Med Surg Final CH 41-48

Question 1

Is the cause of Schizophrenia unknown?

Accepted Answer

True

Question 2

Which characteristic(s) is/are an example of a negative symptom of schizophrenia? (SATA)

Accepted Answer

Psychomotor retardation, Anhedonia, Avolition

Question 3

Postmortem brain examinations of Alzheimer disease (AD) patients reveal which type of findings? (SATA)

Accepted Answer

Tangled nerve cells, Abnormal buildup of proteins

Question 4

Nurse is aware that interventions for the negative symptoms of schizophrenia are based on which factor?

Accepted Answer

Establishment of trust

Question 5

Nurse notes newly admitted pt with Alzheimer disease has significant anomia.Intervention is most appropriate for prob?

Accepted Answer

Wait patiently for the patient to find the word he wants.

Question 6

Treating pediculosis/scabies with permethrin(Nix),pyrethrins(RID) and malathion(Ovide)liver functions need monitored?

Accepted Answer

True

Question 7

Nurse adds intervention to the nursing care plan for a patient on neuroleptics. Which intervention is most appropriate?

Accepted Answer

Assess urinary output for evidence of urinary retention.

Question 8

Nurse educating pt w/ new prescription for lithium carbonate.Most important in teaching plan?

Accepted Answer

Can take up two weeks for Lithium to reach a therapeutic level in the body

Question 9

Memory lapses seen in early stages of Alzheimer disease (AD) are related to the pathophysiology of which condition?

Accepted Answer

Frontal lobe atrophy

Question 10

Fam of a pt treat diagnosis of schizo concerns to nurse.PT said pepper flakes crawling bugs.Nurse most appropriate?

Accepted Answer

It is important to tell him that you do not see the bugs."

Question 11

Nurse caring for pt w/ recent diagnosis of schizo.Wife asks how long until husband is cured.Nurse response appropriate?

Accepted Answer

Unfortunately, there is no cure, but the condition can be managed

Question 12

Large dose treatment for a serious effect of chronic alcohol abuse which causes damage to brain cells includes?

Accepted Answer

Thiamine

Question 13

Primary interventions for hypovolemia shock is to stop fluid loss and replace fluids and always administer oxygen?

Accepted Answer

True

Question 14

Nurse explain neuroleptic drugs such chlorpromazine are effective in treating specific symptoms of schizo.Which effects?

Accepted Answer

Enabling organized thought, Eliminating delusional systems, Eliminating hallucinations

Question 15

Nurse differentiates vascular dementia from Alzheimer dementia.Which causative factor responsible for vascular dementia?

Accepted Answer

Emboli in cerebral vessels

Question 16

Systemic cortiocsteroid used to decrease pain in Herpes Zoster?

Accepted Answer

Gabapentin (Neurontin), Tricyclic antidepressants

Question 17

If a pt with renal failure is diabetic,and becomes hypoglycemic, what should be given to pt?

Accepted Answer

Apple Juice, Cranberry Juice, Grape Juice

Question 18

Nurse caring pt admitted for a lorazepam (Ativan) overdose.Assessment finding indicates that the pt have withdrawal?

Accepted Answer

Blood pressure of 140/90

Question 19

Nurse aware that Korsakoff syndrome is suspected from behavioral cues, the syndrome can be confirmed by diagnostic test?

Accepted Answer

Brain scan

Question 20

Victim knife fight found lying in parking lot w/a loop of bowel protruding from abdominal wound.First responder should?

Accepted Answer

cover the evisceration with a plastic shopping bag.

Question 21

Paranoid schizo take neuroleptic into the ER w/acute muscle spasm face and neck w/ eyes fixed upward stare.Condition?

Accepted Answer

dystonia

Question 22

Nurse asked a catatonic pt, Where is your hat?" Which response should cause the nurse to document episodes of echolalia?

Accepted Answer

The patient places his hands on his head and says, "Where is your hat?"

Question 23

Nurse educating a pt with psoriasis.Information is most important for the nurse to include in the teaching plan?

Accepted Answer

Use a humidifier at night

Question 24

Schizophrenia usually develops in late adolescence or early 20s?

Accepted Answer

True

Question 25

Nurse teaching CPR class. During class,nurse correctly includes which statement when discussing the Good Samaritan Law?

Accepted Answer

The Good Samaritan Law protects all people from liability

Question 26

Care 4 pt w/ AD wakes moaning & frightened in middle of night.Begs her hubbys coffin be removed from rm. Nurse respond?

Accepted Answer

Turn light on, assist patient to the bathroom, and say This is your dresser

Question 27

Nurse observes a withdrawn schizophrenic.PT is sitting alone & moving lips,but there no audible sound. Nurse do first?

Accepted Answer

Sit down in the chair next to the patient, touch her arm, and speak softly.

Question 28

Approximately what percentage of the U.S. population is affected with schizophrenia?

Accepted Answer

1%

Question 29

What is a primary concern of Schizo because symptoms are irreversible once they have developed if not caught early.

Accepted Answer

Tardive dyskinesia

Question 30

Student ?about frquency of administration of antipsychotics,risperidone.Advantage newer antipsychotics like risperidone

Accepted Answer

Fewer serious side effects

Question 31

Nurse reviewing physician's notes on pts chart. The nurse notes pt demonstrated Cullen's sign.Which manifestation?

Accepted Answer

A bluish tinge around the umbilicus

Question 32

Which statement causes the nurse to document a schizophrenic patient's delusion of persecution?

Accepted Answer

My doc talked to the other pts,not to me. He doesn't want me to get well.

Question 33

Which med is more significantly effective than other antipsychotics(Schizo), but cause agranulocytosis (decreased WBC).

Accepted Answer

Clozapine (Clozaril)

Question 34

The nurse is assisting the pt with middle-stage Alzheimer's disease (AD) with dressing. Which action most appropriate?

Accepted Answer

Layout clothing and coach the patient to dress self.

Question 35

Nurse caring for pt has heightened risk for seizures during alcohol detoxification.Med included in pts care?

Accepted Answer

Magnesium sulfate

Question 36

Nurse talk concern about incidence schizo in fam.Pt states worried condition be inherited by teen. Most appropriate?

Accepted Answer

Although some familial factors exist,no exact known cause for schizophrenia

Question 37

In cardiogenic shock, is the first line treatment to restore myocardial function?

Accepted Answer

True

Question 38

Nurse caring for a conscious pt who has symptoms consistent w/hypoglycemia.Substance preferred increase the pts glucose?

Accepted Answer

A glass of milk

Question 39

PT with Alzheimer's disease been on donepezil for several weeks. In which situation would the nurse suspect an overdose?

Accepted Answer

The patient fails to grasp a glass tightly enough to prevent dropping it.

Question 40

How should the nurse speak when communicating with a patient with moderate Alzheimer dementia?

Accepted Answer

Clearly

Question 41

Nurse educating pt who just been prescribed diazepam(Valium)nurse cautions the pt that diazepam cause which problem?

Accepted Answer

Dependency

Question 42

Is contact isolation recommended for pediculosis/scabies?

Accepted Answer

True

Question 43

Nurse caring for a schizo pt who been prescribed large doses of thioridazine.Which manifestation signal overdose of med?

Accepted Answer

The patient walks with a shuffling gait and drooling.

Question 44

Mom of 4 yr,reports concerns about how completely rid home of lice.Response indicates mother needs further instruction

Accepted Answer

"I should discard my child's stuffed animals."

Question 45

Paranoid schizo pt says fam conspired to put in the hospital & staff are part of the conspiracy. Therapeutic response?

Accepted Answer

I'm sorry you feel that way,be around if you want to talk about feelings

Question 46

PT been taking lithium for 5 days.Nurse notes gait is little unsteady with a walker,thirst,insomnia.Important finding?

Accepted Answer

Unsteady gait

Question 47

84 yr pt low fever 2 days,complains burning, tingling hip pain shoots down leg,small group of vesicles.Which disorder?

Accepted Answer

Herpes zoster

Question 48

Donepezil been prescribed for a pt w/ AD. Which statement indicates that pt &spouse understand teaching about the med?

Accepted Answer

"The medication should be taken with meals."

Question 49

Which percentage of the population that is 85 years of age and older has some stage of Alzheimer disease (AD)?

Accepted Answer

50%

Question 50

Home health nurse educating fam of child w/head lice. Instructions are most important for the nurse to include?

Accepted Answer

Wash and dry all linens on the hottest setting.

Question 51

In which situation should the nurse document that the patient with AD exhibited agnosia?

Accepted Answer

The patient attempts to comb her hair with a fork.

Question 52

When receiving report,nurse learns schizophrenic pt been displaying waxy flexibility.Behavior consistent with report?

Accepted Answer

The patient holds his arm over his head with his fist clenched for an hour.

Question 53

Exhausted daughter sole caregiver to pt w/ moderate AD. Ask nurse what respite care entails, statement understand nurse?

Accepted Answer

My mom would stay in long-term care facility for a short time while I rest

Question 54

How long is the shingles vaccine (Zostavax) effective?

Accepted Answer

6 years

Question 55

Recent lic nurse orient AD unit.Nurse care 4 pt transition from oral rivastigmine med patch.Accurate understand of med?

Accepted Answer

The nurse explains that the sites of application will need to be rotated.

Question 56

Caring 4 pt w/ moderate Alzheimer disease in longterm care who "sundowns." The nurse understand which action beneficial?

Accepted Answer

Scheduling social interaction activities in the morning.

Question 57

Which psychotic feature(s) is/are characteristic of schizophrenia? (SATA)

Accepted Answer

Delusions, Disorganized speech, Disorganized behavior, Hallucinations

Question 58

Home health Nurse counseling family who will be caring for relative w/ moderate-stage AD,Info most important to include?

Accepted Answer

Construct a consistent routine to provide structured environment.

Question 59

Which strategies best benefits a late-stage Alzheimer patient with global amnesia? (SATA)

Accepted Answer

Pet therapy, Music therapy

Question 60

The nurse recognizes indications of respiratory distress, which include? (SATA)

Accepted Answer

choking, gasping., wheezing., stridor

Question 61

Nurse caring for a pt is undergoing detoxification from alcohol.Supplement nurse expect included in prescribed meds?

Accepted Answer

Thiamine

Question 62

Antibiotic Famciclovir(famvir),given 2-3 days of outbreak from Herpes Zoster, short time of chronic pain from shingles?

Accepted Answer

True

Med Surg Final CH 41-48

Questions 62

Med Surg Final CH 41-48

Questions 62