Med Surg II Exam 4, Fortis Med/surg 2 exam 4
with Complete Solution 2023-2024
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 2023-2024
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
with Complete Solution 2023-2024
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 2023-2024
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
