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ADVANCED MEDICAL SURGICAL NURSING TEST 1. 500+ QUESTIONS WITH CORRECT VERIFIED ANSWERS. LATEST ADVANCED MEDICAL SURGICAL NURSING TEST 1. 500+ QUESTIONS WITH CORRECT VERIFIED ANSWERS. LATEST $7.99
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ADVANCED MEDICAL SURGICAL NURSING TEST 1. 500+ QUESTIONS WITH CORRECT VERIFIED ANSWERS. LATEST ADVANCED MEDICAL SURGICAL NURSING TEST 1. 500+ QUESTIONS WITH CORRECT VERIFIED ANSWERS. LATEST

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  • ADVANCED MEDICAL SURGICAL NURSING

ADVANCED MEDICAL SURGICAL NURSING TEST 1. 500+ QUESTIONS WITH CORRECT VERIFIED ANSWERS. LATEST

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  • October 12, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • advanced medical
  • advanced medical surgical nursing

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  • ADVANCED MEDICAL SURGICAL NURSING
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Advanced Medical Surgical Nursing test 1

Study online at https://quizlet.com/_dpjlne

ADVANCED MEDICAL SURGICAL NURSING TEST 1. 500+
QUESTIONS WITH CORRECT VERIFIED ANSWERS. LATEST 2024-
2025
1. how do you decide whether it is going to be given IVP or IV: By the volume
2. What 4 things do you need to find in the drug book before giving IVP: - Usual
dose
-dilution
-compatibility
-rate of administration
3. when is it okay to give two incompatible medications together: if they have a
central line catheter with two lumens
4. what is the formula for IVP rate: ml/____minutes/4= ____ml/15 seconds
5. what do you need to label the IVP syringe with: -name of med -concentration
-rate of administration (numbers of lines to push and how many ml to push)
6. what three things do you have to remember when giving IVP through a
central line or midline: - wear gloves
-use a minimum of 10ml syringe
-flush the first 2 ml at the same rate of administration then push the rest of the 8ml in
7. what is the definition of a critical drip: continuous IV infusion that causes a
minute by minute physiological change to maintain
-sedation
-hemodynamic status
-blood glucose
-
coagul
ation -
pain
8. what is the definition of titration: increasing or decreasing the rate of an infusion
for a desired effect
9. what is the risk of giving two incompatible medications in the same line: they
may form precipitates in the line and clot off the vein
10. why should you never administer an IVP into a critical drip: it alters to rate of
administration of the critical drip
11. give some examples of sedative medications: precedix, ativan, versed, diprivan
12. give some examples of hemodynamic altering meds: nipride, dopamine,
levophed
13. what are the examples she gave of things that are not considered critical
drips: - TPN




, .
Advanced Medical Surgical Nursing test 1

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-potassium
-sodium
14 if you are drawing a blood culture what should you cleanse the site with:
chlorahexadine
15. if drawing an ETOH lab, what should you use to cleanse the site: betadine
16. what must you do after drawing lactic acid and ammonia labs: place them on ice
17. what must you do after drawing B1, B6 and D3 labs: place them in a warmer 18.
why should you never remove a clave when giving an IVP medication: it will allow
air to enter the patient's body -> fatal
19. why are we always using at least a 10 ml syringe when giving IVP through a
central line: the larger syringe generates less pressure and prevents rupture of the
catheter or potential embolism
20. what is the side port of a pulmonary catheter used for: administration of blood
products, rapidly infusing fluids, or administering medications
21. on a pulmonary artery catheter, which port should you never give medications
through: the distal port (yellow)
22. can we give meds through an A line?: NO!
23. what two medications should you never give IVP: potassium ( may cause cardiac
arrest) and vasopressors
24. what three medications are always diluted when giving them IV: Morphine,
ativan, and dilaudid (MAD)
25. how often should the tube feeding tube and the food be changed: every 24 hours
26. how often is the stoma appliance replaced: every 3-7 days
27. how often should the stoma appliance be emptied: when it is 1/3-1/2 full. whether
that be with liquid or gas, still change it
28. what are the indications for an indwelling catheter: -surgery: if the doctor doesn't
want the patient out of bed or maybe it is needed during surgery -accurate I&Os:
-Skin/wound healing: to prevent further skin breakdown
-prolonged immobility
29. what are the indications for a straight catheter: - no void in 6-8 hours
-bladder scan shows retention
30. what is continuous renal replacement therapy (CRRT): -bedside
hemodialysis
-slowly removes waste and excessive fluid continuously
31 what is there a decrease risk of when using CRRT: decreased risk of severe
hypotension because there are less electrolyte shifts






, .
Advanced Medical Surgical Nursing test 1

Study online at https://quizlet.com/_dpjlne

32. if a patient is on antibiotics, what is important to assess: mucous membranes
for thrush
33. what does providing oral care every 2 hours prevent: ventilator associated
pneumonia
34. how often do you need to assess skin and circulation when the pt has
restraints: every 2 hours
35. why would we insert a mechanical ventilator in a tracheostomy: if we know
that they need the vent for longer than a week (ETT should not be used for longer than a
week because of the risk for pressure sores in the esophagus)
36. if the patient has a vent in an ETT and they are coughing up blood, what does
this indicate: they have a pressure sore in their esophagus
37. if the pilot balloon is inflated too high, what might occur: a pressure sore 38. if
the pilot balloon is not inflated enough, what may occur: air leaks out around the cuff.
the SAo2 will be low and the patient will not be able to breathe well 39. if you use a
manometer to measure the pressure in the pilot balloon/ cuff, what should be the
pressure you get if it is inflated properly: 20-25 mmHg 40. what is the Fx or F setting
on the vent: the resp rate. the number of breaths the ventilator is delivering per minute
41. what is the Tv or VT setting on the vent: the tidal volume. it is the volume of gas
delivered to the patient during each vent breath
42. What is the FIo2 setting on the vent: the oxygen concentration. the fraction of
inspired oxygen delivered to the patient.
43. if the patient's SaO2 is low, what setting would you alter: the FIo2 to maintain
the SaO2 above 90%
44. what is the PEEP setting on the vent: Positive end expiratory pressure. positive
pressure applied at the end of expiration of the ventilator breaths
45. how much should the PEEP be set to: 5 mmHg
46. what does PEEP do: Help open collapsed alveoli Improves gas exchange
increases functional residual capacity (the amount of air in the lungs after expiration) 47.
how does PEEP help prevent oxygen toxicity: By maintaining PEEP at 5 mmHg, you
can have a lower FIO2, which means that the concentration of oxygen that we are
delivering is lower
48. what is pressure support: Positive pressure used to augment patient's Inspiration
pressure. it helps the patient get oxygen into their lungs without the patient working as
hard
49 what is pressure support used for: - Decreases the work of breathing
- For vent patients, helps overcome resistance of tube
50. what should tidal volume be set to: 500-950 ml (but it is usually based on height
rather than weight)




, .
Advanced Medical Surgical Nursing test 1

Study online at https://quizlet.com/_dpjlne

51. what should FiO2 be set to: 21-100%
52. what should Fx be set to: 10-20/min
53. what are the indications for PEEP: -Refractory hypoxemia (when the patient's
oxygen levels remains low even after receiving more FIO2)
-Ph below 7.30
-increase in PaCO2 above 45
-various lung diseases
-prophylactic measures

HINT: think things that cause you to be resp. acidotic
54. what are the risks of PEEP: -decreased cardiac output
-increased ICP
-barotrauma
55. explain how PEEP can cause a decreased cardiac output: PEEP increases your
intrathoracic pressure which in turn can decrease the venous return back to the heart.
Decrease blood return-> decrease preload -> decreased cardiac output 56. explain
how PEEP can cause increased ICP: increased pressure within the superior vena
cava which causes cerebral venous drainage to be compromised and therefore more
blood is left in the cranium
57. what can we do to prevent increased ICP from PEEP: Keep the HOB above
30 degrees and do frequent neuro checks
58. explain how PEEP can cause barotrauma: if you give too much PEEP, the lungs
become over distended, this over distention can cause the alveoli to rupture leading
to a spontaneous pneumothorax
59. what is the ETCO2 vent setting: measures the amount of CO2 in expired air and
the PaCo2 in the blood
60. what is the normal ETCO2: 30-43
61. what is the normal PaCO2: 35-45
62. if a high pressure alarm is sounding on the vent what does this indicate: some
sort of obstruction has occurred
63. what are the causes of high pressure alarms: -coughing
-plugged tube
-ballard tubing in too far
-"bucking" the vent
-kinked tubing

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