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Medsurg 3 exam 3

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Exam of 3 pages for the course NSG 233 MedSurg III at Herzing University Brookfield (Questions & answers)

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1) Patient education PCA Pump- monitor respiratory at intervals, patient gets meds when
pushing the button in authorized time
2) Tension pneumothorax class teaching describe it- reduced or absent breath sounds,
emphysema patient prone to spontaneous pneumo, deviated trachea
3) CISM shooting sentinel event- debriefing with staff.
4) nursing priority ABC (cardiac pain)
5) nursing priority acute mental illness in the ER- gain control of situation and get to safety
6) Indications for different types of IV fluids D5W vs. NS- w/ blood
7) Nursing Priority when triaging ER patients conditions- chest pain/UTI/rape
8) Treating patients hypothermia (slow warming process) and what to monitor- vfib
9) Nursing Priority for a patient with a new wound- last tetanus?
10) Nursing intervention for patient with septicemia-blood culture, IV ABT, Fluids
11) Nursing diagnosis for alteration in comfort- antipyretics
12) SATA- Patient impending cardiogenic shock what orders will you anticipate giving your
patient (fluids, oxygen, morphine)
13) SATA- what order would a nurse anticipate for a patient who was sexually assaulted-
14) Nursing priority for anaphylaxis- epinephrine
15) Nursing teaching about lyme disease: Stages of lyme disease 1 subsides in 1 to 3 weeks
without treatment, stage 3 can cause neurologic symptoms
16) Overdose on tylenol- acetylcysteine
17) Hypotension/Tachycardia/Tachypnea, skin is clammy, temp 97.1- Place IV
18) Signs of hypovolemic shock- decreased cardiac output
19) Nursing priority what patient to see first (sweating and chest pain/rape)
20) Patient family member brings gun- get to safety
21) Therapeutic communication- if someone's loved ones passed away support pt.
22) IV potassium what to check- verify adequate UO
23) Patient has a fever and respiratory rate is 28, O2 is 89, skin is cool pale, tele is showing
afib- cardiogenic shock
24) Patient given rapid IV fluid resuscitation bowel sounds absent abdominal compartment
syndrome

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January 2, 2025
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