NSG 223 Exam 2 (Latest
Update) Medical-Surgical Nursing II
Questions and Verified Answers 100%
Correct {Grade A} - Herzing
What is the pathophysiology of pulmonary embolism? - correct answer Occlusion in
the pulmonary 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? - correct answer -Size and
type of embolism
-Location of embolism
How do you treat unstable PE? - correct 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? - correct 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. - correct answer Isometric, Leg pumps
What are the main clinical manifestations of ARDs? - correct 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? - correct answer Yes
*What does PEEP do? - correct 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? - correct 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. - correct answer Vecuronium
What is a good nursing intervention for a patient with pulmonary HTN/edema who is
bedridden? - correct 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 ___________
- correct answer Furosemide
*If a client has a potassium level of 5.6. The nurse will give ________ _______ _______. -
correct 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 - correct answer Metabolic
*A client comes into the ED with HYPOventilation. The nurse will monitor for
_______________ __________________ - correct answer Respiratory Acidosis
*If a pt has emphysema and sleep apnea they are at risk for chronic _____________
Acidosis. - correct answer Respiratory
*A client comes into the ED with HYPERventilation. The nurse will monitor for
_____________ ________________ _________________ - correct answer Compensated
Respiratory Acidosis
*The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
Update) Medical-Surgical Nursing II
Questions and Verified Answers 100%
Correct {Grade A} - Herzing
What is the pathophysiology of pulmonary embolism? - correct answer Occlusion in
the pulmonary 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? - correct answer -Size and
type of embolism
-Location of embolism
How do you treat unstable PE? - correct 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? - correct 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. - correct answer Isometric, Leg pumps
What are the main clinical manifestations of ARDs? - correct 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? - correct answer Yes
*What does PEEP do? - correct 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? - correct 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. - correct answer Vecuronium
What is a good nursing intervention for a patient with pulmonary HTN/edema who is
bedridden? - correct 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 ___________
- correct answer Furosemide
*If a client has a potassium level of 5.6. The nurse will give ________ _______ _______. -
correct 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 - correct answer Metabolic
*A client comes into the ED with HYPOventilation. The nurse will monitor for
_______________ __________________ - correct answer Respiratory Acidosis
*If a pt has emphysema and sleep apnea they are at risk for chronic _____________
Acidosis. - correct answer Respiratory
*A client comes into the ED with HYPERventilation. The nurse will monitor for
_____________ ________________ _________________ - correct answer Compensated
Respiratory Acidosis
*The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
