Adv Med-Surg Exam I review

Front

Guillain-Barre Syndrome primarily causes:

Back

demyelination leading to ascending weakness

Front

Which intervention helps reduce intracranial pressure (ICP)? Options: Elevating the head of the bed to 30 degrees, Applying cooling blankets that cause shivering, Increasing sodium intake, Keeping the head flat

Back

Elevating the head of the bed to 30 degrees

Front

A patient slipped and fell on the floor in the hospital room, causing a back injury, and the patient now reports pain. How will the nurse determine that the pain is characteristic of acute pain?

Back

it is associated with a specific injury

Front

A patient frequently visits the clinic with reports of pain. Which of the following will the nurse recognize as chronic benign pain in this patient? a migraine headache, an exacerbation of rheumatoid arthritis, low back pain, sickle cell crisis

Back

low back pain

Front

The nurse is performing an assessment for a patient reporting pain but finds no physical cause. Which nursing action is appropriate with the patient's continued report of pain?

Back

Believe a patient when they state that pain is present.

Front

The nurse is assessing a patient reporting severe pain. Which physiologic indicator does the nurse recognize as significant of acute pain?

Back

diaphoresis

Front

The patient develops respiratory depression after the nurse administers fentanyl for pain. Which medication can the nurse anticipate administering to conteract the effects of the fentanyl?

Back

naloxone

Front

The nurse applies a transdermal patch of fentanyl for a patient with pain due to cancer of the pancreas. The patient puts the call light on 1 hour later and tells the nurse that it has not helped. Which is the best response by the nurse?

Back

It will take approximately 12 to 18 hours for the medication to begin to work, so I will give you something else now to relieve the pain.

Front

The nurse at the eye clinic is caring for a patient with suspected glaucoma. Which report by the patient would be significant for a diagnosis of glaucoma? Options: a significant loss of central vision, diminished acuity, pain associated with a purulent discharge, the presence of halos around lights

Back

the presence of halos around lights

Front

When assessing the visual fields in acute glaucoma, which will the nurse expect to find? Options: clear cornea, constricted pupil, marked blurring of vision, watery ocular discharge

Back

marked blurring of vision