Complex med surg Study guides, Class notes & Summaries

Aneurysm - Answer Permanent dilation of an artery to at least two times it's normal diameter Most common artery for aneurysm - Answer Abdominal aorta between the renal arteries and the aortic bifurcation Saccular aneurysm - Answer our pouching --> specific portion of the vessel Fusiform aneurysm - Answer Affecting the circumference of the artery Aortic dissection - Answer Tear in the lining of the aorta that causes blood to accumulate within the aortic wall Aneurysm ...

What is ICP?(intracranial pressure) - Answer Pressure exerted by the volume of the intracranial contents due to cerebral edema resulting in impaired cerebral perfusion What are intracranial contents? - Answer *CSF *Blood *Brain matter What are the causes of ICP? - Answer *Head injury *Infection *Stroke *Brain tumor *Hemorrhage *Viral encephalopathy What is CPP? - Answer cerebral perfusion pressure (MAP-ICP) What is normal CPP? - Answer *Normal CPP 70-100mm <50 in...

ATI MED SURG PROCTORED 2023 TEST BANK NEWEST REAL EXAM 218 QUESTIONS AND DETAILED ANSWERS WITH RATIONALES GRADE A 1…. A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? Amylase Rational Amylase is an enzyme that changes complex sugars into simple sugars that can be used by the body. It is produced by the pancreas and salivary glands and released into the mouth, stomach, and intestines...

The expectoration of blood from respiratory tract. - Answer Hemoptysis Aspiration of air and fluid from pleural space Performed for diagnostic or therapeutic purposes - Answer thoracentesis Decrease in arterial oxygen tension in blood. Manifested by changes in mental status, dyspnea, increase in BP, changes in HR, dysrhythmias, central cyanosis, diaphoresis, cool extremities usually leads to hypoxia - Answer hypoxemia Decrease in O2 supply to tissues and cells. - Answer hy...

2023 ATI Med-Surg proctored Exam GRADED A LATEST VERSION A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? 1) Take temperature once a day. 2) Wash the armpits and genitals with a gentle cleanser daily. 3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water. A nurse is caring for a client who is postoperative following a tracheostomy, and has copio...

PNVN 1631 Module 8 Exam Genitourinary System Questions With Answers 2023 (MED SURG). A client who has chronic glomerunephritis has deteriorated to the early stages of renal failure. When receiving shift report from the nurse, what information correlates with renal failure? Weight loss Anemia Hypotension Fever Rationale: Anemia is common in clients with renal failure. If kidney function is diminished, anemia occurs from the decreased RBC production resulting from discontinued production or erythr...

When to call IDN - Answer vented patient with GCS of 5 or less, regardless of sedation, call within 1 hr, at first mention of any end-of-life discussions, before any terminal wean and/or withdrawal of support, within 1 hr of cardiac time of death, if family mentions donation Dobutamine - Answer agents strengthen cardiac contraction, increase cardiac output, inotropic drug Vasopressors - Answer they cause vasoconstriction, increase MAP, dopamine is most common, norepinephrine (levofed...

Serves as guidelines for critical care nurses, establishes goals for patient care. - Answer AACN Standards for Acute and Critical Care Nursing Practice What makes delirium different from dementia? - Answer Delirium is fast onset, acute in nature, and there is usually a cause to it. True or False: Delirium is associated with low rates of mortality and morbidity? - Answer False- it is associated with high rates of mortality and morbidity. 3 Types of Delirium and characteristics - An...

What is preload? - Answer the volume/pressure of the blood returning and filling the heart What is afterload? - Answer the pressure the left ventricle must overcome to eject its blood (more resistance=more afterload) Decreases preload: inhibits Na+ reabsorption thereby promoting fluid loss For HTN, HF, cardiogenic shock SE: hypotension, hypokalemia, ototoxicity Teaching: watch for dizziness when standing, eat foods with K+ - Answer K+ wasting diuretics (furosemide) Blocks...

While monitoring a patient who has fluid overload, which assessment is most concerning to the nurse? A.Bounding pulse B.Neck vein distention C.Pitting edema in the feet Presence of crackles in the lungs - Answer ANS: D Fluid overload may lead to pulmonary edema and heart failure. Any patient with fluid overload, regardless of age, is at risk for these complications. Older adults or those with cardiac problems, kidney problems, pulmonary problems, or liver problems are at greater risk...