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Combined: Musculoskeletal + Neoplasia + Review of Perfusion + Diabetes + Introduction to Pha... Flashcards | StudBud
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Combined: Musculoskeletal + Neoplasia + Review of Perfusion + Diabetes + Introduction to Pha...
Combined: Musculoskeletal + Neoplasia + Review of Perfusion + Diabetes + Introduction to Pha...
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Musculoskeletal: Neoplasia: Review of Perfusion: Diabetes: Introduction to Pharmacology:
Flashcards
38 cards
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Questions
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Answers
1
Which of the following is
NOT
involved in the metastasis of malignant neoplasms?
adhesion to basement membranes
hematogenous spread
programmed apoptosis
lymphatic spread
2
Which clinical manifestation is characteristic of peripheral arterial thrombosis?
Intermittent claudication and pain.
A positive Homan's sign is present in 10% of patients
Pain decreases with activity in the affected limb
The limb is warm to the touch and erythematous
3
Tumors that are well circumscribed, slow growing and well differentiated are?
atrophied
malignant
anaplastic
benign
4
The patient will be taking an antibiotic at home. The best rout is likely
Intravenous
Oral
Intramuscular
Subcutaneous
5
Which individual would be most at risk for developing osteoarthritis?
A female truck driver
A male college professor
A female concert pianist
A male football player
6
As a general rule, benign cells more closely resemble their tissue type of origin. This is ____
Differentiation
Malignancy
Anaplasia
Metaplasia
7
The patient has a fractured femur, is on warfarin, and is scheduled for surgery.
The nurse will administer phytonadione
The nurse will ask for an order for INR
The nurse will hold the dose of warfarin
The nurse will give the usual dose of warfarin
8
Metabolism of a drug from inactive to active is an example of
Increased toxicity
First pass effect
Activation of a prodrug
Increased therapeutic action
9
In the patient taking metformin, which patient report should be prioritized?
Report of weight loss
Report of nausea and diarrhea
Report of foot pain
Report of muscle pain
10
The patient newly diagnosed with RA asks why the provider has recommended early treatment
Early treatment can minimize joint damage
Early treatment results in less immunosuppression
Early treatment can reverse cartilage destruction
Early treatment can lower RF and anti-CCP
11
A skin assessment of chronic venous insufficiency would show which of the following?
White, shiny skin
Diminished or absent pulses
Edema increasing as the day progresses
Pain that decreases when legs are in dependent position
12
The pt with an RA flare is prescribed 3 weeks of prednisone. Which med dose may need adjustment?
Insulin
Lisinopril
Metoprolol
Acetaminophen
13
In extrinsic asthma the immune system responds to the presence of allergens by causing
bronchoconstriction.
decreased cough reflex.
bronchodilation.
decreased sputum production.
14
Poorly controlled hypertension will eventually lead to HF secondary to
Coronary atherosclerosis
Increased myocardial workload
Pulmonary congestion
Reduced renal perfusion
15
Which of the following is a fundamental characteristic of cancer
programmed apoptosis
angiogenesis to sustain growth
increased response to inhibitory signals
limited reproductive potential
16
Most drugs work by mimicking or blocking
Hormones
Endogenous regulatory molecules
Macromolecules
Metabolic enzymes
17
Your 50 year old female patient asks you what she should do to prevent osteoporosis. You reply
Engage in regular weight bearing exercise
Ask your provider to prescribe estrogen
Adhere to a vegan diet
Take Calcium and Vitamin D supplements
18
Cardiac output is the product of both
pulse pressure and mean arterial pressure (MAP).
systemic vascular resistance (SVR) and pulse pressure.
stroke volume and heart rate.
mean arterial pressure+ systemic vascular resistance
19
The nurse monitors for which adverse effect after administering hydrochlorothiazide and digoxin
Decreased diuretic effect
Dehydration
Heart failure
Digoxin toxicity
20
The patient has extrinsic asthma. The nurse will teach him to do all the following except
Avoid excessive exercise
Carry his albuterol inhaler at all times
Manage allergies with meds and/or avoidance of antigens
Monitor his asthma with a peak flow meter
21
The patient has been taking alendronate for several years. The nurse is concerned when the pt
Reports taking vitamin D and calcium
Reports drinking a glass of wine with dinner
Reports new onset heartburn
Reports a headache
22
Binding of drugs to plasma albumin affects
Excretion
Absorption
Distribution
Metabolism
23
Advanced age effects excretion of a drugs through
Reduction in hepatic enzyme production
Reduction of functioning nephrons
Reduction in the size of glomerulus
Decrease in protein binding
24
In the type I diabetic polyphagia is the neural response to
Osmotic fluid loss secondary to glycosuria
Elevated plasma glucose levels
Immune system activation
A lack of glucose for insulin dependent tissues
25
Beneficial effects that can be derived from statins include all
EXCEPT
Reduction of risk of cardiovascular events
Elevation of HDLs
Improvement of liver function
Reduction of LDLs
26
The patient is receiving doxorubicin for treatment of breast cancer. She reports palpitations.
The nurse discusses coping skills for symptoms of anxiety
The nurse requests an order for ECG
The nurse explains that this is a side effect of doxorobucin
The nurse auscultates heart sounds
27
The patient taking methotrexate will be instructed to
Avoid folate rich foods
Take acetaminophen for fever
Report blood in stool
Use sunscreen
28
The patient asks why the physician recommended exercise to control his diabetes. The nurse says
Exercise increases cellular insulin sensitivity
Exercise raises serum blood glucose values
Exercise reduces hepatic glucose production
Exercise decreases metabolic demands in muscle cells
29
A difference between ketoacidosis and nonketotic hyperglycemic, hyperosmolar syndrome is
NHHS is not life threatening
Normal glucose levels in patients with keotacidosis
The complete lack of insulin in patients with ketoacidosis
No hypovolemia in NHHS
30
The patient is due for lispro insulin with breakfast. When is the best time to administer insulin?
One half hour before eating breakfast
One hour before eating breakfast
When the patient begins breakfast
One half hour after eating breakfast
31
What is the term for 'new growth'
dysplasia
dysplastic
neoplasia
anaplasia
32
The patient receiving the first infusion of Trastuzumab reports chills and nausea. Temp is 102 F. The nurse
Administers an antipyretic
Requests an order for ECG
Stops the infusion
Reviews lab results
33
The nurse is about to administer a dose of digoxin. What is a priority nursing intervention?
Palpate the pedal pulses.
Assess for Homans’ sign.
Check blood pressure.
Analyze heart rate and rhythm.
34
Prolonged exposure of receptors to an agonist drug can produce
Teratogenicity
Hypersensitivity
Affinity
Desensitization
35
A patient is given a sedating drug but experiences insomnia. This is
An iatrogenic effect
An idiosyncratic effect
A paradoxical effect
An allergic effect
36
Teaching for a client beginning insulin glargine will include
Administer with meals
Mix with insulin lispro
Rotate injection sites
Peak occurs after four hours
37
The absorption phase of pharmacokinetics is bypassed by
intramuscular administration
oral administration
intravenous administration
topical administration
38
Which medication classification is used to decrease preload in patients with heart failure?
Calcium channel blockers
Beta blockers
Corticosteroids
Diuretics
