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med surg 1 medterm Flashcards | StudBud
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med surg 1 medterm
med surg 1 medterm
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1
A pt asks the lpn what the dr meant by the phrase “hypertensive emergency.” Which explanation should the nurse provide?
It means that you’ve had a small stroke
It refers to an episode of very high blood pressure.
It means the heart has become hyperactive and is beating too fast.
It’s when the heart is failing to pump blood effectively.
2
pt is ordered to wear a 24-hour Holter monitor device. What instructions should the pt be given when an event occurs?
Take an apical pulse
Call an ambulance
Push the event button.
Notify the physician.
3
lpn is reviewing the med hx for a pt about to undergo cardiac surgery. Which medication should the nurse report to md
Aspirin
Furosemide (Lasix)
Carvedilol (Coreg
Metformin (Glucophage)
4
The lpn is caring for a pt being treating for fluid volume excess. Which assessment finding indicates
Blood pressure 142/80 mm Hg
Weight loss of 5 lb in 24 hours
Urine output 1,000 mL in 24 hours
Respiratory rate 24/min
5
The lpn is preparing a young adult female for an appendectomy surgery with general anesthesia. What priority testing
Electrocardiogram
Type and cross match
Urine or serum pregnancy test
Chest x-ray
6
The nurse is caring for a patient with a potassium level of 7.6 mEq/L. Which diagnostic testing is priority?
Nuclear radioisotope imaging
Cardiac catheterization
Electrocardiogram
Angiography
7
lpn is monitoring pt with aortic stenosis ¬es bilateral crackles &a cough. What should the lpn consider is occurring
Rheumatic fever
Heart failure
Pneumonia
Hypertension
8
A lpn is teaching a pt with a calcium level of 7.8 aboutfoodchoices.food choice made by the pt indicates understands
1 small steak
1.5 ounces of cheddar cheese
1 large apple
1-ounce of potato chips
9
lpn is caring for a group of pts. Which pt is at highest risk for atherosclerosis due to nonmodifiable risk factors
A 21-year-old male who drinks socially and has a high cholesterol level
A 65-y/o male who smokes socially and has a brother with heart disease
4.A 73-year-old female who smokes and is a Black American
A 32y/o female who lives a sedentary lifestyle and follows a low-fat diet
10
The lpn is caring for a group of pts about to undergo surgery. Which pt is at highest risk for surgical complications?
A patient who follows a strict vegan diet
A patient who occasionally drinks
A patient who smokes 4 to 5 cigarettes daily
patient who exercises daily
11
lpn is teaching pt about coronary artery disease & explains atherosclerosis. Which statement indicates pt understanding
The arteries carry blood from capillaries to the heart.
The arteries act as valves of the heart.
I have plaque in my arteries that can lead to a heart attack.
The arteries are the natural pacemaker of the heart.
12
The nurse is caring for a patient who received a spinal block for surgery. Which findings indicate a complication?
Pain at the surgical site
Inability to wiggle toes
Blood pressure below the patient’s normal reading
Inability to urinate
13
The nurse is caring for a group of patients. Which patient is the priority
A patient with myocarditis who has a 99.1°F (37.3°C) temperature
A pt with infectious endocarditis who is receiving IV antibiotic therapy
pt who underwent valve replacement surgery 4 hrs ago reports level 9 pain
A patient with aortic regurgitation awaiting an echocardiogram
14
lpn is planning care for pts with htn. What side effect should be taught about the beta blocker propranolol
Heart palpitations are common
Rise slowly to prevent dizziness.
Report a headache immediately.
Monitor for bleeding gums.
15
lpn collect data from pt notes an area of the arm w warmth, swelling, &tenderness &suspects thrombophlebitis. What cause
+
Blood pressure cuff
IV therapy
Restrictive clothing
16
The lpn is reviewing the INR value for a pt prescribed warfarin (Coumadin). What is the therapeutic range for the pt?
2.0 to 3.0
1.0 to 2.0
3.0 to 4.0
1.5 to 3.4
17
The lpn is caring for a group of pts on the cardiac unit. Which patient is most likely to have a mitral valve prolapse?
patient with an S3 heart sound
A patient with a history of rheumatic fever
A patient with a sore throat
patient with an S4 heart sound
18
The nurse is monitoring a patient with pericarditis. Which condition change is the most concerning?
Cardiac output decreasing more than 10%
Emboli beginning to form.
Pericardial sac fluid increasing
Cardiac workload increasing by 15%
19
pt recovering from a abdominal surgery has abdominal cramping pain & hypoactive bowel sounds.What should the nurse do
Help the patient ambulate
Apply an abdominal binder.
Medicate for pain
Offer a cool beverage
20
The lpn is concerned that an older adult pt is at risk for dehydration. Changes in which body system leads to the risk?
Diminished cardiac function
Kidney filtration reduction
Impaired oxygenation
Impaired cognition
21
lpn is evaluating a group of pt for the risk of developing venous thromboembolism disease. Which pt job is most concern
truck driver
A mail carrier
baseball player
A nurse
22
The nurse is evaluating a group of patients for their risk for dehydration. Which patient is the greatest concern?
4.A patient who lost 2 liters of blood during surgery
A patient who received 6 liters of IV fluid
A patient with end-stage kidney failure
A patient with congestive heart failure
23
lpn is caring for a pt who has developed fine crackles in the lung bases during the first 24 hours postop. Which action
Provide passive range of motion exercises.
Give antipyretic medication
Encourage coughing and deep breathing
Restrict oral fluids.
24
The lpn is caring for a pt with pericarditis. Which type of med should the lpn expect to be prescribed for the patient?
Antihypertensive
Calcium channel blocker
Anti-inflammatory
Beta blocker
