Med Surg II Exam 4, Fortis Med/surg 2 exam 4 with
Complete Solution 2023
which patient in the progressive care unit would the nurse be
most concered about? - ANSWER-a patient prescribed tPA or IV
heparin that has the opportunity to bleed out
which patient on ventilator weaning should the nurse be most
concerned about? - ANSWER--the pt who has recently been
extubated with a decreased urinary output
what to do for a patient with a subarachnoid hemorrhage and
ICP? - ANSWER--check for JVD for fluid overload
-if pt has increased JVD, notify provider
how to manage a patient breathing over a vent? - ANSWER-
verbally coach them
what to do with an ICU elderly patient with new onset confusion
who is starting to go into ICU delirium? - ANSWER--report this to
the reciving nurse and continue to transfer the patient
what to do if respiratory secretions are thick? - ANSWER-increase
fluid intake
a patient with sepsis and petechiae is going into multiorgan
failure, what is she at risk for? - ANSWER-DIC
, Med Surg II Exam 4, Fortis Med/surg 2 exam 4 with
Complete Solution 2023
what are the major concerns for a patient given vasopressor
therapy? - ANSWER--vasopressin is a vasoconstrictor which
decreases coronary artery perfusion, if pt complains of chest pain,
this is an immediate concern
how to know pt is going into hypovolemic shock?
-what to do first to treat this patient? - ANSWER-they will be cool
and clamy
-initiate O2 therapy by non-rebreather
how to know when anaphylactic shock treatment is effective? -
ANSWER-when the patients O2 sat increases
signs and symptoms of neurogenic shock? - ANSWER--low BP
-low HR (apical pulse less than 45bpm)
what to further assess after a fracture from a fat embolism
occurs? - ANSWER--lung sounds
-SOB
-O2 sats
what is a concern with a lumbar vertebral compression? -
ANSWER-loss of bowel of bladder function indicates an
emergency
Complete Solution 2023
which patient in the progressive care unit would the nurse be
most concered about? - ANSWER-a patient prescribed tPA or IV
heparin that has the opportunity to bleed out
which patient on ventilator weaning should the nurse be most
concerned about? - ANSWER--the pt who has recently been
extubated with a decreased urinary output
what to do for a patient with a subarachnoid hemorrhage and
ICP? - ANSWER--check for JVD for fluid overload
-if pt has increased JVD, notify provider
how to manage a patient breathing over a vent? - ANSWER-
verbally coach them
what to do with an ICU elderly patient with new onset confusion
who is starting to go into ICU delirium? - ANSWER--report this to
the reciving nurse and continue to transfer the patient
what to do if respiratory secretions are thick? - ANSWER-increase
fluid intake
a patient with sepsis and petechiae is going into multiorgan
failure, what is she at risk for? - ANSWER-DIC
, Med Surg II Exam 4, Fortis Med/surg 2 exam 4 with
Complete Solution 2023
what are the major concerns for a patient given vasopressor
therapy? - ANSWER--vasopressin is a vasoconstrictor which
decreases coronary artery perfusion, if pt complains of chest pain,
this is an immediate concern
how to know pt is going into hypovolemic shock?
-what to do first to treat this patient? - ANSWER-they will be cool
and clamy
-initiate O2 therapy by non-rebreather
how to know when anaphylactic shock treatment is effective? -
ANSWER-when the patients O2 sat increases
signs and symptoms of neurogenic shock? - ANSWER--low BP
-low HR (apical pulse less than 45bpm)
what to further assess after a fracture from a fat embolism
occurs? - ANSWER--lung sounds
-SOB
-O2 sats
what is a concern with a lumbar vertebral compression? -
ANSWER-loss of bowel of bladder function indicates an
emergency
