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2024 NUR 242 MED SURG FINAL EXAM LATEST ACTUAL EXAM 200 QUESTIONS AND DETAILED ANSWERS WITH RATIONALES| GRADED A+||GALEN COLLEGE OF NURSING | LATEST 2024/2025

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2024 NUR 242 MED SURG

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2024 NUR 242 MED SURG

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Uploaded on September 2, 2024
Number of pages 25
Written in 2024/2025
Type Exam (elaborations)
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2024 NUR
242 MED SURG FINAL EXAM
LATEST ACTUAL EXAM 200 QUESTIONS
AND DETAILED ANSWERS WITH
RATIONALES| GRADED A+||GALEN
COLLEGE OF NURSING | LATEST 2024/2025

Most COPD is caused by - ANSWER-long-term smoking and can be prevented by
not smoking or quitting soon after starting

COPD patients suffers from - ANSWER-chronic hypoxemia and hypercapnia.
Other manifestations may be cyanosis around the lips, neck vein distention, and
pitting peripheral edema. Patients using accessory muscles when breathing should
be evaluated immediately

COPD: Outcomes include improved breathing pattern, decreased inspiratory and
expiratory wheezing and decreasing dry, nonproductive cough, an oxygen
saturation - ANSWER->90, and ability to demonstrate how and when to use
inhaled medications.

Patients with COPD are often fearful and feel isolated because of their decreased
ability to - ANSWER-leave their homes. Suggest that they and their families join
support groups where they can share their experiences and feelings about the
disease and learn new techniques to improve their quality of life. Many hospitals
sponsor such groups.

,Nursing care for the patient with IBS focuses on - ANSWER-education and
emotional support. Help the patient implement lifestyle changes that reduce stress.
Remind the patient about regular exercise, discourage smoking while encouraging
the need for regular physical examinations

Intestinal obstruction is - ANSWER-a partial or complete blockage of the bowel
that results in the failure of the intestinal contents to pass through

With obstruction - ANSWER-gas and fluid accumulate proximal to and within
obstructed segment causing bowel distention

A bowel obstruction is divided into two basic categories: - ANSWER-Mechanical
and Non-mechanical

Treatment of intestinal obstruction is directed toward - ANSWER-relieving
symptoms, managing fluid and electrolyte imbalances, preventing complications,
and treating the cause of obstruction

Surgery may be needed to relieve the obstruction if - ANSWER-gastric
decompression does not relieve the symptoms, or if there are signs of bowel
necrosis. The type of surgery will depend on the type and area of obstruction and
may include intestinal resection with an anastomosis or creation of an ileostomy or
colostomy

If the small bowel obstruction is complete, the peristaltic waves become quite
vigorous, assuming - ANSWER-reverse direction, propelling intestinal contents
toward the mouth rather than the rectum

Small bowel obstruction patient vomits - ANSWER-stomach contents first, then
the bilious contents of the duodenum, and finally the fecal contents of the ileum

, A distended abdomen, a bloated sensation, and altered bowel sounds may indicate
a - ANSWER-small bowel obstruction.

Patients with Ileostomy who develop distention and cramping should apply -
ANSWER-warm, moist towels to abdomen or lightly massage abdomen

In large bowel obstruction. What may be the only symptom for several days? -
ANSWER-constipation

A lobectomy is the removal of an entire - ANSWER-lobe of the lung.
Postoperatively, the remaining lung over expands to fill the open portion of the
thoracic space.

Thoracic surgery: Nursing interventions include monitoring - ANSWER-pulse
oximetry and ABGs to elevate respiratory status. Teach the patient to cough and
deep breath every 1-2 hours while splinting the incision.

Ensure the patient understands how to splint the incision and assist the patient with
splinting during the - ANSWER-initial postoperative phase. Encourage pursed lip
and diaphragmatic breathing techniques. Auscultate lung sounds for signs of
pulmonary edema, such as crackles.

Patients have a closed-chest drainage system after all forms of - ANSWER-chest
surgery. The chest drainage system is closed to prevent the inflow of atmospheric
pressure.

The wet suction control systems have three main components: - ANSWER-The
collection chamber collects drainage and allows monitoring of the volume, rate,
and nature of drainage, the water-seal chamber is used as a one-way valve, and the

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