Health & Healing IV Med Surg - Test 1 (Week 1-6)
Questions With Complete Solutions
ABC rule Correct Answers AIRWAY
BREATHING
CIRCULATION
•History of smoking- higher risk for respiratory complications
•Hypoxemia PsO2 < 60 mmHG
•Atelectasis- alveolar collapse- due to retained secretions or
decreased respiratory excursion
•Hypoventilation- due to decreased respiratory effort related to
depression of CNS
Acute Intervention & Health Promotion
Acute pyelonephritis Correct Answers •Continue prescribed -
AB's (antibiotics)
•Need for follow-up urine culture & care
•Identifying risk for recurrence
•8 glasses/day
•Rest
•Understanding rationale for treatment
•Knowledge of disease process
•Comfort measures
Acute pain management considerations Correct Answers -
Treatment of acute pain is a priority
- Need to determine type and amount of drug used
- Best to avoid exposure to the drug of abuse
,- Severe pain should be treated with opioids
- Withdrawal symptoms exacerbate pain & lead to medication
seeking behaviours
- Require much high doses than those used in drug-naïve
patients.
ACUTE PYELONEPHRITIS Correct Answers •Inflammation
of renal parenchyma and collecting system
•Most common cause is bacterial infection
Acute pyelonephritis. Cortical surface shows greyish white areas
of inflammation and abscess formation
Age-related considerations Correct Answers - Less likely to be
recognized by health care providers in older adults
- Older adults don't fit the image
- Simultaneous use of OTC drugs, prescription drugs and
alcohol
- Mistaken for medical or psychiatric conditions
Alcohol Correct Answers •The most widely consumed
substance of abuse in North America
•Dependence currently viewed as a chronic, progressive,
potentially fatal condition if left untreated.
,Alcohol effects Correct Answers Affects nearly all cells of the
body and has complex effects on the neurons in the CNS.
Alcohol health complications Correct Answers •Many health
problems related to chronic abuse, affecting all systems of the
body and interactions with OTC drugs
•Focused abdominal assessment (tenderness, ascites)
•Liver dysfunction (bleeding) & Wernicke's encephalopathy &
Korsakoff syndrome.
Alcohol withdrawal Correct Answers •In alcohol-dependent
people, sudden withdrawal may have life-threatening effects
•Seizures are most likely to occur 24-48 hours after the last
drink.
•Alcohol-withdrawal delirium (delirium tremens [DTs]) may
occur between 48 and 72 hours after the last drink.
• Tremulousness, Anxiety, ↑ HR, BP , sweating, nausea,
agitation.
Assessment scores used with a PCA Correct Answers Pain
Score
0= No pain 10 = Worse pain
Sedation Score
0= None (Alert)
, 1= Mild (Occasionally drowsy; easy to rouse)
2= Moderate (Frequently drowsy; easy to rouse)
3= Severe (Somnolent; difficult to rouse)
S= Sleep ( Normal sleep; easy to rouse)
Nausea Score
0= No nausea
1= Mild nausea
2= Moderate nausea
3= Severe nausea
4= Retching
Asthma Correct Answers Chronic inflammatory disease
disorder of the airways
- Inflammation & bronchoconstriction
- Leading to wheezing, breathlessness, chest tightness, and
cough
Attitudes Toward People Experiencing Substance-Related
Problems Correct Answers - Stigma and prejudice
- Underlying mental health needs → supportive intervention.
- Positive interactions with a health care provider improve health
outcomes
- Nurses are essential in engaging people in a collaborative and
nonjudgmental manner
Questions With Complete Solutions
ABC rule Correct Answers AIRWAY
BREATHING
CIRCULATION
•History of smoking- higher risk for respiratory complications
•Hypoxemia PsO2 < 60 mmHG
•Atelectasis- alveolar collapse- due to retained secretions or
decreased respiratory excursion
•Hypoventilation- due to decreased respiratory effort related to
depression of CNS
Acute Intervention & Health Promotion
Acute pyelonephritis Correct Answers •Continue prescribed -
AB's (antibiotics)
•Need for follow-up urine culture & care
•Identifying risk for recurrence
•8 glasses/day
•Rest
•Understanding rationale for treatment
•Knowledge of disease process
•Comfort measures
Acute pain management considerations Correct Answers -
Treatment of acute pain is a priority
- Need to determine type and amount of drug used
- Best to avoid exposure to the drug of abuse
,- Severe pain should be treated with opioids
- Withdrawal symptoms exacerbate pain & lead to medication
seeking behaviours
- Require much high doses than those used in drug-naïve
patients.
ACUTE PYELONEPHRITIS Correct Answers •Inflammation
of renal parenchyma and collecting system
•Most common cause is bacterial infection
Acute pyelonephritis. Cortical surface shows greyish white areas
of inflammation and abscess formation
Age-related considerations Correct Answers - Less likely to be
recognized by health care providers in older adults
- Older adults don't fit the image
- Simultaneous use of OTC drugs, prescription drugs and
alcohol
- Mistaken for medical or psychiatric conditions
Alcohol Correct Answers •The most widely consumed
substance of abuse in North America
•Dependence currently viewed as a chronic, progressive,
potentially fatal condition if left untreated.
,Alcohol effects Correct Answers Affects nearly all cells of the
body and has complex effects on the neurons in the CNS.
Alcohol health complications Correct Answers •Many health
problems related to chronic abuse, affecting all systems of the
body and interactions with OTC drugs
•Focused abdominal assessment (tenderness, ascites)
•Liver dysfunction (bleeding) & Wernicke's encephalopathy &
Korsakoff syndrome.
Alcohol withdrawal Correct Answers •In alcohol-dependent
people, sudden withdrawal may have life-threatening effects
•Seizures are most likely to occur 24-48 hours after the last
drink.
•Alcohol-withdrawal delirium (delirium tremens [DTs]) may
occur between 48 and 72 hours after the last drink.
• Tremulousness, Anxiety, ↑ HR, BP , sweating, nausea,
agitation.
Assessment scores used with a PCA Correct Answers Pain
Score
0= No pain 10 = Worse pain
Sedation Score
0= None (Alert)
, 1= Mild (Occasionally drowsy; easy to rouse)
2= Moderate (Frequently drowsy; easy to rouse)
3= Severe (Somnolent; difficult to rouse)
S= Sleep ( Normal sleep; easy to rouse)
Nausea Score
0= No nausea
1= Mild nausea
2= Moderate nausea
3= Severe nausea
4= Retching
Asthma Correct Answers Chronic inflammatory disease
disorder of the airways
- Inflammation & bronchoconstriction
- Leading to wheezing, breathlessness, chest tightness, and
cough
Attitudes Toward People Experiencing Substance-Related
Problems Correct Answers - Stigma and prejudice
- Underlying mental health needs → supportive intervention.
- Positive interactions with a health care provider improve health
outcomes
- Nurses are essential in engaging people in a collaborative and
nonjudgmental manner
