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NSG 233 Med Surge 3 Final Exam (2025) comprehensive questions and verified answers ( detailed & elaborated) ACTUAL EXAM 2025 TEST!!

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NSG 233 Med Surge 3 Final Exam (2025) comprehensive questions and verified answers ( detailed & elaborated) ACTUAL EXAM 2025 TEST!!

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NSG 233 Med Surge 3 Final Exam
(2025) comprehensive questions
and verified answers ( detailed &
elaborated) ACTUAL EXAM 2025
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Terms in this set (58)

, Flail chest is frequently a complication
of blunt chest trauma, which may
occur from a steering wheel injury,
motor vehicle crash involving a
pedestrian or cyclist, a significant fall
onto the chest, or an assault with a
blunt weapon. As with rib fracture,
treatment of flail chest is usually
supportive. Management includes
providing ventilatory support,
clearing secretions from the lungs,
and controlling pain. For mild-to-
moderate flail chest injuries, the
underlying pulmonary contusion is
Chest Trauma-
treated by monitoring fluid intake and
Complications
appropriate fluid replacement while
relieving chest pain. Pulmonary
physiotherapy focusing on lung
volume expansion and secretion
management techniques is
performed. The patient is closely
monitored for further respiratory
compromise.
For severe flail chest injuries, ET
intubation and mechanical ventilation
are required to provide internal
pneumatic stabilization of the flail

, chest and to correct abnormalities in
gas exchange.

At least two large-gauge IV lines are
inserted to establish access for fluid
administration. Because the goal of
the fluid replacement is to restore
intravascular volume, it is necessary to
administer fluids that will remain in the
intravascular compartment to avoid
fluid shifts from the intravascular
Shock Fluid
compartment into the intracellular
compartment. As discussed earlier,
crystalloid solutions such as lactated
Ringer's solution or 0.9% sodium
chloride solution are commonly used
to treat hypovolemic shock, as large
amounts of fluid must be given to
restore intravascular volume.

, Hypovolemic shock, the most
common type of shock, is
characterized by decreased
intravascular volume. Body fluid is
contained in the intracellular and
extracellular compartments.
Intracellular fluid accounts for about
two thirds of the total body water. The
extracellular body fluid is found in
Hypovolemic one of two compartments:
Shock intravascular (inside blood vessels) or
interstitial (surrounding tissues). The
volume of interstitial fluid is about
three to four times that of
intravascular fluid. Hypovolemic shock
occurs when there is a reduction in
intravascular volume by 15% to 30%,
which represents an approximate loss
of 750 to 1500 mL of blood in a 70-kg
(154-lb) person
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