MEDICAL SURGICAL NURSING QUESTIONS AND
ANSWERS LATEST UPDATE
a nurse is collecting data from a client who has a new diagnosis of
pheochromocytoma. Which of the following findings should the nurse expect?
***Hypertension
The nurse should expect a client who has a pheochromocytoma to exhibit severe
hypertension. The client's systolic blood pressure can be as high as 300 mm Hg, with a
diastolic blood pressure exceeding 150 mm Hg. Other manifestations include nausea,
weakness, and severe headache. Pheochromocytoma is a rare tumor of the adrenal
gland that secretes excessive amounts of epinephrine and norepinephrine.
Bradycardia
The nurse should expect a client who has pheochromocytoma to exhibit tachycardia
due to excessive production of epinephrine and norepinephrine. Other manifestations
include nausea, weakness, and severe headache.
Abdominal pain
Dry mouth
a nurse is monitoring a client who has a new prescription for furosemide for
peripheral edema. For which of the following adverse effects should the nurse
monitor?
******Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema.
Furosemide can cause excess excretion of potassium. The nurse should monitor the
client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
A strong, bounding pulse
Furosemide is a loop diuretic, which is used to treat hypertension and edema. The
nurse should monitor the client for manifestations of dehydration, which include weak
pulse, decreased urine output, and poor skin turgor.
Hypertension
Furosemide is a loop diuretic, which is used to treat hypertension and edema. The
nurse should monitor the client for manifestations of orthostatic hypotension, such as
dizziness when standing up.
Motor ataxia: Furosemide is a loop diuretic, which is used to treat hypertension and
edema. The nurse should monitor the client for muscle spasms, which is an adverse
effect of furosemide
, a nurse is caring for a client who has heart failure and the new prescription for
furosemide. the nurse should monitor the client for which of the following
manifestations as an adverse effect of the medications?
Alopecia: Alopecia is not an adverse effect of furosemide. The nurse should monitor the
client for other dermatologic adverse effects of furosemide, such as pruritus, rash, and
urticaria.
Hypoglycemia: The nurse should monitor the client for hyperglycemia as an adverse
effect of furosemide. The nurse should inform the client about manifestations of
hyperglycemia, such as polydipsia, polyuria, polyphagia, fatigue, and muscle weakness.
Seizures: The nurse should monitor the client for other CNS adverse effects of
furosemide, such as blurred vision, dizziness, and headache.
****Tinnitus
The nurse should monitor the client for tinnitus or hearing loss as adverse effects of
furosemide. Ototoxicity, or the potential to damage hearing, is unique to loop diuretics
such as furosemide.
CA schedule for CT
-pt dont want scan done
-what should u say?
"You might change your mind about treatment if the results of the CT scan show
improvement."
"I think you should discuss this with your family before making your decision."
"You should have it done for your family's sake, even if you do not want to know the
results."
***"I will inform your provider that you have chosen not to have the CT scan performed."
pt reports amenotthea and insomnia
what to report?
The client's T4 is above the expected reference range of 4 to 12 mcg/dL, which
indicates hyperthyroidism. The nurse should report this value to the provider so that
treatment for hyperthyroidism can begin.
reinforce teaching for chronic renal failure c epoetin alfa
what to include?
Epoetin alfa is a hormone that stimulates the production of red blood cells. It is used in
the treatment of specific types of anemia. Therapeutic effects are indicated by an
increase in hematocrit resulting in a decreased requirement for blood transfusions.
neutropenia reinforce teaching?
Bathe with antimicrobial soap daily.
Take temperature daily.
ANSWERS LATEST UPDATE
a nurse is collecting data from a client who has a new diagnosis of
pheochromocytoma. Which of the following findings should the nurse expect?
***Hypertension
The nurse should expect a client who has a pheochromocytoma to exhibit severe
hypertension. The client's systolic blood pressure can be as high as 300 mm Hg, with a
diastolic blood pressure exceeding 150 mm Hg. Other manifestations include nausea,
weakness, and severe headache. Pheochromocytoma is a rare tumor of the adrenal
gland that secretes excessive amounts of epinephrine and norepinephrine.
Bradycardia
The nurse should expect a client who has pheochromocytoma to exhibit tachycardia
due to excessive production of epinephrine and norepinephrine. Other manifestations
include nausea, weakness, and severe headache.
Abdominal pain
Dry mouth
a nurse is monitoring a client who has a new prescription for furosemide for
peripheral edema. For which of the following adverse effects should the nurse
monitor?
******Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema.
Furosemide can cause excess excretion of potassium. The nurse should monitor the
client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
A strong, bounding pulse
Furosemide is a loop diuretic, which is used to treat hypertension and edema. The
nurse should monitor the client for manifestations of dehydration, which include weak
pulse, decreased urine output, and poor skin turgor.
Hypertension
Furosemide is a loop diuretic, which is used to treat hypertension and edema. The
nurse should monitor the client for manifestations of orthostatic hypotension, such as
dizziness when standing up.
Motor ataxia: Furosemide is a loop diuretic, which is used to treat hypertension and
edema. The nurse should monitor the client for muscle spasms, which is an adverse
effect of furosemide
, a nurse is caring for a client who has heart failure and the new prescription for
furosemide. the nurse should monitor the client for which of the following
manifestations as an adverse effect of the medications?
Alopecia: Alopecia is not an adverse effect of furosemide. The nurse should monitor the
client for other dermatologic adverse effects of furosemide, such as pruritus, rash, and
urticaria.
Hypoglycemia: The nurse should monitor the client for hyperglycemia as an adverse
effect of furosemide. The nurse should inform the client about manifestations of
hyperglycemia, such as polydipsia, polyuria, polyphagia, fatigue, and muscle weakness.
Seizures: The nurse should monitor the client for other CNS adverse effects of
furosemide, such as blurred vision, dizziness, and headache.
****Tinnitus
The nurse should monitor the client for tinnitus or hearing loss as adverse effects of
furosemide. Ototoxicity, or the potential to damage hearing, is unique to loop diuretics
such as furosemide.
CA schedule for CT
-pt dont want scan done
-what should u say?
"You might change your mind about treatment if the results of the CT scan show
improvement."
"I think you should discuss this with your family before making your decision."
"You should have it done for your family's sake, even if you do not want to know the
results."
***"I will inform your provider that you have chosen not to have the CT scan performed."
pt reports amenotthea and insomnia
what to report?
The client's T4 is above the expected reference range of 4 to 12 mcg/dL, which
indicates hyperthyroidism. The nurse should report this value to the provider so that
treatment for hyperthyroidism can begin.
reinforce teaching for chronic renal failure c epoetin alfa
what to include?
Epoetin alfa is a hormone that stimulates the production of red blood cells. It is used in
the treatment of specific types of anemia. Therapeutic effects are indicated by an
increase in hematocrit resulting in a decreased requirement for blood transfusions.
neutropenia reinforce teaching?
Bathe with antimicrobial soap daily.
Take temperature daily.
