Exam 2 Medsurg - NSG 223
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1. What is the pathophysiology of pulmonary embolism ?: Occlusion in the pul artery
normally caused by small emboli that get stuck in the arterioles causing necrosis of the area its in.
2. what do symptoms depend on in pulmonary embolism?: -Size and type of embolism
-Location of embolism
3. How do you treat unstable PE?: -Begin emergency procedure to regain respiratory and cardiovascular
system
-start on thrombolytic therapy to lysis the embolism (Dissolve) and prevent.
4. How do you treat stable PE?: Immediate anticoagulation to prevent reoccurrence 10 days - 6 months
anticoagulation (Warfarin) and Heparin.
5. *A pt who just had surgery can do ______________ Exercises like _____ __________
while they are in bed to prevent PE's.: Isometric, Leg pumps
6. What are the main clinical manifestations of ARDs?: Severe dyspnea, hypoxemia doesn't
respond to O2, nasal flaring, tachycardia, change in mental, retraction, hyperventilation and tachypnea.
7. *If a patient has a 140 Heart rate is this is sign of ARDs?: Yes
8. *What does PEEP do?: Keeps alveoli open at end of expiration; prevents alveolar collapse. Helps to recruit
more and more alveoli for gas exchange and decrease work of breathing (improves compliance).
9. How do you care for a patient on a ventilator?: Full assessment Q4 hrs, Make sure tube is in
right position and check vent settings, Maintain hob at 30 degrees, oral care Q2 hrs, Picture board for communication.
10. * ______________ is given to pts before they are intubated to relax the vocal
muscles and making intubation easier.: Vecuronium
11. What is a good nursing intervention for a patient with pulmonary HTN/ede-
ma who is bedridden?: Sit up with leg of the bed raised to increase venous return.
12. *When caring for a pt with pulmonary edema the nurse will give the diuretic
___________: Furosemide
13. *If a client has a potassium level of 5.6. The nurse will give ________ _______
_______.: Sodium Polystyrene Sulfonate
14. *The nurse is caring for a client with the following
pH - 7.25
HCO3 - 18
CO2 - 42
1/5
, Exam 2 Medsurg - NSG 223
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The patient has ___________ Acidosis: Metabolic
15. *A client comes into the ED with HYPOventilation. The nurse will monitor for
_______________ __________________: Respiratory Acidosis
16. *If a pt has emphysema and sleep apnea they are at risk for chronic
_____________ Acidosis.: Respiratory
17. *A client comes into the ED with HYPERventilation. The nurse will monitor for
_____________ ________________ _________________: Compensated Respiratory Acidosis
18. *The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
The patient has ___________ Alkalosis: Metabolic
19. A client has a potassium level of 5.6 Meq/L . Which order should the nurse
anticipate?: Sodium polystyrene sulfonate
20. *If the patient has the following ABGs
pH - 7.25
HCO3 - 33
CO2 - 47
The interpretation is?: Compensated respiratory acidosis
21. *The pt has an ABG of
pH - 7.25
HCO3 - 20
CO2 - 40
The interpretation is?: Metabolic Acidosis
22. *A pt with metabolic acidosis will have the following assessment findings?: -
Confusion, Tingling of fingers and toes, Severe N/V
2/5
Study online at https://quizlet.com/_hwg4iv
1. What is the pathophysiology of pulmonary embolism ?: Occlusion in the pul artery
normally caused by small emboli that get stuck in the arterioles causing necrosis of the area its in.
2. what do symptoms depend on in pulmonary embolism?: -Size and type of embolism
-Location of embolism
3. How do you treat unstable PE?: -Begin emergency procedure to regain respiratory and cardiovascular
system
-start on thrombolytic therapy to lysis the embolism (Dissolve) and prevent.
4. How do you treat stable PE?: Immediate anticoagulation to prevent reoccurrence 10 days - 6 months
anticoagulation (Warfarin) and Heparin.
5. *A pt who just had surgery can do ______________ Exercises like _____ __________
while they are in bed to prevent PE's.: Isometric, Leg pumps
6. What are the main clinical manifestations of ARDs?: Severe dyspnea, hypoxemia doesn't
respond to O2, nasal flaring, tachycardia, change in mental, retraction, hyperventilation and tachypnea.
7. *If a patient has a 140 Heart rate is this is sign of ARDs?: Yes
8. *What does PEEP do?: Keeps alveoli open at end of expiration; prevents alveolar collapse. Helps to recruit
more and more alveoli for gas exchange and decrease work of breathing (improves compliance).
9. How do you care for a patient on a ventilator?: Full assessment Q4 hrs, Make sure tube is in
right position and check vent settings, Maintain hob at 30 degrees, oral care Q2 hrs, Picture board for communication.
10. * ______________ is given to pts before they are intubated to relax the vocal
muscles and making intubation easier.: Vecuronium
11. What is a good nursing intervention for a patient with pulmonary HTN/ede-
ma who is bedridden?: Sit up with leg of the bed raised to increase venous return.
12. *When caring for a pt with pulmonary edema the nurse will give the diuretic
___________: Furosemide
13. *If a client has a potassium level of 5.6. The nurse will give ________ _______
_______.: Sodium Polystyrene Sulfonate
14. *The nurse is caring for a client with the following
pH - 7.25
HCO3 - 18
CO2 - 42
1/5
, Exam 2 Medsurg - NSG 223
Study online at https://quizlet.com/_hwg4iv
The patient has ___________ Acidosis: Metabolic
15. *A client comes into the ED with HYPOventilation. The nurse will monitor for
_______________ __________________: Respiratory Acidosis
16. *If a pt has emphysema and sleep apnea they are at risk for chronic
_____________ Acidosis.: Respiratory
17. *A client comes into the ED with HYPERventilation. The nurse will monitor for
_____________ ________________ _________________: Compensated Respiratory Acidosis
18. *The nurse is caring for a client with the following
pH - 7.5
HCO3 - 38
CO2 - 32
The patient has ___________ Alkalosis: Metabolic
19. A client has a potassium level of 5.6 Meq/L . Which order should the nurse
anticipate?: Sodium polystyrene sulfonate
20. *If the patient has the following ABGs
pH - 7.25
HCO3 - 33
CO2 - 47
The interpretation is?: Compensated respiratory acidosis
21. *The pt has an ABG of
pH - 7.25
HCO3 - 20
CO2 - 40
The interpretation is?: Metabolic Acidosis
22. *A pt with metabolic acidosis will have the following assessment findings?: -
Confusion, Tingling of fingers and toes, Severe N/V
2/5
