Galen Nur 265 Exam 2 || Acknowledged Answers 100%.
Pulmonary Embolism s/s you report immediately to RRT? correct answers Syncope
Cyanosis
JVD
Hypotension
What is the priority treatment for PE? correct answers Heparin
IVF (for hypotension)
What are NSG interventions for PE? correct answers O2
Lung assessments
Bleeding/fall precautions
Assess u/o, VS & neuro
What is the lab values for Heparin? correct answers PTT = 20-30 (1.5-2.5x) normal
aPTT = 30-40 (1.5-2.5x) normal
Greatest risk factor for Pulmonary Embolism? correct answers Immobility
Long bone fx
Surgery
Smoking
What ABG result is found in Pulmonary Embolism's? correct answers Respiratory Alkalosis
,How do we prevent Heparin Induced Thrombocytopenia? correct answers identifying patients at
greatest risk BEFORE therapy begins
What is NSG intervention for HIT? correct answers Stop Heparin
Monitor for DVT/PE/VTE formation
Still need an anticoagulant!
What is pleural effusion? correct answers Fluid in the pleural space
What are common s/s of Pleural Effusion? correct answers Dyspnea
Decreased/absent breath sounds
Decreased tactile fremitus
Treatment for pleural effusion? NSG for treatment? Complication? correct answers
Thoracentesis
NSG: VS after, want clear lung sounds
Complication: pneumothorax from lung puncture
What is Acute Respiratory Failure? correct answers Inadequate oxygenation of blood or
inadequate ventilation (VQ Mismatch)
What ABG results are found in ARF? correct answers Respiratory Acidosis
- PaO2 < 60
- pH < 7.35
- SaO2 < 90%
- CO2 > 45
What are common s/s of Acute Respiratory Failure? correct answers Cyanosis
, Rate changes
Dyspnea
Tachycardia
Restlessness
Hypoxia Confusion
NSG Interventions for ARF? correct answers Orthopneic position
Monitor VS, u/o, neuro
HOB elevated if BP tolerates it
O2 therapy
Find/fix cause!
What are Indirect causes of ARDS? correct answers shock, acute pancreatitis, severe burns,
transfusion of blood products, drugs, coma
What are direct causes of ARDS? correct answers pneumonia, aspiration, emboli, inhalation
injury, near-drowning, oxygen toxicity, COVID-19, trauma
What is the pathophysiology for ARDS? correct answers acute respiratory failure WITH
refractory hypoxemia, decreased lung compliance, dyspnea, pulmonary edema and ground glass
appearance on X-Ray
What is NOT found in ARDS? correct answers Adventitious lung sounds
What other s/s is present in ARDS? correct answers diaphoresis
LOC changes
tachypnea
fever
Pulmonary Embolism s/s you report immediately to RRT? correct answers Syncope
Cyanosis
JVD
Hypotension
What is the priority treatment for PE? correct answers Heparin
IVF (for hypotension)
What are NSG interventions for PE? correct answers O2
Lung assessments
Bleeding/fall precautions
Assess u/o, VS & neuro
What is the lab values for Heparin? correct answers PTT = 20-30 (1.5-2.5x) normal
aPTT = 30-40 (1.5-2.5x) normal
Greatest risk factor for Pulmonary Embolism? correct answers Immobility
Long bone fx
Surgery
Smoking
What ABG result is found in Pulmonary Embolism's? correct answers Respiratory Alkalosis
,How do we prevent Heparin Induced Thrombocytopenia? correct answers identifying patients at
greatest risk BEFORE therapy begins
What is NSG intervention for HIT? correct answers Stop Heparin
Monitor for DVT/PE/VTE formation
Still need an anticoagulant!
What is pleural effusion? correct answers Fluid in the pleural space
What are common s/s of Pleural Effusion? correct answers Dyspnea
Decreased/absent breath sounds
Decreased tactile fremitus
Treatment for pleural effusion? NSG for treatment? Complication? correct answers
Thoracentesis
NSG: VS after, want clear lung sounds
Complication: pneumothorax from lung puncture
What is Acute Respiratory Failure? correct answers Inadequate oxygenation of blood or
inadequate ventilation (VQ Mismatch)
What ABG results are found in ARF? correct answers Respiratory Acidosis
- PaO2 < 60
- pH < 7.35
- SaO2 < 90%
- CO2 > 45
What are common s/s of Acute Respiratory Failure? correct answers Cyanosis
, Rate changes
Dyspnea
Tachycardia
Restlessness
Hypoxia Confusion
NSG Interventions for ARF? correct answers Orthopneic position
Monitor VS, u/o, neuro
HOB elevated if BP tolerates it
O2 therapy
Find/fix cause!
What are Indirect causes of ARDS? correct answers shock, acute pancreatitis, severe burns,
transfusion of blood products, drugs, coma
What are direct causes of ARDS? correct answers pneumonia, aspiration, emboli, inhalation
injury, near-drowning, oxygen toxicity, COVID-19, trauma
What is the pathophysiology for ARDS? correct answers acute respiratory failure WITH
refractory hypoxemia, decreased lung compliance, dyspnea, pulmonary edema and ground glass
appearance on X-Ray
What is NOT found in ARDS? correct answers Adventitious lung sounds
What other s/s is present in ARDS? correct answers diaphoresis
LOC changes
tachypnea
fever
