MedSurg
What is immunity?
The body's ability to resist infection and disease.
Injury to which type of tissue results in regeneration?
Epithelial tissue
Which medications are used to treat gout? Select all that apply.
A. Allopurinol (Zyloprim)
B. Diazepam (Valium)
C. Naloxone (Narcan)
D. Colchicine (Colcrys)
A. Allopurinol (Zyloprim)
D. Colchicine (Colcrys)
What all components are included in a CBC?
RBC, Hgb, Hct, WBC, WBC differential, and platelet count
What are the types of immune dysfunction?
Primary and secondary
Which of the following cells are classified as granulocytes? (Select all that apply)
A. Basophils
B. Monocytes
C. Neutrophils
D. Eosinophils
E. Lymphocytes
A. Basophils
C. Neutrophils
D. Eosinophils
What are wounds?
Structural or physiologic disruptions of the skin that activate normal or abnormal tissue repair responses.
What medication is an injectable NSAID?
Ketorolac
Is a Hgb of 10 g/dL in an adult female normal or abnormal? If abnormal, what is the correct range?
Abnormal. 12 - 15 g/dL
What is the most abundant Immunoglobulin?
Hint: It can transport past the placenta and is effective against bacteria, viruses, and other toxins.
IgG
True or false:
T-cells stay in the yellow bone marrow to mature.
FALSE.
B-cells and T-cells and both formed in the yellow bone marrow, but only the B-cells stay and mature. T-cells go to the thymus to mature.
What is the difference between acute & chronic wounds?
Acute wounds heal uneventfully within 2-3 weeks.
Chronic wounds do not heal in the expected time frame and are commonly associated with complications.
Aspirin consumption is associated with what life-threatening illness in children?
Hint: This illness is characterized by encephalopathy and hepatic damage.
Reye's Syndrome
Which WBC is the most is the most abundant?
Neutrophils.
How many mcg of Aspirin is considered toxic?
300 mcg
The nurse is screening patients for the risk of developing agammaglobulinemia. Which patient will the nurse consider at the greatest risk?
A. 6yo female with no family history of the disorder
B. 35yo female with respiratory function
C. 40yo male with a family history
D. 7-month-old male with recurrent infections
D. 7-month-old male with recurrent infections.
Symptoms do not appear until 6-12 months of age and most children die before the age of 6 due to infection from not managing the disorder properly.
Your patient has an abdominal wound that is healing from the edges inward and from the bottom of the wound upward. Which type of wound healing does this patient have?
Fill in the blank:
Gout is an arthritic condition characterized by an overproduction of ___ ___ or an inability to excrete it resulting in _____.
When is a Complete Blood Count necessary?
A CBC is usually prescribed at least once a year with physical examinations and before surgery.
What symptom is indicative of salicylate toxicity?
Ringing in the ears (Tinnitus)
Why is DiGeorge's Syndrome sometimes referred to as CATCH-22 by the health care community?
Possible clinical manifestations of this disorder make up the acronym CATCH: Cardiac abnormality, abnormal faces, thymic aplasia, cleft palate, hypocalcemia.
DiGeorge's Syndrome is caused by the deletion of a small piece of chromosome 22.
A 76yo female patient has a wound on her sacral area. During your morning assessment, you notice excessive redness that goes beyond her wound margins. You also notice pus seeping from the corners... and it STINKS. When you begin to feel around it, your patient flinches due to pain and the area feels warm. What are these possible signs of?
Wound infection
What causes the pain experienced by the patient with osteoarthritis?
Inflammation of the synovium.
Which of the following is ONE reason for obtaining a CBC?
A. To check for curvature of the spine.
B. Receive blood.
C. To detect low RBC count.
D. To pass nursing school.
C. To detect low RBC count.
What is the difference between Acetaminophen and Ibuprofen?
Acetaminophen is an analgesic- it ONLY suppresses pain and has an antipyretic effect.
Ibuprofen is an NSAID- it suppresses pain, has an antipyretic effect, AND has an anti-inflammatory effect.