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miscellaneous
| QUESTION | ANSWER |
|---|---|
| Place where the first successful heart transplant was held? | Capetown, South Africa |
| Known as the father of surgery? | Hippocrates |
| Place of 1st plastic surgery or nose lift? | India |
| Crude surgery where the skull is opened to release spirits from the body? | Preppanig |
| First practice of modern surgery in 1846 @Massachusetts General Hospital? | Dr. William Morton |
| Founder of ORNAP? | Conseula Arabit |
| PRE-OP PHASE, starts when? | When surgical decision has been made |
| PRE-OP PHASE, ends when? | When the patient is brought to the care of the OR Nurse |
| AORN chapter of the philippines? | OR Nurses Association of the Philippines (ORNAP) |
| Determine the cause of symptom or origin of problem? | Diagnostic |
| Resolve the health problem by removing the involved tissue? | Curative |
| To correct deformity, repair injury, or improve functional status? | Reconstructive |
| To relive symptoms without intent of cure? | Palliative |
| To excise tissue that may contribute to the patient's existing medical condition? | Ablative |
| For aesthetic purposes only? | Cosmetic |
| Planned, non-essential surgical procedures? | Elective Surgery |
| Unplanned surgical procedures and require timely interventions but do not pose an immediate threat to life but to well being only? | Urgent Surgery |
| Must be performed immediately to preserve life and limb? | Emergency |
| How do you assess a client who is undergoing a surgery? | 1)Reason for hospitalization -chief complaint, so ask professionally 2)Previous surgeries 3)Blood type |
| PRE-OP, Anxiety n/i (1)? | Allot time for verbalization of feelings & concerns |
| PRE-OP, Anxiety n/i (2)? | Stay with the patient |
| PRE-OP, Client Teaching, must? | 1)According to the level of pt. knowledge 2)Information must be Cephalo-Caudal 3)Information must be from Simple-Complex |
| PRE-OP, Client Teaching, how? | Answer KISS & TELL 1)Answer – only what is being asked 2)Keep it short & simple 3)Tell – what is only beneficial to the pt. |
| Why is Health Teaching done in PRE-OP? | 1)All anxiety or fear 2)Emphasize importance of DBE to prevent Atelectasis |
| Pooling of secretions in the lower airway because of inadequate ventilation and immobility? | Hypostatic Phenumonia |
| Diaphragmatic Abdominal Breathing, correct? a)High Fowler's b)Semi-Fowler's | b)Semi-Fowler's |
| Incentive spirometry, purpose? a)Facilitate gas exchange properly b)Promote maximal lung expansion | b)Promote maximal lung expansion |
| Coughing exercises as PRE-OP teaching, C/I, correct? a)PTB pt b)Increased in ICP | b)Increased in ICP |
| Coughing exercises as PRE-OP teaching, C/I, correct? a)Hypertensive pt. b)Increased IOP | b)Increased in IOP – normal is 10-21 mmHg |
| PRE-OP client teaching, Nsg. Dx – Risk for ineffective tissue perfusion, goals? | 1)Verbalize treatment regimen 2)Demonstrate performance of postoperative exercises |
| PRE-OP client teaching, Nsg. Dx – Risk for ineffective tissue perfusion, N/I? | 1)Anti-embolism stockings 2)Compression devices 3)Leg exercises – dorsiflexion of the foot |
| What should be made sure the nurse before the administration of the PRE-OP medications? | 1)Witnessed the consent signing – document it afterwards 2)Check for allergies |
| After giving PRE-OP medications, what should you be done? | SAFETY – CALL LIGHT 1)Safety – side rails 2)Call light – ensure its function |
| When giving a Sedative/Anxiolytic medications, what should you avoid? | 1)Rapid injection of the medication – it will lead to rapid decrease of BP leading to Shock to death 2)Monitor for hypotension |
| When giving an Opiate Agonists medications, what should you monitor closely? | Respiratory depression – report STAT if 12 breaths/minute |
| What is the antidote for Opiate Agonists medications? | NALOXONE (Narcan) |
| When giving an Anticholinergic medications, what should you monitor especially? | VS – Respiratory Rate in particular for Tachycardia / Monitor for Urinary Retention – anticholinergics relaxes bladder walls as well |
| Midazolam, Diazepam, Lorazepam – what are these drugs? | Sedatives / Anxiolytics – relaxes smooth & skeletal muscles |
| Morphine Sulfate, Fentanyl Citrate – what are these drugs? | Opiate Agonists – centrally acting analgesic for pre-emptive & postoperative analgesia |
| Atropine Sulfate, Scopolamine, Hydrobromide, Hydroxyzine HCL – what are these drugs? | Anticholinergics – decreases secretions in the airway as well as the bladder walls |
| Ranitidine is an H2-antagonist drug, why do you need to cautiously use this? | Because it Hepatotoxic kind of drug, so cautiously use this on patients with Hepative or Renal Impairment |
| Why is DENTURES removed prior surgery? | Anesthesia will relax all the muscles in our body – risk for swallowing or aspiration |
| Why is NAILPOLISH removed prior surgery? | To check for Cyanosis, Capillary Refill – including transparent ones because it will interfere with the accurate reading |
| Why is JEWELRY removed prior surgery? | Jewelries harbor bacteria – cover it with sterile plaster or globe the hands of the patient for an irremovable jewelries |
| How do you document jewelries? | Objectively – yellow piece of jewelry & do not mention it as GOLD or SILVER |
| Why is UNDERWEAR removed prior surgery? | They also harbor bacteria |
| Final preparations before surgery? | 1)NPO 6-8 hours prior 2)Removal of dentures, nailpolish & jewelries 3)Bathe the patient 4)Gown the patient |
| Place where the first successful heart transplant was held? | Capetown, South Africa |
| Known as the father of surgery? | Hippocrates |
| Place of 1st plastic surgery or nose lift? | India |
| Crude surgery where the skull is opened to release spirits from the body? | Preppanig |
| First practice of modern surgery in 1846 @Massachusetts General Hospital? | Dr. William Morton |
| Founder of ORNAP? | Conseula Arabit |
| PRE-OP PHASE, start when? | When surgical decision has been made |
| PRE-OP, ends when? | When the patient is brought to the care of the OR Nurse |
| AORN chapter of the philippines? | OR Nurses Association of the Philippines (ORNAP) |
| Determine the cause of symptom or origin of problem? | Diagnostic |
| Resolve the health problem by removing the involved tissue? | Curative |
| To correct deformity, repair injury, or improve functional status? | Reconstructive |
| To relive symptoms without intent of cure? | Palliative |
| To excise tissue that may contribute to the patient's existing medical condition? | Ablative |
| For aesthetic purposes only? | Cosmetic |
| Planned, non-essential surgical procedures? | Elective Surgery |
| Unplanned surgical procedures and require timely interventions but do not pose an immediate threat to life but to well being only? | Urgent Surgery |
| Must be performed immediately to preserve life and limb? | Emergency |
| How do you assess a client who is undergoing a surgery? | 1)Reason for hospitalization -chief complaint, so ask professionally 2)Previous surgeries 3)Blood type |
| PRE-OP, Anxiety n/i (1)? | Allot time for verbalization of feelings & concerns |
| PRE-OP, Anxiety n/i (2)? | Stay with the patient |
| PRE-OP, Client Teaching, must? | 1)According to the level of pt. knowledge 2)Information must be Cephalo-Caudal 3)Information must be from Simple-Complex |
| PRE-OP, Client Teaching, how? | Answer KISS & TELL 1)Answer – only what is being asked 2)Keep it short & simple 3)Tell – what is only beneficial to the pt. |
| Why is Health Teaching done in PRE-OP? | 1)All anxiety or fear 2)Emphasize importance of DBE to prevent Atelectasis |
| Pooling of secretions in the lower airway because of inadequate ventilation and immobility? | Hypostatic Phenumonia |
| Diaphragmatic Abdominal Breathing, correct? a)High Fowler's b)Semi-Fowler's | b)Semi-Fowler's |
| Incentive spirometry, purpose? a)Facilitate gas exchange properly b)Promote maximal lung expansion | b)Promote maximal lung expansion |
| Coughing exercises as PRE-OP teaching, C/I, correct? a)PTB pt b)Increased in ICP | b)Increased in ICP |
| Coughing exercises as PRE-OP teaching, C/I, correct? a)Hypertensive pt. b)Increased IOP | b)Increased in IOP – normal is 10-21 mmHg |
| PRE-OP client teaching, Nsg. Dx – Risk for ineffective tissue perfusion, goals? | 1)Verbalize treatment regimen 2)Demonstrate performance of postoperative exercises |
| PRE-OP client teaching, Nsg. Dx – Risk for ineffective tissue perfusion, N/I? | 1)Anti-embolism stockings 2)Compression devices 3)Leg exercises – dorsiflexion of the foot |
| What should be made sure the nurse before the administration of the PRE-OP medications? | 1)Witnessed the consent signing – document it afterwards 2)Check for allergies |
| After giving PRE-OP medications, what should you be done? | SAFETY – CALL LIGHT 1)Safety – side rails 2)Call light – ensure its function |
| When giving a Sedative/Anxiolytic medications, what should you avoid? | 1)Rapid injection of the medication – it will lead to rapid decrease of BP leading to Shock to death 2)Monitor for hypotension |
| When giving an Opiate Agonists medications, what should you monitor closely? | Respiratory depression – report STAT if 12 breaths/minute |
| What is the antidote for Opiate Agonists medications? | NALOXONE (Narcan) |
| When giving an Anticholinergic medications, what should you monitor especially? | VS – Respiratory Rate in particular for Tachycardia / Monitor for Urinary Retention – anticholinergics relaxes bladder walls as well |
| Midazolam, Diazepam, Lorazepam – what are these drugs? | Sedatives / Anxiolytics – relaxes smooth & skeletal muscles |
| Morphine Sulfate, Fentanyl Citrate – what are these drugs? | Opiate Agonists – centrally acting analgesic for pre-emptive & postoperative analgesia |
| Atropine Sulfate, Scopolamine, Hydrobromide, Hydroxyzine HCL – what are these drugs? | Anticholinergics – decreases secretions in the airway as well as the bladder walls |
| Ranitidine is an H2-antagonist drug, why do you need to cautiously use this? | Because it Hepatotoxic kind of drug, so cautiously use this on patients with Hepative or Renal Impairment |
| Why is DENTURES removed prior surgery? | Anesthesia will relax all the muscles in our body – risk for swallowing or aspiration |
| Why is NAILPOLISH removed prior surgery? | To check for Cyanosis, Capillary Refill – including transparent ones because it will interfere with the accurate reading |
| Why is JEWELRY removed prior surgery? | Jewelries harbor bacteria – cover it with sterile plaster or globe the hands of the patient for an irremovable jewelries |
| How do you document jewelries? | Objectively – yellow piece of jewelry & do not mention it as GOLD or SILVER |
| Why is UNDERWEAR removed prior surgery? | They also harbor bacteria |
| Final preparations before surgery? | 1)NPO 6-8 hours prior 2)Removal of dentures, nailpolish & jewelries 3)Bathe the patient 4)Gown the patient |
| Place where the first successful heart transplant was held? | Capetown, South Africa |
| Known as the father of surgery? | Hippocrates |
| Place of 1st plastic surgery or nose lift? | India |
| Crude surgery where the skull is opened to release spirits from the body? | Preppanig |
| First practice of modern surgery in 1846 @Massachusetts General Hospital? | Dr. William Morton |
| Founder of ORNAP? | Conseula Arabit |
| PRE-OP PHASE, starts when? | When surgical decision has been made |
| PRE-OP PHASE, ends when? | When the patient is brought to the care of the OR Nurse |
| AORN chapter of the philippines? | OR Nurses Association of the Philippines (ORNAP) |
| Determine the cause of symptom or origin of problem? | Diagnostic |
| Resolve the health problem by removing the involved tissue? | Curative |
| To correct deformity, repair injury, or improve functional status? | Reconstructive |
| To relive symptoms without intent of cure? | Palliative |
| To excise tissue that may contribute to the patient's existing medical condition? | Ablative |
| For aesthetic purposes only? | Cosmetic |
| Planned, non-essential surgical procedures? | Elective Surgery |
| Unplanned surgical procedures and require timely interventions but do not pose an immediate threat to life but to well being only? | Urgent Surgery |
| Must be performed immediately to preserve life and limb? | Emergency |
| How do you assess a client who is undergoing a surgery? | 1)Reason for hospitalization -chief complaint, so ask professionally 2)Previous surgeries 3)Blood type |
| PRE-OP, Anxiety n/i (1)? | Allot time for verbalization of feelings & concerns |
| PRE-OP, Anxiety n/i (2)? | Stay with the patient |
| PRE-OP, Client Teaching, must? | 1)According to the level of pt. knowledge 2)Information must be Cephalo-Caudal 3)Information must be from Simple-Complex |
| PRE-OP, Client Teaching, how? | Answer KISS & TELL 1)Answer – only what is being asked 2)Keep it short & simple 3)Tell – what is only beneficial to the pt. |
| Why is Health Teaching done in PRE-OP? | 1)All anxiety or fear 2)Emphasize importance of DBE to prevent Atelectasis |
| Pooling of secretions in the lower airway because of inadequate ventilation and immobility? | Hypostatic Phenumonia |
| Diaphragmatic Abdominal Breathing, correct? a)High Fowler's b)Semi-Fowler's | b)Semi-Fowler's |
| Incentive spirometry, purpose? a)Facilitate gas exchange properly b)Promote maximal lung expansion | b)Promote maximal lung expansion |
| Coughing exercises as PRE-OP teaching, C/I, correct? a)PTB pt b)Increased in ICP | b)Increased in ICP |
| Coughing exercises as PRE-OP teaching, C/I, correct? a)Hypertensive pt. b)Increased IOP | b)Increased in IOP – normal is 10-21 mmHg |
| PRE-OP client teaching, Nsg. Dx – Risk for ineffective tissue perfusion, goals? | 1)Verbalize treatment regimen 2)Demonstrate performance of postoperative exercises |
| PRE-OP client teaching, Nsg. Dx – Risk for ineffective tissue perfusion, N/I? | 1)Anti-embolism stockings 2)Compression devices 3)Leg exercises – dorsiflexion of the foot |
| What should be made sure the nurse before the administration of the PRE-OP medications? | 1)Witnessed the consent signing – document it afterwards 2)Check for allergies |
| After giving PRE-OP medications, what should you be done? | SAFETY – CALL LIGHT 1)Safety – side rails 2)Call light – ensure its function |
| When giving a Sedative/Anxiolytic medications, what should you avoid? | 1)Rapid injection of the medication – it will lead to rapid decrease of BP leading to Shock to death 2)Monitor for hypotension |
| When giving an Opiate Agonists medications, what should you monitor closely? | Respiratory depression – report STAT if 12 breaths/minute |
| What is the antidote for Opiate Agonists medications? | NALOXONE (Narcan) |
| When giving an Anticholinergic medications, what should you monitor especially? | VS – Respiratory Rate in particular for Tachycardia / Monitor for Urinary Retention – anticholinergics relaxes bladder walls as well |
| Midazolam, Diazepam, Lorazepam – what are these drugs? | Sedatives / Anxiolytics – relaxes smooth & skeletal muscles |
| Morphine Sulfate, Fentanyl Citrate – what are these drugs? | Opiate Agonists – centrally acting analgesic for pre-emptive & postoperative analgesia |
| Atropine Sulfate, Scopolamine, Hydrobromide, Hydroxyzine HCL – what are these drugs? | Anticholinergics – decreases secretions in the airway as well as the bladder walls |
| Ranitidine is an H2-antagonist drug, why do you need to cautiously use this? | Because it Hepatotoxic kind of drug, so cautiously use this on patients with Hepative or Renal Impairment |
| Why is DENTURES removed prior surgery? | Anesthesia will relax all the muscles in our body – risk for swallowing or aspiration |
| Why is NAILPOLISH removed prior surgery? | To check for Cyanosis, Capillary Refill – including transparent ones because it will interfere with the accurate reading |
| Why is JEWELRY removed prior surgery? | Jewelries harbor bacteria – cover it with sterile plaster or globe the hands of the patient for an irremovable jewelries |
| How do you document jewelries? | Objectively – yellow piece of jewelry & do not mention it as GOLD or SILVER |
| Why is UNDERWEAR removed prior surgery? | They also harbor bacteria |
| Final preparations before surgery? | 1)NPO 6-8 hours prior 2)Removal of dentures, nailpolish & jewelries 3)Bathe the patient 4)Gown the patient |
| Lumbar tap / puncture, purpose? a)CSF screening b)Diagnosis of meningitis | b)Diagnosis of meningitis |
| Lumbar tap / puncture, C/I? a)Hypertension b)Increased ICP | b)Increased ICP |
| Lumbar tap / puncture, what to do after procedure? | 1)CBR 2)Increase OFI 3)Pressure dressing |
| In CSF, What do you find in bacterial meningitis? a)Increase glucose b)Low glucose | b)Low glucose |
| In CSF, What do you find in bacterial meningitis? a)Increase Protein b)Low Protein | b)Low glucose – Cloudy CSF as well |
| What is the nursing responsibility in the CSF examination? | Maintain the flex position |
| Mantoux test / PPD, positive means? | Exposure or infection to mycobacterium TB bacilli |
| Mantoux test / PPD, induration of 10mm means? | Positive – for HIV patients only a 5mm induration is already a POSITIVE |
| Mantoux test / PPD, false - negative indicates? | Intake of Steroids / Prednisone |
| Guaiac test / F.O.B.T., screening test for? | 1)Colonic cancer 2)GI bleeding |
| What is screening test for Colorectal Cancer & Prostate Problems? | Digital Rectal Examination – started at 50 years of age & then annually thereafter |
| What is the confirmatory test for Colonic Cancer? a)Colonoscopy b)Barium Enema | a)Colonoscopy - 1st step / b)Barium Enema - 2nd step |
| BUN (Blood, Urea, Nitrogen) normal level is 5-25 mg/dL, a decrease means? | Decrease renal function – waste of protein |
| Creatinine, normal level is .5-1.5 mg, an increase means? | Poor renal function – however an increase clearance is good & decrease clearance is bad |
| When taking Gentamycin, Steptomycin, Amikacin, Neomycin (antibiotics), monitor? | 1)BUN & Creatinine 2)I & O |
| What do you see in Renal Failure? a)BUN & Creatinine decrease b)BUN & Creatinine increase | b)BUN & Creatinine increase – there is also a decrease Creatinine clearance |
| Bronchoscopy, before procedure? | 1)Signed consent 2)NPO before & after |
| Bronchoscopy, report? a)Wheezing b)Stridor | b)Stridor – sound produced if airway is obstructed / report also if you find RESTLESSNESS & Frequent Swallowing (bleeding) |
| Intravenous Pyelogram, priority before procedure? a)VS b)Assess for allergy to iodine or shellfish | b)Assess for allergy to iodine or shellfish |
| Intravenous Pyelogram steps, correct? a)Flush out with sterile NSS b)Flush out with water | b)Flush out with water – hydrate patient as well by INC. OFI 3rd step / 1st step – NPO before the procedure / 2nd step – Inject the dye |
| What is the sensation during the injection of the dye? a)Cold feeling b)Warm feeling | b)Warm feeling |
| Chest tubes purpose, correct? a)Re-establish (+) intrathoracic pressure b)Re-establish (-) intrathoracic pressure | b)Re-establish (-) intrathoracic pressure |
| Steps to do in Chest Tubes disconnection? | 1)Place tube tip into a sterile H2O (no air will enter) 2)Call the MD – do not Clamp & Reconnect the tubes (You can reconnect only using STERILE CONNECTORS) |
| In a 3 bottle system, what is the most important? a)1st bottle – drainage b)2nd bottle – water seal c)3rd bottle – suction control | b)2nd bottle – water seal – it prevents entry of air into the chest of the patient |
| In a 3 bottle system, proper functioning? | /Fluctuation / Tidaling / Water goes up & down with Respiration |
| Measures fetal heart rate? | Transducer |
| Measures pressure in pregnancy? | Etoctometer |
| Variable Decelaration is noted means Cord compression, what to do? | 1)Position – a)Trendelenburg b)Knee chest / 2)Give O2 & call the MD |
| Late Deceleration means? | Uteroplacental Insufficiency – Position is Left Side Lying then Give O2 & call the MD |
| Early Deceleration means? | Head Compression – this is normal but continue to monitor the patient |
| Barium swallow, pre-procedure? | 1)Signed consent 2)NPO prior 3)Laxative after 4)Inc. OFI after |
| Barium swallow, except? a)Laxative after b)Assess for gag reflex | b)Assess for gag reflex / Laxative after is 3rd step in barium swallow |
| Lumbar tap / puncture, purpose? a)CSF screening b)Diagnosis of meningitis | b)Diagnosis of meningitis |
| Lumbar tap / puncture, C/I? a)Hypertension b)Increased ICP | b)Increased ICP |
| Lumbar tap / puncture, what to do after procedure? | 1)CBR 2)Increase OFI 3)Pressure dressing |
| In CSF, What do you find in bacterial meningitis? a)Increase glucose b)Low glucose | b)Low glucose |
| In CSF, What do you find in bacterial meningitis? a)Increase Protein b)Low Protein | b)Low glucose – Cloudy CSF as well |
| What is the nursing responsibility in the CSF examination? | Maintain the flex position |
| Mantoux test / PPD, positive means? | Exposure or infection to mycobacterium TB bacilli |
| Mantoux test / PPD, induration of 10mm means? | Positive – for HIV patients only a 5mm induration is already a POSITIVE |
| Mantoux test / PPD, false - negative indicates? | Intake of Steroids / Prednisone |
| Guaiac test / F.O.B.T., screening test for? | 1)Colonic cancer 2)GI bleeding |
| What is screening test for Colorectal Cancer & Prostate Problems? | Digital Rectal Examination – started at 50 years of age & then annually thereafter |
| What is the confirmatory test for Colonic Cancer? a)Colonoscopy b)Barium Enema | a)Colonoscopy - 1st step / b)Barium Enema - 2nd step |
| BUN (Blood, Urea, Nitrogen) normal level is 5-25 mg/dL, a decrease means? | Decrease renal function – waste of protein |
| Creatinine, normal level is .5-1.5 mg, an increase means? | Poor renal function – however an increase clearance is good & decrease clearance is bad |
| When taking Gentamycin, Steptomycin, Amikacin, Neomycin (antibiotics), monitor? | 1)BUN & Creatinine 2)I & O |
| What do you see in Renal Failure? a)BUN & Creatinine decrease b)BUN & Creatinine increase | b)BUN & Creatinine increase – there is also a decrease Creatinine clearance |
| Bronchoscopy, before procedure? | 1)Signed consent 2)NPO before & after |
| Bronchoscopy, report? a)Wheezing b)Stridor | b)Stridor – sound produced if airway is obstructed / report also if you find RESTLESSNESS & Frequent Swallowing (bleeding) |
| Intravenous Pyelogram, priority before procedure? a)VS b)Assess for allergy to iodine or shellfish | b)Assess for allergy to iodine or shellfish |
| Intravenous Pyelogram steps, correct? a)Flush out with sterile NSS b)Flush out with water | b)Flush out with water – hydrate patient as well by INC. OFI 3rd step / 1st step – NPO before the procedure / 2nd step – Inject the dye |
| What is the sensation during the injection of the dye? a)Cold feeling b)Warm feeling | b)Warm feeling |
| Chest tubes purpose, correct? a)Re-establish (+) intrathoracic pressure b)Re-establish (-) intrathoracic pressure | b)Re-establish (-) intrathoracic pressure |
| Steps to do in Chest Tubes disconnection? | 1)Place tube tip into a sterile H2O (no air will enter) 2)Call the MD – do not Clamp & Reconnect the tubes (You can reconnect only using STERILE CONNECTORS) |
| In a 3 bottle system, what is the most important? a)1st bottle – drainage b)2nd bottle – water seal c)3rd bottle – suction control | b)2nd bottle – water seal – it prevents entry of air into the chest of the patient |
| In a 3 bottle system, proper functioning? | /Fluctuation / Tidaling / Water goes up & down with Respiration |
| Measures fetal heart rate? | Transducer |
| Measures pressure in pregnancy? | Etoctometer |
| Variable Decelaration is noted means Cord compression, what to do? | 1)Position – a)Trendelenburg b)Knee chest / 2)Give O2 & call the MD |
| Late Deceleration means? | Uteroplacental Insufficiency – Position is Left Side Lying then Give O2 & call the MD |
| Early Deceleration means? | Head Compression – this is normal but continue to monitor the patient |
| Barium swallow, pre-procedure? | 1)Signed consent 2)NPO prior 3)Laxative after 4)Inc. OFI after |
| Barium swallow, except? a)Laxative after b)Assess for gag reflex | b)Assess for gag reflex / Laxative after is 3rd step in barium swallow |
| Carcinoembryonic Antigen (CEA), is tumor marker of what type cancer? | Colonic Cancer – it determines the prognosis of the cancer whether it is curable or not |
| Prostate Specific Antigen (PSA), is a diagnostic test for? | Prostate Cancer |
| What is 20/40 vision? | Myopia or Nearsightedness – client can only see at a 20 feet distance where a person can see at 40 feet distance |
| What is the legal blindness? | 20/200 |
| For color vision? | Ishihara Chart |
| Detects location of M.I.? | EKG / ECG |
| Angiogram / Cardiac Catheterization POST-OP, correct? | a)Leg straight with pressure dressing b)Supine |
| Sinusitis, correct? a)Hot wet packs b)Cold wet packs | a)Hot wet packs |
| Sinusitis drugs, correct? a)Codeine b)ASA | a)Codeine – it is analgesic / ASA – will increase the risk of developing nasal polyps |
| Sinusitis Amoxicillin acute? a)21 days b)7-10 days c)7-14 days | b)7-10 days / a)21 days – chronic / c)7-14 days – distractor |
| Sinusitis nasal decongestant, correct? a)Sudafed & Dimetapp use for 7 days b)Sudafed & Dimetapp used for 72 hours | b)Sudafed & Dimetapp used for 72 hours |
| Sinusitis surgery, correct? a)F.E.S.S. b)R.A.S. | a)F.E.S.S. - Functional Endoscopic Sinus Surgery - 1st choice / R.A.S. - Radical Antrum Surgery (Caldwell Luc Surgery) - 2nd choice |
| Calwell Luc Surgery, correct? a)Chew on affected side b)Chew on unaffected side | b)Chew on unaffected side |
| Frontal sinus surgery, correct? a)Sphenoidectomy b)Osteoplastic Flap Surgery | b)Osteoplastic Flap Surgery |
| Tonsillectomy & Adenoidectomy indicated for? a)Tonsilitis recurs 5-8 times/ yr b)Tonsilitis recurs 5-6 times/ yr | b)Tonsilitis recurs 5-6 times/ yr |
| Tonsillectomy & Adenoidectomy, correct? a)Warm saline gargle b)Antiseptic mouthwash | a)Warm saline gargle |
| Tonsillectomy & Adenoidectomy 1st n/i, correct? a)Promote rest b)Assess for URTI | )Promote rest - 1st step / b)Assess for URTI - 2nd step |
| Tonsillectomy & Adenoidectomy PRE-OP, except? a)Assess for URTI b)Check PTT c)BUN & CPK | c)BUN & CPK |
| Tonsillectomy & Adenoidectomy POST-OP, correct? a)Supine, turn head to side b)Prone, turn head to side | b)Prone, turn head to side |
| Tonsillectomy & Adenoidectomy POST-OP, patient is awake? a)Semi-Fowler's b)High-Fowler's | a)Semi-Fowler's – to promote oral airway until swallowing reflex returns |
| Tonsillectomy & Adenoidectomy POST-OP, correct? a)Bright red vomitus b)Blood tinged vomitus | a)Bright red vomitus |
| Tonsillectomy & Adenoidectomy POST-OP diet, correct? a)Ice cold fluids b)Ice cream | a)Ice cold fluids – plus bland foods / b)Ice cream – c/i because it will lead to coughing & bleeding |
| Tonsillectomy & Adenoidectomy client education, correct? a)Popcorn, boy bawang nuts b)2-4 L/day of fluids c)2-3 L/day of fluids | c)2-3 L/day of fluids |
| Tonsillectomy & Adenoidectomy client teaching, correct? a)No coughing, sneezing, blowing of nose for 2-3 weeks b)No coughing, sneezing, blowing of nose for 2 weeks | No coughing, sneezing, blowing of nose for 2 weeks |
| Tonsillectomy & Adenoidectomy avoid? a)Ice cold fluids b)Overcrowded public places | b)Overcrowded public places – you could catch a cold & a 4-10 days of discomfort post surgery is expected |
| Cancer of Larynx s/s, correct? a)Dysphagia, dyspnea, hoarseness b) Dysphagia, apnea, hoarseness | Dysphagia, dyspnea, hoarseness – dyspnea not apnea plus a burning sensation with hot/acidic beverages |
| Cancer of Larynx s/s, correct? a)Mild anemia & Weight loss b)Moderate anemia & Weight loss c)Severe anemia & Weight loss | c)Severe anemia & Weight loss – with severe anorexia |
| Subtotal Laryngectomy, correct? a)Absolute loss of voice b)Retains voice | b)Retains voice / a)Absolute loss of voice – this is Total Laryngectomy |
| Total Laryngectomy, except? a)Loss of smell b)Loss of voice c)No heavy lifting d)Temporary Tracheostomy | d)Temporary Tracheostomy – it should be a PERMANENT Tracheostomy |
| Care of client with tracheostomy, 1st POST-OP care? a)Establish means of communication b)Prevent infection c)Semi-Fowler's | c)Semi-Fowler's – 1st to establish airway patency / b)Prevent infection - 2nd step / a)Establish means of communication - 3rd step |
| Care of client with tracheostomy, POST-OP instilling of NSS, correct? a)3-5 mls b)2-5 mls | b)2-5 mls |
| Asthma s/s, correct? a)Cold clammy skin b)Warm & flushed skin | a)Cold clammy skin |
| Asthma s/s, correct? a)Respiratory Alkalosis b)Respiratory Acidosis | b)Respiratory Acidosis |
| Asthma s/s, correct? a)Wheezing b)Stridor | a)Wheezing |
| Sinusitis, correct? a)Hot wet packs b)Cold wet packs | a)Hot wet packs |
| Sinusitis drugs, correct? a)Codeine b)ASA | a)Codeine – it is analgesic / ASA – will increase the risk of developing nasal polyps |
| Sinusitis Amoxicillin acute? a)21 days b)7-10 days c)7-14 days | b)7-10 days / a)21 days – chronic / c)7-14 days – distractor |
| Sinusitis nasal decongestant, correct? a)Sudafed & Dimetapp use for 7 days b)Sudafed & Dimetapp used for 72 hours | b)Sudafed & Dimetapp used for 72 hours |
| Sinusitis surgery, correct? a)F.E.S.S. b)R.A.S. | a)F.E.S.S. - Functional Endoscopic Sinus Surgery - 1st choice / R.A.S. - Radical Antrum Surgery (Caldwell Luc Surgery) - 2nd choice |
| Calwell Luc Surgery, correct? a)Chew on affected side b)Chew on unaffected side | b)Chew on unaffected side |
| Frontal sinus surgery, correct? a)Sphenoidectomy b)Osteoplastic Flap Surgery | b)Osteoplastic Flap Surgery |
| Tonsillectomy & Adenoidectomy indicated for? a)Tonsilitis recurs 5-8 times/ yr b)Tonsilitis recurs 5-6 times/ yr | b)Tonsilitis recurs 5-6 times/ yr |
| Tonsillectomy & Adenoidectomy, correct? a)Warm saline gargle b)Antiseptic mouthwash | a)Warm saline gargle |
| Tonsillectomy & Adenoidectomy 1st n/i, correct? a)Promote rest b)Assess for URTI | )Promote rest - 1st step / b)Assess for URTI - 2nd step |
| Tonsillectomy & Adenoidectomy PRE-OP, except? a)Assess for URTI b)Check PTT c)BUN & CPK | c)BUN & CPK |
| Tonsillectomy & Adenoidectomy POST-OP, correct? a)Supine, turn head to side b)Prone, turn head to side | b)Prone, turn head to side |
| Tonsillectomy & Adenoidectomy POST-OP, patient is awake? a)Semi-Fowler's b)High-Fowler's | a)Semi-Fowler's – to promote oral airway until swallowing reflex returns |
| Tonsillectomy & Adenoidectomy POST-OP, correct? a)Bright red vomitus b)Blood tinged vomitus | a)Bright red vomitus |
| Tonsillectomy & Adenoidectomy POST-OP diet, correct? a)Ice cold fluids b)Ice cream | a)Ice cold fluids – plus bland foods / b)Ice cream – c/i because it will lead to coughing & bleeding |
| Tonsillectomy & Adenoidectomy client education, correct? a)Popcorn, boy bawang nuts b)2-4 L/day of fluids c)2-3 L/day of fluids | c)2-3 L/day of fluids |
| Tonsillectomy & Adenoidectomy client teaching, correct? a)No coughing, sneezing, blowing of nose for 2-3 weeks b)No coughing, sneezing, blowing of nose for 2 weeks | No coughing, sneezing, blowing of nose for 2 weeks |
| Tonsillectomy & Adenoidectomy avoid? a)Ice cold fluids b)Overcrowded public places | b)Overcrowded public places – you could catch a cold & a 4-10 days of discomfort post surgery is expected |
| Cancer of Larynx s/s, correct? a)Dysphagia, dyspnea, hoarseness b) Dysphagia, apnea, hoarseness | Dysphagia, dyspnea, hoarseness – dyspnea not apnea plus a burning sensation with hot/acidic beverages |
| Cancer of Larynx s/s, correct? a)Mild anemia & Weight loss b)Moderate anemia & Weight loss c)Severe anemia & Weight loss | c)Severe anemia & Weight loss – with severe anorexia |
| Subtotal Laryngectomy, correct? a)Absolute loss of voice b)Retains voice | b)Retains voice / a)Absolute loss of voice – this is Total Laryngectomy |
| Total Laryngectomy, except? a)Loss of smell b)Loss of voice c)No heavy lifting d)Temporary Tracheostomy | d)Temporary Tracheostomy – it should be a PERMANENT Tracheostomy |
| Care of client with tracheostomy, 1st POST-OP care? a)Establish means of communication b)Prevent infection c)Semi-Fowler's | c)Semi-Fowler's – 1st to establish airway patency / b)Prevent infection - 2nd step / a)Establish means of communication - 3rd step |
| Care of client with tracheostomy, POST-OP instilling of NSS, correct? a)3-5 mls b)2-5 mls | b)2-5 mls |
| Asthma s/s, correct? a)Cold clammy skin b)Warm & flushed skin | a)Cold clammy skin |
| Asthma s/s, correct? a)Respiratory Alkalosis b)Respiratory Acidosis | b)Respiratory Acidosis |
| Asthma s/s, correct? a)Wheezing b)Stridor | a)Wheezing |
| Emphysema r/f, correct? a)Smoking b)Malnutrition c)Heredity d)Aging process | b)Malnutrition – all are part of r/f |
| Emphysema s/s, correct? a)Adventitious breath sounds b)Dull, fluid like breath sounds | a)Adventitious breath sounds |
| Emphysema s/s, correct? a)Barrel chest b)Pink puffers | a)Barrel chest |
| Emphysema diet, correct? a)High Calorie, Low Protein, High Carbs b)High Calorie, High Protein, Low Carbs | b)High Calorie, High Protein, Low Carbs – provide energy, maintain integrity of alveolar walls, decrease CO2 production |
| Emphysema O2, correct? a)2-5 LPM b)2 LPM | b)2 LPM – high O2 is c/i because breathing maybe depressed |
| Emphysema use of Bronchodilators, correct? a)Observe Tachycardia b)Observe for Respiratory Depression | a)Observe Tachycardia |
| Emphysema use of Antitussives, correct? a)Dextrometorphan b)Alupent | a)Dextrometorphan – observe for drowsiness |
| Pleural Effusion, correct? a)Accumulation of air b)Accumulation of fluids | b)Accumulation of fluids / a)Accumulation of air – Pneumothorax |
| Pleural Effusion s/s, correct? a)Diminished breath sounds b)Crackling breath sounds | a)Diminished breath sounds |
| Pleural Effusion n/i, correct? a)Remain with patient, stay calm b)High-Fowler's | a)Remain with patient, stay calm - 1st step / b)High-Fowler's - 2nd step |
| Pleural Effusion, monitor? a)Shock b)Infection | a)Shock |
| Cancer cells with good prognosis? a)Squamous & Adenocarcinomas b)Oat & Undifferentiated | a)Squamous & Adenocarcinomas / b)Oat & Undifferentiated – with poor prognosis |
| Lung cancer s/s, correct? a)Hacking, productive, blood tinged sputum b)Hacking, nonproductive, blood tinged sputum | b)Hacking, nonproductive, blood tinged sputum – it is a nonproductive cough |
| Lung cancer s/s, late signs? a)Weakness b)Anemia c)Weight loss d)Cachexia | d)Cachexia – anorexia only not cachexia |
| Lung cancer n/i, correct? a)O2 / Aerosol therapy b)Patent airway | b)Patent airway – step 1 / a)O2 / Aerosol therapy – step 2 |
| Wedge resection, correct? a)Removal of ribs b)Removal of entire tumor | b)Removal of entire tumor / a)Removal of ribs – this is Thoracoplasty |
| Pneumonectomy, correct? a)Semi-Fowler's, turned slightly on affected side b)Semi-Fowler's, turned slightly on unaffected side | b)Semi-Fowler's, turned slightly on unaffected side – for lung expansion & full side lying is c/i to prevent MEDIASTINAL SHIFT |
| Stripping off fibrinous membrance enclosing the lung? a)Membraneous resection b)Decortication | b)Decortication |
| Chest tube postion POST-OP, correct? a)Semi-Fowler's turn on affected side b)Semi-Fowler's turn on unaffected side | b)Semi-Fowler's turn on unaffected side – to allow for lung expansion |
| Hypoperfusion s/s, correct? a)Decrease RR, Dyspnea b)Increase RR, Dyspnea | b)Increase RR, Dyspnea |
| Hypoperfusion s/s of ABG, correct? a)Increase Pa CO2, Decrease PaO2 b)Decrease Pa CO2, Decrease PaO2 | a)Increase Pa CO2, Decrease PaO2 |
| Hypoperfusion n/i, correct? a)O2 Decrease 1-3 LPM d/t labored breathing b)O2 Increase 8-10 LPM | b)O2 Increase 8-10 LPM |
| PTB Class 2, correct? a)Disease, clinically active b)Suspected disease, diagnosis pending c)Infection, no disease (+) PPD d)Exposure, no infection | c)Infection, no disease (+) PPD / a)Disease, clinically active – Class 3 b)Suspected disease, diagnosis pending – Class 5 / d)Exposure, no infection – Class 1 |
| PTB, correct? a)Droplet b)Airborne | a)Droplet |
| PTB drug INH s/e, correct? a)Peripheral Neuritis & Hepatotoxicity b)Optic Neuritis, skin rash & Hepatotoxicity | a)Disease, clinically active / b)Suspected disease, diagnosis pending c)Infection, no disease d)Exposure, no infection – Ethambutol s/e |
| PTB drug Streptomycin s/e, correct? a)Red orange urine, thrombocytopenia b)Ototoxicity & Nephrotoxicity | b)Ototoxicity & Nephrotoxicity / a)Red orange urine, thrombocytopenia – s/e of Rifampicin |
| Pneumonia s/s, correct? a)Respiratory Alkalosis b)Respiratory Acidosis | b)Respiratory Acidosis |
| Pneumonia s/s, correct? a)Dullnes upon chest auscultation b)Drumlike upon chest auscultation | a)Dullness upon chest auscultation |
| Pneumonia n/i, correct? a)Rest & Fluids b)Incentive spirometry c)O2 therapy | a)Rest & Fluids - 1st step / b)Incentive spirometry - 2nd step / c)O2 therapy - 3rd step |
| Pulmonary Embolism s/s, correct? a)Restlessness b)Dizziness | a)Restlessness – initial cardinal sign |
| Pulmonary Embolism s/s, correct? a)Dyspnea & thumplike chest pain b)Dyspnea & Stabbing chest pain | b)Dyspnea & Stabbing chest pain |
| Pulmonary Embolism Initial n/i, correct? a)Sit up & lean forward b)O2 therapy stat | b)O2 theraphy stat / a)Sit up & lean forward – asthma option |
| Pulmonary Embolism n/i, except? a)Heparin & Coumadin b)ASA & Coumadin | b)ASA & Coumadin – ASA will cause bleeding |
| Pulmonary Embolism, correct? a)Drug abuse b)Contraceptive use | b)Contraceptive use – it might cause Pulmonary Embolism that's why it should be evaluated |
| Emphysema r/f, correct? a)Smoking b)Malnutrition c)Heredity d)Aging process | b)Malnutrition – all are part of r/f |
| Emphysema s/s, correct? a)Adventitious breath sounds b)Dull, fluid like breath sounds | a)Adventitious breath sounds |
| Emphysema s/s, correct? a)Barrel chest b)Pink puffers | a)Barrel chest |
| Emphysema diet, correct? a)High Calorie, Low Protein, High Carbs b)High Calorie, High Protein, Low Carbs | b)High Calorie, High Protein, Low Carbs – provide energy, maintain integrity of alveolar walls, decrease CO2 production |
| Emphysema O2, correct? a)2-5 LPM b)2 LPM | b)2 LPM – high O2 is c/i because breathing maybe depressed |
| Emphysema use of Bronchodilators, correct? a)Observe Tachycardia b)Observe for Respiratory Depression | a)Observe Tachycardia |
| Emphysema use of Antitussives, correct? a)Dextrometorphan b)Alupent | a)Dextrometorphan – observe for drowsiness |
| Pleural Effusion, correct? a)Accumulation of air b)Accumulation of fluids | b)Accumulation of fluids / a)Accumulation of air – Pneumothorax |
| Pleural Effusion s/s, correct? a)Diminished breath sounds b)Crackling breath sounds | a)Diminished breath sounds |
| Pleural Effusion n/i, correct? a)Remain with patient, stay calm b)High-Fowler's | a)Remain with patient, stay calm - 1st step / b)High-Fowler's - 2nd step |
| Pleural Effusion, monitor? a)Shock b)Infection | a)Shock |
| Cancer cells with good prognosis? a)Squamous & Adenocarcinomas b)Oat & Undifferentiated | a)Squamous & Adenocarcinomas / b)Oat & Undifferentiated – with poor prognosis |
| Lung cancer s/s, correct? a)Hacking, productive, blood tinged sputum b)Hacking, nonproductive, blood tinged sputum | b)Hacking, nonproductive, blood tinged sputum – it is a nonproductive cough |
| Lung cancer s/s, late signs? a)Weakness b)Anemia c)Weight loss d)Cachexia | d)Cachexia – anorexia only not cachexia |
| Lung cancer n/i, correct? a)O2 / Aerosol therapy b)Patent airway | b)Patent airway – step 1 / a)O2 / Aerosol therapy – step 2 |
| Wedge resection, correct? a)Removal of ribs b)Removal of entire tumor | b)Removal of entire tumor / a)Removal of ribs – this is Thoracoplasty |
| Pneumonectomy, correct? a)Semi-Fowler's, turned slightly on affected side b)Semi-Fowler's, turned slightly on unaffected side | b)Semi-Fowler's, turned slightly on unaffected side – for lung expansion & full side lying is c/i to prevent MEDIASTINAL SHIFT |
| Stripping off fibrinous membrance enclosing the lung? a)Membraneous resection b)Decortication | b)Decortication |
| Chest tube postion POST-OP, correct? a)Semi-Fowler's turn on affected side b)Semi-Fowler's turn on unaffected side | b)Semi-Fowler's turn on unaffected side – to allow for lung expansion |
| Hypoperfusion s/s, correct? a)Decrease RR, Dyspnea b)Increase RR, Dyspnea | b)Increase RR, Dyspnea |
| Hypoperfusion s/s of ABG, correct? a)Increase Pa CO2, Decrease PaO2 b)Decrease Pa CO2, Decrease PaO2 | a)Increase Pa CO2, Decrease PaO2 |
| Hypoperfusion n/i, correct? a)O2 Decrease 1-3 LPM d/t labored breathing b)O2 Increase 8-10 LPM | b)O2 Increase 8-10 LPM |
| PTB Class 2, correct? a)Disease, clinically active b)Suspected disease, diagnosis pending c)Infection, no disease (+) PPD d)Exposure, no infection | c)Infection, no disease (+) PPD / a)Disease, clinically active – Class 3 b)Suspected disease, diagnosis pending – Class 5 / d)Exposure, no infection – Class 1 |
| PTB, correct? a)Droplet b)Airborne | a)Droplet |
| PTB drug INH s/e, correct? a)Peripheral Neuritis & Hepatotoxicity b)Optic Neuritis, skin rash & Hepatotoxicity | a)Disease, clinically active / b)Suspected disease, diagnosis pending c)Infection, no disease d)Exposure, no infection – Ethambutol s/e |
| PTB drug Streptomycin s/e, correct? a)Red orange urine, thrombocytopenia b)Ototoxicity & Nephrotoxicity | b)Ototoxicity & Nephrotoxicity / a)Red orange urine, thrombocytopenia – s/e of Rifampicin |
| Pneumonia s/s, correct? a)Respiratory Alkalosis b)Respiratory Acidosis | b)Respiratory Acidosis |
| Pneumonia s/s, correct? a)Dullnes upon chest auscultation b)Drumlike upon chest auscultation | a)Dullness upon chest auscultation |
| Pneumonia n/i, correct? a)Rest & Fluids b)Incentive spirometry c)O2 therapy | a)Rest & Fluids - 1st step / b)Incentive spirometry - 2nd step / c)O2 therapy - 3rd step |
| Pulmonary Embolism s/s, correct? a)Restlessness b)Dizziness | a)Restlessness – initial cardinal sign |
| Pulmonary Embolism s/s, correct? a)Dyspnea & thumplike chest pain b)Dyspnea & Stabbing chest pain | b)Dyspnea & Stabbing chest pain |
| Pulmonary Embolism Initial n/i, correct? a)Sit up & lean forward b)O2 therapy stat | b)O2 theraphy stat / a)Sit up & lean forward – asthma option |
| Pulmonary Embolism n/i, except? a)Heparin & Coumadin b)ASA & Coumadin | b)ASA & Coumadin – ASA will cause bleeding |
| Pulmonary Embolism, correct? a)Drug abuse b)Contraceptive use | b)Contraceptive use – it might cause Pulmonary Embolism that's why it should be evaluated |
| Echocardiography, correct? a)Supine, slightly to the left, HOB elevated 15-20 degrees b)Supine, slightly to the left, HOB elevated 15-25 degrees c)Supine, slightly to the left, HOB elevated 10-20 degrees | a)Supine, slightly to the left, HOB elevated 15-20 degrees |
| Transesophageal Echocardiography (TEE) PRE-OP N/I, correct? a)Assess allergy to sedatives or anesthetis b)Ascertain history to esophageal history | b)Ascertain history to esophageal history – 1st step / a)Assess allergy to sedatives or anesthetis – 2nd step |
| Transesophageal Echocardiography (TEE) PRE-OP N/I, correct? a)NPO 4-6 hrs b)NPO 6-8 hrs | a)NPO 4-6 hrs |
| Transesophageal Echocardiography (TEE) PRE-OP N/I, correct? a)Local anesthesia administration b)Topical spray anesthesia | b)Topical spray anesthesia – to suppress gag reflex |
| Transesophageal Echocardiography (TEE) POST-OP N/I, correct? a)High fowler’s b)Lateral or Semi fowler’s | b)Lateral or Semi fowler’s |
| Transesophageal Echocardiography (TEE) POST-OP N/I, correct? a)Give throat lozenges b)Watch for transient hypoxias | a)Give throat lozenges – to relieve throat soreness & watch for transient hypoxemias not hypoxias |
| Echocardiography, correct? a)Supine, slightly to the left, HOB elevated 15-20 degrees b)Supine, slightly to the left, HOB elevated 15-25 degrees c)Supine, slightly to the left, HOB elevated 10-20 degrees | a)Supine, slightly to the left, HOB elevated 15-20 degrees |
| Transesophageal Echocardiography (TEE) PRE-OP N/I, correct? a)Assess allergy to sedatives or anesthetis b)Ascertain history to esophageal history | b)Ascertain history to esophageal history – 1st step / a)Assess allergy to sedatives or anesthetis – 2nd step |
| Transesophageal Echocardiography (TEE) PRE-OP N/I, correct? a)NPO 4-6 hrs b)NPO 6-8 hrs | a)NPO 4-6 hrs |
| Transesophageal Echocardiography (TEE) PRE-OP N/I, correct? a)Local anesthesia administration b)Topical spray anesthesia | b)Topical spray anesthesia – to suppress gag reflex |
| Transesophageal Echocardiography (TEE) POST-OP N/I, correct? a)High fowler’s b)Lateral or Semi fowler’s | b)Lateral or Semi fowler’s |
| Transesophageal Echocardiography (TEE) POST-OP N/I, correct? a)Give throat lozenges b)Watch for transient hypoxias | a)Give throat lozenges – to relieve throat soreness & watch for transient hypoxemias not hypoxias |
| Clients predisposed to CAD, correct? a)Pt with history of 20 pack yrs of smoking b)Pt whose dad & brother died of MI | b)Pt whose dad & brother died of MI |
| To assess JVD, HOB should be, correct? a)30 deg. b)25 deb. c)20 deg. d)15 deg. | a)30 |
| Pt on Heparin Tx has APTT of 80 sec., this means? a)The client is prone to bleeding b)It is the therapeutic effect of the drug | b)It is the therapeutic effect of the drug |
| Find low cardiac output? a)BUN of 40mg/dl b)Urine out of 50mls/hr c)Serum K is 4.5mEq/L | a)BUN of 40mg/d |
| MI, except? a)Elevated AST b)Elevated ALT c)Elevated Ck-MB d)Elevated LDH | b)Elevated ALT |
| Hypokalemia ECG, correct? a)Elevatd ST segment b)Prolonged QRS c)Depressed ST segment | c)Depressed ST segment |
| Hypervolemia in CVP, correct? a)10 cm of H2O b)8 cm of H2O c)6 cm of H2O d)14 cm of H2O | d)14 cm of H2O |
| Angina pectoris, correct? a)Localized on the left chest b)Precipitated by a large meal c)Experienced while sitting & watching tv | b)Precipitated by a large meal |
| MI, except? a)Pain is crushing b)Pain radiates to one or both arms, neck & back c)Pain is prolonged d)Pain is revelieved by rest | d)Pain is revelieved by rest |
| Nitroglycerine Therapy, why is the patient to assume a Sitting or Supine position? | Prevent Orthostatic Hypotension |
| Nitroglycerine Therapy, what is the maximum doses? | 3 doses at 5 min interval |
| Nitroglycerine Therapy, if taken under the tongue, what will it cause? | Burning or stinging sensation |
| Nitroglycerine Therapy, sublingual route produces Onset of Action within? 1-2 minutes – Duration of action is 30 minutes | (blank) |
| Nitroglycerine Therapy, what do you offer before giving sublingual nitrates? | Sips of water because it can cause drymouth |
| Nitroglycerine Therapy, advise client to? | Carry 3 tablets in his pocket |
| Nitroglycerine Therapy, medications should be stored in a? | Cool, dry place |
| Nitroglycerine Therapy, container should be? | Dark / amber colored & air tight – light, moisture & heat can destroy the drug |
| Nitroglycerine Therapy, change stock every how many months? | 6 months – effectivity of the drug is RELIEF OF CHEST PAIN |
| Nitroglycerine Therapy s/e, correct? a)Tachycardia b)Bradycardia | a)Tachycardia – do not discontinue drug |
| Nitroglycerine Therapy s/e, correct? a)Faintness b)Cool & moist skin | a)Faintness - do not discontinue drug & other s/e are Flushed face, Headache, Dizziness |
| Clients predisposed to CAD, correct? a)Pt with history of 20 pack yrs of smoking b)Pt whose dad & brother died of MI | b)Pt whose dad & brother died of MI |
| To assess JVD, HOB should be, correct? a)30 deg. b)25 deb. c)20 deg. d)15 deg. | a)30 |
| Pt on Heparin Tx has APTT of 80 sec., this means? a)The client is prone to bleeding b)It is the therapeutic effect of the drug | b)It is the therapeutic effect of the drug |
| Find low cardiac output? a)BUN of 40mg/dl b)Urine out of 50mls/hr c)Serum K is 4.5mEq/L | a)BUN of 40mg/d |
| MI, except? a)Elevated AST b)Elevated ALT c)Elevated Ck-MB d)Elevated LDH | b)Elevated ALT |
| Hypokalemia ECG, correct? a)Elevatd ST segment b)Prolonged QRS c)Depressed ST segment | c)Depressed ST segment |
| Hypervolemia in CVP, correct? a)10 cm of H2O b)8 cm of H2O c)6 cm of H2O d)14 cm of H2O | d)14 cm of H2O |
| Angina pectoris, correct? a)Localized on the left chest b)Precipitated by a large meal c)Experienced while sitting & watching tv | b)Precipitated by a large meal |
| MI, except? a)Pain is crushing b)Pain radiates to one or both arms, neck & back c)Pain is prolonged d)Pain is revelieved by rest | d)Pain is revelieved by rest |
| Nitroglycerine Therapy, why is the patient to assume a Sitting or Supine position? | Prevent Orthostatic Hypotension |
| Nitroglycerine Therapy, what is the maximum doses? | 3 doses at 5 min interval |
| Nitroglycerine Therapy, if taken under the tongue, what will it cause? | Burning or stinging sensation |
| Nitroglycerine Therapy, sublingual route produces Onset of Action within? 1-2 minutes – Duration of action is 30 minutes | (blank) |
| Nitroglycerine Therapy, what do you offer before giving sublingual nitrates? | Sips of water because it can cause drymouth |
| Nitroglycerine Therapy, advise client to? | Carry 3 tablets in his pocket |
| Nitroglycerine Therapy, medications should be stored in a? | Cool, dry place |
| Nitroglycerine Therapy, container should be? | Dark / amber colored & air tight – light, moisture & heat can destroy the drug |
| Nitroglycerine Therapy, change stock every how many months? | 6 months – effectivity of the drug is RELIEF OF CHEST PAIN |
| Nitroglycerine Therapy s/e, correct? a)Tachycardia b)Bradycardia | a)Tachycardia – do not discontinue drug |
| Nitroglycerine Therapy s/e, correct? a)Faintness b)Cool & moist skin | a)Faintness - do not discontinue drug & other s/e are Flushed face, Headache, Dizziness |
| Clients predisposed to CAD, correct? a)Pt with history of 20 pack yrs of smoking b)Pt whose dad & brother died of MI | b)Pt whose dad & brother died of MI |
| To assess JVD, HOB should be, correct? a)30 deg. b)25 deb. c)20 deg. d)15 deg. | a)30 |
| Pt on Heparin Tx has APTT of 80 sec., this means? a)The client is prone to bleeding b)It is the therapeutic effect of the drug | b)It is the therapeutic effect of the drug |
| Find low cardiac output? a)BUN of 40mg/dl b)Urine out of 50mls/hr c)Serum K is 4.5mEq/L | a)BUN of 40mg/d |
| MI, except? a)Elevated AST b)Elevated ALT c)Elevated Ck-MB d)Elevated LDH | b)Elevated ALT |
| Hypokalemia ECG, correct? a)Elevatd ST segment b)Prolonged QRS c)Depressed ST segment | c)Depressed ST segment |
| Hypervolemia in CVP, correct? a)10 cm of H2O b)8 cm of H2O c)6 cm of H2O d)14 cm of H2O | d)14 cm of H2O |
| Angina pectoris, correct? a)Localized on the left chest b)Precipitated by a large meal c)Experienced while sitting & watching tv | b)Precipitated by a large meal |
| MI, except? a)Pain is crushing b)Pain radiates to one or both arms, neck & back c)Pain is prolonged d)Pain is revelieved by rest | d)Pain is revelieved by rest |
| Nitroglycerine Therapy, why is the patient to assume a Sitting or Supine position? | Prevent Orthostatic Hypotension |
| Nitroglycerine Therapy, what is the maximum doses? | 3 doses at 5 min interval |
| Nitroglycerine Therapy, if taken under the tongue, what will it cause? | Burning or stinging sensation |
| Nitroglycerine Therapy, sublingual route produces Onset of Action within? | 1-2 minutes – Duration of action is 30 minutes |
| Nitroglycerine Therapy, what do you offer before giving sublingual nitrates? | Sips of water because it can cause drymouth |
| Nitroglycerine Therapy, advise client to? | Carry 3 tablets in his pocket |
| Nitroglycerine Therapy, medications should be stored in a? | Cool, dry place |
| Nitroglycerine Therapy, container should be? | Dark / amber colored & air tight – light, moisture & heat can destroy the drug |
| Nitroglycerine Therapy, change stock every how many months? | 6 months – effectivity of the drug is RELIEF OF CHEST PAIN |
| Nitroglycerine Therapy s/e, correct? a)Tachycardia b)Bradycardia | a)Tachycardia – do not discontinue drug |
| Nitroglycerine Therapy s/e, correct? a)Faintness b)Cool & moist skin | a)Faintness - do not discontinue drug & other s/e are Flushed face, Headache, Dizziness |
| Clients predisposed to CAD, correct? a)Pt with history of 20 pack yrs of smoking b)Pt whose dad & brother died of MI | b)Pt whose dad & brother died of MI |
| To assess JVD, HOB should be, correct? a)30 deg. b)25 deb. c)20 deg. d)15 deg. | a)30 |
| Pt on Heparin Tx has APTT of 80 sec., this means? a)The client is prone to bleeding b)It is the therapeutic effect of the drug | b)It is the therapeutic effect of the drug |
| Find low cardiac output? a)BUN of 40mg/dl b)Urine out of 50mls/hr c)Serum K is 4.5mEq/L | a)BUN of 40mg/d |
| MI, except? a)Elevated AST b)Elevated ALT c)Elevated Ck-MB d)Elevated LDH | b)Elevated ALT |
| Hypokalemia ECG, correct? a)Elevatd ST segment b)Prolonged QRS c)Depressed ST segment | c)Depressed ST segment |
| Hypervolemia in CVP, correct? a)10 cm of H2O b)8 cm of H2O c)6 cm of H2O d)14 cm of H2O | d)14 cm of H2O |
| Angina pectoris, correct? a)Localized on the left chest b)Precipitated by a large meal c)Experienced while sitting & watching tv | b)Precipitated by a large meal |
| MI, except? a)Pain is crushing b)Pain radiates to one or both arms, neck & back c)Pain is prolonged d)Pain is revelieved by rest | d)Pain is revelieved by rest |
| Nitroglycerine Therapy, why is the patient to assume a Sitting or Supine position? | Prevent Orthostatic Hypotension |
| Nitroglycerine Therapy, what is the maximum doses? | 3 doses at 5 min interval |
| Nitroglycerine Therapy, if taken under the tongue, what will it cause? | Burning or stinging sensation |
| Nitroglycerine Therapy, sublingual route produces Onset of Action within? | 1-2 minutes – Duration of action is 30 minutes |
| Nitroglycerine Therapy, what do you offer before giving sublingual nitrates? | Sips of water because it can cause drymouth |
| Nitroglycerine Therapy, advise client to? | Carry 3 tablets in his pocket |
| Nitroglycerine Therapy, medications should be stored in a? | Cool, dry place |
| Nitroglycerine Therapy, container should be? | Dark / amber colored & air tight – light, moisture & heat can destroy the drug |
| Nitroglycerine Therapy, change stock every how many months? | 6 months – effectivity of the drug is RELIEF OF CHEST PAIN |
| Nitroglycerine Therapy s/e, correct? a)Tachycardia b)Bradycardia | a)Tachycardia – do not discontinue drug |
| Nitroglycerine Therapy s/e, correct? a)Faintness b)Cool & moist skin | a)Faintness - do not discontinue drug & other s/e are Flushed face, Headache, Dizziness |
| Beta-Adrenergic Blockers, assess for pulse rate before administration & withhold if? | Bradycardia is present |
| Beta-Adrenergic Blockers, administer with food to prevent GI upset and do not administer Propranolo to clients with Asthma because? | It causes Bronchoconstriction – in client with DM it will cause hypoglycemia |
| Beta-Adrenergic Blockers, s/e are N&V, mental depression, mild diarrhea, fatigue and impotence, caution is given to clients with? | Heart failure |
| Calcium-Channel Blockers, assess for? | HR & BP – monitor for Hepatic & Renal function |
| Calcium-Channel Blockers, administration is? | 1 hour before & 2 hours after meals – food delays absorption of drug |
| Platelet Aggregation Inhibitors, asses for s/s of? | Bleeding & tinnitus – avoid straining at stool & do not give ASA with Coumadin |
| Heparin Sodium, assess for s/s of? | Bleeding – maximum use is 2 weeks |
| Heparin Sodium, antidote? | Protamine Sulfate – do not massage to prevent hematoma |
| Heparin Sodium, monitor? | PTT or APTT levels |
| Coumadin, assess for? | Bleeding – so monitor for PTT Vit. K is the antidote |
| Coumadin diet, avoid? | Green leafy veggies – they contain Vit. K |
| It is a mechanical dilatation of the coronary vessel wall by compressing the atheromatous plaque? | Percutaneous Transluminal Coronary Angioplasty (PTCA) |
| Angina Pectoris diet? a)Low Na, Fat, Cholesterol & Fiber b) Low Na, Fat, Cholesterol & High fiber with saturated fats c)Low Na, Fat, Cholesterol & High fiber | b) Low Na, Fat, Cholesterol & High fiber fats – white meat, chicken without skin & fish |
| Angina Pectoris activity? | No restrictions as long as with patient's limitations |
| Angina Pectoris surgical management? | Coronary Artery Bypass Graft (CABG) – for one or more branches of arteries narrowing & its main purpose is myocardial revascularization |
| Beta-Adrenergic Blockers, assess for pulse rate before administration & withhold if? | Bradycardia is present |
| Beta-Adrenergic Blockers, administer with food to prevent GI upset and do not administer Propranolo to clients with Asthma because? | It causes Bronchoconstriction – in client with DM it will cause hypoglycemia |
| Beta-Adrenergic Blockers, s/e are N&V, mental depression, mild diarrhea, fatigue and impotence, caution is given to clients with? | Heart failure |
| Calcium-Channel Blockers, assess for? | HR & BP – monitor for Hepatic & Renal function |
| Calcium-Channel Blockers, administration is? | 1 hour before & 2 hours after meals – food delays absorption of drug |
| Platelet Aggregation Inhibitors, asses for s/s of? | Bleeding & tinnitus – avoid straining at stool & do not give ASA with Coumadin |
| Heparin Sodium, assess for s/s of? | Bleeding – maximum use is 2 weeks |
| Heparin Sodium, antidote? | Protamine Sulfate – do not massage to prevent hematoma |
| Heparin Sodium, monitor? | PTT or APTT levels |
| Coumadin, assess for? | Bleeding – so monitor for PTT Vit. K is the antidote |
| Coumadin diet, avoid? | Green leafy veggies – they contain Vit. K |
| It is a mechanical dilatation of the coronary vessel wall by compressing the atheromatous plaque? | Percutaneous Transluminal Coronary Angioplasty (PTCA) |
| Angina Pectoris diet? a)Low Na, Fat, Cholesterol & Fiber b) Low Na, Fat, Cholesterol & High fiber with saturated fats c)Low Na, Fat, Cholesterol & High fiber | b) Low Na, Fat, Cholesterol & High fiber fats – white meat, chicken without skin & fish |
| Angina Pectoris activity? | No restrictions as long as with patient's limitations |
| Angina Pectoris surgical management? | Coronary Artery Bypass Graft (CABG) – for one or more branches of arteries narrowing & its main purpose is myocardial revascularization |
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akosipidro
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