Med Surg II Exam 4, Fortis Med/surg 2 exam 4 with latest
Complete Solution
which patient in the progressive care unit would the nurse be most concered about? - correct
answer a patient prescribed tPA or IV heparin that has the opportunity to bleed out
which patient on ventilator weaning should the nurse be most concerned about? - correct
answer -the pt who has recently been extubated with a decreased urinary output
what to do for a patient with a subarachnoid hemorrhage and ICP? - correct answer -check for
JVD for fluid overload
-if pt has increased JVD, notify provider
how to manage a patient breathing over a vent? - correct answer verbally coach them
what to do with an ICU elderly patient with new onset confusion who is starting to go into ICU
delirium? - correct answer -report this to the reciving nurse and continue to transfer the
patient
what to do if respiratory secretions are thick? - correct answer increase fluid intake
a patient with sepsis and petechiae is going into multiorgan failure, what is she at risk for? -
correct answer DIC
what are the major concerns for a patient given vasopressor therapy? - correct answer -
vasopressin is a vasoconstrictor which decreases coronary artery perfusion, if pt complains of
chest pain, this is an immediate concern
how to know pt is going into hypovolemic shock?
-what to do first to treat this patient? - correct answer they will be cool and clamy
-initiate O2 therapy by non-rebreather
how to know when anaphylactic shock treatment is effective? - correct answer when the
patients O2 sat increases
signs and symptoms of neurogenic shock? - correct answer -low BP
-low HR (apical pulse less than 45bpm)
what to further assess after a fracture from a fat embolism occurs? - correct answer -lung
sounds
-SOB
-O2 sats
what is a concern with a lumbar vertebral compression? - correct answer loss of bowel of
bladder function indicates an emergency
, Med Surg II Exam 4, Fortis Med/surg 2 exam 4 with latest
Complete Solution
what is a concern with a wrist fracture (Colle's fracture)? - correct answer if capillary refill is
dimished or prolonged, call HCP
how to treat a knee meniscus injury? - correct answer apply a knee immobilizer to the affected
leg
femur fracture concerns - correct answer -loss of distal pulses
-SOB (embolism)
-slow cap refill to foot
what are we most concerned with during post op? - correct answer infection and bleeding
what to do if a patient has a long bone fracture and is SOB? - correct answer give O2 (this is a
possibly fat embolism)
patient teaching for acute lower back pain - correct answer -avoid activities that require
twisting or prolonged sitting
-symptoms of acute low back pain usually resolve in a few weeks
-use ibuprofen or acetaminophen to relieve pain
what to do for a patient with metastatic bone cancer? - correct answer -monitor serum
calcium level
-support the leg when repositioning the patient
-support the family during prognosis and treatment
-treat pain with opioids
who should the nurse assess first after a back surgery? - correct answer pt who has not voided
for 8 hours after a laminectomy
what to ask a patient with spinal pain complaint? - correct answer ask if they have neck pain in
the clinic?
ask about numbness or tingling in the arms
what should you notify the provider about if a patient has after a right radial fracture? - correct
answer notify HCP if patient has an increased temp
what to tell a patient who has crhonic back pain who lifts heavy things for a job? - correct
answer -do exercises like squat at the gym to strength the back muscles
clinical manifestations of osteoporosis in a 55 y/o female? - correct answer loss of height
Complete Solution
which patient in the progressive care unit would the nurse be most concered about? - correct
answer a patient prescribed tPA or IV heparin that has the opportunity to bleed out
which patient on ventilator weaning should the nurse be most concerned about? - correct
answer -the pt who has recently been extubated with a decreased urinary output
what to do for a patient with a subarachnoid hemorrhage and ICP? - correct answer -check for
JVD for fluid overload
-if pt has increased JVD, notify provider
how to manage a patient breathing over a vent? - correct answer verbally coach them
what to do with an ICU elderly patient with new onset confusion who is starting to go into ICU
delirium? - correct answer -report this to the reciving nurse and continue to transfer the
patient
what to do if respiratory secretions are thick? - correct answer increase fluid intake
a patient with sepsis and petechiae is going into multiorgan failure, what is she at risk for? -
correct answer DIC
what are the major concerns for a patient given vasopressor therapy? - correct answer -
vasopressin is a vasoconstrictor which decreases coronary artery perfusion, if pt complains of
chest pain, this is an immediate concern
how to know pt is going into hypovolemic shock?
-what to do first to treat this patient? - correct answer they will be cool and clamy
-initiate O2 therapy by non-rebreather
how to know when anaphylactic shock treatment is effective? - correct answer when the
patients O2 sat increases
signs and symptoms of neurogenic shock? - correct answer -low BP
-low HR (apical pulse less than 45bpm)
what to further assess after a fracture from a fat embolism occurs? - correct answer -lung
sounds
-SOB
-O2 sats
what is a concern with a lumbar vertebral compression? - correct answer loss of bowel of
bladder function indicates an emergency
, Med Surg II Exam 4, Fortis Med/surg 2 exam 4 with latest
Complete Solution
what is a concern with a wrist fracture (Colle's fracture)? - correct answer if capillary refill is
dimished or prolonged, call HCP
how to treat a knee meniscus injury? - correct answer apply a knee immobilizer to the affected
leg
femur fracture concerns - correct answer -loss of distal pulses
-SOB (embolism)
-slow cap refill to foot
what are we most concerned with during post op? - correct answer infection and bleeding
what to do if a patient has a long bone fracture and is SOB? - correct answer give O2 (this is a
possibly fat embolism)
patient teaching for acute lower back pain - correct answer -avoid activities that require
twisting or prolonged sitting
-symptoms of acute low back pain usually resolve in a few weeks
-use ibuprofen or acetaminophen to relieve pain
what to do for a patient with metastatic bone cancer? - correct answer -monitor serum
calcium level
-support the leg when repositioning the patient
-support the family during prognosis and treatment
-treat pain with opioids
who should the nurse assess first after a back surgery? - correct answer pt who has not voided
for 8 hours after a laminectomy
what to ask a patient with spinal pain complaint? - correct answer ask if they have neck pain in
the clinic?
ask about numbness or tingling in the arms
what should you notify the provider about if a patient has after a right radial fracture? - correct
answer notify HCP if patient has an increased temp
what to tell a patient who has crhonic back pain who lifts heavy things for a job? - correct
answer -do exercises like squat at the gym to strength the back muscles
clinical manifestations of osteoporosis in a 55 y/o female? - correct answer loss of height
