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NCLEX > Med Surg Fast Facts > Flashcards

Med Surg Fast Facts Flashcards

(60 cards)

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1
Q

Risk associated with Gastrectomy

A

Dumping syndrome

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2
Q

Preventing Dumping Syndrome

A

supine after meals, small/frequent meals, limit fluids with meals

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3
Q

Signs of Hypokalemia

A

decreased motility- hypoactive bowel sounds, abdominal distension

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4
Q

Meds to hold with cardioversion

A

glycosides (digoxin)

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5
Q

Post-op TURP expected versus unexpected symptoms

A

Expected: bladder spasms, low grade fever
Unexpected: red urine with clots

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6
Q

Cataract Removal: expected vs. unexpected

A

Expected: white drainage/tearing, itching, blood shot
Unexpected: pain and vomiting (increased ICP- hemmorhage)

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7
Q

Signs of malignant hyperthermia

A

HypOtension, Tachy, muscle rigidity, Tachypnea

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8
Q

Treatment for Malignant Hyperthermia

A

IV Dantrolene

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9
Q

Symptom of Retinal Detachment

A

Painless, Curtain-closing

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10
Q

Signs of DKA

A

glucose >300
Hypokalemia
Decreased pH and HCO3

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11
Q

TPN- if no bag available…

A

Give 10-20% dextrose

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12
Q

Tensilon Test- Myesthenia Gravis Crisis vs. Cholinergic Crisis

A

MG Crisis: improvement

Cholinergic Crisis: muscle twitch & weakness increases

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13
Q

Chest Tube Drainage after open thoracotomy- notify if drainage greater than…

A

70 mL/hr

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14
Q

RBC Infusion- appropriate gauge

A

@ least 20g

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15
Q

RBC infusion- Hemolytic reaction symptoms

A

Lower back/FLANK pain & apprehension

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16
Q

RBC infusion- Anaphylactic reaction symptoms

A

urticaria, bronchospasm

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17
Q

RBC infusion- Circulatory Overload symptoms

A

HTN, SOB, Bounding pulse, Crackles

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18
Q

RBC Infusion- Febrile Reaction symptoms

A

chills, fever

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19
Q

Thyroid storm- report..

A

increased systolic BP

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20
Q

Adverse Effect of Mannitol

A

Headache- report

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21
Q

Treatment for Biliary Colic

A

Anticholinergics to decrease spasms and pain

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22
Q

Cause and Signs of Myxedema Coma

A

Hypothyroidism (decreased blood to brain)

Sign: Slowed speech

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23
Q

Active TB discharge instructions

A

Sputum cultures Q2-4 weeks until 3 negative
Contagious until meds taken for 2-3 weeks
No precautions at home (family already exposed)

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24
Q

Subclavian Central Line Placement Nursing measures

A

Sterile gloves for dressing change

Modified Trendelenberg

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25
Sign of Flail Chest
paradoxical chest movement
26
Sign of Tension Pneumothorax
chest asymmetry
27
Peritoneal Dialysis outflow expected finding
blood tinged | Give enema before if anorexia and constipation
28
What should be monitored for during hemodialysis
Disequillibrium Syndrome- watch for decreased LOC
29
Right Sided HF Symptoms
JVD, Edema- weigh daily
30
Left Sided HF symptoms
Pulmonary Edema, Crackles, SOB- auscultate
31
Bucks Traction nursing implications
Foot of bed slightly elevated to reduce shear Remove boots Q8hrs and inspect skin Foot exercises throughout day Constant Traction maintained (not on floor)
32
Right sided CVA response
visual-spacial (one-sided neglect)
33
Left Sided CVA response
Language: expressive/receptive aphasia
34
Confirming NG Tube Placement
Initial: Chest X-Ray Later: pH 1-5 Push 10-30mL air & auscultate LUQ
35
Rheumatoid Arthritis Non-Pharmacologic Tx
Alternating Hot and Cold | Pain in AM
36
S/S of Hypocapnia
numb/tingling fingers anxiety hyperventilation
37
Treatment for Hypocapnia
Non-Rebreather Mask- retains CO2
38
TPN Nursing Implications
Check Glucose Q4-6hrs Change tube & solution Q24hrs- sterile Dextrose if no bag available
39
Intervention for Peritoneal Dialysis sluggish drainage
turn to side, keep HOB elevated
40
Romberg Sign
Drunk Test- positive if swaying side to side (proprioceptive problem)
41
Babinski Test
If positive (FLARE) after 2 yrs-CNS Damage
42
Insulin Pump
rapid/short-acting insulin | Change needle Q3days
43
Magnesium Normal Values
1.8-3.0
44
Hypomagnesia symptom
dysrhythmias. Phosphate lowers Mg
45
Risk associated with Parathyroidectomy
Hypocalcemia- have IV Calcium available
46
Sign of Rheumatic Heart Disease during Pregnancy
cough on minimal exertion- sign of cardiac decompensation/ pulmonary edema
47
BUN Normal Value
5-20
48
Cyclosporine Side Effects
Nephrotoxicity, HypERkalemia, Tremors,infection, Hirtuism
49
RDS (resp. distress syndrome) in preterm infant- sign of improvement
increased output- 1-3mL/kg/hr
50
Sign of Patent Ductus Arteriosis
Systolic Murmur
51
Sign of HF in newborn
edema in 1st 24 hrs
52
Metabolic Alkalosis Signs
Increased pH & HCO3 (>27) CO2 Normal (35-45) Cause: NG Continuous Suction
53
A-Fib Symptoms
(decreased Cardiac output) HR >100bpm Palpitations, dizzy, hypOtension, chest pain, JVD, pulse deficit, fatigue, weakness, SOB
54
Long-term adverse effect of Cleft Palate Repair
Hearing loss (unresponsive when given directions)
55
Chron's Diet
NO F&F (fats & fiber) | Chrons= Calorie & Carne (high protein/calorie)
56
Clozapine (Clozaril) Side effects
AGRANULOCYTOSIS weight gain hypOtension HypERglycemia
57
Sickle Cell Vaso-occlusive Crisis Treatment
Start IV fluids, control pain & fever, warm pack, Oxygen
58
Pitting edema measurement
1+ = 2mm 2+= 4mm ...etc
59
EKG: Premature Ventricular Contractions
bradycardia with wide/irregular QRS > .16sec
60
Hypokalemia symptoms
Hypotension, weak/thready pulse, Muscle weakness, decreased motlility,

NCLEX (2 decks)

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