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MDC4 Test 2 Questions With
Complete Solutions Graded A ,
Exams of Nursing
Pulmonary Embolism Patho - ANSWER>>particulates lodge in
pulmonary vessels
most common loosed clots from a DVT
Pulmonary Embolism risk factors - ANSWER>>Same as DVT
prolonged immunity
venous catheters
surgery
obesity
old
hx of thromboembolism
smoking
pregnance
heart failrure
stroke
trauma
Pulmonary Embolism Prevention - ANSWER>>Prevent DVT
ROM excersise
ambulate
compression socks
anticoagulants
unristrictive clothes on chest
no pillow under knee
no crossed legs
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no massage
elevate legs 20 deg.
Pulmonary Embolism assessment - ANSWER>>dyspnea sudden
sharp stabbing chest pain
anxiety
cough
hemoptysis
tachypnea
crackles
friction rub
diaphoresis
low grade fever
petechiae on chest and axillae
Pulmonary Embolism diagnostic test - ANSWER>>Early-
respiratory alkolosis
late-metabolic acidosis
elevated d-dimer
pulmonary angiogram (gold standard)
Doppler
V/W Scan
Pulmonary Embolism Intervention (nonsurgical) -
ANSWER>>Rapid response team
elevate HOB
O2 therapy
ABG's
Assess repiratory/cardiac status
anticoagulatns and imaging as perscribed
bleeding precaution
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IV fluid therapy
Pulmonary Embolism Surgical intervention -
ANSWER>>Embolectomy- removal of embolus
IVC filter- place a temporary filter so clots can't get to lungs
Acute Respiratory Failure Patho - ANSWER>>Mismatch between
ventilation and perfusion, gas exchanged is reduced can become
respiratory failure
Acute Respiratory Failure Types - ANSWER>>Ventilatory Failure
Oxygenation Failure
Combination Failure
Ventilatory Failure Patho - ANSWER>>inadequate oxygen input
too little oxygen into alveoli
CO2 is retained
Ventilatory Failure Patho Causes - ANSWER>>physical problem
with lungs or chest wall
brain injury
diaphram uncontrolled
Ventilatory Failure causes (disease) - ANSWER>>Myashtenia
gravis, guillian barre, poliomyelitis, spinal cord injury
stroke, increased ICP, meningitis
Opiods, kyphoscoliosis, massive obesity, sleep apnea, externa
obstruction/constriction
COPD, asthma
Pulmonary embolism,pneumothorax, ARDS, amylodosis,
Pulmonary edema, interstitial fibrosis
MDC4 Test 2 Questions With
Complete Solutions Graded A ,
Exams of Nursing
Pulmonary Embolism Patho - ANSWER>>particulates lodge in
pulmonary vessels
most common loosed clots from a DVT
Pulmonary Embolism risk factors - ANSWER>>Same as DVT
prolonged immunity
venous catheters
surgery
obesity
old
hx of thromboembolism
smoking
pregnance
heart failrure
stroke
trauma
Pulmonary Embolism Prevention - ANSWER>>Prevent DVT
ROM excersise
ambulate
compression socks
anticoagulants
unristrictive clothes on chest
no pillow under knee
no crossed legs
,2|Page
no massage
elevate legs 20 deg.
Pulmonary Embolism assessment - ANSWER>>dyspnea sudden
sharp stabbing chest pain
anxiety
cough
hemoptysis
tachypnea
crackles
friction rub
diaphoresis
low grade fever
petechiae on chest and axillae
Pulmonary Embolism diagnostic test - ANSWER>>Early-
respiratory alkolosis
late-metabolic acidosis
elevated d-dimer
pulmonary angiogram (gold standard)
Doppler
V/W Scan
Pulmonary Embolism Intervention (nonsurgical) -
ANSWER>>Rapid response team
elevate HOB
O2 therapy
ABG's
Assess repiratory/cardiac status
anticoagulatns and imaging as perscribed
bleeding precaution
, 3|Page
IV fluid therapy
Pulmonary Embolism Surgical intervention -
ANSWER>>Embolectomy- removal of embolus
IVC filter- place a temporary filter so clots can't get to lungs
Acute Respiratory Failure Patho - ANSWER>>Mismatch between
ventilation and perfusion, gas exchanged is reduced can become
respiratory failure
Acute Respiratory Failure Types - ANSWER>>Ventilatory Failure
Oxygenation Failure
Combination Failure
Ventilatory Failure Patho - ANSWER>>inadequate oxygen input
too little oxygen into alveoli
CO2 is retained
Ventilatory Failure Patho Causes - ANSWER>>physical problem
with lungs or chest wall
brain injury
diaphram uncontrolled
Ventilatory Failure causes (disease) - ANSWER>>Myashtenia
gravis, guillian barre, poliomyelitis, spinal cord injury
stroke, increased ICP, meningitis
Opiods, kyphoscoliosis, massive obesity, sleep apnea, externa
obstruction/constriction
COPD, asthma
Pulmonary embolism,pneumothorax, ARDS, amylodosis,
Pulmonary edema, interstitial fibrosis
