Exam (elaborations)
Complex Med Surg Exam 1 Questions And Answers With Verified Solutions Already Passed!!!
- Course
- Institution
Complex Med Surg Exam 1 Questions And Answers With Verified Solutions Already Passed!!!
[Show more]
Content preview
Complex Med Surg Exam 1 QuestionsAnd Answers With Verified Solutions
Already Passed!!!
Serves as guidelines for critical care nurses, establishes goals for patient care. -
ANSWER✔✔AACN Standards for Acute and Critical Care Nursing Practice
What makes delirium different from dementia? - ANSWER✔✔Delirium is fast
onset, acute in nature, and there is usually a cause to it.
True or False: Delirium is associated with low rates of mortality and morbidity? -
ANSWER✔✔False- it is associated with high rates of mortality and morbidity.
3 Types of Delirium and characteristics - ANSWER✔✔Hyperactive- agitated,
combative, disoriented
Hypoactive- quiet delirium
Mixed- fluctuating between hyperactive and hypoactive
Risk factors for delirium - ANSWER✔✔Older than 70, came from a nursing
home, hx of substance abuse, renal or liver disease, central lines, physical
restraints.
Drug of choice for delirium - ANSWER✔✔haloperidol
Biggest risk for delirium patients - ANSWER✔✔FALLS
ABCDE Bundle for Delirium - ANSWER✔✔A-Awakening
B- Breathing Coordination
C- Choice of Sedation
D- Delirium Monitoring
E-Early mobility and exercise
living will, advanced directive - ANSWER✔✔A document that indicates what
medical intervention an individual wants if he or she becomes incapable of
expressing those wishes.
,Abandonment - ANSWER✔✔-Severing professional relationship when patient is
in need of care
-Can even happen if you go to lunch and do not transfer care to another nurse
Moral conflict - ANSWER✔✔-Nurse not required to practice if situation violates
moral or religious beliefs
-Must transfer care to another nurse to avoid abandonment
Witholding: not ________
Withdrawing: not _________ - ANSWER✔✔Not initiating
Weaning or removing
True or false: family presence during codes is promoted - ANSWER✔✔True!
Breast Cancer Early Detection Guidelines - ANSWER✔✔40-44 yrs- women
should have the choice to have annual mammograms
45-54- should get mammograms annually
55 and older- should switch to mammograms every 2 years
(unless genetically predisposed to breast cancer, then should get an MRI and
mammograms)
Colon and Rectal Cancer Detection Guidelines - ANSWER✔✔Starting at 50, both
men and women should get a colonoscopy every 10 years.
Cervical Cancer Detection Guidelines - ANSWER✔✔-Cervical cancer testing
should start at age 21 (every 3 years), those under this age shouldn't be tested.
-Women between 21 and 29 should also have a Pap done every 3 years.
-Women 30-65 should have Pap and HPV every 5 years.
Endometrial (uterine) cancer screening - ANSWER✔✔At time of menopause,
women should be educated about signs and symptoms of endometrial cancer and
should report any extra vaginal bleeding to doctors.
Lung cancer screening - ANSWER✔✔-Done by CT scan
-Only for high risk patients, must have all of the following:
1. 55-74 years of age
2. In good health
3. Have at least a 30 pack year smoking history
, Prostate cancer screening - ANSWER✔✔-If you decide to be tested, you should
get a PSA blood test with or without a rectal exam. How often you're tested will
depend on your PSA level.
-At age 50, men should ask doctors if they are at risk for developing prostate
cancer.
Where is blood produced? - ANSWER✔✔bone marrow
What makes up the majority of blood? - ANSWER✔✔plasma
What is hematopoiesis and where does it occur? - ANSWER✔✔The process of
replenishing blood cells
Main site is in the bone marrow---makes stem cells which then differentiate into
leukocytes, erythrocytes, and thrombocytes
Function of the liver? - ANSWER✔✔Filters and stores our blood supply. This is
our reserve in case we lose a large amount of blood.
What do lymph nodes do? - ANSWER✔✔filter lymph and foreign matter
What does the spleen do? - ANSWER✔✔Produces lymphocytes, filters blood, and
destroys erythrocytes when they are too old
What do mature erythrocytes consist mostly of? - ANSWER✔✔hemoglobin
What binds to hemoglobin? - ANSWER✔✔Oxygen
Lifespan of an erythrocyte is about ___ days. - ANSWER✔✔120
Why will renal failure patients not have a normal erythrocyte lifespan? -
ANSWER✔✔Because of lack of erythropoietin that is produced in the kidneys.
What can renal failure patients get in order to normalize erythrocyte cycles? -
ANSWER✔✔Epogen----synthetic erythropoietin
Normal hemoglobin levels for men and women - ANSWER✔✔Men: 14-18
Women: 12-16
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller classhub. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now