MED SURG FINAL EXAM GALEN COLLEGE OF NURSING NEWEST 2024 ACTUAL EXAM TEST BANK QUESTIONS AND CORRECT DETAILED ANSWERS

COPD (chronic obstructive pulmonary disease) - ANSWERS,A group of lung diseases (emphysema and bronchitis) that block airflow and make it difficult to breathe. COPD S/S - ANSWERS,Dyspnea Chronic cough Sputum production Wheezing/chest tightness Tripod-ing Clubbed nails Prolongued expiration Barrel chest "Pursed lip" breathing Hypoxemia Hypercapnia Polycythemia COPD treatment - ANSWERS,"Smoking cessation, pneumococcal and flu vaccines, systemic or inhaled corticosteroids, oxygen, inhaled beta-agonists and anticholinergics" COPD teaching - ANSWERS,-stop smoking -vaccines -rehab -support groups -pursed lip breathing and O2 below 4LPM -depression assessment -advance directives pneumonectomy - ANSWERS,the surgical removal of all or part of a lung chest drainage system - ANSWERS,the use of a chest tube and closed drainage system to re-expand the lung and to remove excess air, fluid, and blood Pulmonary TB - ANSWERS,A chronic infectious disease affecting the lungs, airborne isolation TB symptoms - ANSWERS,Flulike symptoms, night sweats, elevated temperature, decreased deep tendon reflexes. TB treatment - ANSWERS,RIPE (rifampin, isoniazid, pyrazinamide, ethambutol) Isolation TB teaching - ANSWERS,Indicates pt understands: - "Everyone in my family needs to go and see the doctor for TB testing." - "I will cover my mouth and nose when I sneeze or cough and put my used tissues in a plastic bag. - I will change my diet to include more foods rich in iron, protein, and vitamin C. - "I must take isonazid for 6 months" Patients taking isoniazid must continue taking the drug for 6 months. The other three statements are accurate and indicate an understanding of TB. Family members should be tested because of their repeated exposure to the patient. Covering the nose and mouth when sneezing or coughing, and placing tissues in plastic bags, help prevent transmission of the causative organism. The dietary changes are recommended for patients with TB. lung abscess - ANSWERS,a localized collection of pus formed by the destruction of lung tissue and microorganisms by white blood cells that have migrated to the area to fight infection Lung abscess s/s - ANS