NSG 223
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NSG 223 EXAM 3 MEDSURG NEWEST ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+BRAND NEW VERSION!.pdf
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NSG 223•NSG 223
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Medical-Surgical Nursing • Sharon Mantik Lewis, Margaret McLean Heitkemper, Jean Foret Giddens, Shannon Ruff Dirksen• ISBN 9780323026963
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test bank ohaniuopmnckdh• By PROFfESORMcCullough
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NSG 223 EXAM 3 MEDSURG NEWEST ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+BRAND NEW VERSION!.pdf
What are the risk factors of cerebrovascular disorders that are nonmodifiable? 
Nonmodifiable: 
-increased risk age 55+ 
-males 
-african and hispanic descent 
-sickle cell anemia 
-lupus 
-clotting disorders 
-atrial fibrillation 
-previous MI, Stroke, or TIA 
What are the risk factors of cerebrovascular disorders that are modifiable? 
Modifiable: 
-hypertension -primary risk factor 
-dyslipidemia 
-elevated cholesterol or elevated hematocrit 
-obesity 
-sedentary lifestyle 
-smoking and drug a...
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What are the risk factors of cerebrovascular disorders that are nonmodifiable? 
Nonmodifiable: 
-increased risk age 55+ 
-males 
-african and hispanic descent 
-sickle cell anemia 
-lupus 
-clotting disorders 
-atrial fibrillation 
-previous MI, Stroke, or TIA 
What are the risk factors of cerebrovascular disorders that are modifiable? 
Modifiable: 
-hypertension -primary risk factor 
-dyslipidemia 
-elevated cholesterol or elevated hematocrit 
-obesity 
-sedentary lifestyle 
-smoking and drug a...
meningitis 
inflammation of the meninges; can be bacterial, viral, or fungal 
septic meningitis 
caused by bacteria 
aseptic meningitis 
viral, fungal, or weakened immune 
meningitis risk factors 
skipping vaccinations, age (viral younger than 5), living in community setting, pregnancy, weakened immune system 
Meningitis Pathophysiology 
process where protective layers that cover the brain and spinal cord become inflamed 
meningitis s/s 
pain in back, muscles, and neck, fever, chills, fatigue, l...
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meningitis 
inflammation of the meninges; can be bacterial, viral, or fungal 
septic meningitis 
caused by bacteria 
aseptic meningitis 
viral, fungal, or weakened immune 
meningitis risk factors 
skipping vaccinations, age (viral younger than 5), living in community setting, pregnancy, weakened immune system 
Meningitis Pathophysiology 
process where protective layers that cover the brain and spinal cord become inflamed 
meningitis s/s 
pain in back, muscles, and neck, fever, chills, fatigue, l...
What are some symptoms of diabetes insipidus 
Polydipsia 
Polyuria 
 
Remember no polyphagia! 
What is a fluid deprivation test? 
A water deprivation test, also known as a fluid deprivation test, measures how well the kidneys work and helps diagnose diabetes insipidus. 
This would cause Unchange urine osmalarity 
What is Guillain-Barre Syndrome (GBS)? 
Its a rapid ascending paralysis starting in thenlegs and eventually reaching the respiratory system, which killsnthe client withing a few hours t...
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What are some symptoms of diabetes insipidus 
Polydipsia 
Polyuria 
 
Remember no polyphagia! 
What is a fluid deprivation test? 
A water deprivation test, also known as a fluid deprivation test, measures how well the kidneys work and helps diagnose diabetes insipidus. 
This would cause Unchange urine osmalarity 
What is Guillain-Barre Syndrome (GBS)? 
Its a rapid ascending paralysis starting in thenlegs and eventually reaching the respiratory system, which killsnthe client withing a few hours t...
Manifestations of Addison's disease? 
Dark pigmented skin, hypertension, hyperkalemia, hyponatremia, muscle weakness, low blood glucose levels, confusion. 
dietary education for patients with Addison disease? 
Need to increase sodium intake particularly during episodes of hot weather, limit potassium, increase fluid intake 
Addisonian crisis treatment? 
Administer fluids and dextrose (D5W) 
contraindications for a patient with Addison's disease on hydrocortisone treatment? 
Hold live vacci...
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Manifestations of Addison's disease? 
Dark pigmented skin, hypertension, hyperkalemia, hyponatremia, muscle weakness, low blood glucose levels, confusion. 
dietary education for patients with Addison disease? 
Need to increase sodium intake particularly during episodes of hot weather, limit potassium, increase fluid intake 
Addisonian crisis treatment? 
Administer fluids and dextrose (D5W) 
contraindications for a patient with Addison's disease on hydrocortisone treatment? 
Hold live vacci...
What is the most comfortable position for patient with pulmonary edema? 
dangling legs*** 
pulmonary edema 
accumulation of fluid in the lungs, alveolar space, or both 
symptoms of pulmonary edema 
- dyspnea 
- cough 
- crackles 
- blood-tinged sputum*** 
Diagnostics for pulmonary edema 
- chest x-ray 
- history and physical 
- BNP 
treatment for pulmonary edema 
diuretics*** 
respiratory failure 
- PaO2 <60 mmHg 
- increase of PaCO2 > 50 mmHg 
- pH < 7.35 
acute respiratory failure 
- ...
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What is the most comfortable position for patient with pulmonary edema? 
dangling legs*** 
pulmonary edema 
accumulation of fluid in the lungs, alveolar space, or both 
symptoms of pulmonary edema 
- dyspnea 
- cough 
- crackles 
- blood-tinged sputum*** 
Diagnostics for pulmonary edema 
- chest x-ray 
- history and physical 
- BNP 
treatment for pulmonary edema 
diuretics*** 
respiratory failure 
- PaO2 <60 mmHg 
- increase of PaCO2 > 50 mmHg 
- pH < 7.35 
acute respiratory failure 
- ...
Signs and symptoms of metabolic acidosis 
Headache, confusion, drowsiness, ⬆rr and depth, nausea, and vomiting 
 
peripheral vasodilation and ⬇cardiac output when ph<7 
 
⬇bp, cold and clammy skin, dysrhythmias, and shock 
 
chronic with ckd 
What is the cardinal feature of metabolic acidosis? 
A decrease in the serum bicarbonate level 
Hyperventilation, with a resulting decrease in paco2, is an expected compensatory reaction to which acid--base disorder? 
Metabolic acidosis 
What is th...
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Signs and symptoms of metabolic acidosis 
Headache, confusion, drowsiness, ⬆rr and depth, nausea, and vomiting 
 
peripheral vasodilation and ⬇cardiac output when ph<7 
 
⬇bp, cold and clammy skin, dysrhythmias, and shock 
 
chronic with ckd 
What is the cardinal feature of metabolic acidosis? 
A decrease in the serum bicarbonate level 
Hyperventilation, with a resulting decrease in paco2, is an expected compensatory reaction to which acid--base disorder? 
Metabolic acidosis 
What is th...
Penicillin G 
-Therapeutic class: antibacterial 
-Pharmacologic class: penicilin 
-Action/uses: disrupt cell wall; drug of choice against streptococci, pneumococci, staphylococci organisms that do not produce penicillinase 
-Complications: N/V/D; superinfection; ANAPHYLAXIS 
-Contraindications: hypersensitivity in PCN class; severe renal disease (BUN, CR, I&O) 
-Interactions: DECREASE oral contraceptive effectiveness; potassium-sparing diuretics= HYPERKALEMIA (monitor lab values); amnioglycoside...
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Penicillin G 
-Therapeutic class: antibacterial 
-Pharmacologic class: penicilin 
-Action/uses: disrupt cell wall; drug of choice against streptococci, pneumococci, staphylococci organisms that do not produce penicillinase 
-Complications: N/V/D; superinfection; ANAPHYLAXIS 
-Contraindications: hypersensitivity in PCN class; severe renal disease (BUN, CR, I&O) 
-Interactions: DECREASE oral contraceptive effectiveness; potassium-sparing diuretics= HYPERKALEMIA (monitor lab values); amnioglycoside...
Cardiomyopathy diagnostic tests 
Chest x-ray (cardiomegaly) 
Echocardiography 
ECG 
Cardiac catheterization 
Endomyocardial biopsy 
Cardiomyopathy pharmacological mgt 
beta blockers; potassium channel blockers, angiotensin-converting enzyme (ACE) inhibitors; digoxin, diuretics, and dysrhythmic agents. 
Aortic or mitral valve débridement, excision, or replacement is required in what kind of patients? 
- Develop congestive heart failure despite adequate medical treatment 
- Have more than one ser...
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Cardiomyopathy diagnostic tests 
Chest x-ray (cardiomegaly) 
Echocardiography 
ECG 
Cardiac catheterization 
Endomyocardial biopsy 
Cardiomyopathy pharmacological mgt 
beta blockers; potassium channel blockers, angiotensin-converting enzyme (ACE) inhibitors; digoxin, diuretics, and dysrhythmic agents. 
Aortic or mitral valve débridement, excision, or replacement is required in what kind of patients? 
- Develop congestive heart failure despite adequate medical treatment 
- Have more than one ser...
p wave represents 
atrial depolarization 
pr segment length 
0.12-.20 secs 
qrs comlex represents 
ventricular depolarization 
elevation or depression may indicate MI 
qrs length 
<0.12 secs 
ST segment represents 
early repolarization of ventricles 
QT interval represents 
total ventricular activity 
QT interval length 
0.32-.40 secs 
T wave represents 
repolarization of ventricles 
sinus bradycardia occurs when 
the SA node generates an impulse at a slower rate than normal 
causes of sinus ...
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p wave represents 
atrial depolarization 
pr segment length 
0.12-.20 secs 
qrs comlex represents 
ventricular depolarization 
elevation or depression may indicate MI 
qrs length 
<0.12 secs 
ST segment represents 
early repolarization of ventricles 
QT interval represents 
total ventricular activity 
QT interval length 
0.32-.40 secs 
T wave represents 
repolarization of ventricles 
sinus bradycardia occurs when 
the SA node generates an impulse at a slower rate than normal 
causes of sinus ...