Nursing 170 Med-Surg Exam 1- Solved
2025 Rated A+
***Body fluid regulations consists of? - Answers-thirst regulator, kidneys, adh(powerful
vasoconstrictor), renin angiotinsinen-aldosterone(respond to lower BP), atrial natriuretic
peptide(causes urinary output)
***how would you treat circulatory overload? - Answers-- slow or stop IV rate, call the
DR, monitor VS, give patient O2 PRN and administer diuretics as ordered
***management of FVE - Answers-meds-loop, thiazide like
fluid management-restriction
dietary management-decrease sodium intake
check BP, K+, mobility, stay away from processed food
***what symptoms would you see with circulatory overload? - Answers--SOB - engorged
neck veins
-cough - moist breath sounds
- and edema
***what things are important to know when administering blood? - Answers-- always
check orders use 2 RNS
-explain procedure
-verify concent
-use 18 gauge ( blood is viscous)
-**change tubing after 3 days**
-**always transfuse with NS**
***what would you do to tx thrombophlebitis? - Answers--stop IV immediatley
-DC
-warm compress and raise extremity
**After the procedure what should we look at?** - Answers--assess for complications
-look for hypotension
-increase iv fluids as ordered
-look at site
**what are manifestations for FVE - Answers--weight gain-distention in neck veins-full
bounding pulse-dyspnea with cough-moit crackles-pulmonary edema-polyuria(kidneys
working hard-peripheral edema
**what are the causes of air embolisms? - Answers--failure to remove air from IV tubing
-disconnectiong IV tubing
, -allowing IV bags to run dry
**what are the manifestations of FVD?** - Answers-thirst, dry mucous membranes,
decreased urinary output, altered mental status, fatigue, dry skin, pale cool extremities,
tachycaridia, weight loss, decreased BP
**What is an air embolism? - Answers-the obstruction of a blood vessel by air carried
via the blood stream ( only 5 ml of air in the tubing but be safe)
**what to do if there is a blood transfusion reaction - Answers-Stop immediatly
**what type of reactions can be seen? - Answers--febrile reaction
-alllergic reaction
-acute hemolytic reaction( A,B,O)
-anaphalactic reaction
-**circulatory overload**(too much volume)
-sepsis
Albumin - Answers-used in shock and burns
allogenic - Answers-other donor but properly screened
Ambulatory Admission - Answers-Surgeries are performed that DONT require hospital
admission; Outpatient procedure
anaphalactic reaction of blood transfusion what can we see? - Answers-anxiety, urticari,
wheezing
can just be due to fighting off
autogolous - Answers-means dontated blood from oneself
blood transfusion allergic reaction we will see - Answers-urticaria(rash) and flushing that
can be treated with antihystamines or solumedrol
Blood transfusion: circulatory overload, what do we see? - Answers-canges in vitals, HR
increase, fluid in lungs, crackles, JVD and can be treated with diuretics, head of bed up
and give O2
causes of hypernatremia? - Answers-altered thirts mech
profuse sweating
diarrhea
diabetes insipidus
oral electrolyte sol
excess IV fluids NS 3% or 5% NaCL(check BMP for this)
inability to respond to thirst sensation or obtain water
2025 Rated A+
***Body fluid regulations consists of? - Answers-thirst regulator, kidneys, adh(powerful
vasoconstrictor), renin angiotinsinen-aldosterone(respond to lower BP), atrial natriuretic
peptide(causes urinary output)
***how would you treat circulatory overload? - Answers-- slow or stop IV rate, call the
DR, monitor VS, give patient O2 PRN and administer diuretics as ordered
***management of FVE - Answers-meds-loop, thiazide like
fluid management-restriction
dietary management-decrease sodium intake
check BP, K+, mobility, stay away from processed food
***what symptoms would you see with circulatory overload? - Answers--SOB - engorged
neck veins
-cough - moist breath sounds
- and edema
***what things are important to know when administering blood? - Answers-- always
check orders use 2 RNS
-explain procedure
-verify concent
-use 18 gauge ( blood is viscous)
-**change tubing after 3 days**
-**always transfuse with NS**
***what would you do to tx thrombophlebitis? - Answers--stop IV immediatley
-DC
-warm compress and raise extremity
**After the procedure what should we look at?** - Answers--assess for complications
-look for hypotension
-increase iv fluids as ordered
-look at site
**what are manifestations for FVE - Answers--weight gain-distention in neck veins-full
bounding pulse-dyspnea with cough-moit crackles-pulmonary edema-polyuria(kidneys
working hard-peripheral edema
**what are the causes of air embolisms? - Answers--failure to remove air from IV tubing
-disconnectiong IV tubing
, -allowing IV bags to run dry
**what are the manifestations of FVD?** - Answers-thirst, dry mucous membranes,
decreased urinary output, altered mental status, fatigue, dry skin, pale cool extremities,
tachycaridia, weight loss, decreased BP
**What is an air embolism? - Answers-the obstruction of a blood vessel by air carried
via the blood stream ( only 5 ml of air in the tubing but be safe)
**what to do if there is a blood transfusion reaction - Answers-Stop immediatly
**what type of reactions can be seen? - Answers--febrile reaction
-alllergic reaction
-acute hemolytic reaction( A,B,O)
-anaphalactic reaction
-**circulatory overload**(too much volume)
-sepsis
Albumin - Answers-used in shock and burns
allogenic - Answers-other donor but properly screened
Ambulatory Admission - Answers-Surgeries are performed that DONT require hospital
admission; Outpatient procedure
anaphalactic reaction of blood transfusion what can we see? - Answers-anxiety, urticari,
wheezing
can just be due to fighting off
autogolous - Answers-means dontated blood from oneself
blood transfusion allergic reaction we will see - Answers-urticaria(rash) and flushing that
can be treated with antihystamines or solumedrol
Blood transfusion: circulatory overload, what do we see? - Answers-canges in vitals, HR
increase, fluid in lungs, crackles, JVD and can be treated with diuretics, head of bed up
and give O2
causes of hypernatremia? - Answers-altered thirts mech
profuse sweating
diarrhea
diabetes insipidus
oral electrolyte sol
excess IV fluids NS 3% or 5% NaCL(check BMP for this)
inability to respond to thirst sensation or obtain water
