VATI Medical-Surgical test bank Complete Solution guide
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What natural supplement/homeopathic remedy is used to help heal burns and wounds?
Aloe vera
What is lavage? Washing out of a body cavity, such as a colon or stomach with
water or a medicated solution
What is a peritoneal lavage? a diagnostic test in which a catheter is inserted into
peritoneal...
vati medical surgical test bank complete solution guide
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VATI Medical-Surgical test bank Complete Solution
What natural supplement/homeopathic remedy is used to help heal burns and wounds?
Aloe vera
What is lavage? Washing out of a body cavity, such as a colon or stomach with
water or a medicated solution
What is a peritoneal lavage? a diagnostic test in which a catheter is inserted into
peritoneal cavity and fluid is aspirated with a syringe. It is most commonly performed to
assess for bleeding in abd cavity in clients who have experienced blunt trauma.
What are catecholamines? adrenal hormones: dopamine, norepinephrine, epinephrine
that help with fight or flight reactions
Bag holding formula and other feeding equipment for intermittent enteral feedings
should be discarded how often? Every 6 hours to prevent bacterial contamination
What are the S/S of addison's disease? -Muscle or joint pain
-N/V
-abd pain
-Postural hypotension
-Fatigue
-Salt craving
-Weight loss
Postural hypotension and salt craving may occur with what disease? Addison's
disease
Skin pigmentation is a specific feature of what disease? Addison's disease.
Caused by increased production of melanin
Adverse effect of echinacea? Anaphylaxis, specifically in people with asthma
What is St. John's wort used for and what is its adverse effect? Depression
*Precipitates serotonergic crisis with SSRIs
*Precipitates HTNsive crisis with digoxin
What is echinacea used for? Colds and flu (boosts immune system)
What is Kava used for and what is its adverse effect? Anxiety reduction, insomnia
Can cause severe liver damage
What herbal supplements increase risk of bleeding? -Garlic
-Ginseng
-Ginger
,-Feverfew
-Ginkgo biloba
What are some complications of untreated growth hormone deficiency? -Delayed
sexual development
-Short stature
-Delayed epiphyseal closure
-Stunted bone age
-Premature aging
What is the primary focus of group therapy? Personal feelings that affect behavior.
Group setting allows for feedback that may enhance discovery of how feelings and
situations can drive behavior
A nurse is caring for a client with reduced mobility who has RA. To help hip flexion
deformities associated with RA; the nurse should help the client assume which of the
following positions in bed several times a day? Prone. It will help keep the hips and
knees in an extended position
The nurse is providing care for a client who was admitted with an exacerbation of
chronic obstructive pulmonary disease (COPD). On assessment the nurse finds the
client to be pale, short of breath, and their lung sounds reveal rhonchi. What is the best
initial action by the nurse? Encourage the client to take several deep breaths and
perform diaphragmatic coughing. The deep breaths will loosen secretions and coughing
deeply will allow these secretions to be expectorated
A charge nurse is planning a staff education session to discuss the meds used during
the care of a client experiencing GI bleeding. What med should the charge nurse
include in discussion? Vasopressin (manmade ADH). It is a vasopressor that can
constrict the arterioles and reduce inflow to portal vein
What is protamine sulfate used for? Antidote to heparin for clients experiencing a
severe bleeding episode
What should be done with unused portion of formula used in intermittent enteral
feedings? Refrigerated (up to 24 hrs) to prevent bacterial contamination
How long should the nurse elevate the HOB for a client after an intermitting feeding?
30-60 minutes
Intermittent feedings are administered how often and for how long? 4-6x times/day in
equal portions
30-45 min.
What material is used for deep granulation of a pressure ulcer? Impregnated gauze
and alginate to promote packing of the tissue
,Pressure wounds with minimal to moderate exudates can be dressed with what? Thin
hydrocolloid
What is the granulation phase of the healing process (of pressure ulcers)? Initial repair
of new tissues are formed to facilitate remodeling of the affected area
What is the leading type of healthcare-associated infection? Pneumonia
Encephalitis occurs most frequently d/t what? Viruses (e.g. herpes simplex I and II,
varicella zoster (chickenpox and shingles); measles, mumps, and rubella
How long should a nurse hold direct pressure on puncture sites after administering
alteplase? 30 min. or until oozing of blood stops
Pramipexole has what adverse effect? Hallucinations.
It is used for parkinson's to stimulate brain's DA receptors to decrease tremors and
rigidity associated with disease
In what trimester do uterine pain and significant bleeding occur? Plot twist! They're
never normal and should not occur in any trimester
In what trimester will a woman experience frequent urination? 3rd trimester
In what trimester will a woman feel the first fetal movements? 2nd trimester
In what trimester will a woman feel a renewed sense of energy? 2nd trimester
In what trimester will a woman develop breast tenderness? 1st trimester
How does STI risk affect boys relative to girls? Women are biologically more receptive
than men to infection by sexually transmitted organisms. E.g. girls will get them more
readily
In most circumstances, when there is a med error, the initial appropriate response will
be to? Contact the primary care provider, so that an appropriate order can be given to
counteract the med
What is a gastric lavage? flushing out the contents or excess fluid from stomach
What is the purpose of leucovorin? Folic acid derivative that is used to protect
healthy cells from the cytoxic affects of methotrexate
A nurse is preparing to initiate IV therapy on a client. What solution is the best choice for
preparing the client's skin at the insertion site? Chlorhexadine
, What is murophobia? Fear of mice
What is acrophobia? fear of heights
What is mysophobia? fear of dirt and germs
How does immobility affect urinary output? Urinary output decreases resulting in
urinary stasis, renal stones, urinary retention, and UTIs
What is Trousseau's sign? Inflating a BP above systolic pressure that elicits wrist and
hand flexion (carpal spasm), indicating hypocalcemia because of nerve excitability
What are the manifestations of autonomic dysreflexia? -Bradycardia
-Severe HA
-Flushing
-HTN
-Tachypnea
What is glossitis and what causes it? Smooth red tongue indicates pernicious
anemia
What supplement treats nausea caused by vertigo? Ginger root
What supplement decreases the risk and severity of symptoms of migraines?
Feverfew
*It also increases risk of bleeding by decreasing platelet aggregation
What supplement treats joint pain by reducing inflammation and promotes the body's
ability to make cartilage and synovial fluid? Glucosamine
What is cardiogenic shock? Occurs when the heart is damaged (large portion of
left ventricle dies) after an MI and is unable to supply sufficient blood to the body,
resulting in hypotension
What electrolyte changes occur with pancreatitis? Decreased calcium and
magnesium levels d/t fat breakdown
What is the major adverse effect of calcium antacids? Constipation
A nurse is assessing a client who has a diagnosis of RA. What nonpharmacological
intervention should the nurse suggest to the client to reduce pain? Alternate
application of heat and cold to affected joints. Cold can relieve joint swelling and heat
can decrease joint stiffness and pain
What supplement interferes with the effectiveness of levothyroxine? Calcium-can serve
as an antacid. Should not be taken within 4 hours of levothyroxine administration
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