JERSEY COLLEGE
Advanced Med-Surg Principles Jersey College Mid-
Term Exam Questions and Answers (100% Pass)
Ch 39: What is used to control edema following an arthoscopy? -
Answer✔️✔️-- compression
- elevation
- joint extension
Ch 39: What are two complicants following an arthoscopy? -
Answer✔️✔️-- infection
- bleeding
Ch 39: What is lab value elevated in liver disease or bone disorders?
- Answer✔️✔️-alkaline phosphate
Ch 39: What is nephrotoxic and contraindicated in a pt who has an
allergy to iodine, shellfish, or seafood, who may be pregnant, or has
elevated creatinine levels? - Answer✔️✔️-contrast medium
Ch 39: What is important to intruct on during a bone scan using an
isotope? - Answer✔️✔️-hydration is used to eliminate the isotope
Ch 39: What diagnostic test is used to help distinguish muscle from
nerve disorders by directly stimulating muscle cells? - Answer✔️✔️-
electromyography
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Ch 39: What two interventions do you do for the diagnostic test
electromyography? - Answer✔️✔️-- check for use of anticoagulants
prior to it (bleeding in the muscle could occur)
- apply warm compress to relieve discomfort following the test
Ch 39: What two complications do diagnostic procedures that
disrupt skin surfaces cause? - Answer✔️✔️-increased risk of:
- infection
- bleeding
Ch 39: What decreases serum calcium levels? - Answer✔️✔️-
calcitonin
Ch 39: What increases serum calcium levels? - Answer✔️✔️-
parathyroid hormone
Ch 39: When phophorus levels rise the calcium levels do what? -
Answer✔️✔️-- decrease
- pt can present with S/S of hypocalcemia
Ch 39: What holds articulating bones together and an injury can
impair movement? - Answer✔️✔️-ligaments
Ch 39: What connects muscle to bone and an injury can impair
movement? - Answer✔️✔️-tendons
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JERSEY COLLEGE
Ch 39: What can helo support bone formation? - Answer✔️✔️--
weight bearing exercises
- sex hormones
- calcitonin
- calcium intake
Ch 39: Adults over 50 require how much Vit D daily to help prevent
osteoporosis? - Answer✔️✔️-800 - 1000 IU
Ch 39: What is important to instruct pts on consuming in regards
to helping to prevent osteoporosis? - Answer✔️✔️-- 1,200 mg of
calcium daily
- 600 IU Vit D daily (with intake of low-fat milk, yogart, and cheese)
Ch 39: What can increase bone resorption and could lead to
osteoporosis? - Answer✔️✔️-- excessive cortisol production
- excessive thyroid hormone production
Ch 39: What stimulates osteoblastic (bone formation) activity and
inhibits osteoclastic (bone resorption) activity? - Answer✔️✔️-
estrogen
Ch 39: Compromised estrogen levels in menopause can increase the
risk of? - Answer✔️✔️-osteoporosis
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Ch 39: What two things can result in a loss in height? - Answer✔️✔️-
- vertebral fractures
- loss vertebral cratilage
Ch 40: Because external fixators increase the risk for osteomyelitis
you should do what for the pt? - Answer✔️✔️-perform pin site care
using the aseptic technique (use chlorhexidine 2 mg/mL solution
unless contraindicated)
Ch 40: How do you properly clean/perfom pin care for a pt? -
Answer✔️✔️-clean with a circular motion from the inner to the outer
region and cleaning each site separately
Ch 40: What is used to help reduce complication related to pain? -
Answer✔️✔️-PCA (pt controlled analgesia)
Ch 40: What can occur following some fractures due to the loss of
blood to the bone so pts must be closely monitored for increased
pain and a decrease in mobility? - Answer✔️✔️-avascular necrosis
Ch 40: What are three complications that can arise following
fractures? - Answer✔️✔️-- hypovolemic shock (hemorrhage)
- fat embolism (in long bones)
- compartment syndrome
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