Quiz 4 Medsurg Davis advantage Resource Qs

1. A patient with a brain tumor has been admitted to the hospital due to changes in level of consciousness. The nurse correlates the action of which medication to the treatment of suspected increasing cerebral edema? A. Dexamethasone (Decadron) B. Phenytoin (Dilantin) C. Carbamazepine (Tegretol) D. Furosemide (Lasix) - Answer: A Rationale: Dexamethasone is used to treat and prevent local cerebral edema, as it has been shown to stabilize cell membranes to prevent the occurrence of cerebral edema. Phenytoin and carbamazepine are anti-epileptic medications. Furosemide is a loop diuretic to increase urine output. 1. The nurse is caring for a patient who is being transported to the emergency department with clinical manifestations of stroke. Which is the priority action upon arrival to the hospital? A. Establish the time that the patient was last known to be without symptoms. B. Draw blood for coagulation studies. C. Perform an electrocardiogram. D. Perform an EEG. - Answer: A Rationale: Establishing the correct time of symptom onset is essential in guiding the response to this patient's signs and symptoms. Results from coagulation are important in the event that thrombolytic therapy is considered. A CT scan should be performed within 25 minutes of the patient arrival to the department to rule out hemorrhage. 1. What is the most common gynecological complaint for young women? A. Dysmenorrhea B. Endometriosis C. Uterine cancer D. Breast cancer - Answer: A Rationale: Dysmenorrhea, or difficult monthly menses, is one of the most common gynecological complaints among younger women. 1. What is the most effective screening tool for cervical cancer? A. DNA testing B. Papanicolaou test C. Ultrasound D. X-ray - Answer: B