SURGICAL NURSING II EXAM 2 | QUESTIONS
AND CORRECT ANSWERS RATED A+ |
HERZING | 2025/2026 GUIDE
The nurse is caring for client with metabolic alkalosis. What is a cause of
chronic metabolic alkalosis?
- Correct Answer - Long term use of diuretics
The nurse is caring for client with ARDS, the nurse understands that
which of the following is a sign of ARDS?
- Correct Answer - Hypoxemia despite supplemental oxygen
Nurse finds client gasping for air w/h pink, frosty sputum dripping from
lips. What should the nurse do first?
- Correct Answer - Apply 4L of oxygen per nasal cannula
What is the pathophysiology of pulmonary embolism?
- Correct Answer - Occlusion in the pul artery normally caused by small
emboli that get stuck in the arterioles causing necrosis of the area its in.
what do symptoms depend on in pulmonary embolism?
- Correct Answer - -Size and type of embolism
-Location of embolism
How do you treat unstable PE?
, - Correct Answer - -Begin emergency procedure to regain respiratory
and cardiovascular system
-start on thrombolytic therapy to lysis the embolism (Dissolve) and
prevent.
How do you treat stable PE?
- Correct Answer - Immediate anticoagulation to prevent reoccurrence
10 days - 6 months anticoagulation (Warfarin) and Heparin.
A pt who just had surgery can do ______________ Exercises like
_____ __________ while they are in bed to prevent PE's.
- Correct Answer - Isometric, Leg pumps
What are the main clinical manifestations of ARDs?
- Correct Answer - Severe dyspnea, hypoxemia doesn't respond to O2,
nasal flaring, tachycardia, change in mental, retraction, hyperventilation
and tachypnea.
If a patient has a 140 Heart rate is this is sign of ARDs?
- Correct Answer - Yes
What does PEEP do?
- Correct Answer - Keeps alveoli open at end of expiration; prevents
alveolar collapse. Helps to recruit more and more alveoli for gas
exchange and decrease work of breathing (improves compliance).
How do you care for a patient on a ventilator?