Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

med surg > BIG exam 1 topics > Flashcards

BIG exam 1 topics Flashcards

1
Q

Stage 1

A

skin intact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Stage 2

A

skin not intact, no bruising, possible fluid filled blister

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Stage 3

A

positive brusing, no m/b/t exposed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Stage 4

A

m/b/t exposed, positive brusing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

REEDA

A

Redness
Edema
Echymosis
Drainage
Approximation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

COCA

A

Color
Odor
Consistancy
Amount

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Dehiscence

A

“incision split”
Risk - above 30, steriods, diabetes, obesity, immune deficency, malnutrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Evisceration

A

total seperation, organs coming out
cover w sterile 4x4 guaze, call md, stay w pt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Purulent (PROBLEM)

A

creamy yellow pus - staph
greenish/blue “fruity odor” - pseudomonas
beige “fishy” proteus
brown - fecal aerobic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Sanguineous

A

bloody (immediate after surgery)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Serosanguineous

A

yellowish mixed with light red, pale pink

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

serous

A

serum like or yellow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pruitus

A

itching
avoid itching r/t breaking skin and getting another infection
tx - cooling agents (ice packs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Urticaria

A

hives
white/red edamatous papules/wheals
tx - antihistamine (AVOID ALCOHOL r/t CNS stimulant)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Psoriasis

A

autoimmune, genetic
flaky/scaly plaques
avoid tanning beds
D/C biologic agents in fever/sore throat/sickness, call MD STAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cellulitis

A

warn, tender, painful, swollen, red, edema, LYMPH EDEMA
warm compress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Clubbing is r/t

A

copd, hypoxia, HD pts, lung cancer
edema/spongy when palpated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Spoon like is r/t

A

anemia, IRON DEFICENCY, diabetes
flat/curved nail plate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Skin Cancer

A

Asymmetry one half unlike the other
Border irregular
Color aries
Diameter (LESS THAN 6CM)
Evolving looks differernt from rest
Body mole map - monthly, complete before getting in shower

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Parasitic Disorders

A

DISINFECT WITH HOT WATER AND DETERGENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Informed Consent

A

Nurse gets pt to sign
Nurse can witness
SURGEON HAS TO DO TEACHING
Blind - sign, x2 witness
Cant write - “x” x2 witness
Language/hearing impairment - qualified translator, x2 witness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

PRE SURGERY

A

Shower/bath with chlorhexadine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Decrease DVT by

A

enoxaparin day 1 post op
sequential stockings RIGHT before surgery
early ambulation

24
Q

Inflammation

A

doesnt mean there is always a POSITIVE infection
Neutrophils increased? infection process

25
Hand Hygiene
15-30sec
26
Surgical asepsis
3-5minutes
27
CDIFF
contact
28
MRSA/VRE
contact
29
Pediculosis (lice)
contact
30
RSV
contact
31
scabies
contact
32
diptheria
droplet
33
streptococcyl pharngitis
droplet
34
influenza A/B
droplet
35
PNA
droplet
36
rubulla
droplet
37
mumps
droplet
38
pertusis
droplet
39
meningitis
droplet
40
measles
airborne
41
varcilla
airborne
42
shingles
airborne
43
Nurse role in OR
temp 62-64 PT ROM sterile field padding extrem
44
general sedation
give benzo (versaid) intubated - always check for GAG REFLEX before giving anything/ice chips
45
Malignant hyperthermia
LIFE THREATENING muscle disorder r/t anesthesia drugs s/s: increased c02 level, decreased 02, tachycardia, EXTREAM temp TX: dantrolene sodium
46
Spinal anesthesia
fetal position, L4/L5 CHECK DISTAL PULSES TO LOCATION AND SENSATION
47
POST OP to HOME 3 goals
1. maintain 02 saturation 2. basline b/p 20mm up or down systolic 3. pain management
48
Post op bowel function?
minimum of 4 hrs bs should return
49
High risk pts for dehiscence
diabetes, malnutrition, obesity, immune deficiencies, steriod use
50
Possible post op hemmorrhage sign?
skin discoloration
51
urinary retention
bladdder scan- does not require order should NOT be able to palpate bladder
52
hypothermia
beir hugger blanket, can warm IV fluids, heat packs 20 min on 20 min off
53
anemia s/s
cold, pale, fatigue, LOW b/p, HIGH RR/HR, nails refill slowly
54
sickle cell (IHOP)
genetic RBC are affected, leading to LOW 02 level IV Hydrate NS/LR OXYGEN PAIN (high dose IV dilulaid (PCA pump) keep hob 30 or higher AVOID high altitudes, extreme temps, pregnancy keep room at 72 (not hot/cold) CBC to check HGB/HCT levels
55
Iron deficiency
s/s: spoon shaped nails, persistant HA TX: iron supplements, FOODS ( green leafy vegs, red beets, organ meats ) risk = alcoholism
56
B12 Deficiency
s/s: parasthesia, infertility, GLOSSITIS, poor balance TX: subQ B12 injections for life (90 angle) FOOD ( protein, fish, eggs, nuts, dairy, citrus fruits, MODERATE green leafy vegs RISK = gut issues (chrons, diverticulitis, baratric, diarrhea )
57
Folic Acid "FALL COLORED FOODS"
TX: squash, avacodo, tomatoes, apricots, zucchini RISK = pregant woman, immunocompromised (cancer pts), malabsorption (wt loss)

med surg (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions