Examl 3:l NUR242l /l NURl 242l (NEWl
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Guide|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Lungl abscessl presentation
Answer:
coughl thatl isl productivel ofl foull smellingl sputum,l highl fever,l chills,l weightl loss,l andl
nightl sweats,l badl breath
-dx->l X-ray-->l plainl radiographyl demonstratingl al cavitaryl lesionl withl anl air-fluidl level
QUESTION
Lungl abscessl treatment
Answer:
antibiotics,l perhapsl surgicall resection
QUESTION
Chestl Tubel Suctionl Controll Chamber
Answer:
Providesl suctionl ->l Controlledl tol providel negativel pressurel tol chest
Filledl withl variousl levelsl ofl waterl forl desiredl suction;l withoutl thisl thel lungl tissuel
couldl bel suckedl intol thel chestl tube
Gentlel bubblingl =l Suctionl (notl airl escapingl froml pleurall space)
filll tol prescribed
,QUESTION
chestl tubel waterl seall chamber
Answer:
Tipl ofl tubel isl underwaterl 2cml requiredl ->l Allowsl fluidl andl airl tol drainl froml pleurall
spacel andl preventl airl froml enteringl pleurall space
Waterl movesl upl asl clientl inhalesl andl movesl downl duringl exhale
Excessive,l continuousl bubblingl indicatesl airl leakl inl chest-tubel system
QUESTION
chestl tubel drainagel system
Answer:
*returnsl negativel pressurel tol thel intrapleurall space
*usedl tol removel abnormall accumulationsl ofl airl andl fluidl froml thel pleurall space
markl onl chestl tube
changel beforel reachesl tubel froml patiencel orl entrancel tol waterl seal
QUESTION
notifyl surgeonl forl chestl tube
Answer:
-tracheall deviation
-suddenl onsetl orl increasedl dyspnea
-02%l lessl thenl 90%
-drainagel greaterl thanl 70ml/hr
-visiblel eyeletsl onl chestl tube
-chestl tubel fallsl outl ofl patientl (firstl coverl withl dryl sterilel gauze)
-chestl tubel disconnectsl froml drainagel (firstl putl endl ofl tubel inl al containerl ofl sterilel
water)
-drainagel stopsl )inl firstl 24l hours)
QUESTION
drainagel systeml monitoring
Answer:
-dol notl stripl thel chestl tube
,-keepl drainagel lowerl thenl chestl level
-assessl bubblingl inl waterl seall shouldl bel gentle
-assessl titalingl risel andl falll ofl waterl inl waterl chamberl withl breathing
QUESTION
pneomonectomy
Answer:
thel surgicall removall ofl alll orl partl ofl al lung
QUESTION
pneomonectomyl care
Answer:
chestl tube
turnl patientl perl doctorsl order
QUESTION
Influenzal vaccinel guidlines
Answer:
annualy
QUESTION
pneumonial vaccine
Answer:
65l andl abovel needl 2l vaccinesl everyl 5l years
QUESTION
abdominall assessmentl order
Answer:
1.l inspection
, 2.l auscultation
3.l palpation
4.l percussion
QUESTION
GERDl pathophysiology
Answer:
Gastricl Secretionsl Refluxl intol Esophagus
Esophagusl Damaged
Lowerl Esophageall Sphincterl Doesl Notl Closel Tightly
QUESTION
GERDl lifestylel changes
Answer:
-l Weightl loss
-l Elevatel HOB
-l Avoidl fatty/acidicl foods
-l Smallerl meals
-l Nol smoking/alcohol
-nol heavyl liftingl
-eatl 3l hoursl beforel goingl tol bed
QUESTION
GERDl medications
Answer:
1.l antacidsl (needl tol bel takenl atl leastl 1l hourl beforel meal,l orl 2l hoursl afterl al meal,l
don'tl mixl withl otherl meds)
2.l Histaminel 2l receptorl antagonistsl (endl inl dine)l (takingl atl bedl time)
3.l Protonl Pumpl Inhibitorsl (PPIs)l (endsl inl zole)l (takingl 30l minsl beforel meal)
QUESTION
Hiatall hernial pathophysiology
2025/l 2026l Update)l Medical-Surgicall
Nursingl Conceptsl Guide|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen
QUESTION
Lungl abscessl presentation
Answer:
coughl thatl isl productivel ofl foull smellingl sputum,l highl fever,l chills,l weightl loss,l andl
nightl sweats,l badl breath
-dx->l X-ray-->l plainl radiographyl demonstratingl al cavitaryl lesionl withl anl air-fluidl level
QUESTION
Lungl abscessl treatment
Answer:
antibiotics,l perhapsl surgicall resection
QUESTION
Chestl Tubel Suctionl Controll Chamber
Answer:
Providesl suctionl ->l Controlledl tol providel negativel pressurel tol chest
Filledl withl variousl levelsl ofl waterl forl desiredl suction;l withoutl thisl thel lungl tissuel
couldl bel suckedl intol thel chestl tube
Gentlel bubblingl =l Suctionl (notl airl escapingl froml pleurall space)
filll tol prescribed
,QUESTION
chestl tubel waterl seall chamber
Answer:
Tipl ofl tubel isl underwaterl 2cml requiredl ->l Allowsl fluidl andl airl tol drainl froml pleurall
spacel andl preventl airl froml enteringl pleurall space
Waterl movesl upl asl clientl inhalesl andl movesl downl duringl exhale
Excessive,l continuousl bubblingl indicatesl airl leakl inl chest-tubel system
QUESTION
chestl tubel drainagel system
Answer:
*returnsl negativel pressurel tol thel intrapleurall space
*usedl tol removel abnormall accumulationsl ofl airl andl fluidl froml thel pleurall space
markl onl chestl tube
changel beforel reachesl tubel froml patiencel orl entrancel tol waterl seal
QUESTION
notifyl surgeonl forl chestl tube
Answer:
-tracheall deviation
-suddenl onsetl orl increasedl dyspnea
-02%l lessl thenl 90%
-drainagel greaterl thanl 70ml/hr
-visiblel eyeletsl onl chestl tube
-chestl tubel fallsl outl ofl patientl (firstl coverl withl dryl sterilel gauze)
-chestl tubel disconnectsl froml drainagel (firstl putl endl ofl tubel inl al containerl ofl sterilel
water)
-drainagel stopsl )inl firstl 24l hours)
QUESTION
drainagel systeml monitoring
Answer:
-dol notl stripl thel chestl tube
,-keepl drainagel lowerl thenl chestl level
-assessl bubblingl inl waterl seall shouldl bel gentle
-assessl titalingl risel andl falll ofl waterl inl waterl chamberl withl breathing
QUESTION
pneomonectomy
Answer:
thel surgicall removall ofl alll orl partl ofl al lung
QUESTION
pneomonectomyl care
Answer:
chestl tube
turnl patientl perl doctorsl order
QUESTION
Influenzal vaccinel guidlines
Answer:
annualy
QUESTION
pneumonial vaccine
Answer:
65l andl abovel needl 2l vaccinesl everyl 5l years
QUESTION
abdominall assessmentl order
Answer:
1.l inspection
, 2.l auscultation
3.l palpation
4.l percussion
QUESTION
GERDl pathophysiology
Answer:
Gastricl Secretionsl Refluxl intol Esophagus
Esophagusl Damaged
Lowerl Esophageall Sphincterl Doesl Notl Closel Tightly
QUESTION
GERDl lifestylel changes
Answer:
-l Weightl loss
-l Elevatel HOB
-l Avoidl fatty/acidicl foods
-l Smallerl meals
-l Nol smoking/alcohol
-nol heavyl liftingl
-eatl 3l hoursl beforel goingl tol bed
QUESTION
GERDl medications
Answer:
1.l antacidsl (needl tol bel takenl atl leastl 1l hourl beforel meal,l orl 2l hoursl afterl al meal,l
don'tl mixl withl otherl meds)
2.l Histaminel 2l receptorl antagonistsl (endl inl dine)l (takingl atl bedl time)
3.l Protonl Pumpl Inhibitorsl (PPIs)l (endsl inl zole)l (takingl 30l minsl beforel meal)
QUESTION
Hiatall hernial pathophysiology
