NSG 233 MED SURG III EXAM 4 PREP 2025 | NSG 233 MED SURG 3 EXAM 4 HERZING
UNIVERSITY PRACTICE EXAM WITH ALL QUESTIONS AND CORRECT ANSWERS (LATEST!)
Fluid Management of hypovolemic Shock? - (answer)Whenever a pt is hemorrhaging—whether
externally or internally—a loss of circulating blood results in a fluid volume deficit & decreased cardiac
output. Therefore, fluid replacement is imperative to maintain circulation.
Typically, two large-gauge IV catheters are inserted, preferably in an uninjured extremity, to provide a
means for fluid & blood replacement.
Fluid Management of hypovolemic Shock? - (answer)· Replacement fluids may include isotonic
electrolyte solutions (e.g., lactated Ringer's, normal saline), colloids, & blood component therapy.
Packed RBC are infused when there is massive blood loss, which may also necessitate transfusion of
other blood components, including platelets & clotting factors.
Violence in the ED - (answer)Precautions to take in order to avoid injury include:
· For prisoners, the hand or ankle restraint (handcuff) is never released, & a guard is always present in
the room.
· Nonrestraint techniques should be tried when possible—e.g., talking w/ the pt, minimizing
environmental stimulation.
·
Pts from prison & those who are under guard need to be handcuffed to the bed & appropriately
assessed to ensure the safety of hospital staff & other pts.
Family Focused Interventions - (answer)Allow family to be present!
The family is kept informed about where the pt is, how he or she is doing, & the care that is being given.
Encouraging family members to stay w/ the pt, when possible, also helps allay their anxieties.
Reversal agents of anticoagulants? - (answer)Protamine sulfate is an antidote for standard heparin and
LMWHs.
, NSG 233 MED SURG III EXAM 4 PREP 2025 | NSG 233 MED SURG 3 EXAM 4 HERZING
UNIVERSITY PRACTICE EXAM WITH ALL QUESTIONS AND CORRECT ANSWERS (LATEST!)
· A single dose should not exceed 50 mg
· The drug is given by slow IV infusion over at least 10 min
Heat Exhaustion Treatment - (answer)Most importantly, immediate ingestion and eventually IV
replacement of large quantities of water, and placement in a cool environment is helpful as well.
Heat Exhaustion prevention - (answer)Preventing Heat-Induced Illnesses
· Maintain adequate fluid intake, wear loose clothing, and reduce activity in hot weather.
· Monitor fluid losses and weight loss during workout activities or exercise and replace fluids and
electrolytes.
Plan outdoor activities to avoid the hottest part of the day (between 10 AM and 2 PM
Assessment & diagnostics for heat exhaustion. - (answer)· When assessing the pt, the nurse notes the
following symptoms: profound (CNS) dysfunction (manifested by confusion, delirium, bizarre behavior,
coma, seizures); elevated body temperi (40.6°C [105°F] or higher); hot, dry skin; & usually anhidrosis
(absence of sweating), tachypnea, hypotension, & tachycardia.
IV infusion therapy of NS or LR solution is initiated as directed to replace fluid losses & maintain
adequate circulation
Think of (circulation, airway, & breathing).
Frostbite - (answer)Actual freezing of tissue fluid resulting in damage to the skin and underlying tissue
Frostbite management consist of? - (answer)The goal of management is to restore normal body temperi.
Constrictive clothing & jewelry that could impair circulation are removed. Wet clothing is removed as
rapidly as possible. If the lower extremities are involved, the pt should not be allowed to ambulate.
UNIVERSITY PRACTICE EXAM WITH ALL QUESTIONS AND CORRECT ANSWERS (LATEST!)
Fluid Management of hypovolemic Shock? - (answer)Whenever a pt is hemorrhaging—whether
externally or internally—a loss of circulating blood results in a fluid volume deficit & decreased cardiac
output. Therefore, fluid replacement is imperative to maintain circulation.
Typically, two large-gauge IV catheters are inserted, preferably in an uninjured extremity, to provide a
means for fluid & blood replacement.
Fluid Management of hypovolemic Shock? - (answer)· Replacement fluids may include isotonic
electrolyte solutions (e.g., lactated Ringer's, normal saline), colloids, & blood component therapy.
Packed RBC are infused when there is massive blood loss, which may also necessitate transfusion of
other blood components, including platelets & clotting factors.
Violence in the ED - (answer)Precautions to take in order to avoid injury include:
· For prisoners, the hand or ankle restraint (handcuff) is never released, & a guard is always present in
the room.
· Nonrestraint techniques should be tried when possible—e.g., talking w/ the pt, minimizing
environmental stimulation.
·
Pts from prison & those who are under guard need to be handcuffed to the bed & appropriately
assessed to ensure the safety of hospital staff & other pts.
Family Focused Interventions - (answer)Allow family to be present!
The family is kept informed about where the pt is, how he or she is doing, & the care that is being given.
Encouraging family members to stay w/ the pt, when possible, also helps allay their anxieties.
Reversal agents of anticoagulants? - (answer)Protamine sulfate is an antidote for standard heparin and
LMWHs.
, NSG 233 MED SURG III EXAM 4 PREP 2025 | NSG 233 MED SURG 3 EXAM 4 HERZING
UNIVERSITY PRACTICE EXAM WITH ALL QUESTIONS AND CORRECT ANSWERS (LATEST!)
· A single dose should not exceed 50 mg
· The drug is given by slow IV infusion over at least 10 min
Heat Exhaustion Treatment - (answer)Most importantly, immediate ingestion and eventually IV
replacement of large quantities of water, and placement in a cool environment is helpful as well.
Heat Exhaustion prevention - (answer)Preventing Heat-Induced Illnesses
· Maintain adequate fluid intake, wear loose clothing, and reduce activity in hot weather.
· Monitor fluid losses and weight loss during workout activities or exercise and replace fluids and
electrolytes.
Plan outdoor activities to avoid the hottest part of the day (between 10 AM and 2 PM
Assessment & diagnostics for heat exhaustion. - (answer)· When assessing the pt, the nurse notes the
following symptoms: profound (CNS) dysfunction (manifested by confusion, delirium, bizarre behavior,
coma, seizures); elevated body temperi (40.6°C [105°F] or higher); hot, dry skin; & usually anhidrosis
(absence of sweating), tachypnea, hypotension, & tachycardia.
IV infusion therapy of NS or LR solution is initiated as directed to replace fluid losses & maintain
adequate circulation
Think of (circulation, airway, & breathing).
Frostbite - (answer)Actual freezing of tissue fluid resulting in damage to the skin and underlying tissue
Frostbite management consist of? - (answer)The goal of management is to restore normal body temperi.
Constrictive clothing & jewelry that could impair circulation are removed. Wet clothing is removed as
rapidly as possible. If the lower extremities are involved, the pt should not be allowed to ambulate.
