Med-Surg: comprehensive 2019 A/2

Question 1

car seat angle

Answer 1

45 degrees

Question 2

NG tube lavage volume amount

Answer 2

200-300 mL

Question 3

ear drops children older than 3

Answer 3

pull up and back

Question 4

ear drops children younger than 3

Answer 4

pull pinna downward and back

Question 5

MS - eye

Answer 5

nystagmus

Question 6

myasthenia gravis - eyes

Answer 6

ptosis

Question 7

autonomic dysreflexia s/s

6

Answer 7

1. spots in visual field
2. facial flushing point of lesion and upward
3. blurred vision
4. nasal congestion
5. severe headache
6. HTN

Question 8

trach care steps

4

Answer 8

1. first remove the inner cannula
2. remove the soiled dressing
3. clean around stoma with NS irrigation
4. change collar

Question 9

digoxin toxicity s/s

7

Answer 9

1. diarrhea
2. nausea
3. anorexia
4. abd pain
5. bradycardia
6. visual changes
7. muscle weakness

Question 10

neuroleptic malignant syndrome

Answer 10

potentially life threatening adverse effect of chlorpromazine

Question 11

chlorpromazine

Answer 11

antiemetic and antipsychotic

Question 12

methadone and pregnancy

Answer 12

ok to take during

Question 13

methadone and sedation

Answer 13

common AE, ok finding

Question 14

PEG tube water before and after

Answer 14

flush with 30 ml before and after feeding

Question 15

newborn RR

Answer 15

30-60

Question 16

newborn axillary temp

Answer 16

36.5-37.5

Question 17

newborn PR

Answer 17

80-100 asleep

up to 180 crying

Question 18

pulsus paradoxus

Answer 18

finding in which the SBP is 10 mm Hg or greater on expiration than inspiration

Question 19

finding in which the SBP is 10 mm Hg or greater on expiration than inspiration

Answer 19

pulsus paradoxus

Question 20

expected findings of cardiac tamponade

7

Answer 20

1. pulsus paradoxus - SBP is 10 mm hg or greater on expiration
2. JVD
3. bradycardia
4. hypotension
5. muffled heart sounds
6. fatigue
7. dyspnea

Question 21

carotid bruit is to

Answer 21

atherosclerosis

Question 22

uric acid crystals in UA

Answer 22

urolithiasis

Question 23

protein in urine

Answer 23

glomerulonephritis

Question 24

CF - hemoptysis greater than what indicates risk for hemorrhage

Answer 24

> 250 ml/24 hr

Question 25

amitriptyline - watch for

Answer 25

anticholinergic effects such as dry mouth and constipation - increase fiber, fluid intake, and sugar free gum

Question 26

avoid tyramine

Answer 26

maoi

Question 27

amitriptyline - BP

Answer 27

monitor for hypotension and change position slowly

Question 28

when to take amitriptyline

Answer 28

at bedtime to promote sleep and minimize drowsiness during the day

Question 29

abruptio placentae s/s

3

Answer 29

1. persistent uterine contractions
2. board like abdomen
3. dark red vaginal bleeding

Question 30

dark red vag bleeding

Answer 30

abruptio placenta

Question 31

placenta previa s/s

3

Answer 31

1. relaxed uterus
2. bright red vag bleeding
3. fundal height greater than expected

Question 32

tumor lysis syndrome can occur is clients dx with

Answer 32

acute lymphoblastic leukemia

Question 33

FFP administration

2

Answer 33

1. infuse right when you get it to maintain integrity of the clotting factor, you don’t need to warm before transfusion
2. plan to administer each unit over 30-60 mins; slow the rate of infusion if client shows indications of fluid overload

Question 34

FFP - administration rate

Answer 34

30-60 min/unit

Question 35

kawasaki acute phase s/s

2

Answer 35

1. unresponsive fever

2. tachycardia

Question 36

kawasaki - peeling of palms and soles is what phase

Answer 36

subacute

Question 37

kawasaki - pain in weight bearing joints phase

Answer 37

subacute

Question 38

hep A - clean surfaces with

Answer 38

hydrogen peroxide