MED SURGE FINAL NEW EXAM | QUESTIONS AND ANSWERS |
VERIFIED AND ACCURATE EXAM | LATEST EXAM UPDATE
who on the care team is in charge of placing a endotracheal tube
CNRA, RT, MD
what is the treatment for diarrhea
decrease fiber, hydrate, keep a healthy diet
what are the concerns for digoxin
toxicity, educating the patient not to double dose, checking the pt's HR before
administering, decreased SOB, urinary retention
What does H. pylori cause?
stomach ulcers
what is the treatment for h pylori
Triple therapy --> Antibiotics cure pylori
1) Amoxicillin (metronidazole if allergic)
2) Clarithromycin
3) PPI
what are the signs of cardiogenic shock
-chest pain
-shortness of breath
-nausea
-high HR (120+)
-BP 90/60
-pallor
-peripheral cyanosis on the cool clammy skin
What is the Billroth II procedure?
A gastrojejunostomy, or surgical anastomosis, of the stomach and the jejunum.
what issues are we expecting to see with cardiogenic pulmonary edema
cardiac, respiratory, and rhythm issues
What is ranitidine (zantac)?
,H2 blocker (gastritis/ulcers) used to prevent a stress ulcer
what assessment is done for DVT
pain, pulses, swelling
what is the pt at risk for with DVT
bleeding
what is the number one assessment finding with a GI bleed
a rigid abdomen
what is the patient education for a pacemaker
avoid MRI machines, let medical personal know that you have it. wear a
identification bracelet or have a card. avoid heavy lifting for a little while
what are the risk for a patient with Guillain barre
ascending paralysis, fall risk, constipation, need for ventilation
treatment for Guillain barre
Intravenous immunoglobulins - Plasma exchange
and mechanical ventilation
what are the functions for the nodules and purkinjie fibers?
SA node pacemaker of the heart
AV node controls the heart rake
bundle of his helps with electricity conduction
purkinjie fibers help create synchronized contractions
How are Hep B and Hep C transmitted?
blood and bodily fluids
where are hep b and hep c found
infected blood and mucus
what should not go into a MRI machine
metal, transdermal patches, jewelry, pacemakers
what is the lab marker for heart failure
BNP
What does CVP measure?
, It measures the filling pressure of the right side of the heart.
what does the pulmonary artery pressure measure
pressure generated by the left ventricle
what does the systemic arterial pressure measure
the pressure in the walls of the arteries as it circulates throughout the body
what lab values are going to be increased in liver failure
ALT, AST, and ammonia
what med do you treat high levels of ammonia with
lactulose
is liver disease secondary or primary
secondary
S3 is normal is adults true or false
false, a S3 sound is abnormal in adults and normal in children possibly
indicating a heart murmur
what is diltiazem
calcium channel blocker, given to relax blood vessels
What is appendicitis?
inflammation of the appendix
Where is McBurney's point?
RLQ
what's the difference between TPN and TNA?
what is the assessment for meningitis
neuro checks, fever check
how is the dobboff NG tube secured
clipped to the nose
what are the instructions for a urine catch
Mid stream catch
types of heart tests
VERIFIED AND ACCURATE EXAM | LATEST EXAM UPDATE
who on the care team is in charge of placing a endotracheal tube
CNRA, RT, MD
what is the treatment for diarrhea
decrease fiber, hydrate, keep a healthy diet
what are the concerns for digoxin
toxicity, educating the patient not to double dose, checking the pt's HR before
administering, decreased SOB, urinary retention
What does H. pylori cause?
stomach ulcers
what is the treatment for h pylori
Triple therapy --> Antibiotics cure pylori
1) Amoxicillin (metronidazole if allergic)
2) Clarithromycin
3) PPI
what are the signs of cardiogenic shock
-chest pain
-shortness of breath
-nausea
-high HR (120+)
-BP 90/60
-pallor
-peripheral cyanosis on the cool clammy skin
What is the Billroth II procedure?
A gastrojejunostomy, or surgical anastomosis, of the stomach and the jejunum.
what issues are we expecting to see with cardiogenic pulmonary edema
cardiac, respiratory, and rhythm issues
What is ranitidine (zantac)?
,H2 blocker (gastritis/ulcers) used to prevent a stress ulcer
what assessment is done for DVT
pain, pulses, swelling
what is the pt at risk for with DVT
bleeding
what is the number one assessment finding with a GI bleed
a rigid abdomen
what is the patient education for a pacemaker
avoid MRI machines, let medical personal know that you have it. wear a
identification bracelet or have a card. avoid heavy lifting for a little while
what are the risk for a patient with Guillain barre
ascending paralysis, fall risk, constipation, need for ventilation
treatment for Guillain barre
Intravenous immunoglobulins - Plasma exchange
and mechanical ventilation
what are the functions for the nodules and purkinjie fibers?
SA node pacemaker of the heart
AV node controls the heart rake
bundle of his helps with electricity conduction
purkinjie fibers help create synchronized contractions
How are Hep B and Hep C transmitted?
blood and bodily fluids
where are hep b and hep c found
infected blood and mucus
what should not go into a MRI machine
metal, transdermal patches, jewelry, pacemakers
what is the lab marker for heart failure
BNP
What does CVP measure?
, It measures the filling pressure of the right side of the heart.
what does the pulmonary artery pressure measure
pressure generated by the left ventricle
what does the systemic arterial pressure measure
the pressure in the walls of the arteries as it circulates throughout the body
what lab values are going to be increased in liver failure
ALT, AST, and ammonia
what med do you treat high levels of ammonia with
lactulose
is liver disease secondary or primary
secondary
S3 is normal is adults true or false
false, a S3 sound is abnormal in adults and normal in children possibly
indicating a heart murmur
what is diltiazem
calcium channel blocker, given to relax blood vessels
What is appendicitis?
inflammation of the appendix
Where is McBurney's point?
RLQ
what's the difference between TPN and TNA?
what is the assessment for meningitis
neuro checks, fever check
how is the dobboff NG tube secured
clipped to the nose
what are the instructions for a urine catch
Mid stream catch
types of heart tests
