100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Nurs 120 med surg final exam questions with verified answers 2022 update $25.99   Add to cart

Exam (elaborations)

Nurs 120 med surg final exam questions with verified answers 2022 update

 3 views  0 purchase
  • Course
  • Institution

Nurs 120 med surg final exam questions with verified answers 2022 update

Preview 4 out of 112  pages

  • February 18, 2023
  • 112
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
avatar-seller
Nurs 120 med surg final exam questions with verified answers 2022 update
 Pt. acute phase of burn injury requires frequent hydrotherapy sessions for wound debridement –
o closely monitor serum sodium level


 Acute asthma attack, which info indicates pt. requires further teaching –
o pt. has been using Proventil more frequently over the last 4 days


 Asthma pt. admitted for acute respiratory distress, notify HCP immediately if –
o decreased breath sounds and wheezing


 Intubation with mechanical ventilation for pt. with status asthmaticus when –
o fatigue and oxygen saturation of 88% develops


 Asthma pt. has new prescription for Advair and diskus, ask nurse for purpose of 2 drugs –
o one drug decreases inflammation, other is a bronchodilator


 HCP prescribed MDI q8h Maxair and Symbicort –
o use spacer with MDI


 Activity intolerance for pt. with asthma –
o work of breathing


 Finding for acute asthma attack was responding to bronchodilator therapy –
o wheezes are more easily heard
 Pt. has mild persistent asthma uses Proventil has new prescription for chromolyn –
o use chromolyn for inflammatory airway changes, take several weeks for max effect


 During assessment of asthma, has wheezing and dyspnea –
o give meds to reduce airway narrowing




 Pt. receiving chemo with acute dehydration (nausea and vomiting), what to do to prevent to Systemic
inflammatory response syndrome (SIRS) and Multiple organ dysfunction syndrome (MODS) –
o place patient in a private room (immunocompromised)


 When assessing hemodynamic of patient with shock of unknown etiology, don’t give large volumes of
 crystalloids when –a
o CO is high and CVP is low (septic shock)


 Diabetic patient vomiting and diarrhea for past 3 days, glucose is 748, urine output 120, cyanotic hands
and feet–
o progressive stage of hypovolemic shock

,Nurs 120 med surg final exam questions with verified answers 2022 update

 Industrial acids at work spilled on patient, what to do before transporting to hospital –
o flush burned area with large amounts of tap water


 6 hours after thermal burn to arms and legs, important info to tell doctor
o urine output 20-30 ml per hour
 During early emergent phase of burns –
o give opioid IV so that medications will be rapidly effective


 Nurse caring for pt. admitted with burns, 30% of body surface recognized, emergent to acute phase –

 pt. has large quantities of pale urine

 Pt. with acute asthma attack comes to ER, ABG’s are drawn, pH 7.4, co2 32, paO2 70, teach pt use of
peak flow meter –
o take something before peak flow readings when asthma attack/symptoms
 COPD pt. has dyspnea, cough, yellow sputum, upon palpation of thorax expected finding –
o chest expansion is diminished


 COPD with barrel chest, why – overinflation of the alveoli


 Pulmonary function test for COPD pt – increased residual volume


 Chronic hypoxemia 89-90 % caused by COPD, compliance – arrange pt. spouse to be present during
teaching
 68 YO with COPD, cor pulmonale manifestation – 3+ edema in lower extremities


 COPD that smokes, tell them that smoking – decreases area available for oxygen absorption


 Acute COPD exacerbation, ph 7.32 paO2 58, co2 55, pulse ox 86 indicates – respiratory acidosis


 Imbalanced nutrition less than body requirement intervention –
o offer high calorie snacks between meals and at bedtime


 COPD, info given by patient that confirms chronic bronchitis –
o productive cough every winter for 2 months


 Pursed lip breathing purpose –
o preventing airway collapse and trapping air in lung during expiration


 Impaired gas exchange in COPD with acute respiratory distress – pulse ox 86%


 COPD with cor pulmonale, assess/monitor for – JVD

,Nurs 120 med surg final exam questions with verified answers 2022 update
 COPD receiving oxygen – maintain oxygen at 90% or greater


 COPD ask about home health oxygen use – it can improve pt. long term prognosis and quality of life


 RN observes students suctioning, when to intervene – clean gloves when using a sterile catheter


 Pt. coughs violently and dislodges trach tube – insert obturator


 When inflating cough to appropriate level – use manometer


 Info in pt with ARDS being treated with PEEP indicates complication – pt. has subcutaneous
emphysema
 PEEP purpose, explains to family –
o PEEP prevents air sacs from collapsing during exhalation


 Evaluate 02 ventilation for acute respiratory – use ABG
 Findings for acute respiratory failure – partial pressure of Oxygen at 45 mmhg


 Caring for patient developed ARDS as a result of a UTI, how it happened?
o – infection caused by generalized inflammation that damaged the lungs


 When prone position Is used for ARDS, positioning is effective if – patients FIo2 is 90, and o2 stat is 92


 Nurse obtains vital signs of temp 101, bp 90/56, pulse 92, resp 34, whats next ? – obtain pulse ox

 Monitor for clinical manifestations of hypercapnia when pt. in ER has –
o chest trauma and multiple rib fractures


 Pt. hypercapnia respiratory failure, resp. 8, pulse ox 89, extremely lethargic – ET with PEEP


 Protect pt. from aspiration pneumonia – position pt. with altered level of consciousness in lateral position
 Drug overdose in ER, barbiturates, potential complication–
o hypercapnic respiratory failure related to decreased ventilator effort


 Pulmonary embolism, how to explain to patient –
o blood flow to some areas of your lungs is decreased even though you’re taking adequate
 breaths
 Upper Lobectomy patient complains of incisional pain 7/10, decreased left sided breath sounds, 100 ML of bloody
drainage with large air leak, intervention –
o medicate patient with ordered morphine
 HCP 2 chest tubes with Y-connector in pneumothorax, nurse should be concerned about –
o 400 ml of blood in the collection chamber
 Pt has right sided chest tube following thoracotomy has continuous bubbling in collection chamber –

, Nurs 120 med surg final exam questions with verified answers 2022 update
o take no action with collection device


 Pre-op for left pneumonectomy for cancer of lungs – use incentive spirometer
 Monitor strip for MI, no P wave, rate 162, R interval irregular, PR not measurable, QRS wide and
distorted
o Ventricular tachycardia


 50 second episode of v. tach –
o administer IV antidysrhythmic drugs per protocol


 MI develop symptomatic hypotension, hr 30, atropine is prescribed, effective when –
o increase in patient heart rate


 Large MI has frequent PVC - monitor apical heart rate


 Pt. complains of racing heart, BP 102/68, puts on cardiac monitor –
o obtain further info about possible cause for heart rate (STRIP)


 Dizziness and SOB for several days
o 3rd degree av block (STRIP)


 Nurse gets stuck by a needle –
o hep b vaccine and HBIG injection
 Hepatitis from contaminated food, serologic testing result –
o anti-hepatitis virus immunoglobulin
 Evaluation of patient at outpatient clinic, admin of hep B vaccine is effective when –
o anti Hep B are present in specimen


 Positive for anti HCV –
o schedule patient for HCV genotype testing


 Homeless patient, severe anorexia, jaundice, diagnosed with hepatitis –
o maintain adequate nutrition


 Acute hep B asks if treatment is available –
o no meds are available to treat acute viral hepatitis, adequate nutrition and rest are the most
important treatments (HB=NO MED)

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Expertsolutions. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $25.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$25.99
  • (0)
  Add to cart