NUR265 | NUR 265 EXAM 4 | ADVANCED
CONCEPTS OF MEDICAL SURGICAL NURSING
EXAM 4 | CORRECTLY ANSWERED A+ |
GALEN | 2025/2026 GUIDE
SIADH treatment
- Correct Answer - Patient will be on fluid restrictions. Monitor vital signs,
electrolytes, ABGs. O2 sat, ECG, heart and lung sounds (crackles).
Intake and output. ( make sure fluid is eliminated).
Minimize patient activities. Safety precautions
Altitude Related Illness Factors
- Correct Answer - obesity, cardiovascular problems, dehydration,
alcohol use
fluid overload symptoms
- Correct Answer - distended neck veins
increased b/p
tachycardia
crackles in lungs
edema
slow iv rate
raise HOB
diuretics given.
,increase BP, increased urine output, dependant edema, lung crackles,
neck vein distension
Altitude Related Illness Intervention, Treatment and Prevention
- Correct Answer - descend to a lower altitude slowly.
SIADH nursing interventions
- Correct Answer - Continual assessment of pt for fluid overload every 2
hours
Neuro exam (low Na+)
Lung sounds for crackles (indicate overhydration), daily weight, I & O,
fluids high in sodium (milk, oj, tomato juice, beef & chick broth). Sodium
will be diluted because they are edemic.
Altitude Mountain Sickness (AMS) drugs
- Correct Answer - acetazolamide (Diamox)- sulfa drug and induces
diuresis, Dexamethasone and Nifedipine
High Altitude Cerebral Edema (HACE)
- Correct Answer - Dexamethasone, and Nifedipine
High Altitude Pulmonary Edema (HAPE)
- Correct Answer - Prevention: Nifedipine Treatment: Sildenafil or
Tadalafil
, Heat Stroke
- Correct Answer –
A failure of the body's heat regulating
mechanisms. May be cause by exertion in extreme heat and humidity.
Inadequate heat loss.
Elderly, very young, ill, or debilitated are at high risk
heat stroke symptoms
- Correct Answer –
CNS dysfunction, elevated temperature, hot dry skin, anhydrosis,
tachypnea, hypotension, and tachycardia
Body temp may exceed 104° F (40° C)
Can cause death
Heat Stroke Management
- Correct Answer –
Hyperthermia may recur in 3 to 4 hours.
Avoid hypothermia
Stabilize Airway, Breathing, Circulation
•100% O2
•Cardiac monitor
•Rapidly reduce the core temperature until it reaches 102 degrees F
CONCEPTS OF MEDICAL SURGICAL NURSING
EXAM 4 | CORRECTLY ANSWERED A+ |
GALEN | 2025/2026 GUIDE
SIADH treatment
- Correct Answer - Patient will be on fluid restrictions. Monitor vital signs,
electrolytes, ABGs. O2 sat, ECG, heart and lung sounds (crackles).
Intake and output. ( make sure fluid is eliminated).
Minimize patient activities. Safety precautions
Altitude Related Illness Factors
- Correct Answer - obesity, cardiovascular problems, dehydration,
alcohol use
fluid overload symptoms
- Correct Answer - distended neck veins
increased b/p
tachycardia
crackles in lungs
edema
slow iv rate
raise HOB
diuretics given.
,increase BP, increased urine output, dependant edema, lung crackles,
neck vein distension
Altitude Related Illness Intervention, Treatment and Prevention
- Correct Answer - descend to a lower altitude slowly.
SIADH nursing interventions
- Correct Answer - Continual assessment of pt for fluid overload every 2
hours
Neuro exam (low Na+)
Lung sounds for crackles (indicate overhydration), daily weight, I & O,
fluids high in sodium (milk, oj, tomato juice, beef & chick broth). Sodium
will be diluted because they are edemic.
Altitude Mountain Sickness (AMS) drugs
- Correct Answer - acetazolamide (Diamox)- sulfa drug and induces
diuresis, Dexamethasone and Nifedipine
High Altitude Cerebral Edema (HACE)
- Correct Answer - Dexamethasone, and Nifedipine
High Altitude Pulmonary Edema (HAPE)
- Correct Answer - Prevention: Nifedipine Treatment: Sildenafil or
Tadalafil
, Heat Stroke
- Correct Answer –
A failure of the body's heat regulating
mechanisms. May be cause by exertion in extreme heat and humidity.
Inadequate heat loss.
Elderly, very young, ill, or debilitated are at high risk
heat stroke symptoms
- Correct Answer –
CNS dysfunction, elevated temperature, hot dry skin, anhydrosis,
tachypnea, hypotension, and tachycardia
Body temp may exceed 104° F (40° C)
Can cause death
Heat Stroke Management
- Correct Answer –
Hyperthermia may recur in 3 to 4 hours.
Avoid hypothermia
Stabilize Airway, Breathing, Circulation
•100% O2
•Cardiac monitor
•Rapidly reduce the core temperature until it reaches 102 degrees F
