- While you are talking with the patient she becomes confused and begins
slurring her words. What would you expect the physician to do?
(a) Assess if the patient had an ischemic or hemorrhagic CVS.
(b) Administer TPA since this is within three hours of the CVA.
(c) Tell the patient to go home, get rest, and to call the physician in the
morning if the symptoms continue.
(d) Admit the patient and place her on bed rest. - The patient asks when she should take bisphosphonate medications for treat-
ment of osteoporosis. You tell her:
(a) on a full stomach.
(b) just before getting into bed.
(c) first thing in the morning on an empty stomach with a full glass of
water, 30 to 60 minutes before eating, and without lying down.
(d) with an acidic liquid such as orange juice. - Mary tells you that she has an undiagnosed case of hypothyroidism. What
symptoms would you expect her to present?
(a) Polydipsia and polyphagia.
(b) Fatigue and cold intolerance.
(c) Weight loss and hyperglycemia.
(d) Tachycardia and diarrhea. - You are caring for a patient who has had a transurethral resection of the
prostate for benign prostatic hypertrophy. There is continuous bladder irri-
gation set-up. You would notify the physician if you noted:
(a) any signs of hematuria.
(b) a change from clear red output to thicker, bright red output.
(c) a decrease in the amount of blood in the urine.
(d) the development of uremic pruritis. - A patient with a history of asthma is scheduled for an appendectomy. Because
of her asthma, you would include as part of the preoperative teaching the
need to perform postoperatively:
(a) coughing and deep breathing exercises.
(b) leg exercises.
(c) wound dressing changes.
(d) all of these. - When assessing the patient, you notice that there is contraction of his facial
muscle after tapping the facial nerve anterior to his ear. This is a sign of:
(a) hyponatremia.
(b) hypokalemia.
(^558) Medical-Surgical Nursing Demystified