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Med surge 2 and Professional something > medical surgical 05/04/2022 > Flashcards

medical surgical 05/04/2022 Flashcards

1
Q

Normal calcium level

A

9-10.5

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2
Q

what does hypercalcemia indicate?

A

bone cancer

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3
Q

PSA

A

prostate specific antigen

elevated- prostate cancer

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4
Q

Nadir

A

white blood cell count is low

7-14 days

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5
Q

leukopenia

A 
wbc low
neutropenia 
Interventions:
isolation 
mask
discourage large groups
no well water
no unpasteurized milk
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6
Q

super vena cava syndrome s/s

A

Lung CA pt.s

presents as edema, distended neck veins, amd red flushing face

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7
Q

super vena cava syndrome interventions

A

oxygen
high fowlers
no blood pressure on thata rm

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7
Q

super vena cava syndrome interventions

A

oxygen
high fowlers
no blood pressure on thata rm

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8
Q

carcioembryonic antigen (CEA)

A

indicates colon cancer

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9
Q

doxorubin –>what is closely monitored?

A

slows and stops the growth of cancer

The heart

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10
Q

interventions for fatigue

A

rest periods and priority care

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11
Q

skeletal traction and bucks traction abnormality

A

notify physician and/or RN

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12
Q

upper extremity and lower amputation considerations

A

upper extremity requires fine motor skills

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13
Q

consideration for residual limb

A

must lay in prone position multiple times a day.

prevent flexion

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14
Q

Is a shrinker sock for comfort

A

no, it is to reduce inflammation

assess for skin breakdown

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15
Q

Total joint replacement (TJR) Monitor for what?

A

swelling, infection, and pain

will not monitor for joint alignment

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16
Q

fat embolism

A

tachycardia
respiratory—>confusion
petechia

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17
Q

what causes a fat embolism

A

broken bones(long bones)

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18
Q

Tamoxifen education

A

no antacids 2 hours before taking it

19
Q

thrombocytopenia interventions

A

electric razor
soft toothbrush
no floss
no contact sports

20
Q

thrombocytopenia

A

low platelets

21
Q

Radiation skin care

A

leave markers alone
soap and water
loose clothing

22
Q

White blood cell count

A

5-10

23
Q

expected albumin level

A

3.5 to .5.5

24
Q

Cytoxan

A

monitor kidney and bladder

pair with mesna (protects the bladder)

25
Q

oral chemo medications

A

wear gloves
must stay whole (do not break or crush)
store on its own

26
Q

fluid that causes blisters if infiltrated

A

vesicant

27
Q

Iv chemo meds

A

are all vesicants

28
Q

Ca diet prevention

A 
sugar
smoked meats
charred/broiled
alcohol 
processed food
29
Q

Gout

What does opurinol do?

A

blocks the formation of uric acid

30
Q

Hip arthroplasty care plan(

A

abductor pillow
chair/toilet seat raised high
autologous blood donation
isometric exercises

31
Q

osteoarthritis

A

confines and localized to joints

weight bearing joints

32
Q

rheumatoid arthritis

A

systemic

affects all areas that have connective tissue

33
Q

s/s of rheumatoid arthritis

A

autoimmune
stiffness in the morning
low grade fever

34
Q

Home care education of dressing a wound. What technique?

A

done with aseptic technique
keeps pets and children away
proper hand hygiene

35
Q

What serum lab is elevated with CA

A

ALP

36
Q

Osteoporosis

A 
porous bone
weak
prone to fracture 
low calcium
postmenopausal women
37
Q

osteoarthritis exam

A

feel for crepitation

inspect

38
Q

acute compartment syndrome

A 
trauma causes swelling in the compartment destroying the muscles 
swells becomes taut and shiny
fasciotomy is performed
myoglobin elevated 
CK elevated 
potassium  
treatment: 
fluids and electrolytes
39
Q

RHABDO care

A

fluids

40
Q

do ligaments affect movement?

A

no, it attaches bone to bone

41
Q

nuclear scan:
galllium
thallium

A

gallium
thalium—>Cancer
provide support

42
Q

arthrocentesis: sticks a needle into a joint

A

removes fluid
examine the fluid
inject (replace synovial fluid)

43
Q

arthroscopic sx home care?

A

report uncontrolled pain
hematomas
high fever

44
Q

myelography instructions

A

head must be held down

contrast dye

45
Q

arthrogram interventions

A

injects air
apply ice
takes 12 to 24 hours to use arm
elevate

46
Q

why has osteoporosis cases in the community risen?

A

women live longer

Med surge 2 and Professional something (7 decks)

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