med surg MS SN exam

Question 1

name the main cranial nerves

Answer 1

2- optic - eyes
4- trochlear
7- face
8-abducens - hearing

Question 2

from uric acid & purines

Answer 2

gout

Question 3

what is compartment syndrome caused by

Answer 3

running, casts
pain isnt relieved with meds

Question 4

crushing the bone

Answer 4

AVN

Question 5

what is fat embolism

Answer 5

fat dislodged from long bone fracture or orthopedic trauma

Question 6

name the glaucoma medications

Answer 6

Alpha adrenergic - red eyes & dry mucous membranes
Beta blockers - watch BP & HR
Carbonic anhydrase - sulfa allergy & electrolyte imbalance
Cholinergic - avoid dim light
Prostaglandins - dark iris

Question 7

hemiplegia

Answer 7

paralysis

Question 8

hemiparesis

Answer 8

weakness

Question 9

dysarthria

Answer 9

difficulty talking

Question 10

hemianopsia

Answer 10

loss of half of vision field

Question 11

apraxia

Answer 11

cant recall learned skill

Question 12

agnosia

Answer 12

cant recognize an object

Question 13

name 3 NSAIDS

Answer 13

aspirin
ibuprofen
toradol

Question 14

What types of patients are at risk for osteomyelitis

Answer 14

• anyone who had orthopedic surgery
• immunocompromised
• low calcium and vitamin D
• obese
• old
• post op
• long term steroids

Question 15

name 3 drug classes to treat osteoporosis

Answer 15

• bisphosphonates
• estrogen agonist
• rankl inhibitor

Question 16

conditions that cause osteomalacia

Answer 16

• low vit D and calcium
• GI issues
• Malnutrition
• Hyperparathyroidism
• Long anticonvulsant use

Question 17

Lab results of a patient with osteomalacia

Answer 17

• Low calcium high ALP
• Xray and bone biopsy = demineralization of bone

Question 18

Name 3 paget’s disease nursing considerations

Answer 18

• Hearing loss
• Pain
• Risk for fall

Question 19

MS complications

Answer 19

• Fat embolism
• AVN
• Compartment syndrome
• DVT
• Infection

Question 20

Whos at risk for AVN

Answer 20

• 30-50yo
• Steroid and alc abuse
• Radiation

Question 21

Meds for Meniere’s disease

Answer 21

• Antihistamines
• Tranquilizers
• Antiemetics
• Diuretics
• Shunting of fluid or vestibular nerve sectioning

Question 22

Nonmedication treatment for Meniere’s disease

Answer 22

• Low salt diet
• Increase water intake
• No alc, coffee, aspirin, MSG

Question 23

What pts cant have tpa

Answer 23

• symptoms > 3 hours
• INR > 1.7 (warfarin/coumadin)
• previous head trauma/injury < 3 months prior
• CVA < 3 months prior
• Pregnant
• Hypotension
• Thrombocytopenia
• no major surgery < 14 days prior

Question 24

non- emergent CVA treatment

Answer 24

• treat underlying condition
• surgery (carotid endarterectomy and carotid artery)
• meds: anticoagulants and platelet inhibitors

Question 25

otalgia

Answer 25

ear pain

Question 26

pseudobulbar affect [PBA]

Answer 26

inappropriate response

Question 27

hydrocephalus

Answer 27

ICP

Question 28

dyspepsia

Answer 28

reflux