NUR265 | NUR 265 Exam 1 | Advanced
Concepts of Medical–Surgical Nursing
Exam 1 | Correctly Answered & Rated
A+ | Galen
What needs to be taught about enzyme replacement? - Correct Answer -
-Take enzymes with meals and snacks and follow with a glass of water
-Administer enzymes after H2 blockers or PPI
-Swallow without chewing to avoid irritation in the mouth
-If can't swallow, place in gelatin casing and eat with apple sauce
-Don't mix enzymes in protein-rich food!
-Wipe your lips after taking enzymes
-Don't crush enteric coated preparations
-Follow up all labs
What type of diet is a pt with chronic pancreatitis on? - Correct Answer -
Bland...all the time
What is thrombocytopenia? - Correct Answer - Platelet numbers are
below what is needed for blood clotting. Pt. will start bleeding
spontaneously when the platelets fall below 20,000
Describe bleeding precautions - Correct Answer - -Soft toothbrush
-Electric razor
-Fall precautions
,What medication is administered in thrombocytopenia? - Correct Answer
- Platelets if needed
What will a patient with thrombocytopenia look like - Correct Answer -
They will have petichae and ecchymosis
What is Heparin induced thrombocytopenia (HIT)? - Correct Answer -
Occurs as a paradocical/rebound effect of heparin, therefore the
opposite action of heparin occurs (cloting). At risk for PE or DVT
What med is given to treat HIT? - Correct Answer - Argatroban (anti-
coag)
What is Disseminated intravascular coagulation (DIC) caused by? -
Correct Answer - A problem with the blood clotting process. Patients at
risk= sepsis, placenta abruptio, blood transfusions
What medications are given for DIC? - Correct Answer - Heparin in the
early stage and then clotting factors are given when hemorrhage is the
primary problem
What is the normal range for Central venous pressure (CVP)? - Correct
Answer - 4-12
What is the normal range for pulmonary artery wedge pressure (PAWP)?
- Correct Answer - 4-12
What does it mean when the PAWP is increased/decreased? - Correct
Answer - Increased= LSHF or hypervolemia
, Decreased= Hypovolemia or decrease in afterload
What is the formula and the normal for cardiac output? - Correct Answer
- HR * SV (4-7)
What is the formula and normal for Cardiac index? - Correct Answer -
CO/Body surface area (2.7-3.2)
What needs to be done when assessing chest pain? - Correct Answer -
PQRST
P-provoking? at rest or activity?
Q-quality. What type of pain?
R-radiating?
S-severity? rate from 1-10
T-timing. How long?
-What type of pain? sharp, dull, squeezing
-Take a deep breath, does pain get better or worse with breathing?
-Does pain feel better if you reposition?
Describe the difference between respiratory and cardiac pain. - Correct
Answer - MI: Describes pain as dull or pressure ("elephant on chest"),
big breath or repositioning doesn't change the pain
Resp.: Sharp intermittent pain with SOB. Changing positions helps the
pain
Concepts of Medical–Surgical Nursing
Exam 1 | Correctly Answered & Rated
A+ | Galen
What needs to be taught about enzyme replacement? - Correct Answer -
-Take enzymes with meals and snacks and follow with a glass of water
-Administer enzymes after H2 blockers or PPI
-Swallow without chewing to avoid irritation in the mouth
-If can't swallow, place in gelatin casing and eat with apple sauce
-Don't mix enzymes in protein-rich food!
-Wipe your lips after taking enzymes
-Don't crush enteric coated preparations
-Follow up all labs
What type of diet is a pt with chronic pancreatitis on? - Correct Answer -
Bland...all the time
What is thrombocytopenia? - Correct Answer - Platelet numbers are
below what is needed for blood clotting. Pt. will start bleeding
spontaneously when the platelets fall below 20,000
Describe bleeding precautions - Correct Answer - -Soft toothbrush
-Electric razor
-Fall precautions
,What medication is administered in thrombocytopenia? - Correct Answer
- Platelets if needed
What will a patient with thrombocytopenia look like - Correct Answer -
They will have petichae and ecchymosis
What is Heparin induced thrombocytopenia (HIT)? - Correct Answer -
Occurs as a paradocical/rebound effect of heparin, therefore the
opposite action of heparin occurs (cloting). At risk for PE or DVT
What med is given to treat HIT? - Correct Answer - Argatroban (anti-
coag)
What is Disseminated intravascular coagulation (DIC) caused by? -
Correct Answer - A problem with the blood clotting process. Patients at
risk= sepsis, placenta abruptio, blood transfusions
What medications are given for DIC? - Correct Answer - Heparin in the
early stage and then clotting factors are given when hemorrhage is the
primary problem
What is the normal range for Central venous pressure (CVP)? - Correct
Answer - 4-12
What is the normal range for pulmonary artery wedge pressure (PAWP)?
- Correct Answer - 4-12
What does it mean when the PAWP is increased/decreased? - Correct
Answer - Increased= LSHF or hypervolemia
, Decreased= Hypovolemia or decrease in afterload
What is the formula and the normal for cardiac output? - Correct Answer
- HR * SV (4-7)
What is the formula and normal for Cardiac index? - Correct Answer -
CO/Body surface area (2.7-3.2)
What needs to be done when assessing chest pain? - Correct Answer -
PQRST
P-provoking? at rest or activity?
Q-quality. What type of pain?
R-radiating?
S-severity? rate from 1-10
T-timing. How long?
-What type of pain? sharp, dull, squeezing
-Take a deep breath, does pain get better or worse with breathing?
-Does pain feel better if you reposition?
Describe the difference between respiratory and cardiac pain. - Correct
Answer - MI: Describes pain as dull or pressure ("elephant on chest"),
big breath or repositioning doesn't change the pain
Resp.: Sharp intermittent pain with SOB. Changing positions helps the
pain
