Med Surg ATI midterm exam with questions and verified answers

Med Surg ATI midterm exam with questions and verified answers Right Sided Stroke - ANSWER impulsive behavior, poor judgement Left Sided Stroke - ANSWER Aphasia Priority for autonomic dysreflexia - ANSWER Elevate HOB then empty bladder/bowels Osteoarthritis - ANSWER Normal wear and tear of joints involving crepitus, decreased ROM, resolves with rest Craniotomy wound drainage - ANSWER Should be < 50mL/8 hrs Meds for primary angle closure glaucoma - ANSWER osmotic diuretics (Mannitol) Greatest risk after thoracentesis - ANSWER Pneumothorax Suctioning - ANSWER Increases ICP! TB is what kind of precautions - ANSWER Airborne Normal pH, CO2, HCO3 - ANSWER pH: 7.35-7.45 CO2: 35-45 HCO3: 22-26 Chest tube chambers - ANSWER 1st chamber: drainage, should be <70mL, report if cloudy or red 2nd chamber: water seal, tidaling is normal 3rd chamber: suction control, gentle bubbling normal Continuous bubbling in water seal chamber - ANSWER Air leak S/S of hypoxemia (early and late) - ANSWER Early: restlessness, tachycardia, tachypnea, pale skin, increased BP, nasal flaring Late: confusion, bradycardia, decreased BP S/S of O2 toxicity - ANSWER substernal pain, stuffiness, N/V, sore throat, hypoventilation TB meds - ANSWER 1. Isoniazid (Nydrazid) or INH 2. Rifampin 3. Pyrazinamide 4. Ethambutol take for 6-12 months, sputum samples q 4 weeks Isoniazid (INH) - ANSWER Watch for tingling in hands and feet (neurotox) and take with Vit B6 Rifamipin - ANSWER Can create orange secretions, interferes with hormonal BC Ethambutol - ANSWER test visual acuity and color tests Thrombolytics - ANSWER altepase (Activase) and streptokinase give slowly to prevent hypotension ARDS - ANSWER dyspnea, bilateral pulmonary edema, decreased lung compliance, diffuse infiltrates, orthopnea, rapid, shallow breathing caused by near drowning, OD, dysphasia, CABG Cholesterol - ANSWER <200 HDL - ANSWER 35-80 LDL - ANSWER <130 Triglycerides - ANSWER 40-160 S/S of cardiac tamponade - ANSWER hypotension, JVD, muffled heart sounds ECG lead placement - ANSWER CABG - ANSWER diuretics stopped 2-3 days before aspirin stopped 1 week before compartment syndrome - ANSWER tingling, numbness, pain on passive movement Peripheral arterial disease - ANSWER decreased pulses in lower extremities, thick toenails, rubor in dependent position, intermittent claudication Myglobin - ANSWER earliest marker for injury to cardiac or skeletal muscle CKMB - ANSWER peaks 24 hrs (most indicative of MI) Troponin I - ANSWER detectable up to 1 week