GALEN MED SURG 170 EXAM 1 2024/ACTUAL EXAM
WITH 250 QUESTIONS AND ACCURATE
SOLUTIONS/MED SURG 170 EXAM 1 2024/ALREADY
GRADED A+
The nurse is caring for a client with several broken ribs. The client is most likely to
experience what type of acid-base imbalance? CORRECT ANS :->>Respiratory
acidosis due to inadequate ventilation
What are the S/S of Phlebitis? and what would you do to treat it? -
Precise CORRECT ANS:->>Red inflamed hard painful vein to treat it, you would
remove the IV, avoid bending the arm, and use awarm compress
What are the S/S of infiltration? and what would you do to treat it? CORRECT
ANS:->>This is where the IV fluid goes out the vein, the S/Swill be edema, taunt
skin, burning, cool to touch. To treat it, you would stop and remove IV, elevate
arm and use or hot or cold compress.
What are the S/S of Extravasation? and what would you do to treat it? CORRECT
ANS:->>Sloughing, blistering. To treat, stop the infusion, and disconnect, aspirate
drug
What maneuver should be used when removing a picc line? CORRECT ANS:-
>>valsava
what is the VALSAVA MANEUVER? CORRECT ANS:->>closingyour
mouth and nose and blowing out
,platelet counts CORRECT ANS:->>150-400
sodium level CORRECT ANS:->>135-145
Creatine CORRECT ANS:->>0.6-1.2 and 0.5-1.1
Calcium CORRECT ANS:->>9-10.5
magnesium CORRECT ANS:->>1.5-2.5Ph
level CORRECT ANS:->>7.35-7.45
CO2 level CORRECT ANS:->>35-45
HCO3 level CORRECT ANS:->>22-28
What is packed RBC's used for and how long does it infuse for?
CORRECT ANS:->>anemia <6 and over 2-4 hours
What is FFP used for? and how long is it infused for? Answer
✔✔it's for clotting factors and is infused over 15-30mins
,What is WBC's used for? and how long is it infused for? CORRECT ANS:-
>>it's for infections/neutropenia and infuses over 45mins-1hr
What are platelets used for and how long is it infused for? CORRECT ANS:->>for
thrombocytopenia and infused over 15-30mins
What is albumin used for? CORRECT ANS:->>it is an plasma expander
What a Hospital patient is at risk for acidosis, what should you assess FIRST?
CORRECT ANS:->>Cardiovascular system because acidosis can lead tocardiac
arrest
What should be assessed first for a post op Hospital patient? Answer
✔✔respiratory system and O2 sats
If a Hospital patient with a epidural requests a heat/cold pack for their back,
would you give it to them? CORRECT ANS:->>heckkkkkkk no
What medication injected to the belly, subcutaneously prevents DVT? CORRECT
ANS:->>lovenox
What will a Hospital patients bloop pressure look like when they're
hemorrhaging? CORRECT ANS:->>it will shoot up high, then bottomout
Neuropathic drugs CORRECT ANS:->>gabapentin and pregabalin
, Gabapentin and pregabalin are in what drug class? Answer
✔✔anti epileptics
What is the reversal agent for opioids? Answer
✔✔Naloxone(narcan)
What are the effects from opioids? CORRECT ANS:->>urinaryretention,
nausea, vomiting, constipation
Muntimodal CORRECT ANS:->>use of 2 or more drugs
What therapy is used for post-op Hospital patients? Answer
✔✔combination therapy
Where and how long are TENS units placed CORRECT ANS:->>righton the site of
pain and for as long as they need
What does a hemorrhage usually end up as? CORRECT ANS:->>ahematoma
What foods should be eaten to treat anemia? CORRECT ANS:->>red meat and green
leafy veggies
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