Ati Med Surg

Front 1

TURP

Back 1

Priority intervention – red colored urine with clots. Irrigate catheter gently with 30-50mL of bladder irrigating solution to help remove any clots. Goal is to have output pink in color w/ no visible clots. The flow rate of the CBI should be increased to achieve the desired result.

Front 2

Malignant Hyperthermia manifestations

Back 2

Tachycardia, tachypnea, hypercarbia,
dysrhythmias

Front 3

T-tube post cholecystectomy

Back 3

*initially drainage (initially bloody, then green-brown bile)
*Report sudden increases in drainage or amounts
exceeding 1,000 mL/day.

Front 4

Peritoneal dialysis effluent

Back 4

normally colorless, light yellow, or straw colored; cloudy is a sign of peritonitis; bloody may require more frequent exchanges to prevent clots in catheter; brown may be due to presence of feces and bowel perforation is suspected.

Front 5

Erythropoietin alfa (Epogen, Procrit)

Back 5

*contraindicated for clients with uncontrolled hypertension
*Instruct the client to have blood drawn twice a week to monitor hemoglobin and hematocrit
*Monitor the client’s blood pressure

Front 6

Adverse effects of Inderal (propanalol)

Back 6

bradycardia, orthostatic hypotension, bronchoconstriction, mask symptoms of low blood sugar

Front 7

Digoxin

Back 7

Do not double dose.
Separate antacids by at least 2 hours

Front 8

malignant hyperthermia treatment

Back 8

dantrolene (skeletal muscle relaxant)

Front 9

Epi-pen sequence

Back 9

1. Inject the pen
2.Remove the stinger
3. Clean with soapy water
4. Apply Ice
5. Get medical help

Front 10

Meperidine (Demerol)

Back 10

discouraged in older adult clients due to the risk of
seizures.

Front 11

What is the priority assessment for a client with a spinal injury

Back 11

Peripheral reflex and sensation changes. (The greatest risk to the client is neurological damage and this would manifest )

Front 12

Health promotion Irritable Bowel Syndrome

Back 12

Encourage the client to avoid food that contains dairy, eggs, and wheat products.
● Encourage the client to avoid alcoholic and caffeinated beverages. Beverages containing
fructose and sorbitol should be avoided.
● Encourage the client to drink 2 to 3 L/fluid per day from food and fluid sources.
● Encourage the client to increase the amount of daily fiber intake (approximately 30 to
40 mg/day).

Front 13

Treatment for biliary colic

Back 13

Anticholinergics

Front 14

Highest priority in a casted patient

Back 14

Decreased blood flow past the casted area (may be manifested by decreased pulse pressure)

Front 15

Intervention for a client having a tonic-clonic seizure who has become cyanotic

Back 15

Turn them onto their side. This will provide a patent airway.

Front 16

Adverse effect of Radiation therapy for laryngeal cancer.

Back 16

Difficulty swallowing (it indicates a swelling of the esophageal tissue and may lead to malnutrition.)

Front 17

Chest tubes

Back 17

Report drainage greater than 70ml/hr

Front 18

position for Insertion of central line

Back 18

Place the client in supine or trendelenburg position

Front 19

mannitol adverse effect

Back 19

paresthesias of extremities, fatigue, sleepiness,
rarely seizures

Front 20

Medication to withhold before cardioversion

Back 20

digoxin