Download Exam 2: NUR201/ NUR 201 (New 2024/ 2025 Update) Medical Surgical Nursing I Review | Q&A and more Exams Nursing in PDF only on Docsity! Exam 2: NUR201/ NUR 201 (New 2024/ 2025 Update) Medical Surgical Nursing I Review | Questions and Verified Answers| 100% Correct| A Grade – Fortis QUESTION what kind of precautions are people with TB? Answer: airborne isolation QUESTION for a patient with sickle cell anemia, how do you manage the crisis? (3 ways) Answer: -control the pain -give O2 -give IV fluids -rest is also important QUESTION patient with pleurisy, what to give them and why? Answer: give patient a pillow for splinting, they can cough and hold onto it while doing so to reduce pain QUESTION what will you assess on a patient with TB? Answer: -blood sputum -sweats -SOB -weight loss -pale -anorexia QUESTION if you suspect a patient has TB, what should you do? Answer: put them on airborne precautions right away QUESTION what is the normal ABG's for a good O2 saturation? Answer: PaO2= 80-100 QUESTION what is multiple myeloma? Answer: cancer of plasma cells in bone marrow -calcium from the bone gets into the blood and causes hypercalcemia QUESTION difference between Hodgkins disease vs non-hodgkins disease Answer: Hodgkins disease has Reed-Sternberg cells which are found in the lymph nodes QUESTION what can you delegate to a UAP? Answer: they can only collect data, they cannot assess, monitor, or teach QUESTION patient teaching for O2 safety in the home Answer: -long cords can be very dangerous -no one should smoke in the house -make sure all plugs are in good condition and are working QUESTION what is sarcoidosis? what would you assess on a patient with this? Answer: a disease that causes lung stiffening -pt will have shallow breathing and will hardly move their diaphragm QUESTION nursing considerations for aldactone Answer: -spares potassium -do not force fluids -avoid foods high in potassium -stay away from citrus QUESTION hypervolemia symptoms Answer: -JVD -muffled heart tones -confusion -edema -crackes -low sodium QUESTION causes of fluid volume deficit (hypovolemia) Answer: diarrhea, drainage, hemorrhage, polyuria -check I's&O's and daily weight QUESTION causes and risk factors of hypokalemia Answer: -abnormal losses from either the kidneys or the GI tract -can cause left ventricular dysrhythmias, skeletal muscle weakness and paralysis including the respiratory muscles leading to shallow respirations QUESTION symptoms of hypomagnesemia Answer: anorexia, nausea, vomiting, lethargy, weakness, personality change -positive chavostics or Trousseau signs QUESTION blood transfusion reactions Answer: fever, chills, hives, itching, back pain QUESTION who is at the most high risk for a DIC? Answer: a patient with sepsis (high temps/infection) QUESTION what is the treatment for pernicious anemia? Answer: Treat with B12 injection IM or IV QUESTION symptoms of RBC anemia Answer: -low BP -cool skin -dizziness -SOB -Fatigue -pale/yellowness of skin QUESTION nursing teaching for pt with pneumonia regarding teaching QUESTION normal hematocrit range Answer: males: 39-49 females: 35-45 QUESTION Normal specific gravity of urine Answer: 1.010-1.025 QUESTION What is Chvostek's sign? Answer: (low calcium) the twitching of the facial muscles in response to tapping over the area of the facial nerve QUESTION what is trousseau's sign? Answer: BP cuff inflated too high for 3 minutes and causes a carpal spasm. QUESTION What is hypocalcemia? Answer: low calcium levels in the blood -observe a pt who had a thyroidectomy for signs of hypocalcemia