Exam 4: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II Review | Q&A, Exams of Nursing

Download Exam 4: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II Review | Q&A and more Exams Nursing in PDF only on Docsity! Exam 4: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II Review | Questions and Verified Answers| 100% Correct| A Grade – Fortis QUESTION clinical manifestations of osteoporosis in a 55 y/o female? Answer: loss of height QUESTION what can you delegate to the UAP in pre-op? Answer: -obtain and document baseline vitals -remove all nail polish and apply pulse ox -transport by stretcher to operating room QUESTION what to alert to the HCP before a procedure about what a patient has eaten? Answer: alert HCP about the use of garlic QUESTION post op morbid obeses patient, what should you worry about? Answer: the wound edges seperating (dehiscence) is the biggest concern QUESTION what does a low albumin indicate? Answer: poor wound healing QUESTION tramatic brain injury concern? Answer: elevated BP and low HR QUESTION what to do with the family of an unconscious trauma patient with a head injury in the ER? Answer: ask the family members if they would like to stay at bedside QUESTION what to do if you see clear CSF? QUESTION what to further assess after a fracture from a fat embolism occurs? Answer: -lung sounds -SOB -O2 sats QUESTION what is a concern with a lumbar vertebral compression? Answer: loss of bowel of bladder function indicates an emergency QUESTION what is a concern with a wrist fracture (Colle's fracture)? Answer: if capillary refill is dimished or prolonged, call HCP QUESTION how to treat a knee meniscus injury? Answer: apply a knee immobilizer to the affected leg QUESTION femur fracture concerns Answer: -loss of distal pulses -SOB (embolism) -slow cap refill to foot QUESTION what are we most concerned with during post op? Answer: infection and bleeding QUESTION what to do if a patient has a long bone fracture and is SOB? Answer: give O2 (this is a possibly fat embolism) QUESTION patient teaching for acute lower back pain Answer: -avoid activities that require twisting or prolonged sitting -symptoms of acute low back pain usually resolve in a few weeks -use ibuprofen or acetaminophen to relieve pain QUESTION what to do for a patient with metastatic bone cancer? Answer: -monitor serum calcium level -support the leg when repositioning the patient -support the family during prognosis and treatment -treat pain with opioids QUESTION who should the nurse assess first after a back surgery? Answer: pt who has not voided for 8 hours after a laminectomy QUESTION what to ask a patient with spinal pain complaint? Answer: ask if they have neck pain in the clinic? ask about numbness or tingling in the arms QUESTION what should you notify the provider about if a patient has after a right radial fracture? Answer: notify HCP if patient has an increased temp which patient on ventilator weaning should the nurse be most concerned about? Answer: -the pt who has recently been extubated with a decreased urinary output QUESTION what to do for a patient with a subarachnoid hemorrhage and ICP? Answer: -check for JVD for fluid overload -if pt has increased JVD, notify provider QUESTION how to manage a patient breathing over a vent? Answer: verbally coach them QUESTION what to do with an ICU elderly patient with new onset confusion who is starting to go into ICU delirium? Answer: -report this to the reciving nurse and continue to transfer the patient QUESTION what to do if respiratory secretions are thick? Answer: increase fluid intake QUESTION a patient with sepsis and petechiae is going into multiorgan failure, what is she at risk for? Answer: DIC QUESTION what are the major concerns for a patient given vasopressor therapy? Answer: -vasopressin is a vasoconstrictor which decreases coronary artery perfusion, if pt complains of chest pain, this is an immediate concern