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NRTC MedSurg Final 1
In class Q's
| Question | Answer |
|---|---|
| Medicine used as a DVT prophylactic | enoxaparin (Lovenox) |
| Medicine used for immunocompromised pts to boost WBC production | filgrastim (Neupogen) |
| Serum Na+ reference range | 136-145 |
| separation of wound edges without perfusion of organs | Dehiscence |
| separation of wound edges with perfusion of organs | Evisceration |
| rules for ova and parasite stool samples | must be warm/ take to lab in under 10 min |
| Influenza precautions | droplet |
| TB and chickenpox precautions | airborne |
| Location of the heart | behind the mediastium |
| location of the apex of the heart | L mid-clavicular 5th intercostal |
| anchors heart into the chest | pericardial sac |
| valve between R atrium and R ventricle | tricuspid |
| associated with infective endocarditis bumps on the hands | Osler nodes |
| palmar rashes associate with infective endocarditis | Janeway lesions |
| valvular vegetation that occurs 2-3 weeks after Strep A | Rheumatic carditis |
| medication that increases cardiac contractibility | digitalis (digoxin) |
| what should you monitor for digoxin toxicity | K+ and digoxin levels |
| non-emergency cardiac monitor that shows in real time | telemetry |
| thickening of the myocardium (heart muscle) | hypertrophic cardiomyopathy |
| what do you give for an opioid overdose | naloxone (Narcan) |
| what do you give for a warfarin overdose | vitamin K |
| reversal agent for heparin | protamine sulfate |
| most common NSAIDs symptom | GI bleeding |
| potassium serum reference range | 3.5-5 |
| standard for an MI | Morphine Oxygen Nitrates Aspirin (apply 02 first) |
| procedure to strengthen an incompetent heart valve | annuloplasty |
| pt teaching for warfarin | Pt/INR, monitor for bleeding, keep vitamin K intake consistent |
| Warfarin INR reference range | 2-3 |
| s/s: polyuria, polydipsia, polyphagia | hyperglycemia |
| s/s: cold, diaphoresis, anxious, dizzy, confused | hypoglycemia |
| fasting BG reference range: | 70-110 |
| Normal Hemoglobin A1C | less than 6 |
| reversal agent for acetaminophen | acetalycystine (sp?) |
| DVT prophylaxis | early ambulation, TED/SCD, incentive spirometer |
| what do you assess before administering beta blockers? | Heart Rate |
| when do you hold administration of beta blockers | HR less than 50 |
| what kind of insulin can be given IV | regular insulin |
| what are two types of long-acting insulin | determir and glargine |
| can you mix another insulin with long-acting insulin | NO |
| ORIF means | open reduction internal fixation |
| edema under the fascia causing pain and decreased circulation | Compartment Syndrome |
| treatment for compartment syndrome | fasciotomy |
| a person who has A-Fib is a risk for what? | blood clots |
| what do you give a person in A-Fib? | clopedogrel/ASA or warfarin |
| dyspnea, pulmonary HTN, orthopnea, hemoptysis, and crackles are s/s of? | L sided Heart Failure |
| S/S of R sides heart failure | edema, weight gain, JVD |
| what antibiotic should you not give to children or pregnant women? | Tetracycline |
| surgery to relieve stenosis/ heart valves stuck together | commissurotomy |
| cholesterol levels should be | less than 200 |
| what can a person produce with Strep A? | rheumatic fever |
| long term antibiotics can lead to | thrush/suprainfection |
| what medicine is given for thrust | niastatin |
| what vector causes lyme disease | ticks |
| how long does a tick have to be on the body for someone to contract lyme disease | 36 hours |
| 1st sign of lyme disease | bulls- eye rash (eventually can lead to joint pain) |
| when does a patient with RA have the most pain | AM |
| most common form of arthritis | osteoarthritis |
| arthritis caused by over working the joine | osteoarthritis |
| most common site for a hip fracture | femoral neck |
| 1) papule 2) macule 3) pustule | 1) mole 2) freckle 3) pimple |
| when something has been occurring for over 6 months | chronic |
| what electrolyte imbalance does furosemide cause? | hypokalemia |
| what should you monitor for post-op tonsillectomy | excessive swallowing (from bleeding) |
| what position should you put your pt in for a bedside thoracentesis | tri-pod position |
| Nitro patch pt teaching | take off 10-12 hrs (tolerance), clean skin, and rotate sites |
| what test do you do on a draining wound | C&S |
| pacemaker spikes on a strip without an actual pulse | Pulseless Electrical Activity (PEA) |
| indication for a + TB test | 10mm bump |
| ejection fraction should be more than | 55% |
| when does peak bone mass occur | ages 30-35 |
| monitoring BP via catheter intravenously | hemodynamic monitoring |
| most accurate way to measure BP | via Central Venous Pressure |
| anti-rejection med given after a heart transplant | mycophenilate |
| instructions for first time penicillin injection | monitor 15-30 mins for signs of anaphylaxis |
| s/s: hemoconcentrated, decreased urine output, dry mucous membranes, and poor skin turgor | hypovolemic |
| s/s of hypervolemia | edema, crackles, increased BP, strong pulse |
| metabolic disorder where tophi (uric acid crystals) accumulates at the big tow | gout |
| fracture caused by diseased bone without trauma | pathological fracture |
| when you eliminate more water than sodium | dehydration |
Created by:
LBerkey
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