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Exam (elaborations)

Swift River Medical-Surgical Questions and Answers Latest Version Already Passed

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Swift River Medical-Surgical Questions and Answers Latest Version Already Passed What is the primary goal when caring for a patient with acute respiratory distress? To provide adequate oxygenation and ventilation while addressing the underlying cause of the distress. How should a nurse respond if a patient is experiencing hypovolemic shock? Administer IV fluids, monitor vital signs closely, and prepare for possible blood transfusion if necessary. What is a key consideration when managing a patient with a chest tube? Ensure that the drainage system remains below the level of the chest to prevent backflow and facilitate proper drainage. What is the purpose of using a PCA (patient-controlled analgesia) pump for pain management? To allow the patient to administer their own pain medication in a controlled manner, improving comfort and reducing the risk of overmedication. 2 Why is it important to monitor urine output in patients with kidney disease? Urine output is a key indicator of kidney function, hydration status, and the patient’s overall fluid balance. How should a nurse assess a patient's pain level effectively? Use a standardized pain scale and ask the patient to describe the intensity, location, and nature of the pain. What is a common complication following abdominal surgery? Infection, ileus (intestinal obstruction), and deep vein thrombosis (DVT) are common complications that must be monitored closely. How do you assess a patient's risk for developing a pressure ulcer? Use a standardized risk assessment tool like the Braden Scale to evaluate sensory perception, moisture, activity, mobility, nutrition, and friction. What should the nurse do if a patient experiences a seizure? Ensure patient safety by preventing injury, positioning the patient on their side, and monitoring the duration and characteristics of the seizure. 3 What are the signs of a transfusion reaction? Fever, chills, hives, back pain, and difficulty breathing are common signs of a transfusion reaction. What is the priority intervention for a patient with a myocardial infarction (MI)? Administer oxygen, pain relief (usually morphine), and prepare for possible thrombolytic therapy or intervention. Why is it important to monitor electrolytes in patients receiving diuretics? Diuretics can cause imbalances in sodium, potassium, and other electrolytes, which can lead to serious complications like arrhythmias. What should the nurse assess before administering antihypertensive medications? Check the patient's blood pressure to ensure it is not too low before administering the medication. What is the main concern when caring for a patient with a central venous catheter (CVC)? 4 Monitor for signs of infection and ensure the catheter is properly secured to prevent accidental removal or dislodgment. How can a nurse help prevent deep vein thrombosis (DVT) in hospitalized patients? Encourage early ambulation, use compression stockings, and administer anticoagulants as prescribed. What is an important consideration when administering antibiotics intravenously? Monitor the patient for allergic reactions or adverse effects, such as phlebitis or anaphylaxis. How should a nurse monitor a patient after administering a sedative? Monitor the patient’s respiratory rate,

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Swift River Medical-Surgical
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Swift River Medical-Surgical

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Uploaded on
May 7, 2025
Number of pages
148
Written in
2024/2025
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Swift River Medical-Surgical Questions
and Answers Latest Version Already
Passed
What is the primary goal when caring for a patient with acute respiratory distress?


✔✔To provide adequate oxygenation and ventilation while addressing the underlying cause of

the distress.




How should a nurse respond if a patient is experiencing hypovolemic shock?


✔✔Administer IV fluids, monitor vital signs closely, and prepare for possible blood transfusion

if necessary.




What is a key consideration when managing a patient with a chest tube?


✔✔Ensure that the drainage system remains below the level of the chest to prevent backflow and

facilitate proper drainage.




What is the purpose of using a PCA (patient-controlled analgesia) pump for pain management?


✔✔To allow the patient to administer their own pain medication in a controlled manner,

improving comfort and reducing the risk of overmedication.




1

,Why is it important to monitor urine output in patients with kidney disease?


✔✔Urine output is a key indicator of kidney function, hydration status, and the patient’s overall

fluid balance.




How should a nurse assess a patient's pain level effectively?


✔✔Use a standardized pain scale and ask the patient to describe the intensity, location, and

nature of the pain.




What is a common complication following abdominal surgery?


✔✔Infection, ileus (intestinal obstruction), and deep vein thrombosis (DVT) are common

complications that must be monitored closely.




How do you assess a patient's risk for developing a pressure ulcer?


✔✔Use a standardized risk assessment tool like the Braden Scale to evaluate sensory perception,

moisture, activity, mobility, nutrition, and friction.




What should the nurse do if a patient experiences a seizure?


✔✔Ensure patient safety by preventing injury, positioning the patient on their side, and

monitoring the duration and characteristics of the seizure.

2

,What are the signs of a transfusion reaction?


✔✔Fever, chills, hives, back pain, and difficulty breathing are common signs of a transfusion

reaction.




What is the priority intervention for a patient with a myocardial infarction (MI)?


✔✔Administer oxygen, pain relief (usually morphine), and prepare for possible thrombolytic

therapy or intervention.




Why is it important to monitor electrolytes in patients receiving diuretics?


✔✔Diuretics can cause imbalances in sodium, potassium, and other electrolytes, which can lead

to serious complications like arrhythmias.




What should the nurse assess before administering antihypertensive medications?


✔✔Check the patient's blood pressure to ensure it is not too low before administering the

medication.




What is the main concern when caring for a patient with a central venous catheter (CVC)?




3

, ✔✔Monitor for signs of infection and ensure the catheter is properly secured to prevent

accidental removal or dislodgment.




How can a nurse help prevent deep vein thrombosis (DVT) in hospitalized patients?


✔✔Encourage early ambulation, use compression stockings, and administer anticoagulants as

prescribed.




What is an important consideration when administering antibiotics intravenously?


✔✔Monitor the patient for allergic reactions or adverse effects, such as phlebitis or anaphylaxis.




How should a nurse monitor a patient after administering a sedative?


✔✔Monitor the patient’s respiratory rate, level of consciousness, and vital signs for any signs of

sedation or respiratory depression.




What are common symptoms of an infection in a post-operative patient?


✔✔Fever, increased heart rate, redness, swelling, and discharge from the surgical site are

common symptoms of infection.




How can a nurse assess a patient's mental status?

4

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