ATI MISC MED SURG
What is the first action to take with protruding bowels?
Cover the wound with a sterile, saline-moistened dressing.
What is myxedema coma? What are the signs?
Myxedema coma is a loss of brain function as a result of severe, longstanding low level of th
(hypothyroidism). s/s are: Fatigue, lethargy, mental impairment, depression, cold intolerance change in
menstrual cycles, constipation, and headaches.
What do you do if a replacement TPN bag is not available?
Administer 10% dextrose in water to avoid a precipitous drop in the client's blood glucose lev client's
glucose and electrolyte levels can drop dangerously.
What does flushing of the face and chest indicate for a patient with a cervical spinal cord inju It's a
manifestation of autonomic dysreflexia, a neurologic emergency that requires immediat stroke. AD
occurs most often in spinal cord-injured individuals with spinal lesions above the
What does flushing of the face and chest indicate for a patient with a cervical spinal cord inju Acute AD
is a reaction of the autonomic (involuntary) nervous system to overstimulation. It i hypertension
(episodic high blood pressure) associated with throbbing headaches, profuse sw skin above the level of
the lesion, bradycardia, apprehension and anxiety, which is sometime impairment.
Different types of incontinence null
How long does a glycosylated hemoglobin blood test assess blood glucose for? (HbA1c) Average blood
glucose for the lifespan of the RBC, which is 120 days or 4 months.
What is a normal Hbg range?
,11-17 g/dL... if they are post-op and this is low, it could mean post-operative hemorrhaging.
How long do you need to stay with a patient when blood is being administered?
At least 30 minutes. Most transfusion reactions manifest during the infusio of the first 50-100
If a patient has pancreatitis and reports having muscle cramps and a tingling sensation in his should you
do?
Hypocalcemia from fatty acids combining w/ calcium ions, a known complication of pancreat which is
an IV form of calcium since the patient will be NPO.
Does rosiglitazone (Avandia) for type II diabetes affect birth control? Yes
What type of juice should the client AVOID when taking verapamil (Calan) for hypertension?
It is a calcium-channel blocker. It is BAD to drink grapefruit juice because it inhibits intestina medication
available for absorption, which could lead to toxicity and/or hypotension. Orange,
When getting values from an art line, what is the best positioning of the client? Supine, HOB up
to 45 degrees.
What can ginger tea help with? Nausea
Should a patient with IBS increase or decrease their fiber intake?
Increase - to give bulkier, soft stools
What are some teaching points to give to a client with a new subcutaneous insulin pump?
Change the needle every 3 days (to reduce risk of infection); you will still need to adjust insu still need
to monitor your blood glucose; pumps use rapid or short acting insulin (NPH is an i
,What should the nurse assess while giving magnesium sulfate IV for dysrhythmias caused b Facial
flushing, hypotension, respiratory depression, decreased deep tendon reflexes, somno
What is disequilibrium syndrome during hemodialysis?
Neurological; cerebral edema due to rapid decrease in fluid volume and BUN levels. Findings decreased
LOC.
What is a normal calcium range? What is a sign of low calcium?
8.2-10.2; muscle spasms
Can someone with conscious sedation able to drive home afterwards? When can they drink r No, they
need someone to take them home, it could take several hours to wear off. The clien difficulty 30
minutes after the procedure.
What is a sign of hypertonic dehydration?
Urine specific gravity over 1.030 - decrese in volume and increase in osmolarity
What are the effects of low and high minerals? null
What does a positive Trousseau's sign indicate? How do you do the test?
Hypocalcemia and hypomagnesemia. It is done by inflating a BP cuff for 2-3, then deflating.
Are bowel sounds hypo or hyper active with hypokalemia?
Hypoactive...low potassium inhibits smooth muscle contraction and slows peristalsis.
What type of solution is LR and what does it do?
Isotonic, intravascular volume expander
, What is naloxone (Narcan) and what is it used for?
Antidote and should be available at the bedside for any client receiving IV opioids (i.e. IV con
Extracapsular cataract removal, what is normal/abnormal?
Norm: white drainage, tearing, itching, bloodshot. Abnorm: moderate pain and vomiting could
How many grams of carbs should you give to a hypoglycemic patient?
15 g
What is petechiae a sign of?
Pinpoint hemorrhagic lesions in the skin can be a sign of bleeding; need to watch for while on
What can a high specific gravity be indicative of?
Pinpoint hemorrhagic lesions in the skin can be a sign of bleeding; need to watch for while on
What can a high specific gravity be indicative of?
Hypovolemia which can mean renal failure such as in acute pancreatitis, etc.
What is a positive Cullen's sign indicative of?
superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus.This si predict
acute pancreatitis, with mortality rising from 8-10% to 40%. It may be accompanied b flank), which may
then be indicative of pancreatic necrosis with retroperitoneal or intraabdom
What are two minerals that interfere with the absorption of ciprofloxacin (Cipro) - antibiotic?
Aluminum-containing antacids and calcium
What drug is sildenafil (Viagra) contraindicated with?
Nitrates such as isosorbide mononitrate (Imdur) which dialates vessels as well and lowers bl
What is the first action to take with protruding bowels?
Cover the wound with a sterile, saline-moistened dressing.
What is myxedema coma? What are the signs?
Myxedema coma is a loss of brain function as a result of severe, longstanding low level of th
(hypothyroidism). s/s are: Fatigue, lethargy, mental impairment, depression, cold intolerance change in
menstrual cycles, constipation, and headaches.
What do you do if a replacement TPN bag is not available?
Administer 10% dextrose in water to avoid a precipitous drop in the client's blood glucose lev client's
glucose and electrolyte levels can drop dangerously.
What does flushing of the face and chest indicate for a patient with a cervical spinal cord inju It's a
manifestation of autonomic dysreflexia, a neurologic emergency that requires immediat stroke. AD
occurs most often in spinal cord-injured individuals with spinal lesions above the
What does flushing of the face and chest indicate for a patient with a cervical spinal cord inju Acute AD
is a reaction of the autonomic (involuntary) nervous system to overstimulation. It i hypertension
(episodic high blood pressure) associated with throbbing headaches, profuse sw skin above the level of
the lesion, bradycardia, apprehension and anxiety, which is sometime impairment.
Different types of incontinence null
How long does a glycosylated hemoglobin blood test assess blood glucose for? (HbA1c) Average blood
glucose for the lifespan of the RBC, which is 120 days or 4 months.
What is a normal Hbg range?
,11-17 g/dL... if they are post-op and this is low, it could mean post-operative hemorrhaging.
How long do you need to stay with a patient when blood is being administered?
At least 30 minutes. Most transfusion reactions manifest during the infusio of the first 50-100
If a patient has pancreatitis and reports having muscle cramps and a tingling sensation in his should you
do?
Hypocalcemia from fatty acids combining w/ calcium ions, a known complication of pancreat which is
an IV form of calcium since the patient will be NPO.
Does rosiglitazone (Avandia) for type II diabetes affect birth control? Yes
What type of juice should the client AVOID when taking verapamil (Calan) for hypertension?
It is a calcium-channel blocker. It is BAD to drink grapefruit juice because it inhibits intestina medication
available for absorption, which could lead to toxicity and/or hypotension. Orange,
When getting values from an art line, what is the best positioning of the client? Supine, HOB up
to 45 degrees.
What can ginger tea help with? Nausea
Should a patient with IBS increase or decrease their fiber intake?
Increase - to give bulkier, soft stools
What are some teaching points to give to a client with a new subcutaneous insulin pump?
Change the needle every 3 days (to reduce risk of infection); you will still need to adjust insu still need
to monitor your blood glucose; pumps use rapid or short acting insulin (NPH is an i
,What should the nurse assess while giving magnesium sulfate IV for dysrhythmias caused b Facial
flushing, hypotension, respiratory depression, decreased deep tendon reflexes, somno
What is disequilibrium syndrome during hemodialysis?
Neurological; cerebral edema due to rapid decrease in fluid volume and BUN levels. Findings decreased
LOC.
What is a normal calcium range? What is a sign of low calcium?
8.2-10.2; muscle spasms
Can someone with conscious sedation able to drive home afterwards? When can they drink r No, they
need someone to take them home, it could take several hours to wear off. The clien difficulty 30
minutes after the procedure.
What is a sign of hypertonic dehydration?
Urine specific gravity over 1.030 - decrese in volume and increase in osmolarity
What are the effects of low and high minerals? null
What does a positive Trousseau's sign indicate? How do you do the test?
Hypocalcemia and hypomagnesemia. It is done by inflating a BP cuff for 2-3, then deflating.
Are bowel sounds hypo or hyper active with hypokalemia?
Hypoactive...low potassium inhibits smooth muscle contraction and slows peristalsis.
What type of solution is LR and what does it do?
Isotonic, intravascular volume expander
, What is naloxone (Narcan) and what is it used for?
Antidote and should be available at the bedside for any client receiving IV opioids (i.e. IV con
Extracapsular cataract removal, what is normal/abnormal?
Norm: white drainage, tearing, itching, bloodshot. Abnorm: moderate pain and vomiting could
How many grams of carbs should you give to a hypoglycemic patient?
15 g
What is petechiae a sign of?
Pinpoint hemorrhagic lesions in the skin can be a sign of bleeding; need to watch for while on
What can a high specific gravity be indicative of?
Pinpoint hemorrhagic lesions in the skin can be a sign of bleeding; need to watch for while on
What can a high specific gravity be indicative of?
Hypovolemia which can mean renal failure such as in acute pancreatitis, etc.
What is a positive Cullen's sign indicative of?
superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus.This si predict
acute pancreatitis, with mortality rising from 8-10% to 40%. It may be accompanied b flank), which may
then be indicative of pancreatic necrosis with retroperitoneal or intraabdom
What are two minerals that interfere with the absorption of ciprofloxacin (Cipro) - antibiotic?
Aluminum-containing antacids and calcium
What drug is sildenafil (Viagra) contraindicated with?
Nitrates such as isosorbide mononitrate (Imdur) which dialates vessels as well and lowers bl
