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Nurs 120 med surg final exam questions with verified answers 2022 update $25.99   Add to cart

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

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

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  • February 18, 2023
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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)

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