medical surgical 05/04/2022

Question 1

Normal calcium level

Answer 1

9-10.5

Question 2

what does hypercalcemia indicate?

Answer 2

bone cancer

Question 3

PSA

Answer 3

prostate specific antigen

elevated- prostate cancer

Question 4

Nadir

Answer 4

white blood cell count is low

7-14 days

Question 5

leukopenia

Answer 5

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

Question 6

super vena cava syndrome s/s

Answer 6

Lung CA pt.s

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

Question 7

super vena cava syndrome interventions

Answer 7

oxygen
high fowlers
no blood pressure on thata rm

Question 7

super vena cava syndrome interventions

Answer 7

oxygen
high fowlers
no blood pressure on thata rm

Question 8

carcioembryonic antigen (CEA)

Answer 8

indicates colon cancer

Question 9

doxorubin –>what is closely monitored?

Answer 9

slows and stops the growth of cancer

The heart

Question 10

interventions for fatigue

Answer 10

rest periods and priority care

Question 11

skeletal traction and bucks traction abnormality

Answer 11

notify physician and/or RN

Question 12

upper extremity and lower amputation considerations

Answer 12

upper extremity requires fine motor skills

Question 13

consideration for residual limb

Answer 13

must lay in prone position multiple times a day.

prevent flexion

Question 14

Is a shrinker sock for comfort

Answer 14

no, it is to reduce inflammation

assess for skin breakdown

Question 15

Total joint replacement (TJR) Monitor for what?

Answer 15

swelling, infection, and pain

will not monitor for joint alignment

Question 16

fat embolism

Answer 16

tachycardia
respiratory—>confusion
petechia

Question 17

what causes a fat embolism

Answer 17

broken bones(long bones)

Question 18

Tamoxifen education

Answer 18

no antacids 2 hours before taking it

Question 19

thrombocytopenia interventions

Answer 19

electric razor
soft toothbrush
no floss
no contact sports

Question 20

thrombocytopenia

Answer 20

low platelets

Question 21

Radiation skin care

Answer 21

leave markers alone
soap and water
loose clothing

Question 22

White blood cell count

Answer 22

5-10

Question 23

expected albumin level

Answer 23

3.5 to .5.5

Question 24

Cytoxan

Answer 24

monitor kidney and bladder | pair with mesna (protects the bladder)

Question 25

oral chemo medications

Answer 25

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

Question 26

fluid that causes blisters if infiltrated

Answer 26

vesicant

Question 27

Iv chemo meds

Answer 27

are all vesicants

Question 28

Ca diet prevention

Answer 28

``` sugar smoked meats charred/broiled alcohol processed food ```

Question 29

Gout | What does opurinol do?

Answer 29

blocks the formation of uric acid

Question 30

Hip arthroplasty care plan(

Answer 30

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

Question 31

osteoarthritis

Answer 31

confines and localized to joints | weight bearing joints

Question 32

rheumatoid arthritis

Answer 32

systemic | affects all areas that have connective tissue

Question 33

s/s of rheumatoid arthritis

Answer 33

autoimmune stiffness in the morning low grade fever

Question 34

Home care education of dressing a wound. What technique?

Answer 34

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

Question 35

What serum lab is elevated with CA

Answer 35

ALP

Question 36

Osteoporosis

Answer 36

``` porous bone weak prone to fracture low calcium postmenopausal women ```

Question 37

osteoarthritis exam

Answer 37

feel for crepitation | inspect

Question 38

acute compartment syndrome

Answer 38

``` 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 ```

Question 39

RHABDO care

Answer 39

fluids

Question 40

do ligaments affect movement?

Answer 40

no, it attaches bone to bone

Question 41

nuclear scan: galllium thallium

Answer 41

gallium thalium--->Cancer provide support

Question 42

arthrocentesis: sticks a needle into a joint

Answer 42

removes fluid examine the fluid inject (replace synovial fluid)

Question 43

arthroscopic sx home care?

Answer 43

report uncontrolled pain hematomas high fever

Question 44

myelography instructions

Answer 44

head must be held down | contrast dye

Question 45

arthrogram interventions

Answer 45

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

Question 46

why has osteoporosis cases in the community risen?

Answer 46

women live longer