ADVANCED MED-SURG PRINCIPLES MIDTERM
EXAM JERSEY COLLEGE COMPLETE
QUESTIONS AND ANSWERS
◉ Ch 39: What are two complicants following an arthoscopy?
Answer: - infection
- bleeding
◉ Ch 39: What is lab value elevated in liver disease or bone
disorders? Answer: alkaline phosphate
◉ Ch 39: What is nephrotoxic and contraindicated in a pt who has an
allergy to iodine, shellfish, or seafood, who may be pregnant, or has
elevated creatinine levels? Answer: contrast medium
◉ Ch 39: What is important to intruct on during a bone scan using
an isotope? Answer: hydration is used to eliminate the isotope
◉ Ch 39: What diagnostic test is used to help distinguish muscle
from nerve disorders by directly stimulating muscle cells? Answer:
electromyography
,◉ Ch 39: What two interventions do you do for the diagnostic test
electromyography? Answer: - check for use of anticoagulants prior
to it (bleeding in the muscle could occur)
- apply warm compress to relieve discomfort following the test
◉ Ch 39: What two complications do diagnostic procedures that
disrupt skin surfaces cause? Answer: increased risk of:
- infection
- bleeding
◉ Ch 39: What decreases serum calcium levels? Answer: calcitonin
◉ Ch 39: What increases serum calcium levels? Answer: parathyroid
hormone
◉ Ch 39: When phophorus levels rise the calcium levels do what?
Answer: - decrease
- pt can present with S/S of hypocalcemia
◉ Ch 39: What holds articulating bones together and an injury can
impair movement? Answer: ligaments
◉ Ch 39: What connects muscle to bone and an injury can impair
movement? Answer: tendons
,◉ Ch 39: What can helo support bone formation? Answer: - weight
bearing exercises
- sex hormones
- calcitonin
- calcium intake
◉ Ch 39: Adults over 50 require how much Vit D daily to help
prevent osteoporosis? Answer: 800 - 1000 IU
◉ Ch 39: What is important to instruct pts on consuming in regards
to helping to prevent osteoporosis? Answer: - 1,200 mg of calcium
daily
- 600 IU Vit D daily (with intake of low-fat milk, yogart, and cheese)
◉ Ch 39: What can increase bone resorption and could lead to
osteoporosis? Answer: - excessive cortisol production
- excessive thyroid hormone production
◉ Ch 39: What stimulates osteoblastic (bone formation) activity and
inhibits osteoclastic (bone resorption) activity? Answer: estrogen
◉ Ch 39: Compromised estrogen levels in menopause can increase
the risk of? Answer: osteoporosis
, ◉ Ch 39: What two things can result in a loss in height? Answer: -
vertebral fractures
- loss vertebral cratilage
◉ Ch 40: Because external fixators increase the risk for
osteomyelitis you should do what for the pt? Answer: perform pin
site care using the aseptic technique (use chlorhexidine 2 mg/mL
solution unless contraindicated)
◉ Ch 40: How do you properly clean/perfom pin care for a pt?
Answer: clean with a circular motion from the inner to the outer
region and cleaning each site separately
◉ Ch 40: What is used to help reduce complication related to pain?
Answer: PCA (pt controlled analgesia)
◉ Ch 40: What can occur following some fractures due to the loss of
blood to the bone so pts must be closely monitored for increased
pain and a decrease in mobility? Answer: avascular necrosis
◉ Ch 40: What are three complications that can arise following
fractures? Answer: - hypovolemic shock (hemorrhage)
- fat embolism (in long bones)
EXAM JERSEY COLLEGE COMPLETE
QUESTIONS AND ANSWERS
◉ Ch 39: What are two complicants following an arthoscopy?
Answer: - infection
- bleeding
◉ Ch 39: What is lab value elevated in liver disease or bone
disorders? Answer: alkaline phosphate
◉ Ch 39: What is nephrotoxic and contraindicated in a pt who has an
allergy to iodine, shellfish, or seafood, who may be pregnant, or has
elevated creatinine levels? Answer: contrast medium
◉ Ch 39: What is important to intruct on during a bone scan using
an isotope? Answer: hydration is used to eliminate the isotope
◉ Ch 39: What diagnostic test is used to help distinguish muscle
from nerve disorders by directly stimulating muscle cells? Answer:
electromyography
,◉ Ch 39: What two interventions do you do for the diagnostic test
electromyography? Answer: - check for use of anticoagulants prior
to it (bleeding in the muscle could occur)
- apply warm compress to relieve discomfort following the test
◉ Ch 39: What two complications do diagnostic procedures that
disrupt skin surfaces cause? Answer: increased risk of:
- infection
- bleeding
◉ Ch 39: What decreases serum calcium levels? Answer: calcitonin
◉ Ch 39: What increases serum calcium levels? Answer: parathyroid
hormone
◉ Ch 39: When phophorus levels rise the calcium levels do what?
Answer: - decrease
- pt can present with S/S of hypocalcemia
◉ Ch 39: What holds articulating bones together and an injury can
impair movement? Answer: ligaments
◉ Ch 39: What connects muscle to bone and an injury can impair
movement? Answer: tendons
,◉ Ch 39: What can helo support bone formation? Answer: - weight
bearing exercises
- sex hormones
- calcitonin
- calcium intake
◉ Ch 39: Adults over 50 require how much Vit D daily to help
prevent osteoporosis? Answer: 800 - 1000 IU
◉ Ch 39: What is important to instruct pts on consuming in regards
to helping to prevent osteoporosis? Answer: - 1,200 mg of calcium
daily
- 600 IU Vit D daily (with intake of low-fat milk, yogart, and cheese)
◉ Ch 39: What can increase bone resorption and could lead to
osteoporosis? Answer: - excessive cortisol production
- excessive thyroid hormone production
◉ Ch 39: What stimulates osteoblastic (bone formation) activity and
inhibits osteoclastic (bone resorption) activity? Answer: estrogen
◉ Ch 39: Compromised estrogen levels in menopause can increase
the risk of? Answer: osteoporosis
, ◉ Ch 39: What two things can result in a loss in height? Answer: -
vertebral fractures
- loss vertebral cratilage
◉ Ch 40: Because external fixators increase the risk for
osteomyelitis you should do what for the pt? Answer: perform pin
site care using the aseptic technique (use chlorhexidine 2 mg/mL
solution unless contraindicated)
◉ Ch 40: How do you properly clean/perfom pin care for a pt?
Answer: clean with a circular motion from the inner to the outer
region and cleaning each site separately
◉ Ch 40: What is used to help reduce complication related to pain?
Answer: PCA (pt controlled analgesia)
◉ Ch 40: What can occur following some fractures due to the loss of
blood to the bone so pts must be closely monitored for increased
pain and a decrease in mobility? Answer: avascular necrosis
◉ Ch 40: What are three complications that can arise following
fractures? Answer: - hypovolemic shock (hemorrhage)
- fat embolism (in long bones)
