Exam (elaborations)
Med Surg Midterm SLCC Exam Questions with Correct Answers
partial compensation - Answer-pH, CO2, and HCO3 are all off
Fully compensated - Answer-pH is normal, but the other 2 are abnormal.
Uncompensated - Answer-pH and one other value are abnormal.
metabolic acidosis - Answer-low pH, low HCO3
metabolic alkalosis - Answer-high pH, high HCO3
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Med Surg Midterm SLCC Exam
Questions with Correct Answers
partial compensation - Answer-pH, CO2, and HCO3 are all off
Fully compensated - Answer-pH is normal, but the other 2 are abnormal.
Uncompensated - Answer-pH and one other value are abnormal.
metabolic acidosis - Answer-low pH, low HCO3
metabolic alkalosis - Answer-high pH, high HCO3
respiratory acidosis - Answer-low pH, high CO2
hypoventiliation
respiratory alkalosis - Answer-high pH, low CO2
hyperventilation
symptoms of atelectasis - Answer-Dyspnea, tachypnea, pleural friction rub, crackles,
restlessness, fever, decreased breath sounds.
expectorants - Answer-Guaifenesin
liquefy respiratory secretions so that they are more easily dislodged during coughing
episodes
antitussives - Answer-relieve or suppress coughing by blocking the cough reflex in the
medulla of the brain
Guiafenesin brand names - Answer-Robitussin, Mucinex
Hypervolemia - Answer-bounding pulse, tachycardia, SOB, dyspnea, rales/crackles,
peripheral edema, HTN, urine specific gravity <1.010. semi fowler's, decreased Hgb and
Hct, and decreased BUN
Hypovolemia - Answer-increased temp, rapid/weak pulse, increase respiration,
hypotension, anxiety, hypoxia.
Urine specific gravity >1.030. increased BUN and hematocrit (Hct)
diagnostic procedures for pneumonia - Answer--chest x-ray
-pulse oximetry
-sputum culture and sensitivity
, s/s of pneumonia - Answer-fever/chills, green mucos, shortness of breath,
(sharp/plueritic) chest pain, headache, crackling
primary med to treat CHF; cardiac glycoside - Answer-digoxin (Lanoxin)
Left sided heart failure - Answer-1. Pnea, SOB
2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
right sided heart failure - Answer-1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
Lab test for heart failure - Answer-BNP
lab tests for an MI - Answer-troponin
CK-MB
normal range for potassium - Answer-3.5-5.0 mEq/L
Normal range for sodium - Answer-135-145 mEq/L
normal range for calcium - Answer-8.5-10.5 mg/dL
normal range for magnesium - Answer-1.3-2.1 mEq/L
normal range of chloride - Answer-98-106 mEq/L
normal range of phosphorus - Answer-3-4.5mg/dL
Asthma Medications - Answer-Medications
• Quick relief (rescue): Short-acting β2 agonists, systemic corticosteroids
• Long term (preventer): Corticosteroids, antiallergy agents, NSAIDS, long-acting β2
agonists, leukotriene modifiers (Singulair), long-acting bronchodilators, nebulizers
Theophylline: monitor serum levels-ER settings
Leukotriene modifiers-(Singulair) block inflammation & bronchospasm effects
Chest physiotherapy
• Breathing exercises; physical training
Beta 2 adrenergic agonists - Answer-Albuterol
Beta Blockers - Answer-metoprolol
propranolol