NSG 233 MED SURG 1 EXAM PREP WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS/ (NEWEST!)
1. Types of fractures: avulsion
Avulsion is a medical term for when a body part is torn away by r surgery.
trauma o It can refer to a skin injury, a bone fracture.
Abrasion
Laceratio
n
1|Page
,2. What is abdominal compartment syndrome?: increased
intraabdominal pres- sure usually seen after laparotomy of after massive
IVF resuscitation
Symptoms
Absent bowel sound
SOB
decreased pulse pressure
Oliguria
3. What the nurse should suspect a patient with flail chest
?: respiratory acidosis(Wnot able to get out the co2)
Atelectasis W
Paradoxical chest movement
W Hypotension W ( no
hypertension)
2|Page
, Paradoxical chest movement an abnormal breathing pattern he where
chestt wall
moves in the opposite direction to the normal direction of movement during
inspira- tion and expiration
4. tages of Shock:
Initial Compensatory
Progressive
Refractory
5. Characteristics of initial: Client can have no clinical
manifestation. There is low 02 in the blood to feed organs, resulting in
anaerobic metabolism, meaning metabolism with out o2
6. Compensatory stage of
shock: HR up RRup
Urine output ( to maintain fluid and increase Bp)
Restlessness
Confused
7. Progressive stage of shock:
Hypotension Weak HR
Metabolic
acidosis Lethergy
Cold and clammy priority ( early sign )
8. Refractory stage of shock ( irreversible ): Multi organ system
failure, coma and death
9. Carbon monoxide poisoning symptoms: Skin color cherry red-
lips shouldn't be bright red or blue. This indicate saturation of hemoglobin
with carbon monoxide. Cyanotic and pale
Headache
Muscular
weakness
Dizziness and confusion
Intervention
1 Assess carbon hemoglobin levels before give
3|Page
, oxygen Oxygen should be administered 100% to
reverse hypoxia
10. A patient with carbon monoxide poison what is the
nurse appropriate: asses carbon hemoglobin levels
for the patient with carbon monoxide poisoning, carboxyhemoglobin
levels are analyzed on arrival at the ED and before treatment with oxygen
if possible. To reverse hypoxia and accelerate the elimination of carbon
monoxide, 100% oxygen is given at atmospheric or preferably hyperbaric
pressures. Oxygen is given until the carboxyhemoglobin level is less than
5%.
4|Page
AND CORRECT VERIFIED ANSWERS/ (NEWEST!)
1. Types of fractures: avulsion
Avulsion is a medical term for when a body part is torn away by r surgery.
trauma o It can refer to a skin injury, a bone fracture.
Abrasion
Laceratio
n
1|Page
,2. What is abdominal compartment syndrome?: increased
intraabdominal pres- sure usually seen after laparotomy of after massive
IVF resuscitation
Symptoms
Absent bowel sound
SOB
decreased pulse pressure
Oliguria
3. What the nurse should suspect a patient with flail chest
?: respiratory acidosis(Wnot able to get out the co2)
Atelectasis W
Paradoxical chest movement
W Hypotension W ( no
hypertension)
2|Page
, Paradoxical chest movement an abnormal breathing pattern he where
chestt wall
moves in the opposite direction to the normal direction of movement during
inspira- tion and expiration
4. tages of Shock:
Initial Compensatory
Progressive
Refractory
5. Characteristics of initial: Client can have no clinical
manifestation. There is low 02 in the blood to feed organs, resulting in
anaerobic metabolism, meaning metabolism with out o2
6. Compensatory stage of
shock: HR up RRup
Urine output ( to maintain fluid and increase Bp)
Restlessness
Confused
7. Progressive stage of shock:
Hypotension Weak HR
Metabolic
acidosis Lethergy
Cold and clammy priority ( early sign )
8. Refractory stage of shock ( irreversible ): Multi organ system
failure, coma and death
9. Carbon monoxide poisoning symptoms: Skin color cherry red-
lips shouldn't be bright red or blue. This indicate saturation of hemoglobin
with carbon monoxide. Cyanotic and pale
Headache
Muscular
weakness
Dizziness and confusion
Intervention
1 Assess carbon hemoglobin levels before give
3|Page
, oxygen Oxygen should be administered 100% to
reverse hypoxia
10. A patient with carbon monoxide poison what is the
nurse appropriate: asses carbon hemoglobin levels
for the patient with carbon monoxide poisoning, carboxyhemoglobin
levels are analyzed on arrival at the ED and before treatment with oxygen
if possible. To reverse hypoxia and accelerate the elimination of carbon
monoxide, 100% oxygen is given at atmospheric or preferably hyperbaric
pressures. Oxygen is given until the carboxyhemoglobin level is less than
5%.
4|Page
