NSG233 Final HESI Study Guide Review
1. whats flail chest: complication of blunt trauma
TX is usually supportive
mild-moderate flail chest: tx by fluid replacement & resolving chest pain severe
flail: tx w/ ET and mechanical vent
2. a pt comes in w/ shock, what should RN immediately insert?: 2 large bore IV
use 0.9% Na Cl or LR
3. whats hypovolemic shock: decreased intravascular volume by 15%-30% (which is roughly 750-
1500mL of blood in a 154ib pt)
4. whats the most common type of shock: hypovolemic
5. what the number 1 sx of ICP?: mental status changes
6. What's cardiogenic shock?: hearts ability to contract and to pump blood is impaired and O2 is
impaired for the heart
therefore, CO is decreased
7. common sx of cariogenic shock:
angina arrhythmia
fatigue
feeling doomsday
hemodynamic instability
1
,8. whats the goal of a pt w/ hemorrage shock ?: stop the bleed
9. If the cause of the hypovolemia is diarrhea or vomiting, what should RN
suspect to be ordered?: RX to tx diarrhea or vomiting
10. If fluid therapy alone does not effectively improve tissue perfusion, why
are dopamine or norepinephrine prescribed?: achieve a MAP of 65 mm Hg or higher
11. whats the most important diagnostic indication of an abdominal
aortic aneurysm: pulsatile mass in the middle and upper abdomen
12. what determines the sensitivity of a palpable aneurysm?: size of the
aneurysm abdominal girth of the pt
skill of the examiner
13. When
the aneurysm is small, ultrasonography is conducted at month
intervals until the aneurysm reaches a size so that surgery to prevent rupture: 6
month
14. describe the position of a pt who underwent a endovascular repair (AAA):
-
supine for 6 hours
HOB may be elevated up to 45 degrees after 2 hours.
15. Vital signs and Doppler assessment of peripheral pulses are performed
2
, how often on AAA post-op pt's?: q15 mins
16. whats a RN assess for in a pt receiving from AAA:
bleeding pulsation
swelling
pain
hematoma formation
Skin changes of lower extremity, lumbar area, buttocks VS
changes
Temp changes
REPORT ANY OF THESE TO HCP
17. how often should temp be assessed in a AAA pt?: q4hr
18. what position should a ICP pt be in?: semi-
fowlers neck neutralized
avoid flexion of body (avoid valsalva maneuver)
19. when should an RN suction a pt w/ ICP?: only PRN and for no longer than 10
seconds (100 % o2 b4 and after suctioning)
20. whats Postimplantation syndrome: inflammatory repost post AAA
repair typically begins in 24 hours post graph
21. CM of Postimplantation syndrome: spontaneous occurring
fever leukocytosis
3
1. whats flail chest: complication of blunt trauma
TX is usually supportive
mild-moderate flail chest: tx by fluid replacement & resolving chest pain severe
flail: tx w/ ET and mechanical vent
2. a pt comes in w/ shock, what should RN immediately insert?: 2 large bore IV
use 0.9% Na Cl or LR
3. whats hypovolemic shock: decreased intravascular volume by 15%-30% (which is roughly 750-
1500mL of blood in a 154ib pt)
4. whats the most common type of shock: hypovolemic
5. what the number 1 sx of ICP?: mental status changes
6. What's cardiogenic shock?: hearts ability to contract and to pump blood is impaired and O2 is
impaired for the heart
therefore, CO is decreased
7. common sx of cariogenic shock:
angina arrhythmia
fatigue
feeling doomsday
hemodynamic instability
1
,8. whats the goal of a pt w/ hemorrage shock ?: stop the bleed
9. If the cause of the hypovolemia is diarrhea or vomiting, what should RN
suspect to be ordered?: RX to tx diarrhea or vomiting
10. If fluid therapy alone does not effectively improve tissue perfusion, why
are dopamine or norepinephrine prescribed?: achieve a MAP of 65 mm Hg or higher
11. whats the most important diagnostic indication of an abdominal
aortic aneurysm: pulsatile mass in the middle and upper abdomen
12. what determines the sensitivity of a palpable aneurysm?: size of the
aneurysm abdominal girth of the pt
skill of the examiner
13. When
the aneurysm is small, ultrasonography is conducted at month
intervals until the aneurysm reaches a size so that surgery to prevent rupture: 6
month
14. describe the position of a pt who underwent a endovascular repair (AAA):
-
supine for 6 hours
HOB may be elevated up to 45 degrees after 2 hours.
15. Vital signs and Doppler assessment of peripheral pulses are performed
2
, how often on AAA post-op pt's?: q15 mins
16. whats a RN assess for in a pt receiving from AAA:
bleeding pulsation
swelling
pain
hematoma formation
Skin changes of lower extremity, lumbar area, buttocks VS
changes
Temp changes
REPORT ANY OF THESE TO HCP
17. how often should temp be assessed in a AAA pt?: q4hr
18. what position should a ICP pt be in?: semi-
fowlers neck neutralized
avoid flexion of body (avoid valsalva maneuver)
19. when should an RN suction a pt w/ ICP?: only PRN and for no longer than 10
seconds (100 % o2 b4 and after suctioning)
20. whats Postimplantation syndrome: inflammatory repost post AAA
repair typically begins in 24 hours post graph
21. CM of Postimplantation syndrome: spontaneous occurring
fever leukocytosis
3
