NUR 2755 MDC4 COMPREHENSIVE EXAM
SCRIPT QUESTIONS AND SOLUTIONS 2026
◉ Pulmonary Embolism risk factors
Answer: Same as DVT
prolonged immunity
venous catheters
surgery
obesity
old
hx of thromboembolism
smoking
pregnance
heart failrure
stroke
trauma
◉ Pulmonary Embolism Prevention
Answer: Prevent DVT
ROM excersise
,ambulate
compression socks
anticoagulants
unristrictive clothes on chest
no pillow under knee
no crossed legs
no massage
elevate legs 20 deg.
◉ Pulmonary Embolism assessment
Answer: dyspnea sudden
sharp stabbing chest pain
anxiety
cough
hemoptysis
tachypnea
crackles
friction rub
diaphoresis
low grade fever
petechiae on chest and axillae
,◉ Pulmonary Embolism diagnostic test
Answer: Early- respiratory alkolosis
late-metabolic acidosis
elevated d-dimer
pulmonary angiogram (gold standard)
Doppler
V/W Scan
◉ Pulmonary Embolism Intervention (nonsurgical)
Answer: Rapid response team
elevate HOB
O2 therapy
ABG's
Assess repiratory/cardiac status
anticoagulatns and imaging as perscribed
bleeding precaution
IV fluid therapy
◉ Pulmonary Embolism Surgical intervention
Answer: Embolectomy- removal of embolus
IVC filter- place a temporary filter so clots can't get to lungs
, ◉ Acute Respiratory Failure Patho
Answer: Mismatch between ventilation and perfusion, gas
exchanged is reduced can become respiratory failure
◉ Acute Respiratory Failure Types
Answer: Ventilatory Failure
Oxygenation Failure
Combination Failure
◉ Ventilatory Failure Patho
Answer: inadequate oxygen input
too little oxygen into alveoli
CO2 is retained
◉ Ventilatory Failure Patho Causes
Answer: physical problem with lungs or chest wall
brain injury
diaphram uncontrolled
◉ Ventilatory Failure causes (disease)
Answer: Myashtenia gravis, guillian barre, poliomyelitis, spinal cord
injury
SCRIPT QUESTIONS AND SOLUTIONS 2026
◉ Pulmonary Embolism risk factors
Answer: Same as DVT
prolonged immunity
venous catheters
surgery
obesity
old
hx of thromboembolism
smoking
pregnance
heart failrure
stroke
trauma
◉ Pulmonary Embolism Prevention
Answer: Prevent DVT
ROM excersise
,ambulate
compression socks
anticoagulants
unristrictive clothes on chest
no pillow under knee
no crossed legs
no massage
elevate legs 20 deg.
◉ Pulmonary Embolism assessment
Answer: dyspnea sudden
sharp stabbing chest pain
anxiety
cough
hemoptysis
tachypnea
crackles
friction rub
diaphoresis
low grade fever
petechiae on chest and axillae
,◉ Pulmonary Embolism diagnostic test
Answer: Early- respiratory alkolosis
late-metabolic acidosis
elevated d-dimer
pulmonary angiogram (gold standard)
Doppler
V/W Scan
◉ Pulmonary Embolism Intervention (nonsurgical)
Answer: Rapid response team
elevate HOB
O2 therapy
ABG's
Assess repiratory/cardiac status
anticoagulatns and imaging as perscribed
bleeding precaution
IV fluid therapy
◉ Pulmonary Embolism Surgical intervention
Answer: Embolectomy- removal of embolus
IVC filter- place a temporary filter so clots can't get to lungs
, ◉ Acute Respiratory Failure Patho
Answer: Mismatch between ventilation and perfusion, gas
exchanged is reduced can become respiratory failure
◉ Acute Respiratory Failure Types
Answer: Ventilatory Failure
Oxygenation Failure
Combination Failure
◉ Ventilatory Failure Patho
Answer: inadequate oxygen input
too little oxygen into alveoli
CO2 is retained
◉ Ventilatory Failure Patho Causes
Answer: physical problem with lungs or chest wall
brain injury
diaphram uncontrolled
◉ Ventilatory Failure causes (disease)
Answer: Myashtenia gravis, guillian barre, poliomyelitis, spinal cord
injury
