Adult Med-Surg Flashcards

1
Q

Suctioning

A

Pre-oxygenate for 30 seconds prior to suction

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2
Q

Sildenafil med interaction

A

Isosorbide mononitrate

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3
Q

Fluid volume overload

A

Distended neck veins

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4
Q

Hypoglycemia s/s

A

Cool, clammy skin

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5
Q

NG tube for small bowel obstruction

A

Assess for passage of flatus

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6
Q

Suspected cholecystitis

A

Vague pain radiating to right shoulder

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7
Q

Hypothyroidism

A

Assess for constipation

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8
Q

Hold gentamicin for

A

Elevated serum creatinine

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9
Q

Lactulose potential adverse reaction

A

Hypokalemia

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10
Q

Mag sulfate adverse effect

A

Respiratory paralysis

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11
Q

TURP priority finding

A

Red concentrated urine with intermittent clots

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12
Q

Increased joint pain for rheumatoid arthritis pt

A

Lab finding shows increased ESR

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13
Q

Heart failure pt

A

Needs regular exercise routine

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14
Q

Gastric lavage for upper GI bleed

A

Insert large bore NG tube

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15
Q

Hyperthyroidism pt report

A

Elevated BP

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16
Q

Tension pneumothorax

A

Chest asymmetry

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17
Q

COPD pt with thick secretions

A

Administer guafenesin as prescribed

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18
Q

Prevent contractures

A

Firm mattress

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19
Q

HRT pt should report

A

Calf pain
Numbness in arms
Intense HA

20
Q

Erythropoietin pt teaching

A

Iron supplements
Given to reduce need for transfusions
Have frequent blood tests

21
Q

Digoxin pt teaching

A

Take antacid at least an hr after digoxin
Notify dr if n/v occurs
Take pulse before digoxin

22
Q

Prevent dumping syndrome

A

Lie in supine position after meals

23
Q

Properly functioning pacemaker

A

Discharges to maintain programmed HR

24
Q

Irrigate and dress pressure ulcer

A

Use 30 mL syringe

25
Q

Metformin

A

Take with meal

26
Q

Allergic reaction steps

A
Inject epinephrine 
Remove stinger
Clean area with soap and water
Apply ice
Seek medical treatment
27
Q

Morphine administration

A

Monitor for N/V

28
Q

If pt experiencing anaphylactic shock has patent airway

A

Administer O2 via non-rebreather mask

29
Q

Right hemisphere stroke

A

Manifests impulsive behavior

30
Q

Conscious sedation intervention needed if

A

Client has decreased pulse ox

Signifies resp. depression

31
Q

Hearing aid

A

May have difficulty with background noise

32
Q

Levothyroxine

A

Calcium supp can interfere with med

33
Q

Arterial line

A

Place pressure bag around flush solution

34
Q

Stage II Lyme disease

A

Joint pain

Cardiac and neuro complications

35
Q

Elasticized bandage pt teaching

A

Wrap foot and work up
Bend knee slightly when applying bandage
Maintain even pressure as wrapping
Leave toes unwrapped

36
Q

Chemo pt

A

Report fever

37
Q

Warfarin

A

DC 1 week prior to surgery

38
Q

2 hr post-op open cholecystectomy need for further assessment

A

Unilateral swelling of lower extremity

39
Q

Blood transfusion fluid

A

0.9% sodium chloride

40
Q

Detached retina

A

Like a curtain closing over eye

41
Q

Increased ICP s/s

A

Sleepiness
Widening pulse pressure
Decerebate and decoritate posturing

42
Q

Cholinergic crisis

A

Increased muscle weakness and twitching

43
Q

Adverse effect of propranolol hydrochloride

A

Bronchoconstriction

44
Q

Central venous catheter insertion

A

Place pt in trendelenberg

45
Q

Acute pancreatitis priority finding

A

Absent bowel sounds

46
Q

Left sided heart failure

A

Oliguria during the day is expected finding

47
Q

Red tag

A

Incomplete amputation of arm