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Med Surge and Maternity > Med surge Final😒 > Flashcards

Med surge Final😒 Flashcards

1
Q

signs of human trafficking

A

signs of abuse
malnourishment
minimal or no medical history

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2
Q

cultural sensitivity

A

knowing culturally appropriate language and not making statements that may offend another persons cultural beliefs

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3
Q

Jewish American couple wants to get pregnant. What do they need to get tested for?

A

test for tay-sachs

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4
Q

IV fluid that is the same as blood

A

normal saline

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5
Q

pt with a running IV. What is the concern?

A

overhydration

look for crackles in the lungs

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6
Q

how do you assess for hypocalcemia?

A

Chvostek sign
trousseau sign
bp cuff hands and fingers will become spastic and go into palmer flex.
(hypocalcemia is between 9 mg/dL and 4.5 mEq/L)

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7
Q

parenteral nutrition

A

medication route other than the digestive tract
Central Venous Access:
used to give total parenteral nutrition

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8
Q

what do you do with a wound evisceration?

A

semi-fowlers in bed

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9
Q

what IV fluid is hung with a blood transfusion?

A

normal saline (0.9% NaCl)

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10
Q

normal HR

A

60 to 100 beats per minute

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11
Q

normal pulse ox

A

95% or higher

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12
Q

levels of hypertension

A

Stage 1. 130/ 80 to 139/89
Stage 2. 140/90
Hypertensive Emergency 180/120

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13
Q

who is at high risk for mitral valve prolapse?

A

women between the ages of 15-30

thin with slight chest deformities

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14
Q

aortic regurgitation treatments

A

Digitalis
Diuretics
Vasodilators
Valve replacement

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15
Q

antidote for heparin

A

protamine sulfate

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16
Q

ineffective endocarditis

A

begins when bacteria, fungi or other organism attaches to eroded endocardium where platelets and fibrin deposits have formed a vegetative lesion.

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17
Q

nursing care for a pt with peripheral vascular disease

A 
assess for the 6 p's 
pain
paresthesia
pallor
pulselessness
paralysis
poikilothermia
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18
Q

normal neurovascular assessment

A

capillary refill
pulse
temperature of limbs

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19
Q

what lab levels indicate a MI

A

Triponin

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20
Q

What is Raynaud’s

A

in cold weather or with the consumption of caffeine vessels will constrict turning the hands purple

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21
Q

describe an abdominal aortic aneurism

A

occurs when an area of the aorta becomes very large or balloons out. bulging, ballooning, or dilation at the weak point of the arterial wall.

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22
Q

pt’s monitor say asystole

A

start cpr

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23
Q

pt is in V-FIB

A

D-fib

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24
Q

basic metabolic panel (BMP)

A 
glucose
calcium
sodium
potassium
bicarbonate 
chloride 
BUN
Creatinine
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25
Q

pt has wheezes and rhonchi. With a respiratory rate of 28. The patient goes quite

A

pt. has gone into respiratory failure

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26
Q

residual capacity

A

the volume of air in the lungs after normal relaxation

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27
Q

what is anemia?

A

reduced delivery of oxygen to the tissue because of reduced numbers of red blood cells in hemoglobin

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28
Q

chest tube drainage system needs to be

A

below the chest

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29
Q

ventilator alarm goes off

A

check the patient

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30
Q

reinforce teaching a pt with a hiatal hernia

A

wait an hour before laying down
elevate the HOB with bricks
small meals

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31
Q

who would benefit from bariatric surgery?

A

diabetic pt.
obese pt.
predisposed to heart conditions
anyone trying to control or prevent obesity

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32
Q

barrettes esophagus

A

GERD can result in esophagitis due to acid reflux over time this can change the epithelium of the esophagus

This is precancerous

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33
Q

define impaction

A

pt. will state they have small watery stools

place client in left SIMs position with HOB flat

34
Q

stoma colors

A

pink and beefy red- good
blue- lack of oxygen
black- necrotic

35
Q

pt has hepatitis. What teaching would you reinforce?

A

do not share personal items

36
Q

normal 24 hr dosage of Tylenol

A

3,000 milligrams

37
Q

why is a urine telomerase done?

A

telomerase is found in most bladder cancers

38
Q

how do you collect a 24 hour urine on a incontinent pt?

A

ask physician for an order for a foley

39
Q

Nursing assessment of the endocrine system

A

diabetes and hypothyroidism are both endocrine disorders

40
Q

difference between diabetes insipidus and mellitus

A

Insipidus: polydipsia and polyuria (imbalance of fluids in the body)
mellitus: hypoglycemic or hyperglycemic (can’t produce insulin or process glucose)

41
Q

what is calcium gluconate used for?

A

used for a pt. with thyroid issues

specifically a pt. undergoing a thyroidectomy

42
Q

what is a thyrotoxic crisis?

How is it treated?

A

manipulation of the thyroid gland during surgery, along with the release of large amounts of TH.

Rewarm, IV Synthroid

43
Q

s/s of syphilis

A

chancre, lymphadenopathy, flu like symptoms, joint pain, hair loss, and gummas

44
Q

First stage of syphilis

A

primary stage: entry treponema palladium spirochete through the skin or membranes 3 to 90 days later papule appears at the site of entry and then sloughs off. leaves a red ulcerated area called a chancre.

(Chancre is the only sign of stage 1)

45
Q

pubic lice pt. teaching

A

tell the pt. to refer to package inserts for application instructions and precautions to avoid reinfection

46
Q

SA node rate

A

60 to 100

47
Q

AV node rate

A

40 to 60

48
Q

Ventricular rate

A

20 to 40

49
Q

clinical manifestations of heart rates

A

?

50
Q

treatment for viral rhinitis

A

rest, fluids, and Tylenol

51
Q

diagnostic test for a (PE) pulmonary embolism

A

D-dimer

blood work

52
Q

Human trafficking and the nurses role

A

obtain education of trafficking
identify physical and psychological symptoms
discuss suspicions with clinical team

53
Q

Normal adult respirations

A

12 to 16 breaths per minute.

54
Q

normal adult blood pressure

A

120/80

55
Q

sodium levels

A

135 to 145 mEq/L

56
Q

potassium levels

A

3.5 to 5 mEq/L

57
Q

magnesium levels

A

1.5 to 2.5 mEq/L

58
Q

calcium levels

A

8.5 to 10.50

59
Q

atherosclerosis

A

the deposition of lipids in the walls of arteries over a period of years

60
Q

hypertensive emergency

A

risk for progression of target organ dysfunction

61
Q

Second stage of syphilis

A

begins 2 to 8 weeks after
flulike symptoms, joint pain, hair loss, skin rashes, mouth sores, lymphadenopathy, and condylomatous growths in moist areas.
(If left untreated 15% will progress to tertiary stage)

62
Q

tertiary (late) stage of syphilis

A

10 to 20 years later
involves organ systems
spirochete can form gummas
gummas can damage the heart, circulatory system, and nervous system.
(ulceration of gammas can destroy areas of vital tissue and lead to mental and physical disability or death)

63
Q

tumors of rubbery consistency that can break down and ulcerate, leaving holes in body tissues

A

Gummas

64
Q

How many tablespoons are in 1 ounce?

A

2 tbsp

65
Q

The pt. complains of headache, confusion, cramps, and anorexia
What is the pt. in?

A

hyponatremia (low sodium)

66
Q

cultural awareness

A

history, ancestry, and appreciation for the arts, music, crafts, celebrations, foods, and traditional clothing

67
Q

cultural competence

A

offering the best nursing care by being aware of ones own culture, having respect of other cultures, acceptance of differences , and adaptation of nursing care

68
Q

ethnocentrism

A

thinking one’s culture of thinking is the natural way

69
Q

cultural assimilation

A

taking on the dominant cultures way of life.

70
Q

pernicious anemia

A

vitamin B12 anemia

71
Q

chancre

A

a painless genital ulcer formed during the primary stage of syphilis.

72
Q

BNP

A

B-type natriuretic peptide, helps diagnose heart failure

73
Q

what do you teach a person with a hiatal hernia?

A

A condition in which part of the stomach protrudes through and above the diaphragm

74
Q

complications of hypothyroidism is treated with…?

A

IV fluids, Synthroid, and the underlying cause is treated.

75
Q

Complications of hypothyroidism

A 
metabolic rate drops
hypothermia
decreased respiratory rate
blood glucose drops
cardiac output drops
76
Q

males HCT

A

42 to 52

77
Q

females HCT

A

37 to 47

78
Q

normal WBC

A

4,500 to 10,000

79
Q

Glucose

A

70 to 115

80
Q

BUN

A

7 to 20

Med Surge and Maternity (14 decks)

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