Medical Surgery I Quiz 8 Newest version 2025-2026
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4. Radiation therapy
Rationale
Xerostomia is a condition
Xerostomia is dryness of the mouth, which occurs with
associated with which of the
radiation therapy. It occurs when the salivary glands
following types of treatment?
are in the irradiation path. The side effect is long term
1. Biotherapy
and may be permanent. Biotherapy effects typically
2. Chemotherapy
3. Speech therapy
include flu-like symptoms including chills, Never, muscle
4. Radiation therapy aches and weakness. The most common effects
associated with chemotherapy include fatigue, hair loss,
infection, anemia, nausea and vomiting,
appetite changes, and constipation. There are no real
detrimental conditions associated with speech
therapy.
Which surgery of neck 1. Total laryngectomy
cancer leads to absence of Rationale
a natural voice? Total laryngectomy results in the patient having no
1. Total laryngectomy natural voice. In transoral cordectomy, the patient may
2. Transoral cordectomy have a natural or hoarse voice quality. In vertical
3. Vertical laryngectomy laryngectomy, the resulting voice quality is hoarse. Also,
4. Supraglottic partial
after a supraglottic partial laryngectomy, the patient
laryngectomy
may have a natural or hoarse voice quality.
Which upper respiratory 1. Rhinitis
infection is often triggered Rationale
by a hypersensitivity Allergic rhinitis (hay fever or allergies) is triggered by a
reaction to airborne hypersensitive reaction to airborne allergens,
allergens? especially plant pollens or mold. These infections can
1. Rhinitis occur in the sinuses (sinusitis) or throat (pharyngitis);
2. Sinusitis however, the initial trigger is the
3. Tonsillitis hypersensitive allergic reaction. Tonsillitis is a contagious airborne
infection that has
4. Pharyngitis
settled in the tonsils on either side (or both sides) of the throat.
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What signs and symptoms 1. Lethargy
does the nurse anticipate 4. Night sweats
to find in a patient 5. Low-grade fever
diagnosed with Rationale
Expected assessment findings in a patient diagnosed
tuberculosis? Select all
with tuberculosis include lethargy, night sweats, and a
that apply.
1. Lethargy low-grade Never. Dyspnea does not occur with
2. Dyspnea
tuberculosis. Weight loss and anorexia occur in patients with
tuberculosis.
3. Weight gain
4. Night sweats
Low-grade fever
5.
What education will be 4. Everyone must undergo tuberculosis testing.
provided for the family Rationale
of a patient being The family members living with a patient diagnosed with
tuberculosis will have to
treated for
tuberculosis convalescing at undergo testing. Airborne precautions are unnecessary
home? because the family members have already been exposed
1. Use airborne precautions.
to the TB. The patient should be instructed to place used
2. Place used tissues in a trash
tissues in a plastic bag, and cover mouth and nose when
can
3. Cover your mouth and
sneezing, but this instruction is not specific to family
nose when sneezing. members.
4. Everyone must undergo
tuberculosis testing.
Which is not a cause of sleep 2. Alcohol
apnea? Alcohol does not contribute to sleep apnea. Obesity,
1. Obesity
which is a result of unhealthy lifestyle practices,
2. Alcohol
contributes to sleep apnea. Smoking is another major
3. Smoking
factor that leads to sleep apnea. Anatomical
4. Short neck
abnormalities, such as a short neck, also
contributes to sleep apnea.
Which of the patient's 1. Swimming
actions during self- Rationale
management after a Swimming should be avoided after laryngectomy to
laryngectomy can prevent an infection pathway related to the stoma.
lead to complications? Crusting around the stoma should be prevented with a
1. Swimming saline solution rinse of the area. The stoma should be
2. Using saline on the stoma
cleaned with mild soap and water to prevent infection.
3. Cleaning the stoma with
The stoma should be covered while coughing
water
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4. Covering the stoma while because the
coughing pressure can cause mucus secretions.
A patient with suspected initial 1. Left lower lobe
infection of tuberculosis (TB) 3. Right lower lobe
is admitted to the 5. Right middle lobe
respiratory intensive care Rationale
Initial infection of tuberculosis (TB) is most often seen in
unit (ICU). The nurse
the middle or lower lobes of the lung. The upper lobes of
caring for the patient
the lung are not the primary location of initial infection
reviews the patient's
of TB.
recent chest x-ray. Where
on the patient's chest x-
ray will the nurse most
likely find evidence of the
patient's infection?
Select all that apply.
1. Left lower lobe
2. Left upper lobe
3. Right lower lobe
4. Right upper lobe
5. Right middle lobe
Which disorder of the lungs 1. Pertussis
may feature a distinct Rationale
'whooping' sound in The distinct 'whooping' sound of pertussis that is
children that may not be common in children at the end of a cough may not be
present in adults? present in adults. Tuberculosis, inhalation anthrax, and
1. Pertussis coccidioidomycosis are not associated with this
2. Tuberculosis 'whooping' sound.
3. Inhalation anthrax
4. Coccidioidomycosis
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