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N2 Neuromuscular - COMPREHENSIVE Flashcards | StudBud
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N2 Neuromuscular - COMPREHENSIVE
N2 Neuromuscular - COMPREHENSIVE
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Comprehensive lecture quiz (SU19)
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Questions
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Answers
1
Following an arthography, the nurse will make sure to do which of the following?
Apply heat and keep the limb flat on the bed
Instruct the pt to not move the area for 12-24 hrs
Apply ice and elevate the extremity for 12-24 hrs
Change the bulky dressing
2
What type of medication is used for regulation of immune response?
cortiocosteroids
NSAIDS
analgesic
narcotics
3
What medication is expected for a new diagnosis of DVT?
Warfarin
Heparin
Plavix
Eliquis
4
What radiological test is used to diagnosis a PE?
CT
Ultrasound
PET scan
MRI
5
You are caring for a pt w/retinal detachment. What symptom should you expect?
sudden pain
loss of color vision
colored halos around lights
flashing lights in the visual field
6
A fib leads to _______ ________ thus clot formation is nearly inevitable
Irregular Heartbeat
Virchow's Triad (think blood stasis, etc )
Clot Formation
Blood Pooling
7
Signs and symptoms of a hip fracture include all of the following except:
Affected leg is shorter that the other
Pain
Affected leg longer than the other
Affected leg externally rotated
8
Traction care includes all of the following except:
Removing or lifting weights
Inspecting knots and pulleys
Monitoring skin condition
Frequent neurovascular checks
9
What is the purpose of the machine shown below?
To keep the knee immobilized following surgery
To increase flexibility & mobility of the knee
To prevent deep vein thrombosis following surgery
To prevent skin breakdown following surgery
10
Osteomyelitis can occur from which of the following except?
hemodialysis
open fracture
root canal
epistaxis
11
Nursing care for the pt following total hip replacement includes which of the following EXCEPT?
Use of an abduction pillow
Providing large print reading material
Monitor for decreased LOC/confusion
Monitor VS
12
Asymmetry of the scapula, shoulders, ribs, flanks, and hips are symptoms of?
osteoperosis
osteomylitis
kyphosis
scoliosis
13
A client c/o
severe pain
s/p crush inj. of leg, 8hrs ago. What would you assess for?
pulmonary embolus
mesenteric artery syndrome
deep vein thrombosis
compartment syndrome
14
Which medication is an anticoagulant?
Aspirin
Altepase
Heparin
Plavix
15
A blood clot that has dislodged and is carried to the lungs is called?
pleural effusion
acute respiratory distress syndrome
pulmonary edema
a pulmonary embolism
16
Reversal agent for Heparin
Protamine sulfate
IV fluids
Vitamin k
Bicarb
17
Most DVT's occur in the lower legs. What assessment findings may indicate DVT?
increased sensitivity to stimulus
increased platelet count
decreased aPTT
swelling or induration
18
Which radiological exam is used to diagnose Scoliosis?
US
MRI
CT
Xray
19
Which of the following are Low-Molecular-Weight Heparin?
Amiodarone (Nexterone)
Warfarin (Coumadin)
Bayer (Aspirin)
Enoxaparin (Lovenox)
20
Which of the following symptoms would the pt with osteomyelitis display?
Petechiae over the chest
Increased WBCs
Low-grade fever
Hyperuruicemia
21
A common side effect of Gentamycin in the elderly
Hepatotoxicity
Oral thrush
Nephrotoxicity
Rash
22
Lovenox is classified as?
anticoagulant
antiplatelet
thrombolytic
antifibrinolytic
23
All of the following is true about rest and exercise with osteoarthritis except:
Joint pain increases in the early AM
Wear good supportive shoes when exercising
Exercise should be scheduled after rest
Joint pain decreases with rest
24
What are the
early
signs of the Triad of a Fat Embolism?
fever
dyspnea
AMS
petechia
25
Heparin works as an anticoagulant by
Binding with Ca++
Inhibiting the formation of plasmin
Prevention the formation of Von Willibrands factor
Inhibiting the conversion of thrombin from prothrombin
26
What cardiac risk factor is associated with DVT?
atrial fibrillation
bradycardia
atrial flutter
v-tach
27
Which assessment findings would the nurse NOT expect to see in an infant with DDH?
positive Trendelenberg sign
positive Ortolani Test
positive Barlow Test
asymmetry of gluteal and thigh folds
28
Residual limb care includes:
Elevate residual limb on pillow first 48h
Wrapping ace wrap tighter at proximal end
Alternating between supine and prone
Keeping HOB in HIgh Fowler position
29
W hich of the following applies to the diagnosis of an external otitis?
accompanied by a rash
characterized by aural tenderness
can be prevented by using cotton tipped ear swabs
it is related to an upper respiratory infection
30
Vanco infusion time
0.5 hour
1 hour
2 hours
3 hours
31
Objectives signs and symptoms of a fracture include all of the following except:
Pain
Deformity
Pallor
Edema
32
In the pt with an external fixation device, which of the following foods would be recommended?
Dark green leafy vegetables
Milkshakes
Shellfish
Citrus fruits
33
Which of the following would best indicate effectiveness of analgesics for osteoarthritis?
Heberden's and Bouchard's Nodes have been reduced
The pt demonstrates ability to perform ADLs independently
The pt reports decreased pain after exercise
Contractures are improved
34
Edema or bleeding of this area can result in airway compromise?
thoracic
sacral
cervical
lumbar
35
In an infant, what is the
initial
treatment for clubfoot?
surgical intervention
splinting
traction
casting
36
IV Vanco infusing Pt becomes flush across neck, chest & tachycardia. What should nurse do next?
Document anaphylactic reaction to medication
Change IV infusion site
Apply cold compresses to neck area
Decrease the infusion rate on the IV
37
Which lab value assess the adequacy of Coumadin?
TPP
PT
PTP
PTT
38
When conducting a neurovascular assessment, the nurse checks for pallor, pain,
pulse, petechie, pressure
paresthesia, pain, pulse
pain, parasthesia, petechie
parasthesia, pulse, pupils
39
What is the generic for Coumadin?
warfarin
clopidogrel
heparin
ASA
40
A "subjective" sign or symptom of osteoporosis is which of the following?
Complaint of backache
pathological fractures
Kyphosis of the spine
Decrease in height
41
Assessment of joint alignment includes all of the following except
atrophy
shape
swelling
symmetry
42
A diabetic pt reports loss of peripheral vision. This is a manifestation of what disease?
macular degeneration
open-angle glaucoma
cataracts
retinal detachment
43
What is the difference between Buck's and Russell's traction? With Russell's...
buttock's are raised off bed
traction is applied to external fixation
legs are elevated in a Y
provides flexion of the hip and knee
44
Which of the following should the RN include in post-op teaching for a cataract surgery pt?
tilt your head back while washing your hair
it is ok to get water in your eyes tomorrow
you need to limit your housekeeping activities
you can play golf in 3 days
45
The mechanism of action of TPA is?
Prevent clot formation
Keep platelets from sticking together
Lyse clot
Promote coagulation
46
The nurse administers heparin to
minimize NGT headache
break up the clot
keep clots from forming
prevent platelets from adhering
47
The following picture represents which type of fracture?
displaced
impacted
avulsion
communited
48
What complication risk is associated with an external fixation?
infection
paralysis
pain
inflammation
49
A blood clot, fat globule or gas bubble that circulates in the bloodstream:
Necrosis
Embous
Thrombus
Thrombosis
50
Which is an example of skin traction?
Thomas
Perkins
Bucks
Herrington's
51
Antiplatelet drugs are prescribed for?
lyse blood clots
clot formation
MI/Stroke
promote coagulation
52
What is a
priority
complication of an open fracture?
bleeding
decreased mobility
pain
infection
53
Which is the most common treatment for an infant with DDH?
osteotomy
Pavlik harness
bracing
hip spica cast
54
What is osteoporosis?
bone infection
bone pain
bone loss
porous bone
55
Which of the following is a symptom of acute compartment syndrome?
petechiae
pain not relieved by narcotics
tachycardia
altered mental status
56
You are teaching preventative measures for otitis externa. What should you encourage?
perform ear wicking
avoid environmental noises
avoid using cotton swabs
rinsing the ears w/NS after swimming
57
Proper positioning of a patient with an amputation is to alternate between?
prone and recumbant
recumbant and supine
supine and prone
trendelenberg and prone
58
Antidote for Coumadin
K+
Physostigmine
Protamine Sulfate
Vitamin K
59
Functional preop assessment prior to surgery for an amputation includes all except:
Occupation
Smoking HX
Coping strategies
Diet
60
Your patient is being sent home on Coumadin/warfarin. Which teaching is not needed?
monitor for bleeding
reduce your intake of foods rich in vitamin K
don't cross your legs for long periods of time
avoid NSAIDS
61
While performing a peripheral vascular assessment, cap refill should be less than?
1 second
2 seconds
5 seconds
3 seconds
62
Which lab is used to monitor therapeutic range of Heparin?
PT
PT and INR
PTT
PTT AND INR
63
What is the medical terminology for visual loss related to age?
amblyopia
presbyopia
amblycusis
presbycusis
64
What classification of medication is TPA?
Thrombolytic
Antiplatelet
Anticoagulant
Antifibrinolytic
65
Vanco peak time
2 hours after infusion
0.5 hour after infusion
1 hour after infusion
Immediately post transfusion
66
75yo pt with a fractured hip arrives in the ED. What complication occurs w/in 12-48 hrs?
fat embolism
ABC syndrome
compartment syndrome
fasciotomy
67
Which of the following classifications are not associated with DDH?
necratization
subluxation
acetabular dysplasia
dislocation
68
What drug classification is the drug Gentamycin
Penicillins
Tetracyclines
Cephalosporins
Aminoglycosides
69
What is a condition of the ear that is related to age?
myopia
presbyopia
presbycusis
otalgia
70
What teaching is required for a patient that has an external fixation device?
clean the pins 2x/day
tighten any loose pins
clean area with hydrogen peroxide
notify MD if clear drainage or weeping noticed
71
What is the most serious complication associated with untreated scoliosis?
nerve damage
infection
spine damage
breathing difficulties
72
This is an EMERGENCY situation associated with body casts
Constipation
Infection
Pressure sores
Mesenteric Artery Syndrome
73
Which fracture is most common in older adults?
ankle
wrist
hip
arm
74
In a total hip arthroplasty, it is important that the affected extremity be maintained
in abduction/internal rotation position
in extension/abduction position
in adduction/flexion position
in adduction/external rotation position
75
You are caring for a pt. w/cataracts. Which assessment finding would you expect?
red reflexes
blurred vision
floating spots
eye pain
76
The MD ordered Vancomycin. You would question this order if the client has an allergy to?
Aminoglycosides
PCN
Cephalsporins
shellfish/Iodine
77
Your patient complains of pain while in Bucks traction. Which intervention is required?
reposition the patient
loosen weights
insure weight is hanging freely
remove weights
78
Early signs and symptoms of a fat embolism include all of the following except:
bracycardia
severe SOB
hypertension
altered mental status
79
What is the medical terminology for an inflamed eyelid?
blephoraplasty
ophthalmitis
blepharitis
ophthalomplasty
80
When taking the medication Celebrex, the pt should be instructed to do which of the following?
Stay in an upright position for 15-30 minutes after taking
Drink extra fluids
Never take with Penicillin
Never stop it abruptly
81
Which defect of the spine results in curvature of the upper spine?
Kypholordosis
Kyphosis
Lordosis
Scoliosis
82
This issue can affect one or both feet.
talipes adductus
talipes equinovarus
talipes abductus
talipes vertical
83
Spinal fusion with rod placement is used when a scoliosis curvature is greater than?
40 degrees
10 degrees
30 degrees
20 degrees
84
What is the medical term for a blood clot?
Thrombus
Hemaclotis
Clotus
Thrombitis
85
With IV Vanco use, we could potentially see all of these adverse events
except
?
Nephrotoxicity
Mucositis
Flushing syndrome
Ototoxicity
86
A patient is having a CT w/contrast. What teachings need to be given?
hold metformin for 24 hours
increase salt intake
decrease fluid intake
hold blood pressure medications for 24 hours
87
What is the medical term for pain to the ear?
otitis media
tinea corpus
labrinthia
otalgia
88
What lab value would indicate osteoarthritis?
ESR
PTT
CPK
LFT
89
Which medication is a Cox-2 inhibitor?
Cephalexin
Celebrex
Ceftriaxone
Cymbalta
90
Post cataract surgery, the RN should instruct the pt to call the office if they experience...
a floater in field of vision
any redness of the eye
slight discharge from the eye
scratchy feeling in the eye
91
Which is NOT a contraindication for a total joint replacement?
osteoporosis
infection
age
osteonecrosis
92
Care of a patient 2 days post-op from a total knee replacement includes all except?
pain management
maintain bed rest
administer anticoagulants
reposition frequently
93
A physician may manually pull on bone to pull it into alignment. This is called:
Closed Reduction
Casting
Open Reduction Internal Fixation
External fixation
94
All of the following interventions are performed for "ineffective tissue perfusion" except:
Keep affected leg in a position of abduction
Apply TED hose properly
Check dressing for bleeding & drainage
Perform neurovascular checks routinely
95
Your caring for a patient that is scheduled for an MRI. What assessment is required?
assess for allergy
assess for pain
assess for pacemaker
assess for medication
96
Which is not a risk factor for glaucoma?
eye trauma
diabetes
gender
race
97
What is the most common fracture for a child?
oblique
greenstick
impacted
spiral
98
How long do plaster cast take to completely dry?
12 hours
1 hour
24 hours
36 hours
99
Your teaching your patient about a hip replacement. What teaching is not correct?
don't sit in a low chair
don't take NSAIDS
don't bend over or squat
don't take stool softners
100
Late stage of osteoarthritis of the hand may result in deformity called?
Bouchard
Bolton
Boudreaux
Boehm
