med surg midterm SLCC UPDATED
ACTUAL Questions and CORRECT
Answers
partial compensation - CORRECT ANSWER - pH, CO2, and HCO3 are all off
Fully compensated - CORRECT ANSWER - pH is normal, but the other 2 are abnormal.
Uncompensated - CORRECT ANSWER - pH and one other value are abnormal.
metabolic acidosis - CORRECT ANSWER - low pH, low HCO3
metabolic alkalosis - CORRECT ANSWER - high pH, high HCO3
respiratory acidosis - CORRECT ANSWER - low pH, high CO2
hypoventiliation
respiratory alkalosis - CORRECT ANSWER - high pH, low CO2
hyperventilation
symptoms of atelectasis - CORRECT ANSWER - Dyspnea, tachypnea, pleural friction
rub, crackles, restlessness, fever, decreased breath sounds.
expectorants - CORRECT ANSWER - Guaifenesin
liquefy respiratory secretions so that they are more easily dislodged during coughing episodes
antitussives - CORRECT ANSWER - relieve or suppress coughing by blocking the cough
reflex in the medulla of the brain
, Guiafenesin brand names - CORRECT ANSWER - Robitussin, Mucinex
Hypervolemia - CORRECT ANSWER - bounding pulse, tachycardia, SOB, dyspnea,
rales/crackles, peripheral edema, HTN, urine specific gravity <1.010. semi fowler's, decreased
Hgb and Hct, and decreased BUN
Hypovolemia - CORRECT ANSWER - increased temp, rapid/weak pulse, increase
respiration, hypotension, anxiety, hypoxia.
Urine specific gravity >1.030. increased BUN and hematocrit (Hct)
diagnostic procedures for pneumonia - CORRECT ANSWER - -chest x-ray
-pulse oximetry
-sputum culture and sensitivity
s/s of pneumonia - CORRECT ANSWER - fever/chills, green mucos, shortness of breath,
(sharp/plueritic) chest pain, headache, crackling
primary med to treat CHF; cardiac glycoside - CORRECT ANSWER - digoxin (Lanoxin)
Left sided heart failure - CORRECT ANSWER - 1. Pnea, SOB
2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
right sided heart failure - CORRECT ANSWER - 1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
ACTUAL Questions and CORRECT
Answers
partial compensation - CORRECT ANSWER - pH, CO2, and HCO3 are all off
Fully compensated - CORRECT ANSWER - pH is normal, but the other 2 are abnormal.
Uncompensated - CORRECT ANSWER - pH and one other value are abnormal.
metabolic acidosis - CORRECT ANSWER - low pH, low HCO3
metabolic alkalosis - CORRECT ANSWER - high pH, high HCO3
respiratory acidosis - CORRECT ANSWER - low pH, high CO2
hypoventiliation
respiratory alkalosis - CORRECT ANSWER - high pH, low CO2
hyperventilation
symptoms of atelectasis - CORRECT ANSWER - Dyspnea, tachypnea, pleural friction
rub, crackles, restlessness, fever, decreased breath sounds.
expectorants - CORRECT ANSWER - Guaifenesin
liquefy respiratory secretions so that they are more easily dislodged during coughing episodes
antitussives - CORRECT ANSWER - relieve or suppress coughing by blocking the cough
reflex in the medulla of the brain
, Guiafenesin brand names - CORRECT ANSWER - Robitussin, Mucinex
Hypervolemia - CORRECT ANSWER - bounding pulse, tachycardia, SOB, dyspnea,
rales/crackles, peripheral edema, HTN, urine specific gravity <1.010. semi fowler's, decreased
Hgb and Hct, and decreased BUN
Hypovolemia - CORRECT ANSWER - increased temp, rapid/weak pulse, increase
respiration, hypotension, anxiety, hypoxia.
Urine specific gravity >1.030. increased BUN and hematocrit (Hct)
diagnostic procedures for pneumonia - CORRECT ANSWER - -chest x-ray
-pulse oximetry
-sputum culture and sensitivity
s/s of pneumonia - CORRECT ANSWER - fever/chills, green mucos, shortness of breath,
(sharp/plueritic) chest pain, headache, crackling
primary med to treat CHF; cardiac glycoside - CORRECT ANSWER - digoxin (Lanoxin)
Left sided heart failure - CORRECT ANSWER - 1. Pnea, SOB
2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
right sided heart failure - CORRECT ANSWER - 1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
