Med Surg Final ATI
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| What rate do you set a nasal cannula at, and how much pure O2 is the patient getting? | show 🗑
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| show | 5-8 L/min and 40 - 60% O2
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| What rate do you set a non-rebreather mask at, and how much pure O2 is the Patient getting? | show 🗑
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| Which mask delivers the most accurate O2 concentration? | show 🗑
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| show | 120 mmHg and 10-15 sec.
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| show | 1L of fluid max to avoid cardio collapse
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| What size induration of the skin after a PPD indicates a positive TB test? | show 🗑
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| How many sputum tests are needed to show that the Pt is clean of TB? | show 🗑
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| show | 40 to 80 mEq in 100 mL of IV solution
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| show | No medications can be added to blood products.
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| How many nurses should be checking the blood when transfusing and what are they looking for? | show 🗑
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| How large can varicose veins get before they are removed? | show 🗑
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| What does garlic do to the blood? | show 🗑
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| What medication should be considered for A Fib and what electrical management is considered? | show 🗑
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| show | Amioderone and defibrilation.
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| show | Check vitals, airway patency, and obtain an ecg.
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| What medication should be considered for bradycardia and what electrical management is considered? | show 🗑
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| show | mild = 300 and above. Moderate = 600 and above. Severe = 900 and above.
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| show | Daily - 2lb, weekly - 5lb
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| show | 140/90 or greater
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| Chest pain and ST segment depression or elevation are signs of what specifically? | show 🗑
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| show | Pain unrelieved by rest, nitro and lasting more than 15 minutes
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| When a patient gets a liver biopsy, what is a common nursing intervention for resting? | show 🗑
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| What lab tests are you going to get after a suspected I or cardiac muscle injury? | show 🗑
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| show | Bradycardia, complete heart block, sick sinus syndrome, atrial and ventricular dysrhythmias.
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| show | 10 years
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| What are some indications that the pacemaker may be stimulating the diaphragm? | show 🗑
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| show | The same time every morning
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| Where is the tip of the PICC line end up? | show 🗑
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| show | 40 to 65 cm with single or multiple lumens
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| show | 12 months
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| show | Shellfish and Iodine
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| Do you take Iron supplements with or without meals? | show 🗑
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| show | Increased WBC, increased bleeding time, decreased HGB and hematocrit
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| show | Reason - Patient does not follow the medication therapy regimen.
Signs - Severe headache, BP over 240/120, epistaxis, blurred vision, dizziness, disorientation. medication - nitroprusside (Nipride), nicardipine (Cardene IV), and labetalol all IV.
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| show | Trendelenberg position - feet higher than head.
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| what is the best indicator of pulmonary edema? | show 🗑
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| What is a max glasgow coma number, what needs to be monitored and what is a coma score? | show 🗑
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| What is a babinski's sign used for and what is it? | show 🗑
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| What is a normal ALT level and what disease affects this? | show 🗑
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| show | Caffiene - if consumed the r=test needs to be redone or an alternate test needs to be done
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| Which vertebrae are usually damaged when there is breathing trouble and the patient becomes quadriplegic. (Phrenic Nerve Damage) | show 🗑
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| What is the most definitive test for bacterial meningitis? | show 🗑
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| What is Myopia a risk factor for what? | show 🗑
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| show | Consume a diet low in sodium along with fluid restrictions and consult with the provider regarding diet specifications.
● Refrain from smoking.
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| What is paralytic ileus? | show 🗑
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| What are some priority GI assessments for hypokalemia? | show 🗑
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| What are some side effects of hypertension medications (ace inhibitors and beta blockers)? | show 🗑
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| What is a big side effect of diuretics? | show 🗑
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| show | 90 degrees
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| What are signs of hyperglycemia? | show 🗑
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| A client with visual problems due to diabetes should get eye exams how often? | show 🗑
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| What are some client education points with propranolol? | show 🗑
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| What are some signs of hepatitis B? | show 🗑
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| Another name for hyperthyroidism? | show 🗑
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| show | Serum TSH test – Decreased in the presence of Graves’ disease
■ Free thyroxine index (FTI) and T3 – Elevated
■ Thyrotropin-releasing hormone (TRH) stimulation test – Failure of expected rise in TSH
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| show | hematocrit at 60%, urine specific gravity at 1.040, low potassium levels.The urine specific gravity and hematocrit findings indicate significant dehydration
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| show | Nasogastric decompression is a procedure done for client’s who have an intestinal obstruction. Bowel sounds may be absent (paralytic ileus) or hyperactive and high pitched (obstruction)
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| What should the nurse monitor to avoid complications in a nasogastric decompression? | show 🗑
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| What are some good lab values for cushings disease? | show 🗑
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| show | The greatest risk to a client who has Cushing’s disease is fluid retention, which can lead to hypertension and heart failure. The nurse should weigh the client daily, check extremities for peripheral edema, assess neck veins for distention. Breath sounds.
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| What is a positive kernigs sign and what will it tell you? | show 🗑
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| show | Instruct the client about a diet that is high in protein and vitamin C for wound healing, high in iron if anemic.
■ Instruct the client to restrict activity (heavy lifting, strenuous activity, driving, stairs, sexual activity) for 4 to 6 weeks.
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| What are some points in discharge teaching for coronary bypass grafts? | show 🗑
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| show | Call for help, stay there, cover the wound with a sterile towel or dressing that is moistened with sterile saline, do not attempt to reinsert organs, monitor the client for shock.
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| What are signs of infection around a surgical site? | show 🗑
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| show | fatigue, muscle weakness, confusion, and loss of appetite.
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| show | IV fluids can contribute to pulmonary hypertension for clients who have right-sided heart failure (cor pulmonale).
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| What are some lab tests for colorectal cancer? | show 🗑
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| What are some complications of Peptic Ulcer disease? | show 🗑
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| What are IBD diet considerations? | show 🗑
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| show | To maintain the water seal, the chamber must be kept upright and below the chest tube insertion site at all times. The nurse should monitor the water level due to evaporation. The nurse should add fluid to maintain the 2 cm water seal level.
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| How will the outcome of hypothyroid treatment be evaluated? | show 🗑
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| What urine output should a patient have postoperatively? | show 🗑
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| show | 2 times the amount previous
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| What is a reportable finding in the legs (possible DVT) post operatively? | show 🗑
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| What are some lab values showing renal failure (Nephrotic Syndrome)? | show 🗑
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| What are some good Post-op pain medications? | show 🗑
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| What medication do you not give with accutane? | show 🗑
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| show | No red meat - Radiation can cause dysgeusia, making foods such as red meat unpalatable.
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| show | 1 cup / 8 oz after the patient has been cleared to eat. (30 mL liquid for first couple meals only) also - 2 servings of protein a day at least.
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| show | 0.6 to 1.2 mg/dL - indicates renal function
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| show | 10 to 20 mg/dL - indicates renal function
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| show | 80 - 140 mL/min - indicates reduced renal blood flow.
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| What is the normal phosphate level? | show 🗑
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| show | 136 to 145 mEq/L
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| What is the normal potassium level? | show 🗑
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| show | 98 to 106 mEq/L
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| show | 9.0 to 10.5 mg/dL
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| show | 1.3 to 2.1 mEq/L
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| show | Dyspnea, orthopnea (shortness of breath while lying down), S3 heart sound (gallop), Pulmonary congestion (dyspnea, cough, bibasilar crackles)
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| show | Esophageal Varicies that are actively bleeding is a medical emergency.
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| show | unintentional infiltration of a vesicant medication that causes tissue damage.
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| show | Attaching one electrode to each of the client’s extremities by applying electrodes to flat surfaces above the wrists and ankles and the other six electrodes to the chest, avoiding chest hair.
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| What position is the patient in when getting a 12 lead ECG read and what should the nurse monitor? | show 🗑
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| show | 3 doses - if pain is unrelieved after the first dose, call 911 (5min) and space them 5 minutes apart
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| What is a serious side effect of an inhaled anesthetic and what is the emergency treatment? | show 🗑
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| Name some ototoxic medications? | show 🗑
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| What is a common side effect for lupron (Prostate cancer medication) | show 🗑
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| show | 3.1 - 4.3 g/dL
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| show | 8-10, but ABC is most important
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| What is a good PaO2 level? | show 🗑
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| What is a good PaCO2 level? | show 🗑
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| What is a good HCO3 level? | show 🗑
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| show | 1.005 - 1.030
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| show | 0.5 - 2.0 ng/mL
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| show | Respiratory acidosis
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| pH 7.28 PaCO2 43 mm Hg HCO3- 18 mEq/L SaO2 96% - What is this? | show 🗑
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| show | Metabolic alkalosis
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| show | Respiratory alkalosis
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| show | Influenza type B, pertussis, plague, strep pneumonia
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| What diseases constitute a contact precaution? | show 🗑
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| show | Measles, varicella, TB
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| show | After 4-6 weeks
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| show | Any antacid containing aluminum
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| show | Treatment of SIADH consists of fluid restriction, administration of oral demeclocycline (Declomycin), and treatment of hyponatremia.
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| What three drugs can cause drug induced lupus? | show 🗑
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| show | 5 alpha reductase inhibitors (finasteride)
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| SLE (lupus) has what kind of rash? | show 🗑
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| What is a good red blood cell amount? | show 🗑
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| What is a good WBC count? | show 🗑
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| show | 150,000 - 400,000
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| What test and what is the normal range for it will be ordered for hemophilia? | show 🗑
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| What is a good hgb level? | show 🗑
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| show | Schilling test
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