Comprehensive Review

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Comprehensive Review
2013-08-03 12:58:56
Mrs Wright Mr Ipp

Review sheet and questions from med surg book
Show Answers:

  1. Patient with the highest priority?
    - TKR w/ scant serous drainage
    - COPD with cough
    - Pneumonia pt who is experiencing thick yellow secretions w/ low pulse ox
    -Pneumonia patient with low pulse ox
  2. What type of medical condition may potentially need a amputation?
    Severe peripheral vascular disease w/ open lesions
  3. Who can successfully use a single point cane?
    CVA patient with mild weakness
  4. A post operative patient just entered PACU, would be your immediate assessments? What complication may happen immediate to the patient?
  5. How do you determine the appropriate size TEDS?
    From the heel to gluteal fold
  6. Which lab result would indicate a left shift in the differential?
    elevated band neutrophils
  7. What medications would be held if a patient was preparing to have bone marrow aspiration done?
  8. Who has lowest risk for electrolyte imbalance?
    patient who has an estimated blood loss of 1/2 pint due to traumatic injury
  9. Which patient would you check first?
    patient with CHF with IVF running at 125 ml/hr
  10. Which blood product would be given for a coumadin overdose?
    fresh frozen plasma
  11. Order: 0.5 g q8hrs
    Supply: 125mg/5ml

    how much would you give?
    20 ml
  12. after you draw up med and in the syringe there is a bubble, what would you do?
    tap the barrel to float the bubble towards the needle
  13. 1L D5W over 8 hours

    whats the rate?
    125 ml/hour
  14. 250 ml D5W, with drip factor of 10 gtt to infuse over 2 hours; whats the gtts per minute?
    21 gtts/min
  15. Characteristics of veins?
    • carry blood back to the heart
    • have valves
    • they are superficial
  16. What length of time would you leave a tourniquet on after drawing blood specimen?
    none, you immediately release after completing draw
  17. describe the characteristics of phlebitis?
    • swelling and redness
    • warmth
    • burning along vein
    • vein feels cordlike
  18. Which drug classification is used for seizures?
    anti convulsants
  19. describe how you would give medications to a dysphagia patient?
    crush meds and mix with a small amount of applesauce or ice cream
  20. what are the early signs of ICP?
    decreased LOC
  21. Your patient is having a tonic clonic seizure, what should you do?
    • lower them to the floor
    • and maintain the airway
  22. What meds would a newly diagnosed seizure patient be placed on upon discharge?
    • neurotin
    • dilantin
    • keppra
  23. SCI patient in the ECU, the patient cannot move or sense any of his extremities, the injury is most likely to be in which area of spinal cord?
    above C4
  24. Signs and symptoms of Parkinson's disease?
    • slow shuffling gait
    • difficulty swallowing
    • pill rolling tremor
  25. what assessment findings would indicate the patient is entering the early stages of Alzheimer's disease?
  26. The patient has just been diagnosed with an ischemic stroke, what meds should be available for the MD?
  27. What are several risk factors for exacerbation of MS.?
    • UTI
    • overheating
    • exposure to prolonged sun/cold
  28. What emergency equipment must you have at the bedside for a patient experiencing dysphagia and difficulty handling their own secretions
  29. What supplies would have on hand to wash your patients face that is experiencing trigeminal neuralgia?
    luke warm water and cotton balls
  30. What signs and symptoms are associated with Bells Palsy
    unable to close affected eye
  31. PERRLA?
    pupils are equal, round, reactive to light, accomodation
  32. What reading would represent normal vision?
    20/20 in both eyes
  33. When given several post op patient scenarios, which precaution would warrent more teaching?
    rolling THR on their operative side