Exam 2 Medsurg - NSG 223
What is the pathophysiology of pulmonary embolism ? - 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? - answer-Size and type of
embolism
-Location of embolism
How do you treat unstable PE? - 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? - 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. - answer Isometric, Leg pumps
What are the main clinical manifestations of ARDs? - answerSevere 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? - answerYes
*What does PEEP do? - answerKeeps 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? - answerFull assessment Q4 hrs, Make
sure tube is in right position and check vent settings, Maintain hob at 30 degrees, oral
care Q2 hrs, Picture board for communication.
* ______________ is given to pts before they are intubated to relax the vocal muscles
and making intubation easier. - answerVecuronium
What is a good nursing intervention for a patient with pulmonary HTN/edema who is
bedridden? - answerSit up with leg of the bed raised to increase venous return.
*When caring for a pt with pulmonary edema the nurse will give the diuretic
___________ - answerFurosemide
, *If a client has a potassium level of 5.6. The nurse will give ________ _______
_______. - answerSodium Polystyrene Sulfonate
*The nurse is caring for a client with the following
pH - 7.25
HCO3 - 18
CO2 - 42
The patient has ___________ Acidosis - answerMetabolic
*A client comes into the ED with HYPOventilation. The nurse will monitor for
_______________ __________________ - answerRespiratory Acidosis
*If a pt has emphysema and sleep apnea they are at risk for chronic _____________
Acidosis. - answerRespiratory
*A client comes into the ED with HYPERventilation. The nurse will monitor for
_____________ ________________ _________________ - answerCompensated
Respiratory Acidosis
*The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
The patient has ___________ Alkalosis - answerMetabolic
A client has a potassium level of 5.6 Meq/L . Which order should the nurse anticipate? -
answerSodium polystyrene sulfonate
*If the patient has the following ABGs
pH - 7.25
HCO3 - 33
CO2 - 47
The interpretation is? - answerCompensated respiratory acidosis
*The pt has an ABG of
pH - 7.25
HCO3 - 20
CO2 - 40
What is the pathophysiology of pulmonary embolism ? - 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? - answer-Size and type of
embolism
-Location of embolism
How do you treat unstable PE? - 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? - 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. - answer Isometric, Leg pumps
What are the main clinical manifestations of ARDs? - answerSevere 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? - answerYes
*What does PEEP do? - answerKeeps 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? - answerFull assessment Q4 hrs, Make
sure tube is in right position and check vent settings, Maintain hob at 30 degrees, oral
care Q2 hrs, Picture board for communication.
* ______________ is given to pts before they are intubated to relax the vocal muscles
and making intubation easier. - answerVecuronium
What is a good nursing intervention for a patient with pulmonary HTN/edema who is
bedridden? - answerSit up with leg of the bed raised to increase venous return.
*When caring for a pt with pulmonary edema the nurse will give the diuretic
___________ - answerFurosemide
, *If a client has a potassium level of 5.6. The nurse will give ________ _______
_______. - answerSodium Polystyrene Sulfonate
*The nurse is caring for a client with the following
pH - 7.25
HCO3 - 18
CO2 - 42
The patient has ___________ Acidosis - answerMetabolic
*A client comes into the ED with HYPOventilation. The nurse will monitor for
_______________ __________________ - answerRespiratory Acidosis
*If a pt has emphysema and sleep apnea they are at risk for chronic _____________
Acidosis. - answerRespiratory
*A client comes into the ED with HYPERventilation. The nurse will monitor for
_____________ ________________ _________________ - answerCompensated
Respiratory Acidosis
*The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
The patient has ___________ Alkalosis - answerMetabolic
A client has a potassium level of 5.6 Meq/L . Which order should the nurse anticipate? -
answerSodium polystyrene sulfonate
*If the patient has the following ABGs
pH - 7.25
HCO3 - 33
CO2 - 47
The interpretation is? - answerCompensated respiratory acidosis
*The pt has an ABG of
pH - 7.25
HCO3 - 20
CO2 - 40
