NSG 223 Exam 2 Medsurg:Test Questions With
100%Verified Solutions.Graded A+
What is the pathophysiology of pulmonary embolism ? - answers Occlusion in
... [Show More] the pul
artery normally caused by small emboli that get stuck in the arterioles causing necrosis
of the area its in.
what do symptoms depend on in pulmonary embolism? - answers -Size and type of
embolism
-Location of embolism
How do you treat unstable PE? - answers -Begin emergency procedure to regain
respiratory and cardiovascular system
-start on thrombolytic therapy to lysis the embolism (Dissolve) and prevent.
How do you treat stable PE? - answers Immediate anticoagulation to prevent
reoccurrence 10 days - 6 months anticoagulation (Warfarin) and Heparin.
*A pt who just had surgery can do ______________ Exercises like _____ __________
while they are in bed to prevent PE's. - answers Isometric, Leg pumps
What are the main clinical manifestations of ARDs? - answers Severe dyspnea,
hypoxemia doesn't respond to O2, nasal flaring, tachycardia, change in mental,
retraction, hyperventilation and tachypnea.
*If a patient has a 140 Heart rate is this is sign of ARDs? - answers Yes
*What does PEEP do? - answers Keeps alveoli open at end of expiration; prevents
alveolar collapse. Helps to recruit more and more alveoli for gas exchange and
decrease work of breathing (improves compliance).
How do you care for a patient on a ventilator? - answers Full assessment Q4 hrs,
Make sure tube is in right position and check vent settings, Maintain hob at 30 degrees,
oral care Q2 hrs, Picture board for communication.
* ______________ is given to pts before they are intubated to relax the vocal muscles
and making intubation easier. - answers Vecuronium
What is a good nursing intervention for a patient with pulmonary HTN/edema who is
bedridden? - answers Sit up with leg of the bed raised to increase venous return.
*When caring for a pt with pulmonary edema the nurse will give the diuretic
___________ - answers Furosemide
*If a client has a potassium level of 5.6. The nurse will give ________ _______
_______. - answers Sodium Polystyrene Sulfonate
*The nurse is caring for a client with the following
pH - 7.25
HCO3 - 18
CO2 - 42
The patient has ___________ Acidosis - answers Metabolic
*A client comes into the ED with HYPOventilation. The nurse will monitor for
_______________ __________________ - answers Respiratory Acidosis
*If a pt has emphysema and sleep apnea they are at risk for chronic _____________
Acidosis. - answers Respiratory
*A client comes into the ED with HYPERventilation. The nurse will monitor for
_____________ ________________ _________________ - answers Compensated
Respiratory Acidosis
*The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
The patient has ___________ Alkalosis - answers Metabolic
A client has a potassium level of 5.6 Meq/L . Which order should the nurse anticipate? -
answers Sodium polystyrene sulfonate
*If the patient has the following ABGs
pH - 7.25
HCO3 - 33
CO2 - 47
The interpretation is? - answers Compensated respiratory acidosis
*The pt has an ABG of
pH - 7.25
HCO3 - 20
CO2 - 40
The interpretation is? - answers Metabolic Acidosis
*A pt with metabolic acidosis will have the following assessment findings? - answers
Confusion, Tingling of fingers and toes, Severe N/V
Which action nurse do to determine neuromuscular blockade for a patient on ventilator
support?| - answers Provide stimuli along nerve pathway
*A pt has chronic metabolic acidosis, what prescription would be given to this patient
first? - answers Calcium (Always treat cause first)
*What is the usual mode of transmission of HEP A? - answers Unsanitary food prep
What are ways to prevent Hep A? - answers Good hand washing, safe water, vaccine,
proper sewage.
What are ways to prevent Hep B? - answers Vaccines, standard precautions,
Screenings.
*If you are teaching a group of teenagers about hep B risk factors what would they be?
- answers Hemodialysis, IV drug users, multiple sex partners, tattoos
* If a client comes in with a histx of acute viral hep, what kind of cirrhosis is this? -
answers Postnecrotic
When are enteral feedings indicated in hepatitis? - answers anorexia, N/V
What are some important teachings about hepatitis? - answers -Monitor fluid
imbalance
-Abstain from alcohol for at least 6 months after recovery
-Small, frequent meals, minimize periods without food intake
*A client admitted for drug induced hepatitis will have a ______ and _______ - answers
Rash and Fever
*A patient with severe pancreatitis is being treated what is another name for this? -
answers Nectrotizing
*The nurse is assessing a client with ascites and a diagnosis of cirrhosis. What other
assessment findings would be anticipated? - answers Multiple bruises, Jaundice, BP of
92/60 (Hypotensions), Fever
*The nurse is caring for a client with acute pancreatitis which is experiencing severe
abdominal pain the nurse would give __ _________. - answers IV Morphine ( No oral
meds ) [Show Less]