posted: 23 Nov 2010 11:29 PM PST December 2010 Nursing Board Exam Review Questions on Medical Surgical Nursing. Mark the letter of your choice then click on the next button. Your score will be posted as soon as the you are done with the quiz. We will be posting more of this soon. Please go to Medical Surgical Nursing Review Questions Part 2 to view the quiz Related posts: Medical Surgical Nursing Review Questions Part 3 Medical Surgical Nursing Review Questions Nursing Board Review: Medical Surgical Nursing Practice Test Part 1

Marfan’s Syndrome Signs and Symptoms Posted: 23 Nov 2010 07:29 PM PST Definition Is a connective tissue disorder. The chemical make-up of the connective tissue isn't normal, as a result many of these structures aren't as stiff as they should be. It is inherited and affect many parts of the body. The syndrome is so mild that few symptoms exist. The walls of the major arteries are weakened. The aorta, the major artery that leaves the heart, often is affected. When this occurs, it get bigger (dilates) which can weaken the inner aortic wall. Under strenuous exertion, the aorta can tear. Blood can leak through these tears into the aortic wall, separating its layers – a process called aortic dissection. Another problem that may occur if the aortic wall weakens is that an aneurysm may form. Etiology Marfan syndrome is inherited as an autosomal dominant trait. Up to 30% of cases have no family history and are so called "sporadic" cases. Pathophysiology Single mutant allele (from affected parent). Transmitted to the offspring. Abnormal proteins in genes Abnormal membrane bound transport system Abnormal structural proteins Abnormal cells Abnormal tissues Abnormal organ abnormal system Signs and symptoms Long, lanky frame Long thin ribs Arm span significantly greater than body height Long, spidery fingers (arachnodactyly) Funnel chest Scoliosis Visual difficulties Flat feet Learning disability Thin, narrow face Hypotonia Joint laxity Highly arached palate Crowded teeth Dislocation of lens Malformed cornea Retinal detachment Assessment Physical examination Echocardiogram Eye examination X-ray Doppler echo test MRI CT scan Biopsy CBC Blood chemistry Urine analysis Nursing Diagnoses Risk for injury Risk for infection Knowledge deficit Anxiety Activity intolerance Disturbance in self-esteem Fear Fatigue Disturbed body image Impaired physical mobility Hopelessness Nursing Interventions Observe safety precautions all the time, keep side rails up all the time. Observe cleanliness and sterility all the time to avoid possible contamination and spread of infection. Provide correct information about the disease process, complications and possible treatment. Encourage patient to acknowledge and to express feelings to be relieved from anxiety. Ascertain ability to stand and move about and degree of assistance necessary or use of equipment. Discover patient's inner abilities and help to improve them to boost up their self-esteem. Provide rest periods, avoid unnecessary disturbance. Improve other qualities and help the patient accept their problems and help them comfort them. Complications Dilated aortic root Dissecting aortic aneurysm Aortic rupture Bacterial endocarditis Heart failure Mitral valve prolapsed Frequent palpations High blood Pneumothorax scoliosis Related posts: Bipolar Disorder Signs and Symptoms Pharmacology Terms & Definitions, Clinical Conditions, and Associated Signs and Symptoms Glossary of Key Terms in Pharmacology, Clinical Conditions, and Associated Signs and Symptoms

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