Med Surg III - Final Questions and Verified
Answers
Patient has pulmonary edema -what are your priority interventions? Correct Answer: Reducing volume
overload, improving ventricular function and increasing respiratory exchange.
Oxygen Therapy
Morphine - reduces peripheral resistance and venous return
Diuretics
Position patient with feet dangling upright
Monitoring meds
Patient is on a mechanical ventilator - what do you assess for? Multiple response question Correct
Answer: patient's physiologic status - all body system's (in depth on respiratory system). Vital signs,
respiratory rate and pattern, breath sounds, evaluation of spontaneous ventillatory effort, evidence of
hypoxia (cyanosis)
how they are coping with the ventilation
functioning and settings of the mechanical ventilator
Neurological status
Patient's level of coping
Comfort level
Ability to communicate
GI and nutritional status (important for weaning off)
Patient is having hysterectomy ...what indicates patient understanding informed consent Correct
Answer: removal of the uterus
, verbal and written consent - ask questions to gauge comprehension
(i don't know what options will be)
Types of Surgery page 425 Correct Answer: *Diagnostic* - (biopsy, exploratory laparotomy)
*Curative* - (excision of a tumor or the appendix)
*Repairative* - (multiple wound repair)
*Reconstructive/Cosmetic* - (mammoplasty, facelift)
*Palliative* - (to relieve pain or correct a problem)
*Ambulatory* - outpatient , same-day, or short-stay - does not require an overnight stay - stays less than
24 hours.
*Emergent* - pt. requires immediate attention (severe bleeding, bladder or intestinal obstruction, etc)
*Urgent* - requires prompt attention - (acute gall bladder infection, kidney or ureteral stones)
*Required*- patient needs to have surgery - within a few weeks or months (thyroid disorders, cataracts,
prostatic hyperplasia)
*Elective*- patient should have surgery - repair of scars, simple hernia, vaginal repair)
*Optional*- cosmetic - person preference of the patient
Patient gets medicine before surgery and requests to go pee. What are you going to do? Correct Answer:
**ask about this one**use of bedpan and/or urinal if possible
Patient before surgery develops abnormal vital signs...what do you do? Correct Answer: notify the
physician
What do you do before abdominal surgery? Correct Answer: Check for bowel sounds
Best described benefits for pain medication Correct Answer: maintain comfort without suppressing
respiratory function
Answers
Patient has pulmonary edema -what are your priority interventions? Correct Answer: Reducing volume
overload, improving ventricular function and increasing respiratory exchange.
Oxygen Therapy
Morphine - reduces peripheral resistance and venous return
Diuretics
Position patient with feet dangling upright
Monitoring meds
Patient is on a mechanical ventilator - what do you assess for? Multiple response question Correct
Answer: patient's physiologic status - all body system's (in depth on respiratory system). Vital signs,
respiratory rate and pattern, breath sounds, evaluation of spontaneous ventillatory effort, evidence of
hypoxia (cyanosis)
how they are coping with the ventilation
functioning and settings of the mechanical ventilator
Neurological status
Patient's level of coping
Comfort level
Ability to communicate
GI and nutritional status (important for weaning off)
Patient is having hysterectomy ...what indicates patient understanding informed consent Correct
Answer: removal of the uterus
, verbal and written consent - ask questions to gauge comprehension
(i don't know what options will be)
Types of Surgery page 425 Correct Answer: *Diagnostic* - (biopsy, exploratory laparotomy)
*Curative* - (excision of a tumor or the appendix)
*Repairative* - (multiple wound repair)
*Reconstructive/Cosmetic* - (mammoplasty, facelift)
*Palliative* - (to relieve pain or correct a problem)
*Ambulatory* - outpatient , same-day, or short-stay - does not require an overnight stay - stays less than
24 hours.
*Emergent* - pt. requires immediate attention (severe bleeding, bladder or intestinal obstruction, etc)
*Urgent* - requires prompt attention - (acute gall bladder infection, kidney or ureteral stones)
*Required*- patient needs to have surgery - within a few weeks or months (thyroid disorders, cataracts,
prostatic hyperplasia)
*Elective*- patient should have surgery - repair of scars, simple hernia, vaginal repair)
*Optional*- cosmetic - person preference of the patient
Patient gets medicine before surgery and requests to go pee. What are you going to do? Correct Answer:
**ask about this one**use of bedpan and/or urinal if possible
Patient before surgery develops abnormal vital signs...what do you do? Correct Answer: notify the
physician
What do you do before abdominal surgery? Correct Answer: Check for bowel sounds
Best described benefits for pain medication Correct Answer: maintain comfort without suppressing
respiratory function
