Medical Surgical Nursing Final Exam 2024-2025 (100% Pass
Guaranteed)
For a pt in cardiogenic shock their bp will go down bc the pt's heart is unable to pump
effectively, as the nurse what is your priority intervention - ANSWER give dobutamine
For a pt in hypovolemic shock their bp will go down bc the pt has lost volume what is
your priority nursing intervention - ANSWER give 3 L of crystalloid and a vasopressor
(dopamine or neosynephrine)
Septic Shock For a pt in septic shock their blood pressure will decline because the
infection/bacteria is causing vasodilation, as the nurse what is your priority intervention
- ANSWER give volume and an antibiotic
what is ur first priority in shock pts - ANSWER airway - get ready to intubate, then get
large bore PIV's
Your pt is going into shock, as the nurse what is one of your duties to find out:- ANSWER
need to know their blood type
prepare for blood transfusion
In hypovolemic shock patients why do you give vasopressors - ANSWER to tighten them
up and raise blood pressure, if your patients blood pressure is steadily decreasing, you
obviously worry that they will code on you
what is chemotherapy - ANSWER the most effective medication to radiate the cancer
cells
what is cytotoxic chemotherapy - ANSWER killing cancer cells but also killing healthy
,cells, normally it is proliferating cells
what are examples of proliferating cells - ANSWER mucous membranes of GI tract
hair follicles
liver injury (check LFT)
pt education for being immunocompromised - ANSWER avoid crowds, monitor
temperature, wash fresh produce, no fresh flowers, no yard work
What is the #1 complication from chemo - ANSWER immunosuppression = WBC less
than 1000/neutropenia
What is given to protect WBC's - ANSWER Neupogen, when WBC's are less than 1000
Your pt is immunosuppressed and on Neupogen; what do we need assess as the nurse -
ANS watch for fever, assess skin, get a culture if there is a spiked fever, no fresh fruits
or flowers, keep dedicated equipment in room, may need to medicate to boost WBC,
give neupogen
What are chemo patients at risk for - ANS nausea and vomiting
nausea is the most common symptoms of receiving chemo
nrsg interventions for nausea - ANSWER give zofran
small frequent meals,
bland food
stay hydrated
NO RED MEAT
why give a pt, who is being treated with chemotherapy, hard candy? - ANSWER helpful
, to give to nauseous patients along with high protein and high calorie foods
nursing interventions for cancer pts with alopecia - ANSWER 1. you want to improve
their self image wigs, hats, etc
a side effect of chemotherapy is stomatitis; what is this & what are nursing interventions
for it - ANSWER - lesions of the mouth that make it painful to eat
- provide ointment prior to eating
- mouth washing !!
- can provide nyostatin and document food intake
anemia means the RBC count does what - ANSWER RBC count decreases
What do we need to assess for in clients with thrombocytopenia - ANS assess for
petechiae and ecchymosis because they are a manifestation of bleeding
Nursing actions for thrombocytopenia - ANS you want to institute bleeding precautions
which means: electric razor, soft toothbrush, etc.
What does the nursing action for internal radiation - ANS entitled brachytherapy:
you want to wear a film badge which will indicate the amount of exposure you have
What is the appropriate nutrition for a client receiving external radiation - ANSWER
avoid spicy, salty, acid food, and hot foods
What intervention helps to minimize the chance of hypercalcemia (oncological
emergency)- ANSWER you want to take in 2-4 L of fluid a day, drink lots of water
Superior vena cava syndrome is an oncological emergency resulting from what?
ANSWER Results from obstruction of the menses leading to a decrease in the preload
on the heart (obstruction)
Guaranteed)
For a pt in cardiogenic shock their bp will go down bc the pt's heart is unable to pump
effectively, as the nurse what is your priority intervention - ANSWER give dobutamine
For a pt in hypovolemic shock their bp will go down bc the pt has lost volume what is
your priority nursing intervention - ANSWER give 3 L of crystalloid and a vasopressor
(dopamine or neosynephrine)
Septic Shock For a pt in septic shock their blood pressure will decline because the
infection/bacteria is causing vasodilation, as the nurse what is your priority intervention
- ANSWER give volume and an antibiotic
what is ur first priority in shock pts - ANSWER airway - get ready to intubate, then get
large bore PIV's
Your pt is going into shock, as the nurse what is one of your duties to find out:- ANSWER
need to know their blood type
prepare for blood transfusion
In hypovolemic shock patients why do you give vasopressors - ANSWER to tighten them
up and raise blood pressure, if your patients blood pressure is steadily decreasing, you
obviously worry that they will code on you
what is chemotherapy - ANSWER the most effective medication to radiate the cancer
cells
what is cytotoxic chemotherapy - ANSWER killing cancer cells but also killing healthy
,cells, normally it is proliferating cells
what are examples of proliferating cells - ANSWER mucous membranes of GI tract
hair follicles
liver injury (check LFT)
pt education for being immunocompromised - ANSWER avoid crowds, monitor
temperature, wash fresh produce, no fresh flowers, no yard work
What is the #1 complication from chemo - ANSWER immunosuppression = WBC less
than 1000/neutropenia
What is given to protect WBC's - ANSWER Neupogen, when WBC's are less than 1000
Your pt is immunosuppressed and on Neupogen; what do we need assess as the nurse -
ANS watch for fever, assess skin, get a culture if there is a spiked fever, no fresh fruits
or flowers, keep dedicated equipment in room, may need to medicate to boost WBC,
give neupogen
What are chemo patients at risk for - ANS nausea and vomiting
nausea is the most common symptoms of receiving chemo
nrsg interventions for nausea - ANSWER give zofran
small frequent meals,
bland food
stay hydrated
NO RED MEAT
why give a pt, who is being treated with chemotherapy, hard candy? - ANSWER helpful
, to give to nauseous patients along with high protein and high calorie foods
nursing interventions for cancer pts with alopecia - ANSWER 1. you want to improve
their self image wigs, hats, etc
a side effect of chemotherapy is stomatitis; what is this & what are nursing interventions
for it - ANSWER - lesions of the mouth that make it painful to eat
- provide ointment prior to eating
- mouth washing !!
- can provide nyostatin and document food intake
anemia means the RBC count does what - ANSWER RBC count decreases
What do we need to assess for in clients with thrombocytopenia - ANS assess for
petechiae and ecchymosis because they are a manifestation of bleeding
Nursing actions for thrombocytopenia - ANS you want to institute bleeding precautions
which means: electric razor, soft toothbrush, etc.
What does the nursing action for internal radiation - ANS entitled brachytherapy:
you want to wear a film badge which will indicate the amount of exposure you have
What is the appropriate nutrition for a client receiving external radiation - ANSWER
avoid spicy, salty, acid food, and hot foods
What intervention helps to minimize the chance of hypercalcemia (oncological
emergency)- ANSWER you want to take in 2-4 L of fluid a day, drink lots of water
Superior vena cava syndrome is an oncological emergency resulting from what?
ANSWER Results from obstruction of the menses leading to a decrease in the preload
on the heart (obstruction)
