med surg exam 1

Question 1

magnesium levels

Answer 1

1.3- 2.1

Question 2

nerve and muscle function
bone formation
biochemical reactions in the body

Answer 2

magnesium function

Question 3

GI losses
diuretics
malnutrition
alcohol abuse

Answer 3

hypomagnesemia causes

Question 4

hyperactive deep tendon reflexes
tetany
seizures
conspitation/ ileus

Answer 4

hypomagnesemia symptoms

Question 5

increased intake foods that are rich in magnesium foods
provide supplements
oral magnesium can cause diarrhea

Answer 5

hypomagnesemia interventions

Question 6

kidney disease

laxative containing magnesium

Answer 6

hypermagnesemia causes

Question 7

hypotension
muscle weakness
lethargy
respiratory and cardiac arrest

Answer 7

hypermagnesemia symptoms

Question 8

calcium levels

Answer 8

9.0-10.5

Question 9

bone/ teeth formation
nerve and muscle function
clotting

Answer 9

calcium function

Question 10

vit. D def.
hypoparathyroidism
hyperphhosphatemia
pancreaitis

Answer 10

hypocalcemia causes

Question 11

positive Chvostek's and Trousseau's sign
muscle spasms
numbness/ tingling in the lips/ fingers
GI upset
hypotension
decreased HR

Answer 11

hypocalcemia symptoms

Question 12

increased food in high calcium and provide supplements

Answer 12

hypocalcemia interventions

Question 13

hyperparathyroidism
long term steroid use
bone cancer

Answer 13

hypercalcemia causes

Question 14

conspitation
decreased deep tendon reflexes
kidney stones ( renal calculi)
letharhy

Answer 14

hypercalcemia symtoms

Question 15

induction

Answer 15

IV line inserted pre- op meds given, airway secured

Question 16

maintenance

Answer 16

surgery performed

maintenance of airway

Question 17

emergence

Answer 17

completion of surgery

airway removed

Question 18

informed consent Provider responsibilities

Answer 18

communicate the purpose of procedure and complete description of procedure in the patient’s primary language (use a medical interpreter if needed)
- Describe other options to treat the condition

Question 19

informed consent RN responsibilities

Answer 19

make sure the provider gave patient the information needed

• patient is competent to give informed consent
• have the pt sign the consent
• notify provider if patient have any questions or concerns regarding about the procedure.

Question 20

PACU assessment

Answer 20

> 95% or at pre- op level
respirations, lung sounds and suction secretions if needed.
Assess circulation
signs of hemorrhaging
peripheral pulses, ECG readings
vitals signs are stable enough to discharge from PACU
Monitor I&O (urine output > or equal 30ml per hour)
ensure gag and swallow reflex return
assess surgical wounds, incisions, dressings

Question 21

anesthetics

Answer 21

benzos

Propofol

Question 22

analgesics opiod

Answer 22

fentanyl

Question 23

antemetic

Answer 23

ondansetron

metoclopramide

Question 24

neuromuscular blocking

Answer 24

succinylcholine

Question 25

antichlnergics

Answer 25

citropine