MED SURG 120/NURS 120 FINAL EXAM
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questions with answers |\ |\
trans-cultural nursing - CORRECT ANSWERS ✔✔providing care to |\ |\ |\ |\ |\ |\ |\ |\
patients and families across cultural variations. Acknowledge,
|\ |\ |\ |\ |\ |\ |\
respect, & adapt to patient.
|\ |\ |\ |\
Culture can strongly influence a patients thinking, doing, and
|\ |\ |\ |\ |\ |\ |\ |\ |\
being.
Five signs of inflammation - CORRECT ANSWERS ✔✔redness,
|\ |\ |\ |\ |\ |\ |\ |\
warmth, swelling, pain, loss of function.
|\ |\ |\ |\ |\
sequence of events of inflammation - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔vasodilation, increased vascular permeability (increased |\ |\ |\ |\ |\
plasma), & leukocyte cellular infiltration
|\ |\ |\ |\ |\
*Repairative process*begins at same time as injury** |\ |\ |\ |\ |\ |\
cultural nursing assessment - CORRECT ANSWERS ✔✔Systematic
|\ |\ |\ |\ |\ |\ |\
way to identify the beliefs, values, meanings, and behaviors of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
people while considering their history, life experiences, and the
|\ |\ |\ |\ |\ |\ |\ |\ |\
social and physical environments in which they live.
|\ |\ |\ |\ |\ |\ |\
*"Know Thyself" know your own cultural attitudes, beliefs.
|\ |\ |\ |\ |\ |\ |\ |\
Recognize that every one has cultural "baggage" do not judge
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anyone for their beliefs*
|\ |\ |\
Blood Transfusion - CORRECT ANSWERS ✔✔blood must be started
|\ |\ |\ |\ |\ |\ |\ |\
within 15-20 minutes from obtaining the blood.
|\ |\ |\ |\ |\ |\ |\ |\
,18G needle prefered (20 or higher can be used)
|\ |\ |\ |\ |\ |\ |\ |\
Blood Transfusion Consent - CORRECT ANSWERS ✔✔A patient's
|\ |\ |\ |\ |\ |\ |\ |\
written permission to receive blood or blood products. *IF* the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is unable to sign and it is an emergency situation two
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
doctors can sign the consent. |\ |\ |\ |\
Jehovah's Witness - CORRECT ANSWERS ✔✔No blood products|\ |\ |\ |\ |\ |\ |\ |\
should be used |\ |\
blood transfusion procedure - CORRECT ANSWERS ✔✔any
|\ |\ |\ |\ |\ |\ |\
allergies?- type & cross match blood, check blood for bubbles,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dark color, or cloudiness- change IV line (per policy usually one
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or two units of blood per line)- ID check by two nurses- baseline
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vitals- start with normal saline- run blood slowly for first 15
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes- stay with client for 15-30 min- recheck vital signs after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
15 of infusing blood- if no adverse affects increase rate- take vital
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
signs every hour until completed and then every 3 hours (or per
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
facility protocol)- inform pt to report any s/s of reactions
|\ |\ |\ |\ |\ |\ |\ |\ |\
reactions during blood transfusion - CORRECT ANSWERS ✔✔stop
|\ |\ |\ |\ |\ |\ |\ |\
the blood first! restart saline, notify health care provider, may
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
use supportive care (benadryl, oxygen, corticosteriods)
|\ |\ |\ |\ |\
Electrolyte values - CORRECT ANSWERS ✔✔Sodium: 135-145 (- |\ |\ |\ |\ |\ |\ |\
natremia)
Chloride: 96-106 (-chloremia) |\ |\
Calcium: 8.5-10.5 (-calcemia) |\ |\
Potassium: 3.5-5.5 (-kalemia) |\ |\
, Magnesium: 1.5-2.5 (-magnesemia) |\ |\
Phosphorus: 2.7-4.5 (-phosphatemia) |\ |\
FVD (fluid volume deficit) - CORRECT ANSWERS ✔✔hypovolemia
|\ |\ |\ |\ |\ |\ |\
FVE (fluid volume excess) - CORRECT ANSWERS ✔✔hypervolemia
|\ |\ |\ |\ |\ |\ |\
ABG (Arterial Blood Gas) - CORRECT ANSWERS ✔✔essential part
|\ |\ |\ |\ |\ |\ |\ |\ |\
of diagnosing & managing oxygenation status and acid-base
|\ |\ |\ |\ |\ |\ |\ |\
balance of high-risk patients |\ |\ |\
ABG's values (normal) - CORRECT ANSWERS ✔✔pH:7.35-7.45
|\ |\ |\ |\ |\ |\ |\
Pco2: 45-35 (lungs/respiratory)
|\ |\
Hco3: 22-26 (kidneys/metabolic)
|\ |\
buffer systems in the body - CORRECT ANSWERS ✔✔*LUNGS AS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A BUFFER*- primary control of body's carbonic acid supply.
|\ |\ |\ |\ |\ |\ |\ |\
*KIDNEY AS A BUFFER*-works by concentration of bicarb in body.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Kidneys either excrete or hang on to bicarb in the response to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the pH of blood. Acidosis- kidney excretes h ion & conserves
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bicarb. Alkalosis - kidneys retain H ions.
|\ |\ |\ |\ |\ |\ |\
*ECF, ICF, HGB* are other buffer systems for maintain acid-base
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
balance
when a patient codes - CORRECT ANSWERS ✔✔--most people
|\ |\ |\ |\ |\ |\ |\ |\ |\
become acidosis when they code—they will be administered
|\ |\ |\ |\ |\ |\ |\ |\
sodium bicarb |\
|\ |\ |\ |\ |\ |\
questions with answers |\ |\
trans-cultural nursing - CORRECT ANSWERS ✔✔providing care to |\ |\ |\ |\ |\ |\ |\ |\
patients and families across cultural variations. Acknowledge,
|\ |\ |\ |\ |\ |\ |\
respect, & adapt to patient.
|\ |\ |\ |\
Culture can strongly influence a patients thinking, doing, and
|\ |\ |\ |\ |\ |\ |\ |\ |\
being.
Five signs of inflammation - CORRECT ANSWERS ✔✔redness,
|\ |\ |\ |\ |\ |\ |\ |\
warmth, swelling, pain, loss of function.
|\ |\ |\ |\ |\
sequence of events of inflammation - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔vasodilation, increased vascular permeability (increased |\ |\ |\ |\ |\
plasma), & leukocyte cellular infiltration
|\ |\ |\ |\ |\
*Repairative process*begins at same time as injury** |\ |\ |\ |\ |\ |\
cultural nursing assessment - CORRECT ANSWERS ✔✔Systematic
|\ |\ |\ |\ |\ |\ |\
way to identify the beliefs, values, meanings, and behaviors of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
people while considering their history, life experiences, and the
|\ |\ |\ |\ |\ |\ |\ |\ |\
social and physical environments in which they live.
|\ |\ |\ |\ |\ |\ |\
*"Know Thyself" know your own cultural attitudes, beliefs.
|\ |\ |\ |\ |\ |\ |\ |\
Recognize that every one has cultural "baggage" do not judge
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anyone for their beliefs*
|\ |\ |\
Blood Transfusion - CORRECT ANSWERS ✔✔blood must be started
|\ |\ |\ |\ |\ |\ |\ |\
within 15-20 minutes from obtaining the blood.
|\ |\ |\ |\ |\ |\ |\ |\
,18G needle prefered (20 or higher can be used)
|\ |\ |\ |\ |\ |\ |\ |\
Blood Transfusion Consent - CORRECT ANSWERS ✔✔A patient's
|\ |\ |\ |\ |\ |\ |\ |\
written permission to receive blood or blood products. *IF* the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is unable to sign and it is an emergency situation two
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
doctors can sign the consent. |\ |\ |\ |\
Jehovah's Witness - CORRECT ANSWERS ✔✔No blood products|\ |\ |\ |\ |\ |\ |\ |\
should be used |\ |\
blood transfusion procedure - CORRECT ANSWERS ✔✔any
|\ |\ |\ |\ |\ |\ |\
allergies?- type & cross match blood, check blood for bubbles,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
dark color, or cloudiness- change IV line (per policy usually one
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or two units of blood per line)- ID check by two nurses- baseline
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vitals- start with normal saline- run blood slowly for first 15
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes- stay with client for 15-30 min- recheck vital signs after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
15 of infusing blood- if no adverse affects increase rate- take vital
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
signs every hour until completed and then every 3 hours (or per
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
facility protocol)- inform pt to report any s/s of reactions
|\ |\ |\ |\ |\ |\ |\ |\ |\
reactions during blood transfusion - CORRECT ANSWERS ✔✔stop
|\ |\ |\ |\ |\ |\ |\ |\
the blood first! restart saline, notify health care provider, may
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
use supportive care (benadryl, oxygen, corticosteriods)
|\ |\ |\ |\ |\
Electrolyte values - CORRECT ANSWERS ✔✔Sodium: 135-145 (- |\ |\ |\ |\ |\ |\ |\
natremia)
Chloride: 96-106 (-chloremia) |\ |\
Calcium: 8.5-10.5 (-calcemia) |\ |\
Potassium: 3.5-5.5 (-kalemia) |\ |\
, Magnesium: 1.5-2.5 (-magnesemia) |\ |\
Phosphorus: 2.7-4.5 (-phosphatemia) |\ |\
FVD (fluid volume deficit) - CORRECT ANSWERS ✔✔hypovolemia
|\ |\ |\ |\ |\ |\ |\
FVE (fluid volume excess) - CORRECT ANSWERS ✔✔hypervolemia
|\ |\ |\ |\ |\ |\ |\
ABG (Arterial Blood Gas) - CORRECT ANSWERS ✔✔essential part
|\ |\ |\ |\ |\ |\ |\ |\ |\
of diagnosing & managing oxygenation status and acid-base
|\ |\ |\ |\ |\ |\ |\ |\
balance of high-risk patients |\ |\ |\
ABG's values (normal) - CORRECT ANSWERS ✔✔pH:7.35-7.45
|\ |\ |\ |\ |\ |\ |\
Pco2: 45-35 (lungs/respiratory)
|\ |\
Hco3: 22-26 (kidneys/metabolic)
|\ |\
buffer systems in the body - CORRECT ANSWERS ✔✔*LUNGS AS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A BUFFER*- primary control of body's carbonic acid supply.
|\ |\ |\ |\ |\ |\ |\ |\
*KIDNEY AS A BUFFER*-works by concentration of bicarb in body.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Kidneys either excrete or hang on to bicarb in the response to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the pH of blood. Acidosis- kidney excretes h ion & conserves
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bicarb. Alkalosis - kidneys retain H ions.
|\ |\ |\ |\ |\ |\ |\
*ECF, ICF, HGB* are other buffer systems for maintain acid-base
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
balance
when a patient codes - CORRECT ANSWERS ✔✔--most people
|\ |\ |\ |\ |\ |\ |\ |\ |\
become acidosis when they code—they will be administered
|\ |\ |\ |\ |\ |\ |\ |\
sodium bicarb |\
