SWIFT RIVER MED SURG CERTIFICATION
EVALUATION COMPLETE QUESTIONS AND
ANSWERS GRADED A PLUS
●● contractures, ulcers, pneumonia, incontinence
Answer: effects of immobility
●● ROM, physical therapy, braces, special beds
Answer: how to prevent contractures
●● fat embolism
Answer: major complication of a long bone fracture which turns into a
pulmonary embolism
●● 5-15 mins, take a shower
Answer: how long does fiber cast take to dry and what can a pt with a
fiber glass cast not do
●● carry with flat palms
Answer: how to move cast
●● educate pt when in right state of mind so they are informed
,Answer: what is the importance of presurgical education
●● color, temp, cap refill, pulses
Answer: circ checks to perform once cast is on
●● up, down
Answer: how to position amputated limb for first 24 vs next 24
●● Gabapentin (Neurontin)
Answer: med for phantom pain
●● gout
Answer: a type of arthritis characterized by deposits of uric acid crystals
in the joints, causes joint pain
●● (anything with purine) gravy, meat, alcohol, fish, organ meat
Answer: foods for pts with gout to avoid
●● Colchine, Allopurinol; diarrhea (stop bed if diarrhea occurs)
Answer: 2 meds to treat gout and the side effect
●● keep head of femur (acetabulum) from popping out
, Answer: why is it important for a pt with a hip replacement to keep their
leg ABDUCTED for the first 24 hours?
●● foley is blocked/not draining, you should irrigate (mucus blocked
catheter) with saline
Answer: if a client has a foley catheter why would they call you in the
room stating the need to urinate
●● discard and record amount of first urine sample, record and collect
for 24 hours, collect and record last sample
Answer: how to do 24 urine collection
●● orthopneic position
Answer: sitting up and leaning over a table to breathe, important to resp
pts to allow good oxygen perfusion and easier breathing
●● headache, drowsy, restless, blurred vision, change in mental status
Answer: early signs of icp
●● eyes and ears, clear
Answer: leakage of spinal fluid will be from where and what color
●● increase fluid, wipe front to back, wear cotton underwear, no baths
EVALUATION COMPLETE QUESTIONS AND
ANSWERS GRADED A PLUS
●● contractures, ulcers, pneumonia, incontinence
Answer: effects of immobility
●● ROM, physical therapy, braces, special beds
Answer: how to prevent contractures
●● fat embolism
Answer: major complication of a long bone fracture which turns into a
pulmonary embolism
●● 5-15 mins, take a shower
Answer: how long does fiber cast take to dry and what can a pt with a
fiber glass cast not do
●● carry with flat palms
Answer: how to move cast
●● educate pt when in right state of mind so they are informed
,Answer: what is the importance of presurgical education
●● color, temp, cap refill, pulses
Answer: circ checks to perform once cast is on
●● up, down
Answer: how to position amputated limb for first 24 vs next 24
●● Gabapentin (Neurontin)
Answer: med for phantom pain
●● gout
Answer: a type of arthritis characterized by deposits of uric acid crystals
in the joints, causes joint pain
●● (anything with purine) gravy, meat, alcohol, fish, organ meat
Answer: foods for pts with gout to avoid
●● Colchine, Allopurinol; diarrhea (stop bed if diarrhea occurs)
Answer: 2 meds to treat gout and the side effect
●● keep head of femur (acetabulum) from popping out
, Answer: why is it important for a pt with a hip replacement to keep their
leg ABDUCTED for the first 24 hours?
●● foley is blocked/not draining, you should irrigate (mucus blocked
catheter) with saline
Answer: if a client has a foley catheter why would they call you in the
room stating the need to urinate
●● discard and record amount of first urine sample, record and collect
for 24 hours, collect and record last sample
Answer: how to do 24 urine collection
●● orthopneic position
Answer: sitting up and leaning over a table to breathe, important to resp
pts to allow good oxygen perfusion and easier breathing
●● headache, drowsy, restless, blurred vision, change in mental status
Answer: early signs of icp
●● eyes and ears, clear
Answer: leakage of spinal fluid will be from where and what color
●● increase fluid, wipe front to back, wear cotton underwear, no baths
