Galen 170 Medsurg Exam 3 Questions with 100% Correct Answers
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Galen 170 Medsurg
Galen 170 Medsurg Exam 3 Questions with 100% Correct Answers
Who is most likely to acquire cholecystitis? - Answer- Females, over weight, in their 40's or older with a family histor and a high fat diet
RUQ pain may refer to the right shoulder, pain with ingestion of high fat foods, nausea, v...
Galen 170 Medsurg Exam 3
Questions with 100% Correct
Answers
Who is most likely to acquire cholecystitis? - Answer- Females, over weight, in their 40's
or older with a family histor and a high fat diet
RUQ pain may refer to the right shoulder, pain with ingestion of high fat foods, nausea,
vomitting and dyspepsia (indigestion). this patient can also show signs of liver issues
like jaundice, dark urine or clay colored stools( becuase the beliribbon is no longer in
the stool anymore) what signs and symptoms do these describe? - Answer-
cholecystitis
What can we teach the patient with cholecysitis? - Answer- to eat a low fat diet, avoid
gas causing foods and loose weight
If a patient has a cholecystectomy what are some things we can teach them? - Answer-
- remove bandages from the puncture site the day after surgery and shower, leaving
steri strips intact
- report s/s ( redness, swelling bleeding, no bm or gas in 3 days or more, bile colored
drainage or pus from surgical site, nausea vomitting chills fever)
- resume normal activities gradually
- return to work approx. 1 week after surgery
stick to a low fat diet for several weeks
Who is the only one allowed to push the PCA pump? - Answer- patient
When should the patient be taught to use the PCA pump if prescibed? - Answer- before
the patient goes into surgery and is medicatied
Can the patient over dose on a PCA pump? - Answer- no becuase the pump has a lock
on it
Who would we use the wong Baker scale for ( faces)? - Answer- mainly in children but
can be used for adults that may not be able to speak but still can answer
its a scale that can assess for pain in babies, cognitivly impaired, uses facial expression
of the patient, their consolability, their cry or vocalization, and activity? - Answer-
FLACC
, this scale is used for patient with advanced dementia? - Answer- PAINAD
peripheral and central nerve pain it feel like it shooting, fiery, shocklike, sharp and
numbness, typically associated nerve compression or injury is what type of pain -
Answer- neuropathic pain
pain that is sent to another area of the body is considered what type of pain? - Answer-
referred pain
pain in organs and linings poorly localized deep cramping splitting stabbing pain. often
associated with tubes and distention or in conditions like appendicitis, colitis, etc. is
considered what type of pain? - Answer- viscerl pain
pain that occurs when there is no tissue involvement but a real pain exists that is typical
in the patient that has had an amputee? - Answer- phantom pain
seperation of a wound postsurgically is called what? - Answer- dehiscence
if there is tissue coming through a wound it is called what ? - Answer- evisceration
if a patient experiences evisceration what nursing intervention should we do? - Answer-
soak a sterile dressing in saline and cover the opening and call the doctor
when is malignant hyperthermia often seen? - Answer- in those with a firts time
exposure to anesthesia
this is a hereditary genetic disorder that causes a severe reaction when anesthetics are
used during general anesthisa for surgery is done for the first time? fever is a late sign
and its an emergency - Answer- malignant hyperthermia
what are some s/s of malignant hyperthemia - Answer- high temp, cardia dysrhythmias,
muscle rigidity, hypotension ( fever is a later sign)
cutting out - Answer- ectomy
removal or destruction of - Answer- lysis
tumor - Answer- oma
to furnish with an outlet - Answer- ostomy
cutting into - Answer- otomy
revision molding or repair - Answer- plasty
fixation, anchoring in place - Answer- pexy
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