Advanced Med Surg Midterm Questions and
Verified Answers
BMT-s/p nursing considerations Correct Answer: key consideration Infection
Hip -s/p orthopedic surgery considerations Correct Answer: DVT and Fat emboli
Infection of surgical wounds
Pain
S/S of a Fat Emboli Correct Answer: *from marrow of a fractured bone*
(previous test question):
S/S : *tachycardic, pale, confused*
Commonly occluded in the brain, lungs, kidneys.
*Respiratory*
-Crackles, Dyspnea, Tachypnea, Wheezes, Chest Pain. Cough, Thick White Sputum
*Cerebral*
-Mental Status Changes, Systemic, Pallor, Petechiae, Tachycardia
*Renal*
-Diminished Kidney Function
Management of a Fat embolism Correct Answer: *PREVENTION*
-Immediate immobilization
-Early Surgical Fixation
,- Manage Fluid & Electrolytes
*MANAGEMENT*
-Respiratory support
-High Flow Oxygen
-Corticosteroids
-Cardiovascular Support
A man falls and breaks his hip. What pre-existing condition can contribute to postoperative
complications? Correct Answer: Hyperthyroidism
s/s of a DVT Correct Answer: *Assess for unilateral signs of:*
-Increased warmth of calf
-Swelling
-Tenderness
-Redness
*RESPIRATORY*
-atelectasis (alveoli not getting full expansion)
-pneumonia
Treatment of a DVT Correct Answer: -anti-embolism stockings
-ROM exercises hourly
-anticoagulant therapy
-increase fluid intake
, PPE and standard precautions considerations Correct Answer: *An example of a violation of standard
precautions: applying a clean pair of gloves over a soiled pair of gloves*
*Standard Precautions*
-Hand Hygiene after touching body fluid or excretions
-After touching contaminated items
-After Removing gloves
*PPE*
-gown and gloves when clothing or exposed skin may come in contact with any of the above
-masks/goggles/face shields during procedures that may cause splashing or spraying of body fluids
Chronic diseases as they r/t anemia Correct Answer: *Renal failure - no production of erythropoieitin*
Generalized symptoms for a patient that is immunodeficient Correct Answer: Cardinal symptoms
*Infection that is:*
-Chronic / Recurrent / Severe
-Caused by unusual organisms or normal body flora
-Poor response to standard treatment
*-Chronic diarrhea*
AIDS and nutrition-labs to evaluate, assessment of Correct Answer: *Nutritional Status - BUN will give
you an idea of what nutritional status is like - r/t PROTEIN*
-Skin Integrity
-Respiratory Status
-Neurologic Status
Verified Answers
BMT-s/p nursing considerations Correct Answer: key consideration Infection
Hip -s/p orthopedic surgery considerations Correct Answer: DVT and Fat emboli
Infection of surgical wounds
Pain
S/S of a Fat Emboli Correct Answer: *from marrow of a fractured bone*
(previous test question):
S/S : *tachycardic, pale, confused*
Commonly occluded in the brain, lungs, kidneys.
*Respiratory*
-Crackles, Dyspnea, Tachypnea, Wheezes, Chest Pain. Cough, Thick White Sputum
*Cerebral*
-Mental Status Changes, Systemic, Pallor, Petechiae, Tachycardia
*Renal*
-Diminished Kidney Function
Management of a Fat embolism Correct Answer: *PREVENTION*
-Immediate immobilization
-Early Surgical Fixation
,- Manage Fluid & Electrolytes
*MANAGEMENT*
-Respiratory support
-High Flow Oxygen
-Corticosteroids
-Cardiovascular Support
A man falls and breaks his hip. What pre-existing condition can contribute to postoperative
complications? Correct Answer: Hyperthyroidism
s/s of a DVT Correct Answer: *Assess for unilateral signs of:*
-Increased warmth of calf
-Swelling
-Tenderness
-Redness
*RESPIRATORY*
-atelectasis (alveoli not getting full expansion)
-pneumonia
Treatment of a DVT Correct Answer: -anti-embolism stockings
-ROM exercises hourly
-anticoagulant therapy
-increase fluid intake
, PPE and standard precautions considerations Correct Answer: *An example of a violation of standard
precautions: applying a clean pair of gloves over a soiled pair of gloves*
*Standard Precautions*
-Hand Hygiene after touching body fluid or excretions
-After touching contaminated items
-After Removing gloves
*PPE*
-gown and gloves when clothing or exposed skin may come in contact with any of the above
-masks/goggles/face shields during procedures that may cause splashing or spraying of body fluids
Chronic diseases as they r/t anemia Correct Answer: *Renal failure - no production of erythropoieitin*
Generalized symptoms for a patient that is immunodeficient Correct Answer: Cardinal symptoms
*Infection that is:*
-Chronic / Recurrent / Severe
-Caused by unusual organisms or normal body flora
-Poor response to standard treatment
*-Chronic diarrhea*
AIDS and nutrition-labs to evaluate, assessment of Correct Answer: *Nutritional Status - BUN will give
you an idea of what nutritional status is like - r/t PROTEIN*
-Skin Integrity
-Respiratory Status
-Neurologic Status
