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Exam (elaborations)

NSG 223 Med Surg Exam 2 with complete questions and correct answers

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NSG 223 Med Surg Exam 2 with complete questions and correct answers

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NSG 223 Med Surg Exam 2 with
complete questions and correct answers
What is the difference between a DVT and VTE - Correct Answer: a DVT is a stationary clot.



A VTE can be two things : a deep vein thrombus or a pulmonary emboli



What are prevention strategies for PE ? - Correct Answer: Perform leg pumps while in bed

Ambulate

Drinking fluids

Stocking compresses

ROMs

Smoke cessation



What is ARDS? What is the sign/symptom

associated? - Correct Answer: Acute respiratory syndrome symptoms

Hypoxemia

Dyspnea

Tachycardia



Causes of ARDS - Correct Answer: Trauma

pulmonary infection/aspiration

prolonged cardiopulmonary bypass

shock

fat emboli

sepsis



What is positive end expiratory pressure ( peep) - Correct Answer: Positive pressure applied at the end
of ventilation which opens up collapsed alveoli decreasing V/Q mismatch

, Helps prevent alveolar collapse



What intervention do you do for a pt with pulmonary emboli - Correct Answer: Following the
prescription



Provide oxygen by nasal cannula



What is a pulmonary embolism? - Correct Answer: blood clot in the lungs



A collection of particulate matter that enters the

venous system and lodges in the pulmonary

vessels.

• Large emboli obstruct blood flow, resulting in

reduced gas exchange, reduced oxygenation,

lung tissue hypoxia, decreased perfusion, and

possibly death.



How arterial blood gas would look like in a patient with compasated respiratory acidosis ? - Correct
Answer: Ph = normal

Co2 > 45

Bic > 26



What is Vecuromiun and when to use it? - Correct Answer: Class: neuromuscular blocking agent



• Therapeutic use: used prior to intubating a

patient



Side effect: relaxes vocal chords and jaw muscles

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