MED SURG II EXAM 4, FORTIS MED/SURG 2 EXAM 4
/VERIFIED ANSWERS /SURE PASS A+
1.which patient in the progressive care unit would the nurse be most concered about?:
a patient prescribed tPA or IV heparin that has the opportunity to bleed
out
2. which patient on ventilator weaning should the nurse be most concerned about?: -
the pt who has recently been extubated with a decreased urinary
output
3. what to do for a patient with a subarachnoid hemorrhage and ICP?: -check for
JVD for fluid overload
-if pt has increased JVD, notify provider
4. how to manage a patient breathing over a vent?: verbally coach them
5. what to do with an ICU elderly patient with new onset confusion who is starting to
go into ICU delirium?: -report this to the reciving nurse and continue to
transfer the patient
6. what to do if respiratory secretions are thick?: increase fluid intake
, 7. a patient with sepsis and petechiae is going into multiorgan
failure, what is she at risk for?: DIC
8. what are the major concerns for a patient given vasopressor therapy?: -
-vasopressin is a vasoconstrictor which decreases coronary artery
perfusion, if pt complains of chest pain, this is an immediate concern
9. how to know pt is going into hypovolemic shock?
-what to do first to treat this patient?: they will be cool and clamy
-initiate O2 therapy by non-rebreather
10.how to know when anaphylactic shock treatment is effective?: when the
patients O2 sat increases
11. signs and symptoms of neurogenic shock?: -low BP
-low HR (apical pulse less than 45bpm)
12. what to further assess after a fracture from a fat embolism
occurs?: -lung sounds
-SOB
/VERIFIED ANSWERS /SURE PASS A+
1.which patient in the progressive care unit would the nurse be most concered about?:
a patient prescribed tPA or IV heparin that has the opportunity to bleed
out
2. which patient on ventilator weaning should the nurse be most concerned about?: -
the pt who has recently been extubated with a decreased urinary
output
3. what to do for a patient with a subarachnoid hemorrhage and ICP?: -check for
JVD for fluid overload
-if pt has increased JVD, notify provider
4. how to manage a patient breathing over a vent?: verbally coach them
5. what to do with an ICU elderly patient with new onset confusion who is starting to
go into ICU delirium?: -report this to the reciving nurse and continue to
transfer the patient
6. what to do if respiratory secretions are thick?: increase fluid intake
, 7. a patient with sepsis and petechiae is going into multiorgan
failure, what is she at risk for?: DIC
8. what are the major concerns for a patient given vasopressor therapy?: -
-vasopressin is a vasoconstrictor which decreases coronary artery
perfusion, if pt complains of chest pain, this is an immediate concern
9. how to know pt is going into hypovolemic shock?
-what to do first to treat this patient?: they will be cool and clamy
-initiate O2 therapy by non-rebreather
10.how to know when anaphylactic shock treatment is effective?: when the
patients O2 sat increases
11. signs and symptoms of neurogenic shock?: -low BP
-low HR (apical pulse less than 45bpm)
12. what to further assess after a fracture from a fat embolism
occurs?: -lung sounds
-SOB
