NSG 223 Exam 2: NSG223 - Exam 2 Study Guide:
Questions & Answers
What is the pathophysiology of pulmonary embolism ? - ANSWER:Occlusion in the pul artery normally
caused by small emboli that get stuck in the arterioles causing necrosis of the area its in.
what do symptoms depend on in pulmonary embolism? - ANSWER:-Size and type of embolism
-Location of embolism
How do you treat unstable PE? - ANSWER:-Begin emergency procedure to regain respiratory and
cardiovascular system
-start on thrombolytic therapy to lysis the embolism (Dissolve) and prevent.
How do you treat stable PE? - ANSWER:Immediate anticoagulation to prevent reoccurrence 10 days - 6
months anticoagulation (Warfarin) and Heparin.
*A pt who just had surgery can do ______________ Exercises like _____ __________ while they are in
bed to prevent PE's. - ANSWER:Isometric, Leg pumps
What are the main clinical manifestations of ARDs? - ANSWER:Severe dyspnea, hypoxemia doesn't
respond to O2, nasal flaring, tachycardia, change in mental, retraction, hyperventilation and tachypnea.
*If a patient has a 140 Heart rate is this is sign of ARDs? - ANSWER:Yes
*What does PEEP do? - ANSWER:Keeps alveoli open at end of expiration; prevents alveolar collapse.
Helps to recruit more and more alveoli for gas exchange and decrease work of breathing (improves
compliance).
How do you care for a patient on a ventilator? - ANSWER:Full assessment Q4 hrs, Make sure tube is in
right position and check vent settings, Maintain hob at 30 degrees, oral care Q2 hrs, Picture board for
communication.
* ______________ is given to pts before they are intubated to relax the vocal muscles and making
intubation easier. - ANSWER:Vecuronium
What is a good nursing intervention for a patient with pulmonary HTN/edema who is bedridden? -
ANSWER:Sit up with leg of the bed raised to increase venous return.
*When caring for a pt with pulmonary edema the nurse will give the diuretic ___________ -
ANSWER:Furosemide
*If a client has a potassium level of 5.6. The nurse will give ________ _______ _______. -
ANSWER:Sodium Polystyrene Sulfonate
*The nurse is caring for a client with the following
, pH - 7.25
HCO3 - 18
CO2 - 42
The patient has ___________ Acidosis - ANSWER:Metabolic
*A client comes into the ED with HYPOventilation. The nurse will monitor for _______________
__________________ - ANSWER:Respiratory Acidosis
*If a pt has emphysema and sleep apnea they are at risk for chronic _____________ Acidosis. -
ANSWER:Respiratory
*A client comes into the ED with HYPERventilation. The nurse will monitor for _____________
________________ _________________ - ANSWER:Compensated Respiratory Acidosis
*The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
The patient has ___________ Alkalosis - ANSWER:Metabolic
A client has a potassium level of 5.6 Meq/L . Which order should the nurse anticipate? - ANSWER:Sodium
polystyrene sulfonate
*If the patient has the following ABGs
pH - 7.25
HCO3 - 33
CO2 - 47
The interpretation is? - ANSWER:Compensated respiratory acidosis
*The pt has an ABG of
pH - 7.25
Questions & Answers
What is the pathophysiology of pulmonary embolism ? - ANSWER:Occlusion in the pul artery normally
caused by small emboli that get stuck in the arterioles causing necrosis of the area its in.
what do symptoms depend on in pulmonary embolism? - ANSWER:-Size and type of embolism
-Location of embolism
How do you treat unstable PE? - ANSWER:-Begin emergency procedure to regain respiratory and
cardiovascular system
-start on thrombolytic therapy to lysis the embolism (Dissolve) and prevent.
How do you treat stable PE? - ANSWER:Immediate anticoagulation to prevent reoccurrence 10 days - 6
months anticoagulation (Warfarin) and Heparin.
*A pt who just had surgery can do ______________ Exercises like _____ __________ while they are in
bed to prevent PE's. - ANSWER:Isometric, Leg pumps
What are the main clinical manifestations of ARDs? - ANSWER:Severe dyspnea, hypoxemia doesn't
respond to O2, nasal flaring, tachycardia, change in mental, retraction, hyperventilation and tachypnea.
*If a patient has a 140 Heart rate is this is sign of ARDs? - ANSWER:Yes
*What does PEEP do? - ANSWER:Keeps alveoli open at end of expiration; prevents alveolar collapse.
Helps to recruit more and more alveoli for gas exchange and decrease work of breathing (improves
compliance).
How do you care for a patient on a ventilator? - ANSWER:Full assessment Q4 hrs, Make sure tube is in
right position and check vent settings, Maintain hob at 30 degrees, oral care Q2 hrs, Picture board for
communication.
* ______________ is given to pts before they are intubated to relax the vocal muscles and making
intubation easier. - ANSWER:Vecuronium
What is a good nursing intervention for a patient with pulmonary HTN/edema who is bedridden? -
ANSWER:Sit up with leg of the bed raised to increase venous return.
*When caring for a pt with pulmonary edema the nurse will give the diuretic ___________ -
ANSWER:Furosemide
*If a client has a potassium level of 5.6. The nurse will give ________ _______ _______. -
ANSWER:Sodium Polystyrene Sulfonate
*The nurse is caring for a client with the following
, pH - 7.25
HCO3 - 18
CO2 - 42
The patient has ___________ Acidosis - ANSWER:Metabolic
*A client comes into the ED with HYPOventilation. The nurse will monitor for _______________
__________________ - ANSWER:Respiratory Acidosis
*If a pt has emphysema and sleep apnea they are at risk for chronic _____________ Acidosis. -
ANSWER:Respiratory
*A client comes into the ED with HYPERventilation. The nurse will monitor for _____________
________________ _________________ - ANSWER:Compensated Respiratory Acidosis
*The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
The patient has ___________ Alkalosis - ANSWER:Metabolic
A client has a potassium level of 5.6 Meq/L . Which order should the nurse anticipate? - ANSWER:Sodium
polystyrene sulfonate
*If the patient has the following ABGs
pH - 7.25
HCO3 - 33
CO2 - 47
The interpretation is? - ANSWER:Compensated respiratory acidosis
*The pt has an ABG of
pH - 7.25
