CMSRN EVALUATION EXAM 2O26 QUESTIONS AND
ANSWERS GRADED A+
✔✔Hypocalcemia Symptoms - ✔✔Tetany
Trousseaus- BP cuff
Chvostek's- facial nerve
"Pins and needles, lips burning, numbness"
✔✔Hypocalcemia Tx - ✔✔Increase Ca and vitamin D intake
TUMS- phosphate binding antacid
IV Ca Gluconate
✔✔Phosphate - ✔✔Bone/teeth strength
Metabolism of carbs, fats, proteins
Acid base balance
INVERSE W/ CA
Ex: hypophos looks like hypercal
✔✔Magnesium - ✔✔metabolism of carbohydrates and proteins and fats
muscle contraction
If levels off- torsades
DO NOT GIVE TO PATIENTS WITH RENAL IMPAIRMENT
✔✔Isotonic Solutions - ✔✔Volume expander- cell stays same size
NS, LR
✔✔Hypertonic Solutions - ✔✔Cells Shrink- fluid leaves cell and goes to vascular space
Correctional fluid
D5LR D5NS
Traumas, surgeries
Never for dehydrated its
✔✔Hypotonic Solutions - ✔✔Cell Swells
Dehydrated pts
1/2 NS or 1/4 NS
✔✔Gallbladder location - ✔✔RUQ
✔✔Appendix location - ✔✔RLQ
✔✔Stomach location - ✔✔LUQ
✔✔Bowel pain location - ✔✔LLQ
, ✔✔GERD Symptoms - ✔✔Dyspepsia
Heartburn
Hoarse voice
✔✔GERD Dx - ✔✔Barium swallow- teaching- chalky BM, Increase PO fluids after
Endo
✔✔GERD tx - ✔✔PPI
H2 blockers
✔✔Gastric Ulcer - ✔✔Pain right after eating
High epigastric area
Pain with empty stomach if erosion through mucosa
✔✔Duodenal Ulcer - ✔✔Pain at night or 2-4 hrs after eating
Chronic may be asymptomatic
Pain waxes and wanes
✔✔Peptic Ulcer Tx - ✔✔Milk makes worse
PPI, H2 blockers
Lifestyle changes
Flagyl- h pylori
PPI- short term, long term increases osteoporosis risk
✔✔Crohn's - ✔✔Entire bowel system
Cobblestone
ALL LAYERS
No rectal bleeding
✔✔Ulcerative Colitis - ✔✔Left colon
Starts at rectum and ascends
Bloody diarrhea
Shallow ulcers
✔✔Diet for inflammatory bowel disease - ✔✔low residue
low fiber
low fat
low processed
high protein and carbs
✔✔IBD treatment - ✔✔Immodium- if C.Diff not present
Steroids
Sulfasalazine
ANSWERS GRADED A+
✔✔Hypocalcemia Symptoms - ✔✔Tetany
Trousseaus- BP cuff
Chvostek's- facial nerve
"Pins and needles, lips burning, numbness"
✔✔Hypocalcemia Tx - ✔✔Increase Ca and vitamin D intake
TUMS- phosphate binding antacid
IV Ca Gluconate
✔✔Phosphate - ✔✔Bone/teeth strength
Metabolism of carbs, fats, proteins
Acid base balance
INVERSE W/ CA
Ex: hypophos looks like hypercal
✔✔Magnesium - ✔✔metabolism of carbohydrates and proteins and fats
muscle contraction
If levels off- torsades
DO NOT GIVE TO PATIENTS WITH RENAL IMPAIRMENT
✔✔Isotonic Solutions - ✔✔Volume expander- cell stays same size
NS, LR
✔✔Hypertonic Solutions - ✔✔Cells Shrink- fluid leaves cell and goes to vascular space
Correctional fluid
D5LR D5NS
Traumas, surgeries
Never for dehydrated its
✔✔Hypotonic Solutions - ✔✔Cell Swells
Dehydrated pts
1/2 NS or 1/4 NS
✔✔Gallbladder location - ✔✔RUQ
✔✔Appendix location - ✔✔RLQ
✔✔Stomach location - ✔✔LUQ
✔✔Bowel pain location - ✔✔LLQ
, ✔✔GERD Symptoms - ✔✔Dyspepsia
Heartburn
Hoarse voice
✔✔GERD Dx - ✔✔Barium swallow- teaching- chalky BM, Increase PO fluids after
Endo
✔✔GERD tx - ✔✔PPI
H2 blockers
✔✔Gastric Ulcer - ✔✔Pain right after eating
High epigastric area
Pain with empty stomach if erosion through mucosa
✔✔Duodenal Ulcer - ✔✔Pain at night or 2-4 hrs after eating
Chronic may be asymptomatic
Pain waxes and wanes
✔✔Peptic Ulcer Tx - ✔✔Milk makes worse
PPI, H2 blockers
Lifestyle changes
Flagyl- h pylori
PPI- short term, long term increases osteoporosis risk
✔✔Crohn's - ✔✔Entire bowel system
Cobblestone
ALL LAYERS
No rectal bleeding
✔✔Ulcerative Colitis - ✔✔Left colon
Starts at rectum and ascends
Bloody diarrhea
Shallow ulcers
✔✔Diet for inflammatory bowel disease - ✔✔low residue
low fiber
low fat
low processed
high protein and carbs
✔✔IBD treatment - ✔✔Immodium- if C.Diff not present
Steroids
Sulfasalazine
