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Exam 2: NUR265 / NUR 265 (Latest 2025/ 2026 Update) Advanced Concepts of Medical-Surgical Nursing Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Course NUR265/ NUR 265 (NUR265)
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Exam 2: NUR265 / NUR 265 (Latest 2025/ 2026 Update) Advanced Concepts of Medical-Surgical Nursing Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen Q: Chest tube Answer: Reinflates lung Removes air or fluid Q: Mark your drainage on chest tube call MD if over Answer: 70 mL/hour Q: Water seal Answer: prevents backflow into pleural space Q: Continuous or vigorous bubbling Answer: Leak in chest tube Call MD Q: Pulmonary Embolism caused by Answer: Air, fat, amniotic fluid, or clot Q: Petechiae across chest & upper body Answer: Pulmonary Embolism sign Q: D-dimer Answer: Is increased and possible PE Q: Pulmonary Embolism care Answer: Prevention is key Monitor Hypoxia, & urine output Stop smoking Monitor females on birth control Q: Air Embolism Answer: Air enters venous system Q: Air Embolism s/s Answer: SOB; decrease in SaO2; chest pain; anxiety; air hunger (dyspnea), decreased LOC, tachycardia Q: Reduce air embolism risk by Answer: Priming all tubing Q: Heparin Induced Thrombocytopenia Answer: Platelet destruction that arises secondary to heparin therapy Immune response Risk for DVTs & PE Still need anticoagulants Q: HIT risk patients is Answer: Female patient, heparin therapy over a week, bleeding issues If patient was on heparin in the last 100 days risk for HIT Q: Bleeding monitoring Answer: watch for GI bleeds, Hgb and platelet counts Oozing IV sites, bleeding Gums Q: ARDs risk Answer: 3rd or 4th degree burn patients Q: Respiratory failure s/s Answer: PaO2 60, paCO2 45, pH 7.35 (resp. acidosis), SaO2 90- hypoxic Respiratory acidosis Q: Early signs of respiratory failure Answer: Restless,Dyspnea Q: Late signs of respiratory failure Answer: Lethargy Central Cyanosis Respiratory Arrest Q: Hypoventilating Answer: Respiratory alkalosis Q: ARDs Answer: Hypoxemia and pulmonary edema with increased bilateral infiltrates PaO2 55 on 100% O2 Q: ARDs management Answer: Intubation and mechanical ventilation Q: Patient O2 sat stays decreased even when on 100 % oxygen

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Examl 2:l NUR265l /l NURl 265l (Latestl
2025/l 2026l Update)l Advancedl Conceptsl
ofl Medical-Surgicall Nursingl Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Galen
Q:l Chestl tube
Answer:
Reinflatesl lung
Removesl airl orl fluid



Q:l Markl yourl drainagel onl chestl tubel calll MDl ifl over
Answer:
70l mL/hour



Q:l Waterl seal
Answer:
preventsl backflowl intol pleurall space



Q:l Continuousl orl vigorousl bubbling
Answer:
Leakl inl chestl tube
Calll MD



Q:l Pulmonaryl Embolisml causedl by

,Answer:
Air,l fat,l amnioticl fluid,l orl clot



Q:l Petechiael acrossl chestl &l upperl body
Answer:
Pulmonaryl Embolisml sign



Q:l D-dimer
Answer:
Isl increasedl andl possiblel PE



Q:l Pulmonaryl Embolisml care
Answer:
Preventionl isl key
Monitorl Hypoxia,l &l urinel output
Stopl smokingl
Monitorl femalesl onl birthl control



Q:l Airl Embolism
Answer:
Airl entersl venousl system



Q:l Airl Embolisml s/s
Answer:
SOB;l decreasel inl SaO2;l chestl pain;l anxiety;l airl hungerl (dyspnea),l decreasedl LOC,l
tachycardia

,Q:l Reducel airl embolisml riskl by
Answer:
Primingl alll tubing



Q:l Heparinl Inducedl Thrombocytopenia
Answer:
Plateletl destructionl thatl arisesl secondaryl tol heparinl therapy
Immunel response
Riskl forl DVTsl &l PE
Stilll needl anticoagulants



Q:l HITl riskl patientsl is
Answer:
Femalel patient,l heparinl therapyl overl al week,l bleedingl issues
Ifl patientl wasl onl heparinl inl thel lastl 100l daysl riskl forl HIT



Q:l Bleedingl monitoring
Answer:
watchl forl GIl bleeds,l Hgbl andl plateletl counts
Oozingl IVl sites,l bleedingl Gums



Q:l ARDsl risk
Answer:
3rdl orl 4thl degreel burnl patients



Q:l Respiratoryl failurel s/s
Answer:
PaO2l <60,l paCO2l >45,l pHl <7.35l (resp.l acidosis),l SaO2l <90-l hypoxic

, Respiratoryl acidosis



Q:l Earlyl signsl ofl respiratoryl failure
Answer:
Restless,Dyspnea



Q:l Latel signsl ofl respiratoryl failure
Answer:
Lethargy
Centrall Cyanosisl
Respiratoryl Arrest



Q:l Hypoventilating
Answer:
Respiratoryl alkalosis



Q:l ARDs
Answer:
Hypoxemial andl pulmonaryl edemal withl increasedl bilaterall infiltrates
PaO2<l 55l onl 100%l O2



Q:l ARDsl management
Answer:
Intubationl andl mechanicall ventilation



Q:l Patientl O2l satl staysl decreasedl evenl whenl onl 100l %l oxygen

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