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Medical Surgical Nursing Final Exam Questions With Correct Answers.
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Medical Surgical Nursing Final Exam Questions With Correct Answers. For a pt in cardiogenic shock, their blood pressure will decrease because their heart is not pumping effectively, as the nurse what is your priority intervention - answergive dobutamine For a pt in hypovolemic shock, their bloo...

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  • October 18, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • medical surgical nursing final exam questions with

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  • Medical surgical nursing
  • Medical surgical nursing

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©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM



Medical Surgical Nursing Final Exam
Questions With Correct Answers.


For a pt in cardiogenic shock, their blood pressure will decrease because their heart is not

pumping effectively, as the nurse what is your priority intervention - answer✔give dobutamine


For a pt in hypovolemic shock, their blood pressure will decrease because they are losing volume

what is your priority nursing intervention - answer✔give 3 L of crystalloid and a vasopressor

(dopamine or neosynephrine)

For a pt in septic shock their blood pressure will decrease because the infection/bacteria is

causing vasodilation, as the nurse what is your priority intervention - answer✔give volume and

an antibiotic


what is your first priority in shock pts - answer✔airway - get ready to intubate, then get large

bore PIV's


Your pt is going into shock, as the nurse what is one of your duties to find out: - answer✔need to

know their blood type

get ready for blood transfusion

, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM


In hypovolemic shock patients why do you give vasopressors - answer✔to tighten them up and

raise blood pressure, if your patients blood pressure is steadily decreasing, you obviously worry

that they will code on you


what is chemotherapy - answer✔the most effective medication to radiate the cancer cells


what is cytotoxic chemotherapy - answer✔killing cancer cells but also killing healthy cells,

normally it is proliferating cells


what are examples of proliferating cells - answer✔mucous membranes of GI tract


hair follicles

liver injury (check LFT)


pt education for being immunocompromised - answer✔avoid crowds, monitor temperature, wash

fresh produce, no fresh flowers, no yard work


what is the number one complication from chemo - answer✔immunosuppression = WBC less

than 1000 (neutropenia)


what is administered to protect WBC's - answer✔Neupogen, when WBC's are less than 1000


your pt is immunosuppressed and is on Neupogen; what do we need to assess as the nurse -

answer✔watch for fever, assess skin, get a culture if there is a spiked fever, no fresh fruits or

flowers, keep dedicated equipment in room, may need to medicate to boost WBC, give neupogen

, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM


what are chemo patients at risk for - answer✔nausea and vomiting


nausea is the most common symptoms of receiving chemo


nrsg interventions for nausea - answer✔give zofran


small frequent meals,

bland food

stay hydrated

NO RED MEAT


why give a pt, who is being treated with chemotherapy, hard candy? - answer✔helpful to give to

nauseous patients along with high protein and high calorie foods


nursing interventions for cancer pts with alopecia - answer✔1. you want to improve their self

image (wigs, hats, etc)

a side effect of chemotherapy is stomatitis; what is this & what are nursing interventions for it -

answer✔- mouth lesions that make it difficult to eat


- give an ointment before they eat

- mouth washing !!

- can give nyostatin and document what they eat


anemia means the RBC count does what - answer✔RBC count goes down

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