Advanced Med-Surg Principles Jersey College Mid-
Term Questions with 100% Verified Answers
Ch 39: What is used to control edema following an arthoscopy? - correct answer ----
compression
- elevation
- joint extension
Ch 39: What are two complicants following an arthoscopy? - correct answer ----
infection
- bleeding
Ch 39: What is lab value elevated in liver disease or bone disorders? - correct 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? - correct
answer ---contrast medium
Ch 39: What is important to intruct on during a bone scan using an isotope? - correct
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? - correct answer ---electromyography
Ch 39: What two interventions do you do for the diagnostic test electromyography? -
correct 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? - correct answer ---increased risk of:
- infection
- bleeding
Ch 39: What decreases serum calcium levels? - correct answer ---calcitonin
Ch 39: What increases serum calcium levels? - correct answer ---parathyroid hormone
Ch 39: When phophorus levels rise the calcium levels do what? - correct answer ----
decrease
,- pt can present with S/S of hypocalcemia
Ch 39: What holds articulating bones together and an injury can impair movement? -
correct answer ---ligaments
Ch 39: What connects muscle to bone and an injury can impair movement? - correct
answer ---tendons
Ch 39: What can helo support bone formation? - correct answer ---- weight bearing
exercises
- sex hormones
- calcitonin
- calcium intake
Ch 39: Adults over 50 require how much Vit D daily to help prevent osteoporosis? -
correct answer ---800 - 1000 IU
Ch 39: What is important to instruct pts on consuming in regards to helping to prevent
osteoporosis? - correct 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? - correct
answer ---- excessive cortisol production
- excessive thyroid hormone production
Ch 39: What stimulates osteoblastic (bone formation) activity and inhibits osteoclastic
(bone resorption) activity? - correct answer ---estrogen
Ch 39: Compromised estrogen levels in menopause can increase the risk of? - correct
answer ---osteoporosis
Ch 39: What two things can result in a loss in height? - correct answer ---- vertebral
fractures
- loss vertebral cratilage
Ch 40: Because external fixators increase the risk for osteomyelitis you should do what
for the pt? - correct 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? - correct 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? - correct 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? - correct
answer ---avascular necrosis
Ch 40: What are three complications that can arise following fractures? - correct answer
---- hypovolemic shock (hemorrhage)
- fat embolism (in long bones)
- compartment syndrome
Ch 40: How do you prevent hip dislocation following a total hip arthroplasty? - correct
answer ---- abducting the legs
- prevent internal rotation of the legs
- turn to the unaffected side while maintaining abduction
- avoid flexing the hip more than 90 degrees
- keep legs in a neutral position
- keep the HOB < 60 degress
- avoid crossing the legs
Ch 40: What instructions do you give a pt following a total hip arthroplasty to do to
prevent dislocation for a minimum of 4 mos? - correct answer ---- use a raised toilet seat
- avoid crossing the legs
- no bending at the waist
- sit with hips higher than the knees
Ch 40: What are signs of hip dislocation? - correct answer ---- limb shortening
- acute groin pain
- external or internal rotation
- limb deformity
- crepitus (cracking or grating sound)
- reduced mobility
Ch 40: What will help reduce pain by limiting fluid accumulation and hematoma? -
correct answer ---surgical drains
Ch 40: What would you instruct a pt to do to help prevent disuse from immobilzation? -
correct answer ---isometric exercises (squats, planking, calf raises, etc)
Ch 40: What two complicants can pressure on the back or side of the knee increase the
risk for in a pt? - correct answer ---- peroneal nerve damage
- foot drop
Ch 40: What should you do if a pt has footdrop? - correct answer ---a neurovascular
assessment (this is a priority)
Ch 40: What complications can immobility increae the risk for? - correct answer ----
pneumonia
Term Questions with 100% Verified Answers
Ch 39: What is used to control edema following an arthoscopy? - correct answer ----
compression
- elevation
- joint extension
Ch 39: What are two complicants following an arthoscopy? - correct answer ----
infection
- bleeding
Ch 39: What is lab value elevated in liver disease or bone disorders? - correct 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? - correct
answer ---contrast medium
Ch 39: What is important to intruct on during a bone scan using an isotope? - correct
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? - correct answer ---electromyography
Ch 39: What two interventions do you do for the diagnostic test electromyography? -
correct 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? - correct answer ---increased risk of:
- infection
- bleeding
Ch 39: What decreases serum calcium levels? - correct answer ---calcitonin
Ch 39: What increases serum calcium levels? - correct answer ---parathyroid hormone
Ch 39: When phophorus levels rise the calcium levels do what? - correct answer ----
decrease
,- pt can present with S/S of hypocalcemia
Ch 39: What holds articulating bones together and an injury can impair movement? -
correct answer ---ligaments
Ch 39: What connects muscle to bone and an injury can impair movement? - correct
answer ---tendons
Ch 39: What can helo support bone formation? - correct answer ---- weight bearing
exercises
- sex hormones
- calcitonin
- calcium intake
Ch 39: Adults over 50 require how much Vit D daily to help prevent osteoporosis? -
correct answer ---800 - 1000 IU
Ch 39: What is important to instruct pts on consuming in regards to helping to prevent
osteoporosis? - correct 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? - correct
answer ---- excessive cortisol production
- excessive thyroid hormone production
Ch 39: What stimulates osteoblastic (bone formation) activity and inhibits osteoclastic
(bone resorption) activity? - correct answer ---estrogen
Ch 39: Compromised estrogen levels in menopause can increase the risk of? - correct
answer ---osteoporosis
Ch 39: What two things can result in a loss in height? - correct answer ---- vertebral
fractures
- loss vertebral cratilage
Ch 40: Because external fixators increase the risk for osteomyelitis you should do what
for the pt? - correct 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? - correct 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? - correct 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? - correct
answer ---avascular necrosis
Ch 40: What are three complications that can arise following fractures? - correct answer
---- hypovolemic shock (hemorrhage)
- fat embolism (in long bones)
- compartment syndrome
Ch 40: How do you prevent hip dislocation following a total hip arthroplasty? - correct
answer ---- abducting the legs
- prevent internal rotation of the legs
- turn to the unaffected side while maintaining abduction
- avoid flexing the hip more than 90 degrees
- keep legs in a neutral position
- keep the HOB < 60 degress
- avoid crossing the legs
Ch 40: What instructions do you give a pt following a total hip arthroplasty to do to
prevent dislocation for a minimum of 4 mos? - correct answer ---- use a raised toilet seat
- avoid crossing the legs
- no bending at the waist
- sit with hips higher than the knees
Ch 40: What are signs of hip dislocation? - correct answer ---- limb shortening
- acute groin pain
- external or internal rotation
- limb deformity
- crepitus (cracking or grating sound)
- reduced mobility
Ch 40: What will help reduce pain by limiting fluid accumulation and hematoma? -
correct answer ---surgical drains
Ch 40: What would you instruct a pt to do to help prevent disuse from immobilzation? -
correct answer ---isometric exercises (squats, planking, calf raises, etc)
Ch 40: What two complicants can pressure on the back or side of the knee increase the
risk for in a pt? - correct answer ---- peroneal nerve damage
- foot drop
Ch 40: What should you do if a pt has footdrop? - correct answer ---a neurovascular
assessment (this is a priority)
Ch 40: What complications can immobility increae the risk for? - correct answer ----
pneumonia
