Medical-surgical Nursing Demystified

(Sean Pound) #1

(^472) Medical-Surgical Nursing Demystified



  1. Ongoing management of Karen would include monitoring of:
    (a) electrolyte levels.
    (b) thyroid studies, FSH, LH.
    (c) caloric intake.
    (d) All of the above.

  2. Felicia’s family brings her in for an evaluation. They are concerned because
    she states that she is hearing voices. You recognize this as symptomatic of:
    (a) bipolar disorder.
    (b) panic disorder.
    (c) schizophrenia.
    (d) bulimia nervosa.

  3. Teresa was recently started on fluoxetine, a selective serotonin reuptake
    inhibitor for treatment of her depression. After just a few days she is hardly
    sleeping, hyperactive, easily distracted, and appears elated. You would expect
    her treatment to include:
    (a) continuation of the selective serotonin reuptake inhibitor.
    (b) switching to a tricyclic antidepressant.
    (c) starting a mood stabilizer.
    (d) adding a monoamine oxidase inhibitor.

  4. Mandy is a 17-year-old female. On physical examination you note partial
    erosion of her tooth enamel and callus formation on the posterior aspect of
    the knuckles of her hand. This is indicative of:
    (a) a connective tissue disorder and she should be referred to dermatology.
    (b) self-induced vomiting and she likely has bulimia nervosa.
    (c) self-mutilation and correlates with anxiety.
    (d) a genetic disorder and her siblings should also be tested.

  5. Joan presents with signs and symptoms of Bipolar Disorder. What medication
    would you anticipate the physician prescribing to stabilize Joan’s mood?
    (a) Aripiprazole
    (b) Lithium
    (c) Bupropion
    (d) Tricyclics

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