Medical-Surgical FINAL EXAM
What does Medicare part A cover? - ANSWERS-- Available w/out cost to those eligible
for the program
- Help pay inpatient hospital care, including drugs, supplies, labs tests, radiology,
intensive care unit
- Covers 20 days after hospitalization for skilled nursing facility care for rehab services,
home health, and hospice care.
- DOES NOT pay for nursing come custodial services, private rooms, telephones, or TV
provided by hospital or skilled nursing facilities.
What is the main cost component of DRG? - ANSWERS-- A flat fee for each pt DRG
regardless of the length of stay
What is holistic Nursing Care? - ANSWERS-- Care of the pt as a whole.
What is the difference between a Therapeutic and Social Relationship? - ANSWERS--
Social is not goal directed, and meets the needs of each person in the relationship
What is a Long Term Care Facility? What is its purpose? - ANSWERS--
What is a nursing goal for a pt in a long term facility? - ANSWERS--achieve as much
autonomy as possible
Who would you contact to find out your scope of practice if you were moving to a
different state? - ANSWERS-- Board of Nursing
What intervention would you do for a pt with a dx of nutrition less than body
requirements? - ANSWERS-- Protein shake
A nurse suspects a problem in a pt's plan of care, what should the nurse do? -
ANSWERS-- Alert someone of the problem.
What is the purpose of a care plan? - ANSWERS-- To alert the nurse and staff of the
pt's problems
- Serves as a reminder of interventions to help Pt from potential problems.
- (Prevention)
Define diffusion. Is it active or passive? - ANSWERS-- diffusion: substances move back
and forth until evenly dissolved.
- passive
What is the 1st sign of dehydration for an 80 year old (elderly)? - ANSWERS--
Constipation
Calculate flow Rate, Volume, and Time: - ANSWERS-- pg 53 tells you how
How to flush a Saline Lock? - ANSWERS-- With 30mL of normal saline.
Why is height and weight measured before surgery? - ANSWERS-- To calculate the
anesthesia dose.
What do you do if a pt refuses to remove their wedding band before surgery? -
ANSWERS-- Secure and cover it.
What is a 1st day post-op intervention to prevent atelectasis? - ANSWERS-- Deep
coughing Q2hrs.
Notify charge nurse or physician when a Pt hasn't voided after how many hours? -
ANSWERS-- 8 hrs.
What do you do before getting the pt up out of bed for the first time after surgery? -
ANSWERS-- Raise the head of the bed
, What do you teach the pt to do when they are prescribed antibiotics for an infection? -
ANSWERS-- Don't stop taking it after you start to "feel better", take as prescribed.
Teaching about parasites for pt traveling to a different country. - ANSWERS-- Drink
bottled water.
Signs Emergency - ANSWERS--
Who gives the most accurate measurement of pain? - ANSWERS-- The pt
What is the pain medication to reduce seizure threshold? - ANSWERS-- Tramadol (so
avoid it, you want to RAISE the seizure threshold)
Define Benign Neoplasm. Why doesn't it spread to other areas? - ANSWERS-- Benign
Neoplasm: Harmless abnormal replication of cells.
- It is in a capsule.
Cultural perception of Pain- Arab - ANSWERS-- They expect pain to be controlled and
treated promptly.
Pt teaching of massages - ANSWERS-- long firm strokes.
Cancer Risk Factors - ANSWERS-- Depends on the chemical exposed to and the
length of time exposed to it.
- Just Remember: The FARMER that has been exposed to chemicals for years!!!!!!!!
Staging of Tumor. How do TNM numbers classify? - ANSWERS-- Staging: according to
substances of which the tumor is formed.
- T: primary tumor
- N: regional nodes
-M: metastasis
Diagnostic Test for cancer: - ANSWERS-- (pg153 box 8-1) biopsy, radiologic studies,
and an endoscopy
What allows an obese Pt to move independently? - ANSWERS-- Trapeze Bar
What should a nurse warn an elderly pt with a cast about? - ANSWERS-- Frozen
shoulder.
What is the most effective way to improve nutrition for a Pt who is not eating? -
ANSWERS-- Protein shake.
What pts cannot be assigned to a CNA? - ANSWERS-- Unstable pts
What shows should a pt in long term care watch? - ANSWERS-- Travel and news
shows
Difference in Humoral and Cell mediated response - ANSWERS-- Humoral: Immediate
response, produces antibodies
- Cell mediated: Delayed response, uses lymphocytes to attack
Action of killer T cells - ANSWERS-- T lymphocytes directly kill antigens.
Define Innate Immunity - ANSWERS-- Born with it
Reasons a Pt doesn't receive vaccines: - ANSWERS-- Currently sick
- Allergy to eggs/feathers
- Recent adverse reaction
- Recently received Immunoglobuin
What do you tell a parent voicing that she doesn't want her children getting vaccinated?
- ANSWERS-- More complications come with the disease than with the vaccines.
Signs of a Failing Immune System of HIV Pt - ANSWERS-- oral thrush
- recurrent vaginal yeast infections
- skin disorders
What does Medicare part A cover? - ANSWERS-- Available w/out cost to those eligible
for the program
- Help pay inpatient hospital care, including drugs, supplies, labs tests, radiology,
intensive care unit
- Covers 20 days after hospitalization for skilled nursing facility care for rehab services,
home health, and hospice care.
- DOES NOT pay for nursing come custodial services, private rooms, telephones, or TV
provided by hospital or skilled nursing facilities.
What is the main cost component of DRG? - ANSWERS-- A flat fee for each pt DRG
regardless of the length of stay
What is holistic Nursing Care? - ANSWERS-- Care of the pt as a whole.
What is the difference between a Therapeutic and Social Relationship? - ANSWERS--
Social is not goal directed, and meets the needs of each person in the relationship
What is a Long Term Care Facility? What is its purpose? - ANSWERS--
What is a nursing goal for a pt in a long term facility? - ANSWERS--achieve as much
autonomy as possible
Who would you contact to find out your scope of practice if you were moving to a
different state? - ANSWERS-- Board of Nursing
What intervention would you do for a pt with a dx of nutrition less than body
requirements? - ANSWERS-- Protein shake
A nurse suspects a problem in a pt's plan of care, what should the nurse do? -
ANSWERS-- Alert someone of the problem.
What is the purpose of a care plan? - ANSWERS-- To alert the nurse and staff of the
pt's problems
- Serves as a reminder of interventions to help Pt from potential problems.
- (Prevention)
Define diffusion. Is it active or passive? - ANSWERS-- diffusion: substances move back
and forth until evenly dissolved.
- passive
What is the 1st sign of dehydration for an 80 year old (elderly)? - ANSWERS--
Constipation
Calculate flow Rate, Volume, and Time: - ANSWERS-- pg 53 tells you how
How to flush a Saline Lock? - ANSWERS-- With 30mL of normal saline.
Why is height and weight measured before surgery? - ANSWERS-- To calculate the
anesthesia dose.
What do you do if a pt refuses to remove their wedding band before surgery? -
ANSWERS-- Secure and cover it.
What is a 1st day post-op intervention to prevent atelectasis? - ANSWERS-- Deep
coughing Q2hrs.
Notify charge nurse or physician when a Pt hasn't voided after how many hours? -
ANSWERS-- 8 hrs.
What do you do before getting the pt up out of bed for the first time after surgery? -
ANSWERS-- Raise the head of the bed
, What do you teach the pt to do when they are prescribed antibiotics for an infection? -
ANSWERS-- Don't stop taking it after you start to "feel better", take as prescribed.
Teaching about parasites for pt traveling to a different country. - ANSWERS-- Drink
bottled water.
Signs Emergency - ANSWERS--
Who gives the most accurate measurement of pain? - ANSWERS-- The pt
What is the pain medication to reduce seizure threshold? - ANSWERS-- Tramadol (so
avoid it, you want to RAISE the seizure threshold)
Define Benign Neoplasm. Why doesn't it spread to other areas? - ANSWERS-- Benign
Neoplasm: Harmless abnormal replication of cells.
- It is in a capsule.
Cultural perception of Pain- Arab - ANSWERS-- They expect pain to be controlled and
treated promptly.
Pt teaching of massages - ANSWERS-- long firm strokes.
Cancer Risk Factors - ANSWERS-- Depends on the chemical exposed to and the
length of time exposed to it.
- Just Remember: The FARMER that has been exposed to chemicals for years!!!!!!!!
Staging of Tumor. How do TNM numbers classify? - ANSWERS-- Staging: according to
substances of which the tumor is formed.
- T: primary tumor
- N: regional nodes
-M: metastasis
Diagnostic Test for cancer: - ANSWERS-- (pg153 box 8-1) biopsy, radiologic studies,
and an endoscopy
What allows an obese Pt to move independently? - ANSWERS-- Trapeze Bar
What should a nurse warn an elderly pt with a cast about? - ANSWERS-- Frozen
shoulder.
What is the most effective way to improve nutrition for a Pt who is not eating? -
ANSWERS-- Protein shake.
What pts cannot be assigned to a CNA? - ANSWERS-- Unstable pts
What shows should a pt in long term care watch? - ANSWERS-- Travel and news
shows
Difference in Humoral and Cell mediated response - ANSWERS-- Humoral: Immediate
response, produces antibodies
- Cell mediated: Delayed response, uses lymphocytes to attack
Action of killer T cells - ANSWERS-- T lymphocytes directly kill antigens.
Define Innate Immunity - ANSWERS-- Born with it
Reasons a Pt doesn't receive vaccines: - ANSWERS-- Currently sick
- Allergy to eggs/feathers
- Recent adverse reaction
- Recently received Immunoglobuin
What do you tell a parent voicing that she doesn't want her children getting vaccinated?
- ANSWERS-- More complications come with the disease than with the vaccines.
Signs of a Failing Immune System of HIV Pt - ANSWERS-- oral thrush
- recurrent vaginal yeast infections
- skin disorders
