Download Exam 1: NUR209/ NUR 209 (2025/ 2026 Update) Medical Surgical Nursing II Review | Q&As and more Exams Nursing in PDF only on Docsity!
Exam 1: NUR209/ NUR 209 (2025/ 2026
Update) Medical Surgical Nursing II
Review | Questions and Verified Answers|
100% Correct| A Grade – Fortis
QUESTION
S/s of type 1 DM: SATA Answer: 3' P Excessive thirst Excessive urination Excessive hunger
QUESTION
signs and symptoms of DM type 2 Answer: urinating more often than usual, particu- larly at night. feeling very thirsty. feeling very tired. unexplained weight loss. itchiness around the genital area, or regular bouts of thrush (a yeast infection) cuts or wounds that heal slowly. blurred vision - caused by the lens of the eye becoming dry.
QUESTION
. Gestational Diabetic patient Answer: Fast blood glucose
QUESTION
What symptoms would you expect in a patient with Cushing's syndrome?- Answer: weight gain. thin arms and legs. a round face. increased fat around the base of the neck. a fatty hump between the shoulders. easy bruising. wide purple stretch marks, mainly on the abdomen, breasts, hips, and under the arms. weak muscles.
QUESTION
What lab test would you order for a patient with Cushing's disorder Answer: 24 - hour urine free cortisol
QUESTION
When should you administer Lispro insulin Answer: 15mins before or immediately after
QUESTION
S/S of hypoglycemia Answer: shakiness, diaphoresis, anxiety, nervousness, chills, nausea, headache, weakness, confusion pg. 1131 table 48.
selects food high in trans fats
QUESTION
If the patient has acromegaly, what would you ask them? Answer: Medical history
QUESTION
What assessment finding is consistent with panhypopituitarism? Answer: de- creased facial hair
QUESTION
SIADH, and what they are at risk for Answer: The body makes too much ADH, At risk of retaining to much fluid
QUESTION
What lab will tell you they have diabetes insipidus Answer: Checking the levels of certain substances in the blood, such as sodium, potassium and calcium, pg. 1148
QUESTION
How do you know the med for hypothyroidism has been effective? Answer: set up a plan to test and measure thyroid-stimulating hormone (TSH) every few weeks after beginning medication.
QUESTION
What does hypovolemia release? Answer: The loss of blood or water
QUESTION
What medication will you have available for tetany for a patient with thy- roidectomy Answer: Calcium glucoate IV
QUESTION
education for a patient on synthroid Answer: apical pulse rate can take up to 8 weeks to notice full effect lifelong therapy is required carefully monitor patients with CVD Monitor HR and report pulse greater than 100 beats/min or an irregular HR Treatment for hypothyroidism promptly report chest pain, weight loss, nervousness, tremors, and/or insomnia In a patient without side effects the dose is increased at 4 - 6 was intervals as needed based on TSH levels
shaking low blood sugars
QUESTION
What is the smogyi phenonium Answer: hyperglycemia in the morning check patients' glucose levels between 2 - 4 am for hypoglycemia will help to deter- mine may report headaches on awakening and recall having night sweats or nightmares check sugars during the night
QUESTION
What would you educate a patient on? newly dx patient with DM II Answer: BS control diet and exercise foot care
QUESTION
What is some education for foot care for DM Answer: advise patients to inspect feet daily avoid going barefoot wear shoes that are supportive and comfortable if cuts, scrapes or burns occur monitor them carefully If new wound on foot does not begin to heal after 24 hours or signs of infection notify the provider
QUESTION
Type II diabetic and taking prednisone what do you think will happen? Answer:
Require administration of insulin while taking prednisone- increase need glucose levels increase when patients are taking corticosteroids
QUESTION
Why would you send a patient to teach about DKA Answer: monitor when you are ill infection inadequate insulin dosage
QUESTION
pa0 7.48 pac02 32 hco3 25 Answer: respiratory alkalosis
QUESTION
ph 7.32, pao2, 88 paco2 35 hco3 16 Answer: metabolic acidosis
QUESTION
ABGs with COPD
Increased BP Bounding pulse Increased respirations and shallow Neck veins are distended Edema Pale cool skin Urine is dilute and increased volume rapidly gains weight Moist crackels in the lungs and syspnea BUN
QUESTION
.Which IV fluids are needed for a patient that has had diarrhea for 5 days? Answer: Lactate Ringer
QUESTION
ABGs Answer: Arterial Blood Gases pH 7.35- 7. HCO3 (Bicarbonate) normal values 22 - 26 mEq/L PaCO2 ( CO2 or carbon dioxide content) 35 - 45 mm Hg PaO2 (oxygen saturation in arteria blood)- 80 - 100 mm Hg
QUESTION
What are the risk factors for developing skin cancer Answer: uv rays, fair skin blue eyes
QUESTION
How would you characterize actinic keratosis?
Answer: A thick, scaly patch of skin that may become cancer
QUESTION
A patient believes a lesion on the arm is cancer, what would make you think it is? Answer: ABCDE is answer I put diameter greater 6
QUESTION
.What would be your priority teaching for a patient with melanoma? Answer: Ask family history for it or tanning
QUESTION
. Burns, know the 9's Answer: : 40.
QUESTION
What are the characteristics of a full thickness burn? Answer: Dry waxy hard skin page 434
QUESTION
Parkland Baxter formula Answer: 4ml LR per kg of body weight, per % of TBA, ½,S S
QUESTION
subjective data regarding the endocrine system Answer: fatigue, weakness, men- strual irregulations weight changes skin changes, thicker or dryer elimination increased urination or diarrhea sleep pattern, sleep problems memory
QUESTION
testing for hypothyroidism Answer: serum calcium levels pth levels serum phosphate levels
QUESTION
diet for a patient with parathyroid hormone deficit Answer: high calcium meal plan foods such as dark green vegetables, soybeans, tofu
QUESTION
priority for a patient who has an irregular heart rate, eccomosis, increase blood sugar, +4 pitting with cushings Answer: ABCs hypertension hypokalemia
QUESTION
math-parkland formula Answer: patient is to be administered 24 hours is 30,000 ml= 938ml hour 1/2 the fluids for the first 8 hours then other half over the next 16 hours
QUESTION
characteristics of melanoma Answer: irregular color, surface and boarder variegated color, including red, white, blue, black, gray, brown flat or elevated, eroded or ulcerated often <1 cm in size most common sites in males are on back then chest females are legs then back
QUESTION
Adrenal carcinoma Answer: it spreads to other parts of the body
Thrombocytopenia: increased bleed- ing/risk for bleeding Neutropenic: observe for infection
QUESTION
Pt with inadequate nutrition r/t oral ulcers what can you do to increase oral intake? Answer: Oral care
QUESTION
Metastatic lung cancer patient vital sign status change, what interventions are good??? Answer: instruct the patient to inspire fully and cough two to three times in one breath keep monitoring An increased breathing rate (tachypnea) and an increased heart rate (tachycardia) may also be observed, but these signs are non-specific and, therefore, less mean- ingful in diagnosing lung cancer
QUESTION
.Metastatic cancer for pain SATA Answer: *Increase pain meds *Get order for anxiety med *PRN medication
QUESTION
Nursing intervention for Hodgkin's lymphoma patient that can't get out of bed r/t fatigue? Answer:
Get them walking
QUESTION
Pt admit for intractable vomiting? What intervention can be delegated to the UAP? SATA Answer: Daily weights and vitals Freq oral care Record intake and output
QUESTION
Labs results for SIADH? Answer: Hyponatremia sodium <135, and low serum osmo- lality <280mosm/kg,
QUESTION
.Patient Sodium level 183 hypotonic solution Answer: solution give slowly and watch for edema
