Complex Med Surg Tests Bundle

Chest tube insertion site monitoring - Answer check for pain, redness, infection & subcutaneous crepitus Chest tube bedside equipment - Answer occlusive dressing, sterile water, and two enclosed hemostat clamps. AT ALL TIMES Expected findings in a chest tube assessment - Answer gentle...

Which clinical manifestations are most likely to be seen in a client with diabetes mellitus? - Answer Fatigue, Excessive thirst, Increased urine output The RN is teaching a client with diabetes mellitus about the diet to be followed for maintenance of the disease. Which statement made by the cl...

Most SCI occur from what? - Answer Bruising of spinal cord Loss of blood flow (ischemia) to the cord Five mechanisms of injury (SCI) - Answer Hyperflexion Hyperextension Vertebral Compression Rotation Penetrating Injuries Hyperflexion - Answer Head is accelerated FORWARD, compressio...

When collecting an ABG what test is performed before using the radial artery - Answer Allen's Test, we want to make sure the ulnar artery has proper circulation before using the radial artery. What are the normal values for pH, PCO2, HCO3 - Answer pH: 7.35 - 7.45 PCO2: 35 - 45 HCO3: 22 - 2...

Characteristics of Normal Sinus - Answer Rate: 60-100 Regular Present and upright P waves QRS present and upright <= to 0.10sec 1:1 P:QRS PR interval is <=0.20sec Characteristics of sinus tach - Answer Rate 100-150 characteristics of sinus brady - Answer Rate <60 Charact...

Angiotensin-Converting Enzyme Inhibitors (ACE Inhibitors) Drugs - Answer Enalapril Lisinopril Catopril (end in "PRIL") ACE Inhibitor Actions and Effects - Answer Decrease after load and BP Inhibits the enzyme that converts angitensin I to angiotensin II Vasodilation Prevents effe...

What is preload? - Answer the volume/pressure of the blood returning and filling the heart What is afterload? - Answer the pressure the left ventricle must overcome to eject its blood (more resistance=more afterload) Decreases preload: inhibits Na+ reabsorption thereby promoting fluid loss...

Aneurysm - Answer Permanent dilation of an artery to at least two times it's normal diameter Most common artery for aneurysm - Answer Abdominal aorta between the renal arteries and the aortic bifurcation Saccular aneurysm - Answer our pouching --> specific portion of the vessel Fu...

atrial fibrillation - Answer rapid, random, ineffective contractions of the atrium Atrial Flutter - Answer irregular beating of the atria; often described as "a-flutter with 2 to 1 block or 3 to 1 block" normal sinus rhythm - Answer heart rhythm originating in the sinoatrial node with ...

Oxygen toxicity signs and symptoms - Answer substernal discomfort, paresthesias, dyspnea, restlessness, fatigue, malaise, progressive respiratory difficulty, refractory hypoxemia, alveolar atelectasis, and alveolar infiltrates evident on chest x-rays. Manifestations similar to ARDS. oxygen toxi...

Woman should have the choice for yearly mammograms if they wish at what age? - Answer 40-44 age for when woman should get mammograms yearly - Answer 45-54 age for mammograms every 2 years - Answer 55+ At what age should woman and men begin colon testing? - Answer 50 how often sho...

While monitoring a patient who has fluid overload, which assessment is most concerning to the nurse? A.Bounding pulse B.Neck vein distention C.Pitting edema in the feet Presence of crackles in the lungs - Answer ANS: D Fluid overload may lead to pulmonary edema and heart failure. Any pat...

Standards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - Answer guidelines; establish goals; assess The _________ of patients' illness makes their care the top priority of critical c...

Acid Base chapter - Answer info card acid-base balance w/ associated conditions - Answer severe pneumonia- respiratory acidosis drug OD- resp acidosis pulm embolism- resp acidosis Emphysema- resp. acidosis Hyperventilating- respiratory alkalosis Rapid, shallow breathing at a ra...