Exam 2: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct- Galen

Exam 2: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct- Galen Q: What are the S/S of a pneumothorax? Answer: SOB Tachy shallow resp asymetrical raise & fall of chest nagging cough cyanosis trachea slanted air hungry Q: What is a bronchoscopy? Answer: Insertion of a tube in the airways to view structures and obtain tissue samples Q: What is a pulmonary embolism? Answer: blood clot in the lungs Q: What are risk factors for PEs? Answer: DVT Immobility Estrogen Therapy Surg Obesity HF Stroke smoking Q: What teaching should you do for PE? Answer: Prevention is key lifestyle changes decrease weight stop smoking reposition car longer than 2hrs get out & walk Q: What would PE benefit from? Answer: interprofessional team Q: What are PE s/s? Answer: JVD SOB Chest pain Hypotension feeling of impending doom pleural friction rub petechiae Q: What will PE ABGs be? Answer: Resp alkalosis CO2 will be 35 pH will be 7.45 Q: What is used to dx a PE? Answer: abgs bnp d-dimer xray CT (best) Q: What are nursing interventions for PE? Answer: Monitor O2 Anticoagulants (heparin) Fibrinolytic therapy (TPA) Monitor q 1-2hrs Will be sent home on warfarin Q: Can PE pt be on heparin and warafin? Answer: Yes they wean them off heparin but will start warfarin while on the heparin so they can go home on warfarin Q: When patient is hyperventilating what is their ABGs? Answer: resp alkalosis Q: What is the antidote for heparin? Answer: protamine sulfate Q: What is the antidote for warfarin? Answer: Vitamin K Q: What can we do to get rid of the clot with a PE? Answer: TPA will bust it up Embolectomy to remove it Q: What is the tx for pt with PT with hypotension? Answer: Give fluids If this does not help, can give dopamine Q: With PE, blood will back up into the heart and into the body, symptoms will resemble?