ADVANCED MED-SURG EXAM 2 GALEN
COLLEGE OF NURSING QUESTIONS WITH
VERIFIED ANSWERS AND FULL SOLUTIONS
◉ HH 2 Answer: Interventions to prevent complications of clients on
mechanical ventilation with ARDS
-elevate the high of the bed at least 30 degrees
-Assist with daily awakening
-Implement a comprehensive oral hygiene plan
-Implement a comprehensive mobilization program
◉ HH 3 Answer: Suction only when secretions are present
◉ HH 4 Answer: Before drawing a sample for ABGs from the radial
artery, perform the Allen test to assess collateral circulation. Make
the clients hand blanch by obliterating both the radial and the ulnar
pulses. Then release the pressure over the ulnar artery only. If flow
through the ulnar artery is good, flushing will be seen immediately.
The allen test is then positive and the radial artery can be used for
puncture.
,◉ HH 5 Answer: Cardinal signs of Acute Respiratory Failure in
children are restlessness, tachypnea, tachycardia, and diaphoresis
◉ HH 6 Answer: Pco2 >45 or Po2 <60 on 50% 02 signifies
respiratory failure
-A child in severe distress should be on 100% 02
◉ What Po2 values indicate respiratory failure in adults? Answer:
Po2 below 60
◉ What blood value indicates hypercapnia? Answer: Pco2 above 45
◉ Identify the condition that exists when the Po2 is less than 50 and
Fio2 is greater than 60% Answer: Hypoxemia
◉ List three symptoms of respiratory failure in adults? Answer:
Dyspnea/tachypnea
Intercostal and sternal retractions
cyanosis
◉ List four common causes of respiratory Answer: Congenital heart
disease
Infection or sepsis
, Respiratory distress syndrome
Aspiration
Fluid overload or dehydration
◉ What percentage of 02 should a child in severe respiratory
distress receive? Answer: 100%
◉ HH 7 Answer: Early signs of shock are agitation and restlessness
resulting from cerebral hypoxia
◉ HH 8 Answer: Severe shock leads to widespread cellular injury
and impairs the integrity of the capillary membranes. Fluid and
osmotic proteins seep into the extravascular spaces, further
reducing cardiac output.
A vicious circle of decreased perfusion to all cellular level activities
ensues. All organs are damaged and if perfusion problems persist
the damage can be permanent.
◉ HH 9 Answer: All types of shock can lead to systemic
inflammatory response syndrome (SIRS) and results in multiple
organ dysfunction syndrome (MODS)
◉ HH 10 Answer: If cardiogenic shock exists in the presence of
pulmonary edema, position the client to reduce venous return (high
fowlers) to decrease further venous return to the left ventricle
COLLEGE OF NURSING QUESTIONS WITH
VERIFIED ANSWERS AND FULL SOLUTIONS
◉ HH 2 Answer: Interventions to prevent complications of clients on
mechanical ventilation with ARDS
-elevate the high of the bed at least 30 degrees
-Assist with daily awakening
-Implement a comprehensive oral hygiene plan
-Implement a comprehensive mobilization program
◉ HH 3 Answer: Suction only when secretions are present
◉ HH 4 Answer: Before drawing a sample for ABGs from the radial
artery, perform the Allen test to assess collateral circulation. Make
the clients hand blanch by obliterating both the radial and the ulnar
pulses. Then release the pressure over the ulnar artery only. If flow
through the ulnar artery is good, flushing will be seen immediately.
The allen test is then positive and the radial artery can be used for
puncture.
,◉ HH 5 Answer: Cardinal signs of Acute Respiratory Failure in
children are restlessness, tachypnea, tachycardia, and diaphoresis
◉ HH 6 Answer: Pco2 >45 or Po2 <60 on 50% 02 signifies
respiratory failure
-A child in severe distress should be on 100% 02
◉ What Po2 values indicate respiratory failure in adults? Answer:
Po2 below 60
◉ What blood value indicates hypercapnia? Answer: Pco2 above 45
◉ Identify the condition that exists when the Po2 is less than 50 and
Fio2 is greater than 60% Answer: Hypoxemia
◉ List three symptoms of respiratory failure in adults? Answer:
Dyspnea/tachypnea
Intercostal and sternal retractions
cyanosis
◉ List four common causes of respiratory Answer: Congenital heart
disease
Infection or sepsis
, Respiratory distress syndrome
Aspiration
Fluid overload or dehydration
◉ What percentage of 02 should a child in severe respiratory
distress receive? Answer: 100%
◉ HH 7 Answer: Early signs of shock are agitation and restlessness
resulting from cerebral hypoxia
◉ HH 8 Answer: Severe shock leads to widespread cellular injury
and impairs the integrity of the capillary membranes. Fluid and
osmotic proteins seep into the extravascular spaces, further
reducing cardiac output.
A vicious circle of decreased perfusion to all cellular level activities
ensues. All organs are damaged and if perfusion problems persist
the damage can be permanent.
◉ HH 9 Answer: All types of shock can lead to systemic
inflammatory response syndrome (SIRS) and results in multiple
organ dysfunction syndrome (MODS)
◉ HH 10 Answer: If cardiogenic shock exists in the presence of
pulmonary edema, position the client to reduce venous return (high
fowlers) to decrease further venous return to the left ventricle
