Medical Surgery
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Medical Surgery 118
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A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy?: 
 
 
Headache 
 
Infection 
 
Aphasia 
 
Hypertension (Correct Answer) − b. Infection 
 
Monitor for infection and use strict asepsis to avoid life−threatening meningitis. 
 
 
 
A nurse is providing education to a client who is to undergo...
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A nurse is caring for a client who experienced a traumatic head injury and has an intraventricular catheter (Ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy?: 
 
 
Headache 
 
Infection 
 
Aphasia 
 
Hypertension (Correct Answer) − b. Infection 
 
Monitor for infection and use strict asepsis to avoid life−threatening meningitis. 
 
 
 
A nurse is providing education to a client who is to undergo...
questions and answers for RN ATI medical surgery
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questions and answers for RN ATI medical surgery
It Covers medical surgery and the process that involves in the surgery of all manners
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It Covers medical surgery and the process that involves in the surgery of all manners
A nurse is assessing a client who is 12hr postoperative following a colon resection. 
Which of the following findings should the nurse report to the surgeon? 
a. Heart rate 90/min 
b. Absent bowel sounds 
c. Hgb 8.2 g/dl 
d. Gastric pH of 3.0 
 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible 
hemorrhaging. 
2. A nurse is caring for a client who has diabetes insipidus. Which of the following 
medications should the nurse plan to administer? 
a. Desmopressin 
b. Re...
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A nurse is assessing a client who is 12hr postoperative following a colon resection. 
Which of the following findings should the nurse report to the surgeon? 
a. Heart rate 90/min 
b. Absent bowel sounds 
c. Hgb 8.2 g/dl 
d. Gastric pH of 3.0 
 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible 
hemorrhaging. 
2. A nurse is caring for a client who has diabetes insipidus. Which of the following 
medications should the nurse plan to administer? 
a. Desmopressin 
b. Re...
- The medication you would give for an uncontrolled flutter is adenosine, because it will 
bring the heart rate down. 
- Patient with dysrhythmias: 
- Maintain perfusion and cardiac output 
- Atrial fibrillation is the most common dysrhythmia and it produces clots, so patient is 
usually on coumadin and the nurse should monitor INR (it should be between 2-3) 
- The dysrhythmias you would use defibrillation for: 
- V. fibb and pulseless v. tach 
- A. fibb has a risk of blood clots because the blo...
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- The medication you would give for an uncontrolled flutter is adenosine, because it will 
bring the heart rate down. 
- Patient with dysrhythmias: 
- Maintain perfusion and cardiac output 
- Atrial fibrillation is the most common dysrhythmia and it produces clots, so patient is 
usually on coumadin and the nurse should monitor INR (it should be between 2-3) 
- The dysrhythmias you would use defibrillation for: 
- V. fibb and pulseless v. tach 
- A. fibb has a risk of blood clots because the blo...
1. Know how to interpret blood gas analysis: 
Normal Arterial Blood gas Values: 
PH- 7.35-7.45 
Pac02- 35-45 to interpret using tic tac toe method, switch the values (45-35) 
Bicarbonate(HC03-)- 21-28 
Pa02-80-100 
Pyramid Points 
In acidosis, the PH is decreased 
In alkalosis, the PH is elevated 
The respiratory function indicator is the Paco2 
The metabolic function indicator is the bicarbonate ion (HC03-) 
Pyramid Steps 
(1) Look at the PH. If the PH is elevated, it reflects alkalosis. If th...
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1. Know how to interpret blood gas analysis: 
Normal Arterial Blood gas Values: 
PH- 7.35-7.45 
Pac02- 35-45 to interpret using tic tac toe method, switch the values (45-35) 
Bicarbonate(HC03-)- 21-28 
Pa02-80-100 
Pyramid Points 
In acidosis, the PH is decreased 
In alkalosis, the PH is elevated 
The respiratory function indicator is the Paco2 
The metabolic function indicator is the bicarbonate ion (HC03-) 
Pyramid Steps 
(1) Look at the PH. If the PH is elevated, it reflects alkalosis. If th...
Chapters 14 
The irreversible stage=use of mechanical ventilation, altered consciousness, and profound acidosis. 
The compensation stage = decreased urinary output, confusion, and respiratory alkalosis. 
BP normal 
 respirations are above 20 
 heart rate is above 100 but below 150 
serum sodium and blood glucose levels are elevated 
The progressive stage =metabolic acidosis, lethargy, and rapid, shallow respirations. 
BP can no longer compensate 
 the MAP falls below normal limits. 
 Patients...
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Chapters 14 
The irreversible stage=use of mechanical ventilation, altered consciousness, and profound acidosis. 
The compensation stage = decreased urinary output, confusion, and respiratory alkalosis. 
BP normal 
 respirations are above 20 
 heart rate is above 100 but below 150 
serum sodium and blood glucose levels are elevated 
The progressive stage =metabolic acidosis, lethargy, and rapid, shallow respirations. 
BP can no longer compensate 
 the MAP falls below normal limits. 
 Patients...