med surg test 2 part 8

Question 1

___ is the precursor to osteoporosis

Answer 1

Osteopenia

Question 2

Inadequate intake of calcium and vitamin D in the diet stimulates the ____ hormone to be released and triggers calcium to be pulled from the bone

Answer 2

parathyroid

Question 3

Secondary osteoporosis results from medical conditions including: h_____

Answer 3

Hyperparathyroidism.

Question 4

Secondary osteoporosis results from medical conditions including: Long-term us of ___ meds or ___ meds

Answer 4

corticosteroid

anticonvulsant

Question 5

osteoporosis testing: __ is used to measure bone density, especially in the vertebral column

Answer 5

QCT

Question 6

osteoporosis testing: an ultrasound

Answer 6

pQUS

Question 7

osteoporosis teaching: Instruct the client to avoid ___ weather

Answer 7

inclement (ice, slippery)

Question 8

osteoporosis meds: Thyroid Hormone (calcitonin) decreases bone resorption by

Answer 8

inhibiting osteoclast activity

Question 9

osteoporosis meds: A parathyroid hormone that stimulates osteoblasts

Answer 9

Teriparatide

Question 10

Calcium Supplement: Give with food in ___ doses with 6 to 8 oz of water

Answer 10

divided

Question 11

osteoporosis meds: Bisphosphonate decreases number and actions of

Answer 11

osteoclasts

Question 12

osteoporosis meds: Bisphosphonates have a risk for ___ problems

Answer 12

esophagus problems

Question 13

osteoporosis meds: Bisphosphonates, remain ___ for 30 min

Answer 13

upright

Question 14

osteoporosis meds: Bisphosphonates, Take with 8 oz of water in the ___ before ___

Answer 14

in the morning before eating

Question 15

Most hip fractures are due to ___

Answer 15

osteoporosis

Question 16

thyroid hormone (calcitonin) is for prevention and ___ of osteoporosis, hypercalcemia

Answer 16

treatment

Question 17

thyroid hormone (calcitonin) is administered

Answer 17

SQ

Question 18

___ assessment is essential throughout immobilization

Answer 18

Neurovascular

Question 19

in Moderate sedation a client does not lose consciousness, but induction of ___ and analgesia is still achieved.

Answer 19

amnesia

Question 20

___ __ clients are more susceptible than any other population to anesthetic agents

Answer 20

Older adult

Question 21

Anesthesia: If hypotension occurs as an adverse effect of medication or dehydration, __ the head of bed, administer a prescribed IV fluid bolus, and monitor

Answer 21

lower

Question 22

1st sign of malignant hyperthermia

Answer 22

tachycardia

Question 23

in addition to tachycardia, other signs of malignant hyperthermia are muscle ___, hypotension, skin ____

Answer 23

muscle rigidity, hypotension, skin mottling

Question 24

a LATE sign of malignant hyperthermia is

Answer 24

elevated temp

Question 25

in malignant hypertherm check for ___ in urine (myoglobinuria).

Answer 25

protein in urine (myoglobinuria).

Question 26

what drug is given to treat malignant hyperthermia (it’s a muscle relaxant)

Answer 26

dantrolene

Question 27

to treat malignant hyperthermia apply a ___ blanket

Answer 27

cooling blanket

Question 28

to treat malignant hyperthermia give ___ IV 0.9% sodium chloride

Answer 28

iced

Question 29

Anesthesia complications: nursing action: observe for __ taste

Answer 29

metallic taste

Question 30

In Moderate sedation, the most important criteria is that the patient is still able to

Answer 30

maintain airway independently

Question 31

nurse cannot leave a client who is under ___ sedation

Answer 31

moderate

Question 32

allergy to eggs means you’re allergic to

Answer 32

propofol

Question 33

if the client is able to only sign with an “X”, blind, deaf, or English is a second language, than

Answer 33

2 witnesses are required

Question 34

Pre op teahcing, Demonstration and importance of ___, coughing, and deep breathing

Answer 34

splinting

Question 35

avoid cigarette smoking for __ hr preoperatively

Answer 35

24

Question 36

pts should stop taking aspirin for __ __ before an elective surgery to decrease the risk of bleeding.

Answer 36

1 week

Question 37

eye drops for ___ may be taken prior to surgery or a procedure.

Answer 37

glaucoma

Question 38

Prophylactic antibiotics are administered _ hr prior to surgical incision.

Answer 38

1

Question 39

A client discharged home must demonstrate the ability to ___ and _____________

Answer 39

swallow and safely ambulate to the bathroom and wheelchair with assistanc

Question 40

if the client has received

spinal anesthesia, do not

Answer 40

elevate legs higher than placement on a pillow

Question 41

avoid placing a pillow under the knees or engaging the knee gatch of the bed, which can decease

Answer 41

venous return

Question 42

positioning if hypotension or shock develops

Answer 42

lower head and elevate legs (venous return)

Question 43

someone’s wound splits open, you put them in bed, what do you do with their legs

Answer 43

bend at knees