Med/Surg Exam 1

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What are the implications of IV therapy? _______ 

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What type of IV solution is Hypotonic?

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What is the definition and an example of Hypertonic solution?

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What are 0.9% NS, D5W, and Lactated Ringers

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How many mL are in Whole Blood?

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_______ Have most of the plasma removed and only contains 285-300ml.

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What blood products are WBC, Improves ability to fight infection, and must be transfused in 48hrs of collection?

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Albumin:

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_______ Is a mixture of clotting agents, treats blood clotting disorders, and diluted with NS with an infusion time of 4-6hrs.

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_______ Is separated from blood cells within 8hrs after collection and is frozen.

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What tubing is used to transfuse blood and blood products?

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What Type of Cath is placed 3-6in above or below the armpit?

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____ Is used to provide TPN, monitor central venous pressure, admin irritating medications, and used only when peripheral veins have collapsed.

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When is IV tubing replaced

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DIAGNOISE S/S: Elevated BP, SOB, Bounding Pulse, anxiety

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S/S: Redness, warmth and discomfort along vein.

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S/S: Sudden chest pain, SOB, anxiety, rapid heart rate, DROP in BP.

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_______ the infusion, elevated head, provide O2 and call provider when the patient is experiencing_______ 

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_______ IV and elevate arm when patient shows S/S of _______ 

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Place patient on L side in Trendelenburg position, CALL FOR HELP, provide O2, and stay with patient when patient has S/S of _______ 

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When administering _______ you must ask for _______ allergy and wean client before D/C to avoid a _______ in _______ 

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What labs need to be monitored while a patient is receiving TPN?

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S/S: Hypotension, tachycardia, back pain, flushing, and DIB.

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What do you do when a febrile reaction to a blood transfusion occurs?

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Reduce rate of infusion, elevate head, call provider, and admin diuretic for this reaction?

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What must be sent to the lab after an incompatibility reaction occur? _______ 

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_______ _______ _______ _______ _______ _______ Are the methods of transmission

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_______ do NOT elevate WBC

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Mucous membranes, GI/GU Tract, Respiratory Tract, Broken Skin, and Blood are_______ 

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Select the patient with SEPSIS

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A patient with severe sepsis has a lactic acid _______ than 2 and must receive _______  and _______ within  1 hour of discovery.

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TB, Measles, Chickenpox require what precautions

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Meningitis and Pneumonia require what precaution?

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After a culture is taken, when will the initial results be ready?

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Pain should be less than _______ on pain scale.

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_______ is usually poorly localized and manifests as nausea, vomiting, and hypotension.

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_______ Is usually treated with _______ 

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This phase of is the impulse transmission during which the brain experiences pain at a conscious level.

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_______ _______ _______ _______ are the theories of pain

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Tier 1 of pain includes

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Always _______ patches before putting them in _______ 

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Monitor for _______ _______ and _______  when administering an opioid

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Analgesic Adjuvants:

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_______  may increase risk for serotonin syndrome when taking_______ 

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Prednisone:

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Can a nurse push the button on a PCA for the patient _______  

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A client must wait _______ before palliative sedation begins after consenting to process.

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This procedure destroys the medial branch sensory nerve that protrudes between the spinal joints.

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When should the nurse reassess a patient's pain level after administering pain medications?

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When does a reaction to blood transfusion occur?

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Decreased metabolism, fluid overload, delayed wound healing and formation of blood clots are complications found in _______ people.

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_______ Patients may experience F&E imbalance, delayed wound healing, and infections after surgery.

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_______ May cause altered respiratory functions, nutritional status, and impaired liver function complications.

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_______ dysfunction may cause delayed drug metabolism leading to drug toxicity, disrupted clotting mechanisms which causes _______ _______ _______ 

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_______ dysfunction may cause F&E imbalance, fluid overload, delayed excretion causing drug toxicity, and dysrhythmias.

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_______ is responsible for educating the patient about the procedure including the risks and benefits.

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How long should a patient be NPO before a procedure?

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Diazepam, Atropine, and Zofran are _______ 

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A "Time Out" must identify the right _______ _______ _______ 

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Propofol:

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What are the S/S of malignant hyperthermia

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A patient recovering from anesthesia is able to move 2 extremities, breathe freely, has a BP =/- 50mmHg, is aroused with verbal stimuli and is 94% on room air. What is the Aldrete score?

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This intention heals within 8-10 days.

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Secondary intention is:

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S/S of infection

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Hx of chemo, tobacco use, and insufficient vitamin c and protein are risk factor for _______ 

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Distended abdomen, pain, vomiting and absent bowel sounds are:

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Med/Surg Exam 1

What type of IV solution is Hypotonic?

What is the definition and an example of Hypertonic solution?

What are 0.9% NS, D5W, and Lactated Ringers

How many mL are in Whole Blood?

What blood products are WBC, Improves ability to fight infection, and must be transfused in 48hrs of collection?

Albumin:

What tubing is used to transfuse blood and blood products?

What Type of Cath is placed 3-6in above or below the armpit?

____ Is used to provide TPN, monitor central venous pressure, admin irritating medications, and used only when peripheral veins have collapsed.

When is IV tubing replaced

DIAGNOISE S/S: Elevated BP, SOB, Bounding Pulse, anxiety

S/S: Redness, warmth and discomfort along vein.

S/S: Sudden chest pain, SOB, anxiety, rapid heart rate, DROP in BP.

What labs need to be monitored while a patient is receiving TPN?

S/S: Hypotension, tachycardia, back pain, flushing, and DIB.

What do you do when a febrile reaction to a blood transfusion occurs?

Reduce rate of infusion, elevate head, call provider, and admin diuretic for this reaction?

Select the patient with SEPSIS

TB, Measles, Chickenpox require what precautions

Meningitis and Pneumonia require what precaution?

After a culture is taken, when will the initial results be ready?

This phase of is the impulse transmission during which the brain experiences pain at a conscious level.

Tier 1 of pain includes

Analgesic Adjuvants:

Prednisone:

This procedure destroys the medial branch sensory nerve that protrudes between the spinal joints.

When should the nurse reassess a patient's pain level after administering pain medications?

When does a reaction to blood transfusion occur?

How long should a patient be NPO before a procedure?

Propofol:

What are the S/S of malignant hyperthermia

A patient recovering from anesthesia is able to move 2 extremities, breathe freely, has a BP =/- 50mmHg, is aroused with verbal stimuli and is 94% on room air. What is the Aldrete score?

This intention heals within 8-10 days.

Secondary intention is:

S/S of infection

Distended abdomen, pain, vomiting and absent bowel sounds are:

When can a patient go home after ambulatory surgery?

What type of IV solution is Hypotonic?

What is the definition and an example of Hypertonic solution?

What are 0.9% NS, D5W, and Lactated Ringers

How many mL are in Whole Blood?

What blood products are WBC, Improves ability to fight infection, and must be transfused in 48hrs of collection?

Albumin:

What tubing is used to transfuse blood and blood products?

What Type of Cath is placed 3-6in above or below the armpit?

____ Is used to provide TPN, monitor central venous pressure, admin irritating medications, and used only when peripheral veins have collapsed.

When is IV tubing replaced

DIAGNOISE S/S: Elevated BP, SOB, Bounding Pulse, anxiety

S/S: Redness, warmth and discomfort along vein.

S/S: Sudden chest pain, SOB, anxiety, rapid heart rate, DROP in BP.

What labs need to be monitored while a patient is receiving TPN?

S/S: Hypotension, tachycardia, back pain, flushing, and DIB.

What do you do when a febrile reaction to a blood transfusion occurs?

Reduce rate of infusion, elevate head, call provider, and admin diuretic for this reaction?

Select the patient with SEPSIS

TB, Measles, Chickenpox require what precautions

Meningitis and Pneumonia require what precaution?

After a culture is taken, when will the initial results be ready?

This phase of is the impulse transmission during which the brain experiences pain at a conscious level.

Tier 1 of pain includes

Analgesic Adjuvants:

Prednisone:

This procedure destroys the medial branch sensory nerve that protrudes between the spinal joints.

When should the nurse reassess a patient's pain level after administering pain medications?

When does a reaction to blood transfusion occur?

How long should a patient be NPO before a procedure?

Propofol:

What are the S/S of malignant hyperthermia

A patient recovering from anesthesia is able to move 2 extremities, breathe freely, has a BP =/- 50mmHg, is aroused with verbal stimuli and is 94% on room air. What is the Aldrete score?

This intention heals within 8-10 days.

Secondary intention is:

S/S of infection

Distended abdomen, pain, vomiting and absent bowel sounds are:

When can a patient go home after ambulatory surgery?