1
Adv. Med Surg Final Review
, 2
Adv. Med Surg Final Review
1. Pt with deep/full partial thickness burns what is the prioritization?
a. Start Lactated Ringer IV infusion (It is used for replacing fluids
and electrolytes in those who have low blood volume or low
blood pressure)
b. Morphine for pain IV
c. Tetanus Prophylactics (antibiotics for infection)
2. Low pressure alarm on ventilator goes off, what is priority nursing care
intervention
a. Manually ventilate the pt
3. Pt with chest trauma, possible Pneumothorax (abnormal collection of air in
the pleural space between lungs and chest wall)
a. Absent breath sounds
b. Increase respiratory rate (destress)
4. Assessment for Cranial Nerve II (Optic Nerve)
a. Snellen chart eye test
5. Pt has decreased Cardiac Output and Tissue perfusion problem, what are
some S/S
a. Increase HR (tachycardia) ⬆
b. Low BP (hypotension) ⬇
c. Low urine output (oliguria) ⬇
6. Desired effect of pt giving Atropine for low HR
a. Increase HR
7. Pt is on Digoxin and we suspect digitalis toxicity, what do we do first with
these pt
a. Baseline Vitals > ECG
b. Check Potassium levels
c. Check Digoxin levels
8. Pt is given Ataplase or TPA what is pt at risk for?
a. Bleeding, due to medication being a clot buster
Adv. Med Surg Final Review
, 2
Adv. Med Surg Final Review
1. Pt with deep/full partial thickness burns what is the prioritization?
a. Start Lactated Ringer IV infusion (It is used for replacing fluids
and electrolytes in those who have low blood volume or low
blood pressure)
b. Morphine for pain IV
c. Tetanus Prophylactics (antibiotics for infection)
2. Low pressure alarm on ventilator goes off, what is priority nursing care
intervention
a. Manually ventilate the pt
3. Pt with chest trauma, possible Pneumothorax (abnormal collection of air in
the pleural space between lungs and chest wall)
a. Absent breath sounds
b. Increase respiratory rate (destress)
4. Assessment for Cranial Nerve II (Optic Nerve)
a. Snellen chart eye test
5. Pt has decreased Cardiac Output and Tissue perfusion problem, what are
some S/S
a. Increase HR (tachycardia) ⬆
b. Low BP (hypotension) ⬇
c. Low urine output (oliguria) ⬇
6. Desired effect of pt giving Atropine for low HR
a. Increase HR
7. Pt is on Digoxin and we suspect digitalis toxicity, what do we do first with
these pt
a. Baseline Vitals > ECG
b. Check Potassium levels
c. Check Digoxin levels
8. Pt is given Ataplase or TPA what is pt at risk for?
a. Bleeding, due to medication being a clot buster
