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Med Surg 2 > Exam 2 Possible Questions > Flashcards

Exam 2 Possible Questions Flashcards

1
Q

How do you treat AKI, the patient is SOB and Hypotensive.

A

Give fluids, monitor the rate

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2
Q

What might a patient complain of in the post renal phase?

A

Urgency to void

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3
Q

What do you do if assessing the scrotum and a patient complains of pain, tenderness, and has no cremasteric reflex

A

Get a doppler

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4
Q

What do you teach the patient about nitrofurantoin?

A

It will turn your urine orange

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5
Q

The Patient has an increased potassium, slightly increased creatine, and increased urine output. What do you do?

A

Place on heart monitor

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6
Q

Which test do you get to check for protein in the urine?

A

24 hour urine

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7
Q

How do you treat hyperkalemia?

A

Insulin, Sodium, dialysis, calcium gluconate

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8
Q

For a TURP/CBI, if it stops, what do you do first?

A

Check the tubing for kinks, then irrigate.

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9
Q

What is the first-line therapy of mild chronic hyperkalemia in patients with chronic
kidney disease?

A

Sodium polystyrene sulfonate

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10
Q

What lab so you expect to see with End stage renal disease

A

GFR of 15 or lower may mean kidney failure.

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11
Q

What color should dialysis be

A

Clear

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12
Q

What lab goes with Epoetin Alpha?

A

Hematocrit

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13
Q

. You would contact the provider if you notice…

A

Excess urine output

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14
Q

Initial signs of Chronic Renal Failure

A

HTN, Restless Leg Syndrome, Headache, Red cheeks, Puritis

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15
Q

TURP. Post op, CBI running. Symptoms to watch for:

A

Hypotension and confusion

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16
Q

What are the advantages of peritoneal dialysis?

A

No Iv access needed, No strict schedule, Less strict diet and fluid restriction

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17
Q

How to check hemodialysis av fistula

A

Listen for bruit

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18
Q

How do you determine angina vs an acute MI?

A

Pain lasts more then 30 minutes

19
Q

How to you know if IV nitro is effective for pain?

A

Ask the patient

20
Q

What are long acting Nitrates used for?

A

Chronic Angina

21
Q

. What do you teach about Nitro?

A

Place underneath your tongue. Take one wait 5 minutes, then take another if still having chest pains. Keep in original container. Replace every 6 months. Keep in cool dry place, CAN ONLY TAKE 3 DOSES

22
Q

. What drugs are used for decompensated heart failure with severe orthopnea?

A

Lasix and Morphine

23
Q

How do you evaluate if the orthopnea is getting better?

A

Ask how many pillows do you sleep on.

24
Q

What is a significant amount of weight gain that the patient should notify the HCP about?

A

gain of 3 pounds or more

25
Q

Diet and food items for someone in heart failure?

A

Can not have yogurt. YES canned fruit

26
Q

Your patient is taking an ACE Inhibitor, what should you remind your patient of?

A

This medication may cause severe dizziness so please call for help to get oob

27
Q

When a patient is severely SOB and coughing, what do you do first?

A

Listen to lung sounds.

28
Q

Patient with Decompensated heart failure on the monitor, what is the first sign of their condition?

A

Oxygen saturation

29
Q

What medications may cause a problem with potassium?

A

Digoxin, Lasix

30
Q

When teaching an obese patient how to increase their exercise and decrease their BMI, what do you ask them?

A

What activities do you enjoy?

31
Q

PR interval of 0.24 what do you do?

A

Document and monitor

32
Q

What is IV atropine used for?

A

Bradycardia, 1st degree heart block

33
Q

How do we know atropine it is working?

A

heart rate increases

34
Q

Discharge instructions for a patient after a pacemaker?

A

Do not raise arm until follow up

35
Q

A patient had a Implantable Cardioverter Defibrillator (ICD) put in and you hear the
student tell the patient to do active range of motion. Should the patient do this? True or False?

A

False

36
Q

What causes increased PVC’s?

A

Low Potassium

37
Q

Endocarditis, what symptoms will we see?

A

25/ml hr output

38
Q

With acute pericarditis, how do we check for pulsus paradoxus?

A

We listen for core cough sounds with inspiration and expiration.

39
Q

. How do we decrease rhematic fever in the community?

A

Decrease strep throat and seek treatment

40
Q

What will we see with a patient that has mitral stenosis?

A

What will we see with a patient that has mitral stenosis?

41
Q

. A patient with MVP, they should avoid what?

A

Stimulants

42
Q

A patient with a mechanical valve is being discharged. What kind of teaching do they
need?

A

Teach about the need for follow up blood work

43
Q

A patient has stabbing chest pain following an MI. What do you do first?

A

Listen to the heart sounds

44
Q

What will you see with a patient with aortic stenosis

A

SOB with exertion/ambulation

Med Surg 2 (6 decks)

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