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Complex Med Surg Exam 1 Questions And Answers With Verified Solutions Already Passed!!!
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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
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