Log inSign up for FREE
Library

Med/Surg Exam 1

Last updated almost 2 years ago
68 questions
1
What are the implications of IV therapy? _______
1

What type of IV solution is Hypotonic?

1

What is the definition and an example of Hypertonic solution?

1

What are 0.9% NS, D5W, and Lactated Ringers

1

How many mL are in Whole Blood?

1
_______ Have most of the plasma removed and only contains 285-300ml.
1

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

1

Albumin:

1
_______ Is a mixture of clotting agents, treats blood clotting disorders, and diluted with NS with an infusion time of 4-6hrs.
1
_______ Is separated from blood cells within 8hrs after collection and is frozen.
1

What tubing is used to transfuse blood and blood products?

1

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

1

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

1

When is IV tubing replaced

1

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

1

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

1

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

1
_______ the infusion, elevated head, provide O2 and call provider when the patient is experiencing_______
1
_______ IV and elevate arm when patient shows S/S of _______
1
Place patient on L side in Trendelenburg position, CALL FOR HELP, provide O2, and stay with patient when patient has S/S of _______
1
When administering _______ you must ask for _______ allergy and wean client before D/C to avoid a _______ in _______
1

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

1

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

1

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

1

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

1
What must be sent to the lab after an incompatibility reaction occur? _______
1
_______ _______ _______ _______ _______ _______ Are the methods of transmission
1
_______ do NOT elevate WBC
1
Mucous membranes, GI/GU Tract, Respiratory Tract, Broken Skin, and Blood are_______
1

Select the patient with SEPSIS

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

TB, Measles, Chickenpox require what precautions

1

Meningitis and Pneumonia require what precaution?

1

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

1
Pain should be less than _______ on pain scale.
1
_______ is usually poorly localized and manifests as nausea, vomiting, and hypotension.
1
_______ Is usually treated with _______
1

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

1
_______ _______ _______ _______ are the theories of pain
1

Tier 1 of pain includes

1
Always _______ patches before putting them in _______
1
Monitor for _______ _______ and _______ when administering an opioid
1

Analgesic Adjuvants:

1
_______ may increase risk for serotonin syndrome when taking_______
1

Prednisone:

1
Can a nurse push the button on a PCA for the patient _______
1
A client must wait _______ before palliative sedation begins after consenting to process.
1

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

1

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

1

When does a reaction to blood transfusion occur?

1
Decreased metabolism, fluid overload, delayed wound healing and formation of blood clots are complications found in _______ people.
1
_______ Patients may experience F&E imbalance, delayed wound healing, and infections after surgery.
1
_______ May cause altered respiratory functions, nutritional status, and impaired liver function complications.
1
_______ dysfunction may cause delayed drug metabolism leading to drug toxicity, disrupted clotting mechanisms which causes _______ _______ _______
1
_______ dysfunction may cause F&E imbalance, fluid overload, delayed excretion causing drug toxicity, and dysrhythmias.
1
_______ is responsible for educating the patient about the procedure including the risks and benefits.
1

How long should a patient be NPO before a procedure?

1
Diazepam, Atropine, and Zofran are _______
1
A "Time Out" must identify the right _______ _______ _______
1

Propofol:

1

What are the S/S of malignant hyperthermia

1

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?

1

This intention heals within 8-10 days.

1

Secondary intention is:

1

S/S of infection

1
Hx of chemo, tobacco use, and insufficient vitamin c and protein are risk factor for _______
1

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

1

When can a patient go home after ambulatory surgery?