Med Surg II Exam 4, Fortis Med/surg 2 Exam 4 Questions And Answers

Med Surg II Exam 4, Fortis Med/surg 2 Exam 4 Questions And Answers Which patient in the progressive care unit would the nurse be most concerned about? - ANS a patient prescribed tPA or IV heparin that has the opportunity to bleed out which patient on ventilator weaning should the nurse be most concerned about? - ANS -the pt who has recently been extubated with a decreased urinary output what to do for a patient with a subarachnoid hemorrhage and ICP? - ANS -check for JVD for fluid overload -if pt has increased JVD, notify provider how to manage a patient breathing over a vent? - ANS verbally coach them what to do with an ICU elderly patient with new onset confusion who is starting to go into ICU delirium? - ANS -report this to the receiving nurse and continue to transfer the patient what to do if respiratory secretions are thick? - ANS increase fluid intake a patient with sepsis and petechiae is going into multiorgan failure, what is she at risk for? - ANS DIC what are the major concerns for a patient given vasopressor therapy? - ANS -vasopressin is a vasoconstrictor which decreases coronary artery perfusion, if pt complains of chest pain, this is an immediate concern how to know pt is going into hypovolemic shock? -what to do first to treat this patient? - ANS they will be cool and clamy -initiate O2 therapy by non-rebreather