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MED SURG CMS questions and answers graded A+ 2024/2025
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MED SURG CMS questions and answers graded A+ 2024/2025
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MED SURG CMSSodium acts on the ________ system. - ANSCentral frightened
Potassium acts on the __________ machine. - ANScardiac
Lab values: Potassium - ANS3.Five-five.Zero
Lab values: Sodium - ANS135-145
Lab values: Calcium - ANS9-10.Five
Lab Values: Creatinine - ANS0.6-1.2
Lab values: BUN - ANS10-20
Lab values: Hemoglobin - ANSMale: 14-18 g/dL
Female: 12-16 g/dL
Lab values: Hematocrit - ANSMale: forty-54%
Female: 38-forty seven%
Lab Values: WBC - ANS5,000-10,000
Lab Values: RBC - ANS150,000 - 450,000
Hypertonic solution - ANSSolute attention is GREATER than that inside the mobile; cellular
loses water
Hypertonic answer use - ANSFluid overload
hypertonic solution instance? - ANSDextrose 5% in 0.Nine sodium chloride
D10W
isotonic solution - ANSSolute awareness is EQUAL to the solute concentration inner a
cellular
Isotonic answer use - ANSBlood or fluid alternative
Isotonic answer example? - ANS0.Nine sodium chloride
D5W
Ringers Lactate
hypotonic solution - ANSSolute attention is LESS than that inside the cell; cell GAINS water
,Hypotonic answer use - ANSDehydration
Hypotonic solution example? - ANS0.45% sodium chloride
Normal UO for an adult? - ANS30 mL/hr
ABGs: pH variety - ANS7.35 - 7.Forty five
ABGs: CO2 variety - ANS45 - 35
ABGs: HCO3 variety - ANS22 - 26
ABGs: Compensation - ANSIf 2 values are ordinary and the pH is everyday = completely
comp
If all three values are bizarre = partial comp
Example of respiration acidosis - ANSHypoventilation
COPD
Airway obstruction
Example of breathing alkalosis - ANSHyperventilation
Example of metabolic acidosis - ANSPersistant diarrhea
DKA
Example of metabolic alkalosis - ANSPersistant vomiting
What is CPAP used for? - ANSContinuous effective airway strain remedy (CPAP). A CPAP
gadget will increase air stress to your throat in order that your airway doesn't collapse whilst
you breathe in.
COPD signs - ANSBarrel chest
Tachypnea (AIR HUNGRY)
Clubbed feet/fingers
Muscle losing/weight reduction
Chronic bronchitis: monitoring - ANSCopious sputum
Lung cancer: monitoring - ANSHemoptysis
Weight loss
Tuberculosis: monitoring - ANSNight sweats, low grade fever
Bloody sputum
Anorexia
Malaise
Pneumothorax is when? - ANSair enters pleural cavity disrupting neg strain and collapses
lung
, What do you do if the chest tube receives disconnected? - ANSPlace in sterile water
What do you do if the chest tube receives pulled out of affected person? - ANSCover incision
with sterile dressing and cover three sides most effective
Bronchoscopy: pre op - ANSNPO 8 hrs earlier than
Local analgesic throat spray
Pt positioned upright
Bronchoscopy: post op - ANSAssess gag reflex
Bleeding
Respiratory repute
Thoracentesis: documentation - ANSClient response
Fluid coloration
Fluid quantity
Fluid viscosity
NG tube uses - ANSDecompression
Nutrition
Specimen series
How to affirm NG placement - ANSX-ray first of all
Aspirate gastric pH (1.5 - four)
Assessing aspirated gastric content material - ANSBroken down = proper - refeed
Nasty/pus = horrific - NOTIFY first, do now not refeed
* Do not refeed aspirate if content exceeds 100 mL
Medication management through NG tube - ANSCrush med > Flush with 30mL > Give med
> Flush w 15 mL b/w every med > Flush w 30 mL closing
Dumping syndrome teaching (five) - ANS- High protein and fats food plan
- Avoid lactose and sugar
- Small frequent meals
- Consume drinks before and after food
- Lay down after meals
Healthy stoma look - ANSPink, purple moist
stoma care - ANSCleanse with mild soap and water (no alcohol, iodine, oil primarily based
merchandise)
Empty when its 1/four to half of complete.
Colostomy Dietary Considerations - ANSLow residual, avoid excessive fiber food
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