Complex Med Surg Exam 1 Questions And
Answers
Serves as guidelines for critical care nurses, establishes goals for patient care. - ANS
AACN Standards for Acute and Critical Care Nursing Practice
What makes delirium different from dementia? - ANS 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? - ANS
False- it is associated with high rates of mortality and morbidity.
3 Types of Delirium and characteristics - ANS Hyperactive- agitated, combative,
disoriented
Hypoactive- quiet delirium
Mixed- fluctuating between hyperactive and hypoactive
Risk factors for delirium - ANS 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 - ANS haloperidol
Biggest risk for delirium patients - ANS FALLS
ABCDE Bundle for Delirium - ANS A-Awakening
B- Breathing Coordination
C- Choice of Sedation
D- Delirium Monitoring
E-Early mobility and exercise
living will, advanced directive - ANS A document that indicates what medical intervention
an individual wants if he or she becomes incapable of expressing those wishes.
Abandonment - ANS -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 - ANS -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 _________ - ANS Not initiating
Weaning or removing
True or false: family presence during codes is promoted - ANS True!
Breast Cancer Early Detection Guidelines - ANS 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 - ANS Starting at 50, both men and women
should get a colonoscopy every 10 years.
Cervical Cancer Detection Guidelines - ANS -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 - ANS 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 - ANS -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 - ANS -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? - ANS bone marrow
What makes up the majority of blood? - ANS plasma
What is hematopoiesis and where does it occur? - ANS The process of replenishing blood
cells
Main site is in the bone marrow---makes stem cells which then differentiate into leukocytes,
erythrocytes, and thrombocytes
Answers
Serves as guidelines for critical care nurses, establishes goals for patient care. - ANS
AACN Standards for Acute and Critical Care Nursing Practice
What makes delirium different from dementia? - ANS 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? - ANS
False- it is associated with high rates of mortality and morbidity.
3 Types of Delirium and characteristics - ANS Hyperactive- agitated, combative,
disoriented
Hypoactive- quiet delirium
Mixed- fluctuating between hyperactive and hypoactive
Risk factors for delirium - ANS 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 - ANS haloperidol
Biggest risk for delirium patients - ANS FALLS
ABCDE Bundle for Delirium - ANS A-Awakening
B- Breathing Coordination
C- Choice of Sedation
D- Delirium Monitoring
E-Early mobility and exercise
living will, advanced directive - ANS A document that indicates what medical intervention
an individual wants if he or she becomes incapable of expressing those wishes.
Abandonment - ANS -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 - ANS -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 _________ - ANS Not initiating
Weaning or removing
True or false: family presence during codes is promoted - ANS True!
Breast Cancer Early Detection Guidelines - ANS 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 - ANS Starting at 50, both men and women
should get a colonoscopy every 10 years.
Cervical Cancer Detection Guidelines - ANS -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 - ANS 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 - ANS -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 - ANS -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? - ANS bone marrow
What makes up the majority of blood? - ANS plasma
What is hematopoiesis and where does it occur? - ANS The process of replenishing blood
cells
Main site is in the bone marrow---makes stem cells which then differentiate into leukocytes,
erythrocytes, and thrombocytes
