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Exam 2: NSG223/ NSG 223 (Latest 2025/ 2026 Update) Medical-Surgical Nursing II Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Herzing

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Exam 2: NSG223/ NSG 223 (Latest 2025/ 2026 Update) Medical-Surgical Nursing II Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Herzing QUESTION D-dimer essay Answer: blood test for evidence of blood clots QUESTION ARDS Mortality Rate Answer: Ranges from 27% to 50%. QUESTION ARDS S/S's Answer: -Rapid onset of severe dyspnea - onset usually occurs <72h post precipitous event -Arterial hypoxemia that does not respond to supplemental oxygen -X-ray similar to severe pulmonary edema -crackles- intercostal retractions and BNP levels QUESTION ARDS treatment Answer: INTUBATION - mechanical ventilation -PEEP - critical - improves oxygenation by keeping alveoli from collapsing - increase the functional residual capacity -do NOT hyperinflate lungs! -Goal: PaO2 is > 60mmHg, and V/Q balance QUESTION PEEP Answer: Critical. Keeps alveoli open, improving gas exchange. Increases the functional residual capacity QUESTION PEEP - acronym Answer: positive end expiratory pressure QUESTION Mechanical Ventilators - Medication Answer: Sedatives - Lorazepam (Ativan), Midazolam (Versed), Propofol (Diprivan) ▪Neuromuscular blocking agents - Pancuronium (Pavulon), Vecuronium (Norcuron) - often given prior to intubation to relax jaw and vocal cord QUESTION Acute Respiratory Failure Answer: Inadequate oxygenation or carbon dioxide elimination. QUESTION Acute Respiratory Failure S/S's Answer: low PaO2 to < 60 mm Hg and increase in PaCO2 to >50 mm Hg = Severe hypoxemia QUESTION Acute Respiratory Failure is caused by Answer: V/Q mismatch caused by alveolar hypoventilation QUESTION Acute Respiratory Failure treatment Answer: Monitor BP and urine output closely, daily wts, serum electrolytes, and creatinine levels. Monitor BP closely in patients taking vasodilators. QUESTION Respiratory Alkalosis

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Examl 2:l NSG223/l NSGl 223l (Latestl 2025/l
2026l Update)l Medical-Surgicall Nursingl IIl
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l
Herzing
Q:l D-dimerl essay

Answer:
bloodl testl forl evidencel ofl bloodl clots




Q:l ARDSl Mortalityl Rate

Answer:
Rangesl froml 27%l tol 50%.




Q:l ARDSl S/S's

Answer:
-Rapidl onsetl ofl severel dyspneal -l onsetl usuallyl occursl <72hl postl precipitousl event
-Arteriall hypoxemial thatl doesl notl respondl tol supplementall oxygen
-X-rayl similarl tol severel pulmonaryl edema
-crackles-l intercostall retractionsl andl BNPl levels




Q:l ARDSl treatment

,Answer:
INTUBATIONl -l mechanicall ventilation
-PEEPl -l criticall -l improvesl oxygenationl byl keepingl alveolil froml collapsingl -l increasel
thel functionall residuall capacity
-dol NOTl hyperinflatel lungs!
-Goal:l PaO2l isl >l 60mmHg,l andl V/Ql balance




Q:l PEEP

Answer:
Critical.l Keepsl alveolil open,l improvingl gasl exchange.l Increasesl thel functionall residuall
capacity




Q:l PEEPl -l acronym

Answer:
positivel endl expiratoryl pressure




Q:l Mechanicall Ventilatorsl -l Medication

Answer:
Sedativesl -l Lorazepaml (Ativan),l Midazolaml (Versed),l Propofoll (Diprivan)
▪Neuromuscularl blockingl agentsl -l Pancuroniuml (Pavulon),l Vecuroniuml (Norcuron)l -l
oftenl givenl priorl tol intubationl tol relaxl jawl andl vocall cord




Q:l Acutel Respiratoryl Failure

Answer:
Inadequatel oxygenationl orl carbonl dioxidel elimination.

, Q:l Acutel Respiratoryl Failurel S/S's

Answer:
lowl PaO2l tol <l 60l mml Hgl andl increasel inl PaCO2l tol >50l mml Hg
=l Severel hypoxemia




Q:l Acutel Respiratoryl Failurel isl causedl by

Answer:
V/Ql mismatchl causedl byl alveolarl hypoventilation




Q:l Acutel Respiratoryl Failurel treatment

Answer:
Monitorl BPl andl urinel outputl closely,l dailyl wts,l seruml electrolytes,l andl creatininel
levels.l Monitorl BPl closelyl inl patientsl takingl vasodilators.




Q:l Respiratoryl Alkalosis

Answer:
hyperventilation,l improvingl ventilation.l Rebreatherl mask,l breathel intol bag




Q:l Chronicl sleepl apneal plusl emphysemal canl cause

Answer:

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