Medical Surgical Nursing I Quiz

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Questions and Answers

What are common symptoms of left-sided heart failure?

Nausea and vomiting

Abdominal pain and indigestion

Frequent urination at night

Shortness of breath and fatigue (correct)

Which type of anemia is characterized by low iron levels?

Hemolytic anemia

Sickle cell anemia

Aplastic anemia

Iron deficiency anemia (correct)

What is an important nursing management step for a patient undergoing blood transfusion?

Monitor vital signs frequently (correct)

Pre-medicate with antibiotics

Start the transfusion at a rapid rate

Use a large-bore needle only

Which of these is NOT a complication of chronic renal failure?

Respiratory failure Signup and view all the answers

What is a primary characteristic of nephritic syndrome?

Elevated blood pressure and edema Signup and view all the answers

In the management of a patient with urinary tract infection, which medication class is commonly used?

Antibiotics Signup and view all the answers

What is one of the clinical features of benign prostate hypertrophy (BPH)?

Difficulty starting urination Signup and view all the answers

Which of the following is a type of renal stone?

Calcium oxalate Signup and view all the answers

What are typical clinical manifestations of coronary artery diseases?

Chest pain and fatigue Signup and view all the answers

Which of the following is a type of hypertension?

Malignant hypertension Signup and view all the answers

What is a common complication of colostomy procedures?

Infection at the surgical site Signup and view all the answers

Which of the following best defines congestive cardiac failure (CCF)?

Insufficient heart pumping to meet body needs Signup and view all the answers

What is a common nursing management practice for a patient with cirrhosis of the liver?

Monitoring fluid intake and output Signup and view all the answers

What is one of the main purposes of cardiac catheterization?

To visualize coronary arteries Signup and view all the answers

Which condition is commonly associated with ventricular failure?

Heart valve stenosis Signup and view all the answers

What is a characteristic sign of Raynaud’s phenomenon?

Fingers turning blue or white Signup and view all the answers

What is one of the primary purposes of traction in musculoskeletal treatment?

Align fractured bones Signup and view all the answers

Which of the following is NOT a type of skin traction?

Skeletal traction Signup and view all the answers

Which of these factors does NOT affect bone healing?

Type of dressing used Signup and view all the answers

What is the primary goal of the AIDS control program?

Increased public awareness Signup and view all the answers

What defines osteoporosis?

Low bone density and deterioration Signup and view all the answers

Which of the following is a major complication associated with osteoporosis?

Fracture risk Signup and view all the answers

Which form of anesthesia provides complete unconsciousness?

General anesthesia Signup and view all the answers

What is a key consideration in the care of a patient with a cast?

Check for circulation and swelling Signup and view all the answers

What is the primary focus of nursing management for a patient with tuberculosis (TB)?

Conducting respiratory assessments Signup and view all the answers

What is a common cause of respiratory failure?

Chronic obstructive pulmonary disease (COPD) Signup and view all the answers

Which symptom is typically associated with bronchiectasis?

Cough with sputum Signup and view all the answers

What is the definition of intestinal obstruction?

A blockage preventing normal passage of contents Signup and view all the answers

What is one of the primary signs of peritonitis?

Abdominal distension Signup and view all the answers

What is a priority nursing diagnosis for a patient with a peptic ulcer?

Acute pain Signup and view all the answers

Which type of hiatus hernia involves the stomach being pushed into the thoracic cavity?

Sliding hernia Signup and view all the answers

What is a common procedure for diagnosing gastrointestinal issues, including peptic ulcers?

Endoscopy Signup and view all the answers

Which of the following is a risk factor for fluid and electrolyte imbalances?

Chronic illnesses Signup and view all the answers

What is one primary complication that can occur during the healing process?

Wound infection Signup and view all the answers

What is a characteristic of acidosis?

Low blood pH Signup and view all the answers

Which type of shock is characterized by a loss of blood volume?

Hypovolemic shock Signup and view all the answers

What is a common clinical manifestation of pneumonia?

Fever and chills Signup and view all the answers

Which type of immunity is developed after vaccination?

Active immunity Signup and view all the answers

What is a primary objective of oxygen therapy in patients with COPD?

Improve ventilation Signup and view all the answers

Which nursing management strategy is crucial for a patient post-operatively?

Pain assessment and management Signup and view all the answers

Study Notes

Unit I: Introduction

Types of inflammation include acute and chronic, each with distinct cellular processes.
Home Health Nursing roles involve patient assessment, education, care coordination, and support for chronic disease management.
Complications of healing can include infection, dehiscence, and contractures.
Types of immunity consist of innate (non-specific) and adaptive (specific), which includes humoral and cellular immunity.
Disease concept encompasses the deviation from normal structure/function leading to dysfunction.
Stages of wound healing: hemostasis, inflammation, proliferation, and remodeling.
ICU nurses play a pivotal role in monitoring, administering treatments, and supporting critical care management.
Cell injury can be caused by physical agents, chemicals, biological factors, or genetic mutations.
Nursing management for pre-operative patients includes assessment, education, and preparation; post-operative care involves monitoring and managing complications.
Factors influencing wound healing include age, nutrition, blood supply, and presence of infection.

Unit II: Common Signs and Symptoms

Risk factors for fluid & electrolyte imbalances include dehydration, renal dysfunction, and medications.
Clinical manifestations of acidosis include confusion and lethargy; alkalosis may cause muscle twitching and convulsions.
Pain can be classified as acute vs chronic, nociceptive vs neuropathic.
Types of shock include hypovolemic, cardiogenic, obstructive, and distributive.
Principles of intensive care include monitoring, stabilization, and collaboration in care planning.
Medical asepsis principles aim to prevent infection through cleanliness and disinfection.
Hypokalemia characteristics involve muscle weakness and arrhythmias.
Acid-base imbalances can be metabolic or respiratory in origin, affecting pH and bicarbonate levels.
Fluid & electrolyte replacement is essential for restoring homeostasis.
Drug therapy for pain is often based on the intensity scale ranging from mild to severe.
Nursing management for vomiting includes assessing hydration status and managing electrolyte balance.
Stages of shock progress from compensated to decompensated shock.
Hypothermia manifests with shivering, confusion, and bradycardia.
Intake/Output charts are vital for monitoring fluid balance in patients.

Unit III: Nursing Management of Patients With Respiratory Problems

Bronchoscope examination is performed to visually inspect the airways and may involve tissue sampling.
Pulmonary Function Tests assess lung capacity and airflow to diagnose respiratory disorders.
Nursing management of influenza includes symptomatic relief and patient education on infection control.
Types of pneumonia include community-acquired, hospital-acquired, and aspiration pneumonia.
The Tuberculin skin test helps diagnose TB exposure.
Pulmonary embolism is a blockage in the pulmonary artery, often from clots.
Classification of pleural effusion based on underlying causes: transudative or exudative.
Bronchiectasis involves abnormal dilation of bronchi, resulting in chronic infections.
Pneumonia complications can include abscess formation, empyema, and respiratory failure.
Tracheostomy care involves maintaining airway patency and preventing infection.
Sinusitis symptoms can include facial pain, nasal congestion, and fever.
Allergic bronchitis is characterized by inflammation of the airways due to allergens.
Pathophysiology of atelectasis involves lung collapse due to airway obstruction or pleural diseases.
Clinical features of asthma include wheezing, shortness of breath, and chest tightness.
Surgical approaches to a deviated nasal septum often involve septoplasty.
Pneumothorax results from air accumulation in the pleural space; symptoms include sudden chest pain and difficulty breathing.
Chest physiotherapy aids in mobilizing secretions in patients with respiratory conditions.
Chronic bronchitis causes persistent cough and mucus production.
Pathophysiology of cystic fibrosis leads to thick mucus causing obstructive lung disease.
Closed chest drainage is essential after thoracic surgery to prevent fluid accumulation.
Acute tonsillitis presents with sore throat, difficulty swallowing, and fever; can be viral or bacterial.
DOTS therapy refers to Directly Observed Treatment Short-course for tuberculosis management.
Ventilator care includes ensuring adequate settings and monitoring ventilatory parameters.
Oxygen therapy in COPD aims to maintain adequate oxygenation while avoiding hypercapnia.
Pathophysiology of tuberculosis involves infection by Mycobacterium tuberculosis leading to granuloma formation.
Clinical features of COPD include chronic cough, wheezing, and reduced exercise tolerance.

Unit IV: Nursing Management of Patients With Disorders of Digestive System

Cardinal signs of peritonitis include abdominal rigidity, tenderness, and fever.
Hepatitis B is spread through contaminated blood, sexual contact, and from mother to child.
Health education in ulcerative colitis focuses on dietary management and medication adherence.
Liver biopsy is a diagnostic procedure to assess liver health and disease.
Hiatal hernia types include sliding and paraesophageal hernias, with varying clinical implications.
Clinical manifestations of gastritis encompass abdominal pain, nausea, and vomiting.
Gastroenteritis presents with diarrhea, vomiting, and abdominal discomfort, often due to infection.
Types of intestinal obstruction include mechanical and functional obstructions.
Hemorrhoids cause pain, itching, and rectal bleeding, often resulting from increased venous pressure.
Portal hypertension occurs due to increased pressure in the portal venous system, leading to varices.
Cirrhosis pathophysiology includes liver fibrosis and dysfunction, commonly due to alcohol or viral hepatitis.
Abdominal paracentesis is a procedure to remove fluid from the abdominal cavity for diagnostic purposes.
Endoscopy allows direct visualization of the digestive tract for diagnosis and treatment.
Hernias can be classified into inguinal, femoral, umbilical, and incisional hernias.
Medical management of gastrointestinal bleeding focuses on stabilization and identifying the source.
Differences between duodenal and gastric peptic ulcers involve location, symptoms, and etiological factors.
Peptic ulcer complications include perforation, bleeding, and obstruction.
Surgical management for peptic ulcers may involve vagotomy or antrectomy.
Appendicitis presents with right lower quadrant pain, nausea, and vomiting.
Clinical manifestations in intestinal obstruction include abdominal distention and fluctuating bowel sounds.
Prevention of food poisoning emphasizes personal hygiene and proper food handling.
Peritonitis pathophysiology involves inflammation due to infection or irritation leading to abdominal pain.
Colostomy care focuses on stoma management and skin protection.
Hepatic coma results from severe liver failure, presenting with confusion and altered consciousness.
Cholelithiasis involves gallstone formation, causing pain and potential complications.
Hepatitis prevention includes vaccination and safe practices to avoid transmission.

Unit V: Nursing Management of Patients With Blood and Cardiovascular Problems

Prevention of endocarditis includes maintaining oral hygiene and prophylactic antibiotics for high-risk patients.
Diagnostic tests for rheumatic heart disease include echocardiography and throat culture.
Dietary recommendations for hypertension emphasize low sodium and high potassium intake.
Clinical manifestations of coronary artery disease can include chest pain and shortness of breath.
ICU equipment may include ventilators; each has specific uses based on patient needs.
Carcinogenic shock is associated with malignancies causing cardiovascular instability.
Types of congestive heart failure include left-sided, right-sided, and congestive heart failure.
Mitral valve stenosis leads to reduced blood flow and pulmonary congestion.
Aneurysms can be classified as abdominal, thoracic, or cerebral based on location.
Cardiac catheterization provides diagnostic information on coronary artery disease through imaging.
Digoxin is used for heart failure; side effects may include gastrointestinal disturbances and arrhythmias.
Medical management for congestive cardiac failure includes diuretics and ACE inhibitors.
Sinus tachycardia involves accelerated heart rate often due to stress or physiological conditions.
ECG changes in hypokalemia may show flattened T waves or U waves.
Vasodilators are used for managing hypertension and reducing cardiac workload.
Percutaneous transluminal coronary angioplasty is a procedure to open narrowed coronary arteries.
Cardiac pacing corrects arrhythmias by delivering electrical impulses to the heart.
Nursing care for congestive cardiac failure includes monitoring symptoms and medication adherence.
Hypertension classification ranges from normal to stage 3 hypertension based on blood pressure readings.
Antihypertensive agents include diuretics, ACE inhibitors, and beta-blockers.
Cardiac tamponade presents with reduced cardiac output due to pericardial fluid accumulation.
Types of angina pectoris include stable, unstable, and variant angina.
Myocardial infarction pathophysiology involves heart tissue ischemia due to artery blockage.
CPR is a critical life-saving procedure during cardiac arrest.
Ventricular failure affects the heart's ability to pump effectively, causing systemic issues.
Cardiomyopathy can be classified into dilated, hypertrophic, and restrictive types.
Arrhythmias can present as tachycardia, bradycardia, or irregular rhythms.
Antiarrhythmic drugs are used to restore normal heart rhythm and prevent tachyarrhythmias.
Nursing care with infective endocarditis includes monitoring for complications and coordinating care.
Surgical management of aneurysms may involve resection or graft placement.
Raynaud's phenomenon is characterized by episodic vasospasm of arteries, usually in fingers and toes.
Deep vein thrombosis is a condition of clot formation in deep veins, requiring prompt treatment.

Unit VI: Nursing Management of Patients With Genito-Urinary Problems

Types of kidney stones include calcium oxalate, uric acid, and struvite stones.
Nursing management for urinary tract infections focuses on symptom relief and patient education.
Complications of benign pro

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Description

Test your knowledge with this quiz covering key concepts from Medical Surgical Nursing I. Topics include inflammation types, home health nursing roles, and wound healing stages. Assess your understanding of critical nursing responsibilities in various settings.