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Med Surg II Exam 1 Ivy Tech questions with
answers
The following is NOT a risk factor for OSA: - CORRECT ANSWERS ✔✔alcohol What is removal of the entire larynx called? - CORRECT ANSWERS ✔✔Total laryngectomy What is the name for open sores on mucous membranes? - CORRECT ANSWERS ✔✔Mucositis What describes increased vibrations felt on the chest wall that indicate areas of the lung where air spaces are replaced with tumor or fluid in patients with lung cancer? - CORRECT ANSWERS ✔✔Fremitus T/F: Laryngofissure has a high cure rate & results in normal voice quality. - CORRECT ANSWERS ✔✔True Why are inhaled corticosteroids prescribed instead of oral corticosteroids for patients with asthma? - CORRECT ANSWERS ✔✔Oral corticosteroids have more adverse effects, which we want to avoid. Also, inhaled corticosteroids have direct actions on the target tissues in the lungs. T/F: Control therapy meds are used to reduce airway responsiveness - CORRECT ANSWERS ✔✔True
What is another word for control therapy, regarding the management of asthma?
- CORRECT ANSWERS ✔✔Preventive therapy What surgical procedure for neck cancer results in the patient having no natural voice? - CORRECT ANSWERS ✔✔Total laryngectomy What will the patient's voice quality be like after supraglottic partial laryngectomy? - CORRECT ANSWERS ✔✔Natural or hoarse ___ and ___ are two major risk factors for head and neck cancer. - CORRECT ANSWERS ✔✔Tobacco and alcohol use A closed reduction of a nasal fracture is best performed after how many hours? - CORRECT ANSWERS ✔✔Immediately or within 24 hours after the injury What is a risk factor for the cancer of nasal cavities & sinuses? - CORRECT ANSWERS ✔✔Chronic exposure to dust from flour, leather or wood What is the term for dryness of the mouth, which sometimes occurs with radiation therapy? - CORRECT ANSWERS ✔✔Xerostomia T/F: Patients can resume many of their usual activities within 4-6 weeks after a laryngectomy. - CORRECT ANSWERS ✔✔True What is another name for a short-acting beta 2 agonist (SABA)? - CORRECT ANSWERS ✔✔Rescue or reliever drug
Give two examples of MDI inhaled corticosteroids: - CORRECT ANSWERS ✔✔Fluticasone & Budesonide Give an example of an oral corticosteroid: - CORRECT ANSWERS ✔✔Prednisone Give an example of a leukotriene modifier asthma drug: - CORRECT ANSWERS ✔✔Montelukast (oral drug) A patient who has experienced laryngeal trauma will likely experience this type of respiratory difficulty: - CORRECT ANSWERS ✔✔Nasal flaring What is removed during a supraglottic partial laryngectomy? - CORRECT ANSWERS ✔✔False cords, epiglottis, hyoid bone Asthma is diagnosed when PFT (pulmonary function test) values increase by __% or more after treatment with bronchodilators. - CORRECT ANSWERS ✔✔12% What condition might a patient with a barrel chest be experiencing? - CORRECT ANSWERS ✔✔Asthma or COPD What are the two main forms of COPD? - CORRECT ANSWERS ✔✔Emphysema (involves damage to the lungs over time) & Chronic bronchitis (long-term cough with mucus) What types of medications can trigger asthma in some adults? - CORRECT ANSWERS ✔✔Aspirin & other NSAIDs
What triggers asthma in some adults & causes asthma symptoms at night? - CORRECT ANSWERS ✔✔GERD (Gastroesophageal reflux disease) T/F: Asthma is a reversible condition - CORRECT ANSWERS ✔✔True What is compromised with COPD? - CORRECT ANSWERS ✔✔Airflow & gas exchange Is COPD a collection of upper or lower airway disorders? - CORRECT ANSWERS ✔✔Lower Does bronchitis affect the alveoli? - CORRECT ANSWERS ✔✔No, it only affects the airways What do ABGs identify? - CORRECT ANSWERS ✔✔Abnormal gas exchange, oxygenation, ventilation & acid-base status What do mucolytics do in COPD patients? - CORRECT ANSWERS ✔✔Thin the thick secretions Give two examples of mucolytics: - CORRECT ANSWERS ✔✔Guaifenesin & dextromethorphan What type of breathing technique is helpful for managing dyspneic episodes? - CORRECT ANSWERS ✔✔Pursed-lip breathing
What flow rate is expected through a 22-gauge peripheral catheter? - CORRECT ANSWERS ✔✔38 mL/min What flow rate is expected through a 26-gauge peripheral catheter? - CORRECT ANSWERS ✔✔24 mL/min What flow rate is expected through a 20-gauge peripheral catheter? - CORRECT ANSWERS ✔✔65 mL/min What flow rate is expected through a 18-gauge peripheral catheter? - CORRECT ANSWERS ✔✔110 mL/min What IV insertion site would the nurse use for an older adult who is being admitted to a same-day surgery unit? - CORRECT ANSWERS ✔✔Cephalic or basilic vein A patient should be in Trendelenburg for what type of central catheter insertion procedure? - CORRECT ANSWERS ✔✔Nontunneled percutaneous central venous catheter What is the most serious complication of a PICC line? - CORRECT ANSWERS ✔✔Thrombophlebitis, which is where a blood clot in a vein causes inflammation & pain What does phlebitis (fle-BYE-tis) stand for? - CORRECT ANSWERS ✔✔Inflammation of a vein
What does thrombosis stand for? - CORRECT ANSWERS ✔✔(Blood) clotting What is infiltration of an IV? - CORRECT ANSWERS ✔✔When non-vesicant fluids leak out of the vein into surrounding soft tissue What is extravasation of an IV? - CORRECT ANSWERS ✔✔When vesicant (harmful) fluids leak out of the vein into surrounding soft tissue
