MED SURG FINAL EXAM GALEN COLLEGE OF NURSING NEWEST 2024 ACTUAL EXAM TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS

Hepatitis A Virus - ANSWERS,inflammation of the liver usually transmitted orally through fecal
contamination of food or water. Flu like symptoms.
Hepatitis B virus - ANSWERS,virus that causes inflammation of the liver; transmitted through any
body fluid, including vaginal secretions, semen, and blood. N/V, fever, fatigue, RUQ pain, joint pain,
jaundice.
Hepatitis C virus - ANSWERS,inflammation of the liver, trasnmitted by blood to blood contact, such
as sharing needles, unsanitary tattooing and accidental need sticks. Asymptomatic until liver damage
occurs.
Hepatitis D virus - ANSWERS,Secondary infection caused by a mutated hepatitis virus. Only develops
in patients with Hepatitis B. Transmission same as B, any body fluid, including vaginal secretions,
semen, and blood. N/V, fever, fatigue, RUQ pain, joint pain, jaundice.
Hepatitis E virus - ANSWERS,inflammation of liver, transmitted through fecal and oral route and
contaminated food/water. Flu like Symptoms.
nasal canula flow rate - ANSWERS,1-6 LPM, 24-40% O2
Simple face mask flow rate - ANSWERS,5-8 L/min, 40-60% O2
Partial rebreather mask - ANSWERS,6-10 L/min, 60-75% O2
nonrebreather mask - ANSWERS,80-95% at flow rate of 10-15L/min to keep reservoir bag 2/3 full
during I and E----one way valve allows client to inhale max O2 from reservoir bag
GERD s/s - ANSWERS,dyspepsia, regurgitation, coughing, painful swallowing, epigastric pain
Venti Mask (Venturi mask) - ANSWERS,4-10 L/min, 24-50% O2
GERD dx and tx - ANSWERS,*Barium swallow*
Esophageal manometry
pH monitor
*Endoscopy*
Biopsy
*Avoidance of triggers*
Avoid lying down for an hour after eating
Elevate the head of the bed
Visceral manipulation of hernia
Medications PPI and histamine blockers
Surgery
Gastritis S/S - ANSWERS,abdominal pain, nausea & anorexia , abdominal tenderness, feeling full,
reflux, belching, hematemesis, diarrhea, B12 (pernicious) anemia
Gastritis treatment - ANSWERS,Fluids, Histamine Blockers, PPIs, B12 injections, transfusion if blood
loss
hiatal hernia symptoms - ANSWERS,-can be none
-burning, chest pain
-heartburn
-GERD
-dysphagia
-feeling full
Hiatal Hernia Treatment - ANSWERS,Surgery- Repair of Hiatal Hernia
Medications
-Antacids -neutralizes acid in the stomach
-H2-Receptor blockers; Zantac, Pepcid AC, Tagamet- DAILY,
-PPI: Omeprazole (Prilosec), prevacid, pantoprazole/protonix
-Elevate HOB
-Don't eat late at night
peptic ulcer disease s/s - ANSWERS,-upper abdominal pain (epigastric pain)
-dyspepsia: heartburn, bloating
peptic ulcer treatment - ANSWERS,-Discontinue use of NSAIDs
-Antibiotics- treat H. pylori
-OTC Antacids (For right now pains)- Maalox, Tums
-H2 Receptor blockers- reduce acid secretions (works SLOW); Ranitidine,
-PPI- inhibit acid production (creates less acid to calm stomach); omeprazole, pantoprazole,
-Cryoprotective agents- bind to mucosal layer and form a protective barrier; Sucralfate
-Vagotomy; if severe, surgical cutting of vagus nerve to reduce acid secretions to the stoma