Exam 2 Medsurg - NSG 223 Questions
And Answers With Verified Solutions
Already (GRADED A+)
What is the pathophysiology of pulmonary embolism ? - ANSWER✔✔ Occlusion
in 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? - ANSWER✔✔ -Size and
type of embolism
-Location of embolism
How do you treat unstable PE? - ANSWER✔✔ -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? - ANSWER✔✔ 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. - ANSWER✔✔ Isometric, Leg
pumps
What are the main clinical manifestations of ARDs? - ANSWER✔✔ 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? - ANSWER✔✔ Yes
, *What does PEEP do? - ANSWER✔✔ 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? - ANSWER✔✔ 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. - ANSWER✔✔ Vecuronium
What is a good nursing intervention for a patient with pulmonary HTN/edema who
is bedridden? - ANSWER✔✔ 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
___________ - ANSWER✔✔ Furosemide
*If a client has a potassium level of 5.6. The nurse will give ________ _______
_______. - ANSWER✔✔ Sodium Polystyrene Sulfonate
*The nurse is caring for a client with the following
pH - 7.25
HCO3 - 18
CO2 - 42
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