med surg midterm Flashcards


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1

ABG question

metabolic acidosis

2

food to avoid with GERD

chocolate

3

diet that is high in calcium oxalate

spinach and almonds

4

what to delegate to UAP

provide oral care to a pt in Bucks traction

5

reg insulin given @ 8:30 peak is

10:30

6

Instruct to pt taking AZO that

urine will change color

7

pt with hyperkalemia should be given

polystyrene sulfonate

8

pt with ulcerative colitis flare up

assess electrolyte imbalance

9

4 things that make pt more at risk for osteoporosis

65 yrs old

female

smoker

prednisone use

10

post op pt has no bowel sounds and can't pass flatulas is at risk for

paralytic ileus

11

pressure injury with bone exposed

stage 4

12

pt recovering from pressure injury what is the highest protein diet

grilled salmon

13

pt is taking omeprazole 1 daily best time to administer

30 min before breakfast

14

RAAS question

Renin - secreted when there is hypotension

Aldosterone - absorbs sodium and absorbs fluid

ADH - promotes fluid reabsorption

15

pt is dehydrated, expected lab value?

increased BUN

16

pt with recurring UTI what statement requires intervention?

female wiping from back to front

17

community teaching to a group of athletes about electrolyte imbalance which symptom should they look out for?

syncope (loss of conciousness)

18

pt is scheduled for a procedure & is on aspirin, pre op education

stop taking 7 days before

19

Malignant hyperthermia

dantrolene

20

evisceration and dehiscence

cover with gauze and normal saline

21

pt with Gerd what can you do to avoid

sleep with head elevated

22

pt admitted for acute ulcerative colitis first thing nurse does

check electrolytes

23

pt blood glucose is 60 what to do

apple juice

24

promote healing

protein

25

pt asked why checking his feet and has diabetes

loss of sensation and circulatory

26

pt had hip surgery what can't he do

CAN NOT BEND at 90 degree

27

complications of immobility

DVT and pulmonary embolism

28

pt has swelling and pain in cast

notify doctor

29

kidney question

anemia

30

pt with diverticulitis

avoid popcorn with butter, corn on the cob, and pasta

31

pt with lower UTI call doctor for

cloudy foul smelling urine

32

what are the 6 P's?

pain, paresthesia, pulse, pallor, pressure, paralysis