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MedSurg Exam 1
Exam 1
| Question | Answer |
|---|---|
| Before administering opioids, what assessment should you do? | Respiratory |
| What is the maximum daily dose of acetaminophen? | 4000mg |
| True or False: NSAIDs cause peptic ulcers | True |
| Normal range for potassium | 3.5-5.0 |
| Normal range for sodium | 135-145 |
| Short lived pain that is caused by tissue damage? | Acute |
| Pain that is throughout the persons life? | Chronic |
| Acute exacerbations in chronic pain | breakthrough pain |
| Refers to the normal functioning of physiological systems that lead to the perception of noxious stimuli | Nociception |
| Pain caused by damage to the CNS, PNS or both | Neuropathic |
| Lipid compounds that initiate inflammatory responses that increase tissue swelling and pain at the site of injury | prostaglandins |
| Refers to the processes by which noxious stimuli such as surgical incision or burn activate primarily afferent neurons called nociceptors | transduction |
| Who is the most reliable indicator of pain | the patient |
| The amount of pain a person is okay being in | comfort function goal |
| How soon after parenteral administration should you reassess? | 15 minutes |
| How soon after oral administration should you reassess? | 1 hour |
| A patient is dependant on the half-life of the drug | physical dependance |
| When a drug loses its initial strength so more has to be given | tolerance |
| At what serum concentration of sodium will you see coma or convulsions? | 130 |
| When evaluating ABGs, what pH indicate metabolic alkalosis | >pH 7.45 |
| A nurse is caring for a client with ARF and hypernatremia, what action can the nurse delegate to the nursing assistant? | Oral care every 2-3 hours |
| If a client has a phosphorus level of 5.0, what other electrolyte imbalance should the nurse expect? | Hypocalcemia |
| What value is useful to the nurse in determining whether the cause of acidosis is due to acid gain or bicarb loss? | anion gap |
| Average urine output per hour | 30mL |
| Common sign of hypocalcemia | trousseaus sign |
| An isotonic fluid | 0.9% NS |
| The major anion in body fluid | chloride |
| Common cause of symptomatic hypomagnesium | alcoholism |
| Local IV complications | infection, phlebitis, hematoma, extravasation |
| Insensible fluid loss | breathing |
| What condition can lead to chronic respiratory acidosis in older adults | thoracic skeletal change |
| Symptoms of hyperchloremia | tachypnea, weakness, lethargy |
| The calcium concentration in the blood is regulated by? | PTH |
| Oncotic pressure refers to the? | Osmotic pressure exerted by proteins |