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Exam (elaborations)
Complex Med Surg EXAM 2 Terms
Beta blockers - Answer Lower HR by reducing blood pressure and opening blood flow to improve blood flow. 
 
Calcium channel blockers - Answer Lower B/P and HR by preventing calcium from entering the heart and blood vessel walls. 
 
Atropine - Answer Increases HR 
 
Dopamine - Answer Increases HR by improving blood flow 
 
Dobutamine - Answer Increases HR by helping the heart pump blood. 
 
What medications will the nurse use to treat decreased after load? - Answer Dopamine, epinephri...
Exam (elaborations)
Complex Med Surg questions with correct answers
PopularWhile monitoring a patient who has fluid overload, which assessment is most concerning to the nurse? 
 
A.Bounding pulse 
B.Neck vein distention 
C.Pitting edema in the feet 
Presence of crackles in the lungs - Answer ANS: D 
 
Fluid overload may lead to pulmonary edema and heart failure. Any patient with fluid overload, regardless of age, is at risk for these complications. Older adults or those with cardiac problems, kidney problems, pulmonary problems, or liver problems are at greater risk...
Exam (elaborations)
Complex Med Surg Exam 1 Questions & Answers
Serves as guidelines for critical care nurses, establishes goals for patient care. - ANSWERSAACN Standards for Acute and Critical Care Nursing Practice 
 
What makes delirium different from dementia? - ANSWERSDelirium is fast onset, acute in nature, and there is usually a cause to it. 
 
True or False: Delirium is associated with low rates of mortality and morbidity? - ANSWERSFalse- it is associated with high rates of mortality and morbidity. 
 
3 Types of Delirium and characteristics - ANSWERSH...
Exam (elaborations)
Complex Med-Surg Exam 1 Questions & Answers Correct!!
Standards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - ANSWERSguidelines; establish goals; assess 
 
The _________ of patients' illness makes their care the top priority of critical care nurses. - ANSWERSacuteness 
 
What are two issues that critical care nurses face because of the fast-paced environment, critical nature of illness, and issues surrounding life and death patients? ...
Exam (elaborations)
COMPLEX MED SURG EXAM ( QUESTIONS WITH ANSWERS ) A+ RATED
what is portal hypertension - ANSWER restriction of blood flow through the portal vein 
what can portal hypertension lead to? - ANSWER - ascites 
- splenomegaly 
- GI-esophageal varices and bleeding 
- jaundice 
- signs of hepatic failure
Exam (elaborations)
Complex Med-Surg Exam 1 QUESTIONS And Answers
Standards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - ANS guidelines; establish goals; assess 
 
The _________ of patients' illness makes their care the top priority of critical care nurses. - ANS acuteness 
 
What are two issues that critical care nurses face because of the fast-paced environment, critical nature of illness, and issues surrounding life and death ...
Exam (elaborations)
Complex Med Surg Exam 1 Questions And Answers
Serves as guidelines for critical care nurses, establishes goals for patient care. - ANS AACN Standards for Acute and Critical Care Nursing Practice 
 
What makes delirium different from dementia? - ANS Delirium is fast onset, acute in nature, and there is usually a cause to it. 
 
True or False: Delirium is associated with low rates of mortality and morbidity? - ANS False- it is associated with high rates of mortality and morbidity. 
 
3 Types of Delirium and characteris...
Exam (elaborations)
COMPLEX MED SURG EXAM 1 Questions And Answers
The expectoration of blood from respiratory tract. - ANS Hemoptysis 
 
Aspiration of air and fluid from pleural space 
 
Performed for diagnostic or therapeutic purposes - ANS thoracentesis 
 
Decrease in arterial oxygen tension in blood. Manifested by changes in mental status, dyspnea, increase in BP, changes in HR, dysrhythmias, central cyanosis, diaphoresis, cool extremities 
 
usually leads to hypoxia - ANS hypoxemia 
 
Decrease in O2 supply to tissues and cells. - AN...
Exam (elaborations)
Complex Med Surg Exam 1 Questions And Answers
Acid Base chapter - ANS info card 
 
acid-base balance w/ associated conditions - ANS severe pneumonia- respiratory acidosis 
 
drug OD- resp acidosis 
 
pulm embolism- resp acidosis 
 
Emphysema- resp. acidosis 
 
Hyperventilating- respiratory alkalosis 
 
Rapid, shallow breathing at a rate of 32 breaths/minute- respiratory alkalosis 
 
fever- resp alkalosis 
 
fear/anxiety- resp alkalosis 
 
Suctioning- metab. alkalosis 
 
Diarrhea-metabolic acidosis 
 
acid-base balance w/ ass...
Exam (elaborations)
COMPLEX MED SURG EXAM 1 SOLVED 100% CORRECT!!
COMPLEX MED SURG EXAM 1 SOLVED 100% CORRECT!!
Exam (elaborations)
Complex Med Surg Exam 1 (Cardiac) questions with correct answers 2024
P wave - Correct AnswersUsually round & upright 
0.06 to 0.12 seconds 
 
QRS complex - Correct Answersnormal duration 0.4 to 0.10 (one small box to 2.5 small boxes) 
 
PR interval - Correct Answersnormal duration 0.12 to 0.20 
 
ST segment - Correct Answersshould be isoelectric 
the "J point" should come back to baseline 
 
10 times method - Correct Answerscount the number of R waves in a 6 second strip and multiply by 10 
 
Big block method - Correct AnswersDivide the number of big boxes betw...
Exam (elaborations)
Complex Med Surg Exam 1 questions with correct answers 2024
Serves as guidelines for critical care nurses, establishes goals for patient care. - Correct AnswersAACN Standards for Acute and Critical Care Nursing Practice 
 
What makes delirium different from dementia? - Correct AnswersDelirium is fast onset, acute in nature, and there is usually a cause to it. 
 
True or False: Delirium is associated with low rates of mortality and morbidity? - Correct AnswersFalse- it is associated with high rates of mortality and morbidity. 
 
3 Types of Delirium and ch...
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Exam (elaborations)
Complex Med Surg- Respiratory questions with correct answers
Chest tube insertion site monitoring - Answer check for pain, redness, infection & subcutaneous crepitus 
 
Chest tube bedside equipment - Answer occlusive dressing, sterile water, and two enclosed hemostat clamps. AT ALL TIMES 
 
Expected findings in a chest tube assessment - Answer gentle constant bubbling in the suction control chamber, rise and fall of water in the water seal chamber with inspiration and expiration, drainage system below chest and in upright position 
 
FIRST action...
Exam (elaborations)
Complex Med Surg- Cardiac questions with correct answers
Characteristics of Normal Sinus - Answer Rate: 60-100 
Regular 
Present and upright P waves 
QRS present and upright <= to 0.10sec 
1:1 P:QRS 
PR interval is <=0.20sec 
 
Characteristics of sinus tach - Answer Rate 100-150 
 
characteristics of sinus brady - Answer Rate <60 
 
Characteristics of Supra Ventricular tach (SVT) - Answer Rate 151-200... May not be able to see P wave due to fast rate 
 
Characteristics of Atrial Flutter - Answer Rate 60-150 
Regular or irregular 
P...
Exam (elaborations)
COMPLEX MED SURG EXAM 3-Perfusion questions with correct answers
What is preload? - Answer the volume/pressure of the blood returning and filling the heart 
 
What is afterload? - Answer the pressure the left ventricle must overcome to eject its blood (more resistance=more afterload) 
 
Decreases preload: inhibits Na+ reabsorption thereby promoting fluid loss 
 
For HTN, HF, cardiogenic shock 
 
SE: hypotension, hypokalemia, ototoxicity 
 
Teaching: watch for dizziness when standing, eat foods with K+ - Answer K+ wasting diuretics (furosemide) 
 
Blocks...
Exam (elaborations)
Complex Med Surg Exam 2 Cardiac questions with correct answers
Aneurysm - Answer Permanent dilation of an artery to at least two times it's normal diameter 
 
Most common artery for aneurysm - Answer Abdominal aorta between the renal arteries and the aortic bifurcation 
 
Saccular aneurysm - Answer our pouching --> specific portion of the vessel 
 
Fusiform aneurysm - Answer Affecting the circumference of the artery 
 
Aortic dissection - Answer Tear in the lining of the aorta that causes blood to accumulate within the aortic wall 
 
Aneurysm ...
Exam (elaborations)
Complex Med Surg Exam 6 questions with correct answers
atrial fibrillation - Answer rapid, random, ineffective contractions of the atrium 
 
Atrial Flutter - Answer irregular beating of the atria; often described as "a-flutter with 2 to 1 block or 3 to 1 block" 
 
normal sinus rhythm - Answer heart rhythm originating in the sinoatrial node with a rate in patients at rest of 60 to 100 beats per minute 
 
P wave - Answer atrial depolarization 
 
QRS complex - Answer ventricular depolarization 
 
PR interval - Answer delay of AV node to a...
Exam (elaborations)
Complex Med Surg exam 1 questions with correct answers
Oxygen toxicity signs and symptoms - Answer substernal discomfort, paresthesias, dyspnea, restlessness, fatigue, malaise, progressive respiratory difficulty, refractory hypoxemia, alveolar atelectasis, and alveolar infiltrates evident on chest x-rays. Manifestations similar to ARDS. 
 
oxygen toxicity - Answer A condition of excessive oxygen consumption resulting in cellular and tissue damage. 
 
oxygen delivery methods - Answer Low flow: nasal cannula, nasal catheter, simple mask, partial...
Exam (elaborations)
complex med surg test 1 questions with correct answers
Woman should have the choice for yearly mammograms if they wish at what age? - Answer 40-44 
 
age for when woman should get mammograms yearly - Answer 45-54 
 
age for mammograms every 2 years - Answer 55+ 
 
At what age should woman and men begin colon testing? - Answer 50 
 
how often should colonoscopys be done? - Answer 10 years 
 
When should cervical cancer testing start? - Answer age 21 
 
What age should paps be done every 3 years - Answer 21-29 
 
What ages should woman h...
Exam (elaborations)
Complex Med-Surg Exam questions with correct answers
Standards serve as __________ for clinical practice. They _________ _____ for patient care and provide mechanisms for nurses to _____ the achievement of patient goals - Answer guidelines; establish goals; assess 
 
The _________ of patients' illness makes their care the top priority of critical care nurses. - Answer acuteness 
 
What are two issues that critical care nurses face because of the fast-paced environment, critical nature of illness, and issues surrounding life and death patients...