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EXAM 4: NUR242/ NUR 242 MEDICAL -SURGICAL
NURSING EXAM REVIEW| COMPLETE GUIDE
WITH QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT- GALEN
QUESTION: What are three features of Ménière's disease?
Answer: 3 features of Miners disease? -Tinnitus -One sided
sensorineural hearing loss -Vertigo
QUESTION: What are the four cardinal symptoms of
Parkinson’s disease?
Answer: 4 Cardinal symptoms of Parkinsons? -Tremors in hands
and fingers at rest (pill rolling)-increased with fatigue - Bradykinesia or akinesia (slow or no movement) -Rigidity - Postural instability
QUESTION: In whom does age-related macular degeneration
progress faster?
Answer: Age related macular degeneration progresses faster in
patients who? Smoke
QUESTION: What are complications of amputation?
Answer: Amputation complications: infection, phantom limb pain, flexion contractions
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QUESTION: What is included in post-operative care for
amputation?Answer: Amputation Post-OP care: -DO NOT elevate limb on pillow (can cause flexion contractures) -1st 24 hours elevate the foot of the bed to decrease edema then keep the bed flat -24-48 hours- place the pt. in prone position to stretch muscles and prevent hip flexion contractures
QUESTION: What should be assessed in a patient with an
anterior cervical discectomy?Answer: Assessment for pt with anterior cervical discectomy: - Monitor for Respiratory difficulty -Pts ability to swallow - Hoarsness and ability to cough (can indicate laryngeal nerve damage)
QUESTION: What is atropine given for?
Answer: Atropine is given to? Increase HR in pt with
bradycardia
QUESTION: What should be assessed before administering a
beta blocker to a patient?
Answer: Before administering pt beta blocker what should you
assess? HR not <60, and BP
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QUESTION: What should you ask a patient before giving rtPA
(Retavase)?
Answer: Before giving a pt rtPA (Retavase) what should you
ask them about? Ask if they are on any blood thinners or if they have had surgery within the last 10 days
QUESTION: What is the treatment for bradycardia?
Answer: Bradycardia treatment: Atropine, epi, dopamine, IV fluids, O2
QUESTION: What is included in the care of hearing aids?
Answer: Care of hearing aids: -Keep dry -Wash ear mold with mild soap and water -Clean debris from holes with toothpick - Avoid hair spray
QUESTION: What occurs during the clonic phase of a seizure?
Answer: Clonic phase of seizure: Hyperventilation and jerking of extremities lasts about 30 seconds
QUESTION: What are interventions for deep vein thrombosis
(DVT)?
Answer: DVT interventions: -SCDs -Compression hose -Elevate extremities -IV continuous Heparin
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QUESTION: What are risk factors for deep vein thrombosis
(DVT)?
Answer: DVT Risk Factors -venous stasis from varicose veins -
heart failure -immobility -use of birth control -ulcerative colitis - prolonged bedrest
QUESTION: What are signs and symptoms of deep vein
thrombosis (DVT)?
Answer: DVT S/S -calf/groin tenderness -sudden unilateral
swelling -positive Homans sign
QUESTION: What is an expected finding for a patient with
Buerger’s disease?
Answer: Expected finding for a pt with Burgers disease?
Intermittent claudication, ischemic pain in the digits at rest
QUESTION: How should allopurinol be taken?
Answer: How should allopurinol be taken? -With food with a
full glass of water -Increase fluids to prevent renal dysfunction (for GOUT)
QUESTION: How should a patient be positioned after taking
risedronate (Actonel)?