GALEN MED SURG 170 EXAM 1 2024/2025 WITH
ACCURATE SOLUTIONS
The nurse is caring for a client with several broken ribs. The client is
most likely to experience what type of acid-base imbalance? - Precise
Answer ✔✔Respiratory acidosis due to inadequate ventilation
What are the S/S of Phlebitis? and what would you do to treat it? -
Precise Answer ✔✔Red inflamed hard painful vein
to treat it, you would remove the IV, avoid bending the arm, and use a
warm compress
What are the S/S of infiltration? and what would you do to treat it? -
Precise Answer ✔✔This is where the IV fluid goes out the vein, the S/S
will be edema, taunt skin, burning, cool to touch. To treat it, you would
stop and remove IV, elevate arm and use or hot or cold compress.
What are the S/S of Extravasation? and what would you do to treat it? -
Precise Answer ✔✔Sloughing, blistering. To treat, stop the infusion,
and disconnect, aspirate drug
What maneuver should be used when removing a picc line? - Precise
Answer ✔✔valsava
what is the VALSAVA MANEUVER? - Precise Answer ✔✔closing
your mouth and nose and blowing out
,platelet counts - Precise Answer ✔✔150-400
sodium level - Precise Answer ✔✔135-145
Creatine - Precise Answer ✔✔0.6-1.2 and 0.5-1.1
Calcium - Precise Answer ✔✔9-10.5
magnesium - Precise Answer ✔✔1.5-2.5
Ph level - Precise Answer ✔✔7.35-7.45
CO2 level - Precise Answer ✔✔35-45
HCO3 level - Precise Answer ✔✔22-28
What is packed RBC's used for and how long does it infuse for? -
Precise Answer ✔✔anemia <6 and over 2-4 hours
What is FFP used for? and how long is it infused for? - Precise Answer
✔✔it's for clotting factors and is infused over 15-30mins
,What is WBC's used for? and how long is it infused for? - Precise
Answer ✔✔it's for infections/neutropenia and infuses over 45mins-1hr
What are platelets used for and how long is it infused for? - Precise
Answer ✔✔for thrombocytopenia and infused over 15-30mins
What is albumin used for? - Precise Answer ✔✔it is an plasma expander
What a patient is at risk for acidosis, what should you assess FIRST? -
Precise Answer ✔✔Cardiovascular system because acidosis can lead to
cardiac arrest
What should be assessed first for a post op patient? - Precise Answer
✔✔respiratory system and O2 sats
If a patient with a epidural requests a heat/cold pack for their back,
would you give it to them? - Precise Answer ✔✔heckkkkkkk no
What medication injected to the belly, subcutaneously prevents DVT? -
Precise Answer ✔✔lovenox
What will a patients bloop pressure look like when they're
hemorrhaging? - Precise Answer ✔✔it will shoot up high, then bottom
out
Neuropathic drugs - Precise Answer ✔✔gabapentin and pregabalin
, Gabapentin and pregabalin are in what drug class? - Precise Answer
✔✔anti epileptics
What is the reversal agent for opioids? - Precise Answer
✔✔Naloxone(narcan)
What are the effects from opioids? - Precise Answer ✔✔urinary
retention, nausea, vomiting, constipation
Muntimodal - Precise Answer ✔✔use of 2 or more drugs
What therapy is used for post-op patients? - Precise Answer
✔✔combination therapy
Where and how long are TENS units placed - Precise Answer ✔✔right
on the site of pain and for as long as they need
What does a hemorrhage usually end up as? - Precise Answer ✔✔a
hematoma
What foods should be eaten to treat anemia? - Precise Answer ✔✔red
meat and green leafy veggies
ACCURATE SOLUTIONS
The nurse is caring for a client with several broken ribs. The client is
most likely to experience what type of acid-base imbalance? - Precise
Answer ✔✔Respiratory acidosis due to inadequate ventilation
What are the S/S of Phlebitis? and what would you do to treat it? -
Precise Answer ✔✔Red inflamed hard painful vein
to treat it, you would remove the IV, avoid bending the arm, and use a
warm compress
What are the S/S of infiltration? and what would you do to treat it? -
Precise Answer ✔✔This is where the IV fluid goes out the vein, the S/S
will be edema, taunt skin, burning, cool to touch. To treat it, you would
stop and remove IV, elevate arm and use or hot or cold compress.
What are the S/S of Extravasation? and what would you do to treat it? -
Precise Answer ✔✔Sloughing, blistering. To treat, stop the infusion,
and disconnect, aspirate drug
What maneuver should be used when removing a picc line? - Precise
Answer ✔✔valsava
what is the VALSAVA MANEUVER? - Precise Answer ✔✔closing
your mouth and nose and blowing out
,platelet counts - Precise Answer ✔✔150-400
sodium level - Precise Answer ✔✔135-145
Creatine - Precise Answer ✔✔0.6-1.2 and 0.5-1.1
Calcium - Precise Answer ✔✔9-10.5
magnesium - Precise Answer ✔✔1.5-2.5
Ph level - Precise Answer ✔✔7.35-7.45
CO2 level - Precise Answer ✔✔35-45
HCO3 level - Precise Answer ✔✔22-28
What is packed RBC's used for and how long does it infuse for? -
Precise Answer ✔✔anemia <6 and over 2-4 hours
What is FFP used for? and how long is it infused for? - Precise Answer
✔✔it's for clotting factors and is infused over 15-30mins
,What is WBC's used for? and how long is it infused for? - Precise
Answer ✔✔it's for infections/neutropenia and infuses over 45mins-1hr
What are platelets used for and how long is it infused for? - Precise
Answer ✔✔for thrombocytopenia and infused over 15-30mins
What is albumin used for? - Precise Answer ✔✔it is an plasma expander
What a patient is at risk for acidosis, what should you assess FIRST? -
Precise Answer ✔✔Cardiovascular system because acidosis can lead to
cardiac arrest
What should be assessed first for a post op patient? - Precise Answer
✔✔respiratory system and O2 sats
If a patient with a epidural requests a heat/cold pack for their back,
would you give it to them? - Precise Answer ✔✔heckkkkkkk no
What medication injected to the belly, subcutaneously prevents DVT? -
Precise Answer ✔✔lovenox
What will a patients bloop pressure look like when they're
hemorrhaging? - Precise Answer ✔✔it will shoot up high, then bottom
out
Neuropathic drugs - Precise Answer ✔✔gabapentin and pregabalin
, Gabapentin and pregabalin are in what drug class? - Precise Answer
✔✔anti epileptics
What is the reversal agent for opioids? - Precise Answer
✔✔Naloxone(narcan)
What are the effects from opioids? - Precise Answer ✔✔urinary
retention, nausea, vomiting, constipation
Muntimodal - Precise Answer ✔✔use of 2 or more drugs
What therapy is used for post-op patients? - Precise Answer
✔✔combination therapy
Where and how long are TENS units placed - Precise Answer ✔✔right
on the site of pain and for as long as they need
What does a hemorrhage usually end up as? - Precise Answer ✔✔a
hematoma
What foods should be eaten to treat anemia? - Precise Answer ✔✔red
meat and green leafy veggies
