Medsurg FINAL

Consent

During the preop stage of surgery it is important for nurses to ensure the patient is educated and signs ___________

7-10

Aspirin should be discontinued for ___-____ days before surgery

NPO

Insulin should not be taken before surgery because patients need to be ______

Increased HR

First sign of malignant hyperthermia

Hypothermia

During surgery, what is a concern for older and smaller people

Antimetic

At first complaint of nausea post-op, a patient should be given an ____________ to prevent aspiration

Megaloblastic

_______________ anemia is charectorized by big RBC which can lead to clotting issues

Jaundice

In hemolytic anemia, the body appears __________

FOBT

If a patient has an unknown case of anemia, a _________ may be done to determine if there is bleeding within the body

Polycythemia

Increased RBC

Left

In cancer patients who have neutropenia there is a _________ shift in band cells

90

A patient experiencing a nose bleed should be sat at _____ degrees with head tilted forward

Increased HR

First sign of a transfusion reaction

Normal saline

Blood tranfusions should be ran with __________ __________

Pressure

Following a bone marrow biopsy, _________ should be held for 5 minutes to stop bleeding

Fever

Major sign of an infection following a bone marrow biopsy

Smoking

In a pulmonary function test, ________ has to be stopped 4-8 hours before test

Strep

Pharyngitis is a sore throat often times caused by __________

Obesity

Most common association of sleep apnea

Yellow & crusty

Impetigo is characterized by ____________ & ____________ lesions which are often itchy

Combed

In pediculosis, knits must be _________ out of the hair to prevent reinfection

Scabies

Night mites

Vesicle

Fluid filled cyst
Ex: boil, blister

Cataracts

Lens becomes cloudy as people age

Glaucoma

Increased IOP with cloudy vision
Treatment: eye drops

Teach back

The _________ _________ method should be used to ensure patient knows how to administer eye drops

Curtain

Retinal detachment is usually not painful, but a __________ may be seen

Menieres disease

Abnormal inner fluid balance
**Often have tinnitus in 1 ear

Falls

With vertigo _______ are the #1 concern

Weber

Tests both sensorineural & conductive hearing

Potassium

Electrolyte that causes dysrhythmias

Chvostek & trousseau

2 tests done for calcium

Alkalosis

Vomiting is metabolic __________

Acidosis

Diarrhea is metabolic __________

LOC

Severe dehydration leads to decreased ______

Lethargic

Fluid volume excess can lead to ________ feeling --> fall risk

Xray

A KUB is an _______ of the kidneys, ureters, and bladder

Culture

If bacteria is present in a clean urine catch, the patient may need a ___________

Pyelonephritis

Treatment for ________________ include an antibiotic, analgesic, and antispasmotic

Women

_________ are more at risk for cystitis, which is a bladder infection

Strep

Glomerulonephritis can be caused by ________

Increased

With urinary calculi BP, HR, and respirations become _____________

Benign prostatic hyperplasia

Incontinence is often associated with men who have:

Medications

Acute kidney injuries can be caused by too many ___________

BUN & creatitine

Which levels should be looked at following dialysis

Dextrose

Peritoneal dialysis is made of _______ and should be clear when it exits body

Rapid

__________ insulin should be given 5 minutes before meal

Short

____________ insulin should be given 15 minutes before meal

Glucagon

If patients loose consciousness because of hypoglycemia, _______ should be given

15g

If a patient is still conscious with hypoglycemia, ______ carbs should be given

Arteries

High sugar from diabetes breaks down ________ leading to micro or macro issues

Sick day

_______ _____ rules with diabetes include frequently checking glucose levels and continuing to take insulin

Left

_______ sided HF: dyspnea, cough, shortness of breath

Edema

Most common sign of right sided HF

Pink

Pulmonary edema can lead to coughing up ______ frothy sputum

Oxygen

Patients with pulmonary edema should be given ________

Blood clots

High blood pressure can cause _________ _______ due to hardening of arteries

AAA

Symptoms of an _______ include a boardlike abdomen, a mass that palpates, increased HR, and normal bowel sounds

Dangled

In peripheral artery disease legs should be ___________

Stress & cold

Raynauds is triggered by

Impaired perfusion

A care plan for venous thrombosis includes

Hypoglycemia

If a TPN pump is turned off, a patient is at risk for

30

A patient recieving a tube feeding should be at ____ degrees

Decrease

Patients with Chrons should _________ fiber because stools are already liquidy

Blood & mucus

Patients with ulcerative colitis often have stools containing _________ & __________

Contact

Patients with C. Diff should be on __________ precautions and visitors must wash hands!

H. pylori

PUD is often caused by

Call doctor

If a patient with PUD has low BP, boardlike abdomen, and pain what should the nurse do

PPI & H2 antagonist

What should a patient with PUD be prescribed

Cancer

Patients with Barretts esophagus should frequently be checked for

Skin breakdown

Obese patients should be concerned with

Smoking

Gastritis is often caused by

B12

With gastritis there is normally a malabsorption of _______

Bradykinesia

Major sign of parkinsons

Extra

Patients with parkinsons may need _________ time to complete tasks

Catscan

If a patient has a stroke a _________ must be done before giving TPA

Pannus

Rheumatoid arthritis leads to

AntiCCP

Lab test done to diagnose rheumatoid arthritis

Purines

Patients with GOUT should be taught to decrease _______

Tyelenol

Patients with osteoarthritis should take

Abductor

Following a total hip arthroplasty, an __________ pillow should be used to prevent hip dislocation

Forward

After a total hip arthroplasty patient should be taught to avoid bending __________

Vitamin D & calcium

Taken to help prevent osteoporosis

Pneumonia

Patients in traction are at risk for __________ due to bed rest

Removed

If patient does not have the 5 ps with a cast it should be __________ due to compartment syndrome