MED SURGE 201 FINAL STUDY
GUIDE QUESTIONS & ANSWERS
100% CORRECT (FULLY SOLVED)
A decrease in this lab for a person with liver damage
manifests as ascites or peripheral edema - correct
answer- albumin
A patient being treated for a UTI has just voided and you
go to empty the hat and record the output when you
notice the urine is bright orange. - correct answer-
Go and look at the MAR to see if patient is taking
phenazopyridine. There is a good chance that this is
ordered since the patient is being treated for a UTI. This is
a normal finding for patients on this medication. If the
patient is not on this medication, it would be appropriate
to check the charting to see if this is a new finding. If so,
and if there are no other problematic symptoms, place a
note on the patient chart for the doctor to see next time
he/she is in.
,A patient calls the clinic where you work and tells you he
has an erection that has lasted 4 hours. - correct
answer- Instruct the person to have someone take
him to the emergency department right away since this is
a medical emergency. Let the patient know that he will
need medical care since there may be an obstruction that
needs to be cleared.
A patient comes for a follow-up appointment at the
doctor's office 10 days after an open cholecystectomy.
The patient complains of being tired, has pain in her
chest, has pain when taking a deep breath, and feels
dizzy. What priority assessment will the nurse perform? -
correct answer- Respiratory
A patient complains of blood in her urine after having a
paracentesis earlier that day . What
assessments/interventions should the nurse make before
calling the healthcare provider? - correct answer-
Perform an abdominal assessment
Check how much blood is in patient's urine
take vitals
,A patient has a t-tube post-open cholecystectomy and is 4
days post-op. the nurse finds the t-tube clamped and the
dinner trays have been delivered. What will the nurse do?
- correct answer- Look at charting from day shift
regarding the clamped t-tube
A patient has active bleeding esophageal varices. Place
the actions in the correct order. - correct answer-
Maintain patient airway
Increase rate of IV fluids
Administer IV octreotide
Prepare for sclerotherapy
Relieve patient anxiety
A patient has returned from an IVP and is ready to be
discharged. The patient skipped her morning meds since
the IVP was scheduled so early. She asks if you can give
her the meds including levothyroxine, metformin,
lisinopril, and loratidine before she goes home. -
correct answer- It is important for a patient not
to take metformin for 48 hours after having an IVP since it
can cause the person to go into lactic acidosis. You can
, give the other meds but stress the importance for the
patient not to take the metformin for 48 hours. It would
also be helpful to remind the patient to drink a lot of
fluids after the procedure to help flush the dye out of her
system.
A patient is admitted to the hospital with abdominal pain.
The patient labs are now available on epic. The nurse
notes an elevated wbc, amylase, lipase, and blood glucose
186. The physician has not entered a diet for the patient
at this time. The patient requests some ice cream while
waiting for the doctor to come to the hospital. What
should the nurse do? - correct answer-
Encourage the patient not to have anything by mouth
A patient is ready to be discharged after having a kidney
stone. The patient asks you if there is anything he can do
so he doesn't get another kidney stone. - correct
answer- It is important for the stone to be analyzed
to determine if any dietary changes need to be made. If
the stone is oxalate, you can give the patient a list of
foods to avoid that are high in oxalate. If it is a uric acid
stone, you can give the patient a list of foods to avoid that
are high in purine. If the results of the kidney stone
GUIDE QUESTIONS & ANSWERS
100% CORRECT (FULLY SOLVED)
A decrease in this lab for a person with liver damage
manifests as ascites or peripheral edema - correct
answer- albumin
A patient being treated for a UTI has just voided and you
go to empty the hat and record the output when you
notice the urine is bright orange. - correct answer-
Go and look at the MAR to see if patient is taking
phenazopyridine. There is a good chance that this is
ordered since the patient is being treated for a UTI. This is
a normal finding for patients on this medication. If the
patient is not on this medication, it would be appropriate
to check the charting to see if this is a new finding. If so,
and if there are no other problematic symptoms, place a
note on the patient chart for the doctor to see next time
he/she is in.
,A patient calls the clinic where you work and tells you he
has an erection that has lasted 4 hours. - correct
answer- Instruct the person to have someone take
him to the emergency department right away since this is
a medical emergency. Let the patient know that he will
need medical care since there may be an obstruction that
needs to be cleared.
A patient comes for a follow-up appointment at the
doctor's office 10 days after an open cholecystectomy.
The patient complains of being tired, has pain in her
chest, has pain when taking a deep breath, and feels
dizzy. What priority assessment will the nurse perform? -
correct answer- Respiratory
A patient complains of blood in her urine after having a
paracentesis earlier that day . What
assessments/interventions should the nurse make before
calling the healthcare provider? - correct answer-
Perform an abdominal assessment
Check how much blood is in patient's urine
take vitals
,A patient has a t-tube post-open cholecystectomy and is 4
days post-op. the nurse finds the t-tube clamped and the
dinner trays have been delivered. What will the nurse do?
- correct answer- Look at charting from day shift
regarding the clamped t-tube
A patient has active bleeding esophageal varices. Place
the actions in the correct order. - correct answer-
Maintain patient airway
Increase rate of IV fluids
Administer IV octreotide
Prepare for sclerotherapy
Relieve patient anxiety
A patient has returned from an IVP and is ready to be
discharged. The patient skipped her morning meds since
the IVP was scheduled so early. She asks if you can give
her the meds including levothyroxine, metformin,
lisinopril, and loratidine before she goes home. -
correct answer- It is important for a patient not
to take metformin for 48 hours after having an IVP since it
can cause the person to go into lactic acidosis. You can
, give the other meds but stress the importance for the
patient not to take the metformin for 48 hours. It would
also be helpful to remind the patient to drink a lot of
fluids after the procedure to help flush the dye out of her
system.
A patient is admitted to the hospital with abdominal pain.
The patient labs are now available on epic. The nurse
notes an elevated wbc, amylase, lipase, and blood glucose
186. The physician has not entered a diet for the patient
at this time. The patient requests some ice cream while
waiting for the doctor to come to the hospital. What
should the nurse do? - correct answer-
Encourage the patient not to have anything by mouth
A patient is ready to be discharged after having a kidney
stone. The patient asks you if there is anything he can do
so he doesn't get another kidney stone. - correct
answer- It is important for the stone to be analyzed
to determine if any dietary changes need to be made. If
the stone is oxalate, you can give the patient a list of
foods to avoid that are high in oxalate. If it is a uric acid
stone, you can give the patient a list of foods to avoid that
are high in purine. If the results of the kidney stone
