med surg test 2 part 8 Flashcards

1
Q

___ is the precursor to osteoporosis

A

Osteopenia

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2
Q

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

A

parathyroid

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3
Q

Secondary osteoporosis results from medical conditions including: h_____

A

Hyperparathyroidism.

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4
Q

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

A

corticosteroid

anticonvulsant

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5
Q

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

A

QCT

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6
Q

osteoporosis testing: an ultrasound

A

pQUS

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7
Q

osteoporosis teaching: Instruct the client to avoid ___ weather

A

inclement (ice, slippery)

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8
Q

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

A

inhibiting osteoclast activity

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9
Q

osteoporosis meds: A parathyroid hormone that stimulates osteoblasts

A

Teriparatide

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10
Q

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

A

divided

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11
Q

osteoporosis meds: Bisphosphonate decreases number and actions of

A

osteoclasts

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12
Q

osteoporosis meds: Bisphosphonates have a risk for ___ problems

A

esophagus problems

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13
Q

osteoporosis meds: Bisphosphonates, remain ___ for 30 min

A

upright

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14
Q

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

A

in the morning before eating

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15
Q

Most hip fractures are due to ___

A

osteoporosis

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16
Q

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

A

treatment

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17
Q

thyroid hormone (calcitonin) is administered

A

SQ

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18
Q

___ assessment is essential throughout immobilization

A

Neurovascular

19
Q

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

20
Q

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

A

Older adult

21
Q

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

22
Q

1st sign of malignant hyperthermia

A

tachycardia

23
Q

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

A

muscle rigidity, hypotension, skin mottling

24
Q

a LATE sign of malignant hyperthermia is

A

elevated temp

25
in malignant hypertherm check for ___ in urine (myoglobinuria).
protein in urine (myoglobinuria).
26
what drug is given to treat malignant hyperthermia (it's a muscle relaxant)
dantrolene
27
to treat malignant hyperthermia apply a ___ blanket
cooling blanket
28
to treat malignant hyperthermia give ___ IV 0.9% sodium chloride
iced
29
Anesthesia complications: nursing action: observe for __ taste
metallic taste
30
In Moderate sedation, the most important criteria is that the patient is still able to
maintain airway independently
31
nurse cannot leave a client who is under ___ sedation
moderate
32
allergy to eggs means you're allergic to
propofol
33
if the client is able to only sign with an “X”, blind, deaf, or English is a second language, than
2 witnesses are required
34
Pre op teahcing, Demonstration and importance of ___, coughing, and deep breathing
splinting
35
avoid cigarette smoking for __ hr preoperatively
24
36
pts should stop taking aspirin for __ __ before an elective surgery to decrease the risk of bleeding.
1 week
37
eye drops for ___ may be taken prior to surgery or a procedure.
glaucoma
38
Prophylactic antibiotics are administered _ hr prior to surgical incision.
1
39
A client discharged home must demonstrate the ability to ___ and _____________
swallow and safely ambulate to the bathroom and wheelchair with assistanc
40
if the client has received | spinal anesthesia, do not
elevate legs higher than placement on a pillow
41
avoid placing a pillow under the knees or engaging the knee gatch of the bed, which can decease
venous return
42
positioning if hypotension or shock develops
lower head and elevate legs (venous return)
43
someone's wound splits open, you put them in bed, what do you do with their legs
bend at knees