JERSEY COLLEGE MEDSURG
1 RN FINAL EXAM
cholecystitis - ANSWERS-A positive Murphy sign may indicate
_____________.
cholecystitis or cholelithiasis - ANSWERS-Pain in the URQ that
radiates to the back or right shoulder may indicate ____________ or
_________________.
low fat - ANSWERS-Diet following the early post op period of a
cholecystectomy(diet as tolerated at discharge).
bile - ANSWERS-Stored in the gallbladder and helps to emulsify fat
in the duodenum and absorb fat soluble substances (vitamin
A,D,E,K).
1 hour before and after meals - ANSWERS-Clamping the T tube for
(how long and when?) promotes bile flow and digestion.
meperidine - ANSWERS-Use of this drug could contribute to
seizures.
morphine - ANSWERS-This drug could cause spasms to the sphincter
of Oddi and is typically avoided in the setting of cholecystitis.
,pancreas - ANSWERS-Damage to this organ could result in endocrine
and exocrine dysfunction.
auto-digestion of the pancreas - ANSWERS-The release of pancreatic
enzymes into the pancreatic parenchyma leads to
______________________.
pancreatitis - ANSWERS-Midepigastric pain following a heavy meal
or alcohol ingestion could be a sign of ____________.
amylase and lipase - ANSWERS-Elevated serum _______ and
______ levels are typically observed in the setting of acute
pancreatitis.
bleeding into the intrabdominal or retroperitoneal from pancreatic
necrosis - ANSWERS-Grey Turner's or Cullen's sign may indicate:
measure abdominal girth q.daily - ANSWERS-In the setting of acute
pancreatitis or liver failure, what interventions should be performed
by the nurse to assess for ascites?
paralytic ileus - ANSWERS-Following abdominal surgery, the
patient's risk for______________ is increased.
True - ANSWERS-T/F - Hypotension could lead to acute renal injury.
,pneumonia
pressure ulcers
thrombophlebitis
constipation - ANSWERS-Bed rest increases the risk for these
conditions. (4)
destruction of beta cells
insulin resistance - ANSWERS-___________________ results in
Type 1 diabetes and _______________ results in Type 2 diabetes.
macrovascular
microvascular
neuropathy - ANSWERS-Three long term complications of diabetes.
Regular insulin - ANSWERS-Only type of insulin that can be
administered via IV.
sulfonylureas - ANSWERS-This class of drugs stimulate insulin
secretion and could lead to hypoglycemia.
Metformin
48 hours - ANSWERS-This drug should be stopped ____hours before
and after the administration of iodinated contrast medium.
, fat
ketone production
DKA - ANSWERS-In the absence of insulin _________ is used for
energy resulting in ______________ which increases the risk for
DKA(metabolic syndrome).
placental hormones - ANSWERS-These hormones contribute to
insulin resistance which could lead to gestational diabetes.
polydipsia
polyphagia
polyuria
vaginal infections
poor wound healing - ANSWERS-List classic signs of diabetes (5)
fasting >126
casual or random glucose >200
HgbA1 >6.5
2 Tests - ANSWERS-Blood sugar and HgbA1 levels that are
indicative of diabetes. How many tests are needed to determine this?
impair blood flow
destroy cells
1 RN FINAL EXAM
cholecystitis - ANSWERS-A positive Murphy sign may indicate
_____________.
cholecystitis or cholelithiasis - ANSWERS-Pain in the URQ that
radiates to the back or right shoulder may indicate ____________ or
_________________.
low fat - ANSWERS-Diet following the early post op period of a
cholecystectomy(diet as tolerated at discharge).
bile - ANSWERS-Stored in the gallbladder and helps to emulsify fat
in the duodenum and absorb fat soluble substances (vitamin
A,D,E,K).
1 hour before and after meals - ANSWERS-Clamping the T tube for
(how long and when?) promotes bile flow and digestion.
meperidine - ANSWERS-Use of this drug could contribute to
seizures.
morphine - ANSWERS-This drug could cause spasms to the sphincter
of Oddi and is typically avoided in the setting of cholecystitis.
,pancreas - ANSWERS-Damage to this organ could result in endocrine
and exocrine dysfunction.
auto-digestion of the pancreas - ANSWERS-The release of pancreatic
enzymes into the pancreatic parenchyma leads to
______________________.
pancreatitis - ANSWERS-Midepigastric pain following a heavy meal
or alcohol ingestion could be a sign of ____________.
amylase and lipase - ANSWERS-Elevated serum _______ and
______ levels are typically observed in the setting of acute
pancreatitis.
bleeding into the intrabdominal or retroperitoneal from pancreatic
necrosis - ANSWERS-Grey Turner's or Cullen's sign may indicate:
measure abdominal girth q.daily - ANSWERS-In the setting of acute
pancreatitis or liver failure, what interventions should be performed
by the nurse to assess for ascites?
paralytic ileus - ANSWERS-Following abdominal surgery, the
patient's risk for______________ is increased.
True - ANSWERS-T/F - Hypotension could lead to acute renal injury.
,pneumonia
pressure ulcers
thrombophlebitis
constipation - ANSWERS-Bed rest increases the risk for these
conditions. (4)
destruction of beta cells
insulin resistance - ANSWERS-___________________ results in
Type 1 diabetes and _______________ results in Type 2 diabetes.
macrovascular
microvascular
neuropathy - ANSWERS-Three long term complications of diabetes.
Regular insulin - ANSWERS-Only type of insulin that can be
administered via IV.
sulfonylureas - ANSWERS-This class of drugs stimulate insulin
secretion and could lead to hypoglycemia.
Metformin
48 hours - ANSWERS-This drug should be stopped ____hours before
and after the administration of iodinated contrast medium.
, fat
ketone production
DKA - ANSWERS-In the absence of insulin _________ is used for
energy resulting in ______________ which increases the risk for
DKA(metabolic syndrome).
placental hormones - ANSWERS-These hormones contribute to
insulin resistance which could lead to gestational diabetes.
polydipsia
polyphagia
polyuria
vaginal infections
poor wound healing - ANSWERS-List classic signs of diabetes (5)
fasting >126
casual or random glucose >200
HgbA1 >6.5
2 Tests - ANSWERS-Blood sugar and HgbA1 levels that are
indicative of diabetes. How many tests are needed to determine this?
impair blood flow
destroy cells
