VATI Medical-Surgical test bank Complete Solution guide

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What natural supplement/homeopathic remedy is used to help heal burns and wounds? Aloe vera What is lavage? Washing out of a body cavity, such as a colon or stomach with water or a medicated soluti... on What is a peritoneal lavage? a diagnostic test in which a catheter is inserted into peritoneal cavity and fluid is aspirated with a syringe. It is most commonly performed to assess for bleeding in abd cavity in clients who have experienced blunt trauma. What are catecholamines? adrenal hormones: dopamine, norepinephrine, epinephrine that help with fight or flight reactions Bag holding formula and other feeding equipment for intermittent enteral feedings should be discarded how often? Every 6 hours to prevent bacterial contamination What are the S/S of addison's disease? -Muscle or joint pain -N/V -abd pain -Postural hypotension -Fatigue -Salt craving -Weight loss Postural hypotension and salt craving may occur with what disease? Addison's disease Skin pigmentation is a specific feature of what disease? Addison's disease. Caused by increased production of melanin Adverse effect of echinacea? Anaphylaxis, specifically in people with asthma What is St. John's wort used for and what is its adverse effect? Depression *Precipitates serotonergic crisis with SSRIs *Precipitates HTNsive crisis with digoxin What is echinacea used for? Colds and flu (boosts immune system) What is Kava used for and what is its adverse effect? Anxiety reduction, insomnia Can cause severe liver damage What herbal supplements increase risk of bleeding? -Garlic -Ginseng -Ginger VATI Medical-Surgical test bank Complete Solution g -Feverfew -Ginkgo biloba What are some complications of untreated growth hormone deficiency? -Delayed sexual development -Short stature -Delayed epiphyseal closure -Stunted bone age -Premature aging What is the primary focus of group therapy? Personal feelings that affect behavior. Group setting allows for feedback that may enhance discovery of how feelings and situations can drive behavior A nurse is caring for a client with reduced mobility who has RA. To help hip flexion deformities associated with RA; the nurse should help the client assume which of the following positions in bed several times a day? Prone. It will help keep the hips and knees in an extended position The nurse is providing care for a client who was admitted with an exacerbation of chronic obstructive pulmonary disease (COPD). On assessment the nurse finds the client to be pale, short of breath, and their lung sounds reveal rhonchi. What is the best initial action by the nurse? Encourage the client to take several deep breaths and perform diaphragmatic coughing. The deep breaths will loosen secretions and coughing deeply will allow these secretions to be expectorated A charge nurse is planning a staff education session to discuss the meds used during the care of a client experiencing GI bleeding. What med should the charge nurse include in discussion? Vasopressin (manmade ADH). It is a vasopressor that can constrict the arterioles and reduce inflow to portal vein What is protamine sulfate used for? Antidote to heparin for clients experiencing a severe bleeding episode What should be done with unused portion of formula used in intermittent enteral feedings? Refrigerated (up to 24 hrs) to prevent bacterial contamination How long should the nurse elevate the HOB for a client after an intermitting feeding? 30-60 minutes Intermittent feedings are administered how often and for how long? 4-6x times/day in equal portions 30-45 min. What material is used for deep granulation of a pressure ulcer? Impregnated gauze and alginate to promote packing of the tissue Pressure wounds with minimal to moderate exudates can be dressed with what? Thin hydrocolloid What is the granulation phase of the healing process (of pressure ulcers)? Initial repair of new tissues are formed to facilitate remodeling of the affected area What is the leading type of healthcare-associated infection? Pneumonia Encephalitis occurs most frequently d/t what? Viruses (e.g. herpes simplex I and II, varicella zoster (chickenpox and shingles); measles, mumps, and rubella How long should a nurse hold direct pressure on puncture sites after administering alteplase? 30 min. or until oozing of blood stops Pramipexole has what adverse effect? Hallucinations. It is used for parkinson's to stimulate brain's DA receptors to decrease tremors and rigidity associated with disease In what trimester do uterine pain and significant bleeding occur? Plot twist! They're never normal and should not occur in any trimester In what trimester will a woman experience frequent urination? 3rd trimester In what trimester will a woman feel the first fetal movements? 2nd trimester In what trimester will a woman feel a renewed sense of energy? 2nd trimester In what trimester will a woman develop breast tenderness? 1st trimester How does STI risk affect boys relative to girls? Women are biologically more receptive than men to infection by sexually transmitted organisms. E.g. girls will get them more readily In most circumstances, when there is a med error, the initial appropriate response will be to? Contact the primary care provider, so that an appropriate order can be given to counteract the med What is a gastric lavage? flushing out the contents or excess fluid from stomach What is the purpose of leucovorin? Folic acid derivative that is used to protect healthy cells from the cytoxic affects of methotrexate A nurse is preparing to initiate IV therapy on a client. What solution is the best choice for preparing the client's skin at the insertion site? Chlorhexadine What is murophobia? Fear of mice What is acrophobia? fear of heights What is mysophobia? fear of dirt and germs How does immobility affect urinary output? Urinary output decreases resulting in urinary stasis, renal stones, urinary retention, and UTIs What is Trousseau's sign? Inflating a BP above systolic pressure that elicits wrist and hand flexion (carpal spasm), indicating hypocalcemia because of nerve excitability What are the manifestations of autonomic dysreflexia? -Bradycardia -Severe HA -Flushing -HTN -Tachypnea What is glossitis and what causes it? Smooth red tongue indicates pernicious anemia What supplement treats nausea caused by vertigo? Ginger root What supplement decreases the risk and severity of symptoms of migraines? Feverfew *It also increases risk of bleeding by decreasing platelet aggregation What supplement treats joint pain by reducing inflammation and promotes the body's ability to make cartilage and synovial fluid? Glucosamine What is cardiogenic shock? Occurs when the heart is damaged (large portion of left ventricle dies) after an MI and [Show More]

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