MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM, Exams of Nursing

Download MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM and more Exams Nursing in PDF only on Docsity! MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A nurse must perform a primary survey on a patient while at the scene of a house fire. What elements does this include? - CORRECT ANSWERS Airway, breathing, circulation, disability, exposure (ABCDE) What is the first action done to a patient during the primary survey? - CORRECT ANSWERS Ensure patient has a patent airway EMS is trying to assess a patient in a car accident. The patient has an unknown SCI. What type of maneuver can be used to open the patients airway without causing additional spinal cord harm? - CORRECT ANSWERS Jaw Thrust EMS is trying to assess a patient who swallowed a bottle lid at a home. They are not breathing and does not have an SCI or neck injury . What type of maneuver can be used to open the patients airway? - CORRECT ANSWERS Head tilt chin lift A patient has an open airway by using intubation at the site of a car accident. What is the next step EMS must do when completing a primary survey? - CORRECT ANSWERS Assess the patients breathing efforts and lung sounds. A patient at a car accident is now transferred into the back of the ambulance. An airway and breathing rate has been established, but the patient reports belly pain. What must the EMS person assess and do next? - CORRECT ANSWERS Circulation- start an IV with fluids as the patient may be bleeding MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING EMS is called due to a worker reporting that he saw a coworker just get his arm chopped off while working at a factory and is bleeding badly. What order must the EMS worker assess this patient according to the primary survey? - CORRECT ANSWERS Circulation first- because patient is massively bleeding, then airway and breathing. (CAB) A home health nurse is assessing an elderly gentleman who needs assistance with medications. The nurse notices the patient is not acting like himself. An airway is established and breathing as well as no bleeding and with stable vital signs. What is the next part of the primary survey the nurse has to assess for? - CORRECT ANSWERS Disability with the GCS A teen who was riding a bike suddenly fell off and hurt his leg. His airway is open, he is breathing fast without any bleeding, and he is able to talk to the EMS person and is aware of the situation. What is the next step the EMS person must assess for when completing the primary survey? - CORRECT ANSWERS Expose the patient by cutting off clothing and removing articles to assess for injury. A patient with dehydration has been fully stabilized while at the hospital. What are some elements of the secondary survey the nurse may assess or do with the patient? - CORRECT ANSWERS Head to toe assessment, place foley, diagnostics, obtain health history from the spouse. A patient comes into the ER with their chest rising asymmetrically. Further investigation shows a deviated trachea towards the right lung and diminished breath sounds on the left lung. What might the patient have? - CORRECT ANSWERS Pneumothorax MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A nurse has an order to give a patient with frostbite a warm bath. How should the patient be positioned in the tub? - CORRECT ANSWERS In the center of the tub without the affected area near the edges of the tub. A patient is being treated for stage 3 frostbite on the step-down floor. What treatments might be ordered for the patient? - CORRECT ANSWERS Warm IV fluids, warm bath, tetanus shot, wrappings that are loose, warm blankets, constant temp monitoring Why is friction used only with hypothermic patients? - CORRECT ANSWERS Because friction can cause more damage to tissues in frostbite patients while with hypothermia, patient temp is low and tissues are not affected. What is after drop? - CORRECT ANSWERS Continued decrease of core body temperature in patients after they are removed from the cold. Who are most at risk in developing hypothermia? - CORRECT ANSWERS Older adults and those who live in a constant are with a temp of 82 F or below. A nurse is giving education to a patient with stage 1 frostbite. How does the nurse educate the patient to prevent edema? - CORRECT ANSWERS Elevate the affected area. MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING What is the difference between heat stroke and heat exhaustion? - CORRECT ANSWERS Heat exhaustion the patient will have profuse sweating while heat stroke patients have dry skin. A patient comes into the ER not feeling well after a day at Disney. He has hot skin, no sweating, and a temp of 105F. He tells the nurse that he doesn't know why he is there and does not know when he last peed. What is the most likely diagnosis for the patient? - CORRECT ANSWERS Heat stroke A teen playing baseball with his friends tells his buddies that he is starting to not feel so good. His skin is warm to the touch and he is sweating with a headache. What is the first thing his buddies should instruct him to do? - CORRECT ANSWERS Stop playing the game and get out of the sun. A patient is in the ER with heat stroke after doing yard work all day. What interventions might the provider order for the patient? - CORRECT ANSWERS Give them cool IV fluids, monitor vitals, NPO, ice packs, benzos. A patient is in heat stroke. What complications can occur with this condition? - CORRECT ANSWERS Dysrhythmias, tachycardia. What areas should the nurse place ice packs for a patient in heat stroke to help them cool down? - CORRECT ANSWERS Back of neck, armpits, scalp, groin (where big arteries are) MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING What medication should the nurse give to decrease the risk of shivering? - CORRECT ANSWERS Benzos Why is shivering contraindicated in hyperthermic/heat stroke patients? - CORRECT ANSWERS It will induce more heat A patient is brought into the ER with chest pain. According to ESI, what is the triage stage for this patient? - CORRECT ANSWERS Emergent A patient is brought to the ER with an airway obstruction. According to ESI, what is the triage stage for this patient? - CORRECT ANSWERS Emergent A patient is rushed into the ER after his wife noticing sudden drooping of the face and slurred speech. According to ESI, what is the triage stage for the patient? - CORRECT ANSWERS Emergent A child is brought into the emergency room after eating a peanut cookie accidentally. His mom says that he is allergic to peanuts and tree nuts. According to ESI, what is the triage stage for the patient? - CORRECT ANSWERS Emergent A client is rushed in with an inhalation injury from a house fire. According to ESI, what is the triage stage for this patient? - CORRECT ANSWERS Emergent MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A patient in a bombing has a facial injury with intact airway but has difficulty breathing? What tag will be given to this patient? - CORRECT ANSWERS Red A patient in a bombing has an open arm fracture and is breathing. What tag will be given to this patient? - CORRECT ANSWERS Yellow A patient in a bombing with a small cut and is walking away. What tag will be given to the patient? - CORRECT ANSWERS Green A patient was shot in the head and is not breathing an unresponsive during a mass shooting. What tag will be given to the patient? - CORRECT ANSWERS Black What are examples of external disasters? - CORRECT ANSWERS Flood, Hurricane, Tornado, MVA, mass shooting, bombings, fire, explosions. What is an example of internal disaster? - CORRECT ANSWERS Fire in patient room A patient involved in a car accident is being assessed for a SCI in the ER. How should the nurse assess for a pain response? - CORRECT ANSWERS By applying pressure to the nail MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A nurse sees a fire erupt in a patient room. What does the nurse do first according to RACE? - CORRECT ANSWERS Rescue the patient A patient comes in with severe anaphylaxis after being stung by a bee. What medication should be given to the patient ASAP? - CORRECT ANSWERS Epinephrine A patient has an allergy to shellfish. What other allergy might they have if they have this allergy? - CORRECT ANSWERS Allergy to contrast dye A patient has an allergy to bananas. What other allergy might they have if they have this allergy? - CORRECT ANSWERS Allergy to latex A patient has an allergy to eggs. What other allergy might they have if they have this allergy? - CORRECT ANSWERS Allergy to propofol A client is allergic to 2nd generation cephalosporins. What medication might they also have an allergy to? - CORRECT ANSWERS PCN What types of patients might benefit from a PPI? - CORRECT ANSWERS Burns, Vented patients, surgical , stress ulcers from hospitalization. MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A patient reports a sudden headache. The patient has a SCI.Vitals show an elevated BP and low HR. What condition might be occurring in the patient? - CORRECT ANSWERS Autonomic Dysreflexia A new nurse on a neuro unit is able to tell her preceptor that the earliest sign of increased ICP is - CORRECT ANSWERS Change in LOC What defines the medical reserve corps? - CORRECT ANSWERS They are a group who helps communities during a disaster by providing first aid A nurse is interested in becoming a part of the DMAT. What is the DMAT and the requirements of it? - CORRECT ANSWERS A group of medical professional who brings resources and supplies for 72 hrs. They have an RN license that is good in all 50 states. An ER nurse tells their supervisor that she is having PTSD after having to do CPR on the side of the highway for a person who had a heart attack at the wheel. What are some ways the supervisor can help this employee cope and prevent the PTSD? - CORRECT ANSWERS Drinking lots of water, eating healthy, not working more than a 12 hr day, talking about feelings, contacting friends. A nurse leader has seen an increase in staff members bickering with others to the point where many staff members feel like they want to quit. What team should be brought in to help with this? - CORRECT ANSWERS CSD MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A patient looses muscle tone and falls to the floor when he has a seizure. What type of seizure is this? - CORRECT ANSWERS atonic After a seizure, a patient tells the nurse that she does not know what happened and why she is on the floor. What phase is this patient in? - CORRECT ANSWERS Postictal A nurse is caring for a patient in status epileptics in the ER. What medication might be ordered to stop the seizures for this patient? - CORRECT ANSWERS Benzodiazepines A new nurse is being educated on how to prepare a patient room for one who has a history of seizures. What should the nurse include? - CORRECT ANSWERS Pad the bed rails, keep them up, place suction and o2 canisters, have patent IV open A patient has been taking dilantin for several years and must be reminded about this medication. What education should the nurse provide him? - CORRECT ANSWERS All AEDs must never be stopped suddenly, even if there is an absence of seizures, it can cause gum overgrowth so dental appts needed. What should the nurse do when a patient goes into a seizure? - CORRECT ANSWERS Lower them down, side turn, remove tight clothes, document start and stop of seizure, reorient w/ vitals after it is done MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A patient is scheduled for an EEG. What education must the nurse provide prior to the test? - CORRECT ANSWERS Do not have caffeine the night before the test A patient has Parkinson's disease. What manifestations might the nurse see? - CORRECT ANSWERS C/O fatigue, stooped posture, muscle rigidity, tremors, shuffling gait, slow movements, mask like face, drooling/ dysphagia A patient is in a chair and has Parkinson's. What can the nurse do to assist with them getting up from the chair? - CORRECT ANSWERS Rocking back and forth Feeding precautions for parkinsons patient include: - CORRECT ANSWERS sitting them up, observing swallowing, thickened food that is easier to chew, suction if needed, give lots of time due to bradykinesia A patient has autonomic dysreflexia. How can the nurse assist with alleviating the condition? - CORRECT ANSWERS Find the cause of the issue! If its bladder related- may need cath, bowel impaction- stool softener and removal, remove clothing, also need to sit them up and give BP meds A patient will be discharged with halo traction. What education should the nurse provide? - CORRECT ANSWERS No driving, assess pin site and skin for breakdown and infection daily MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A patient was in an MVA. What are the first actions that should be done to the patient? - CORRECT ANSWERS Assess airway and place c collar stabilization device on A patient has Alzheimers. How can the nurse explain the condition to the family of the patient? - CORRECT ANSWERS The patient will have a progressive decline in brain function from mild forgetfulness to disorientation and wandering until they are eventually bed bound and cannot care for themselves What medications are available for Alzheimers and what do they do? - CORRECT ANSWERS Donepezil, cholinesterase inhibitor, memantine- these drugs help slow the decline of the condition, not cure it A family expresses concerns about having to care for their loved one with Alzheimers. What education can the nurse provide? - CORRECT ANSWERS Redirect and distract them, have routine, resources like adult daycare and dementia care available so family doesn't care for them 24/7 What are the 3 parts scored in Glasgow coma scale? - CORRECT ANSWERS eye opening, verbal, motor response A patient at the scene of a car accident has been deemed a GCS score of 3. What does this mean? - CORRECT ANSWERS The patient is unresponsive MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING Explain cholinergic crisis and tx - CORRECT ANSWERS Too much acetylcholine, too much cholinesterase inhibitor drug, overstimulation leads to muscle weakness and respiratory failure, miosis pupils constrict, blurred vision, bradycardia, bronchospasms. Give anticholinergics How can avoid a crisis with myasthenia gravis? - CORRECT ANSWERS Adhere to medications. Why might a patient present with GBS symptoms? - CORRECT ANSWERS They may have had a viral infection What are key symptoms of GBS? - CORRECT ANSWERS Paralysis that starts in the feet and works its way up the body, no DTRs, paralysis, respiratory issues. What are concerns regarding MG and GBS with the respiratory system? - CORRECT ANSWERS Paralysis that either ascends or descends may compromise the respiratory muscles and diaphragm, making it hard for the patient to breathe on their own (may need vent support) What are 2 treatments available for patients with MG or GBS? - CORRECT ANSWERS Plasmapheresis and IVIG What test is used to diagnose MG? - CORRECT ANSWERS Tensilion test MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING What is the issue regarding MS? - CORRECT ANSWERS There is demyelination of the neurons, causing symptoms such as vision issues, muscle spasms, pain, and emotional changes. What medication can be used with MS patients to decrease muscle spasms? - CORRECT ANSWERS Baclofen What triggers may cause a relapse of MS? - CORRECT ANSWERS Viruses, hot and cold, injuries, stress, female age A patient is going to surgery the next day. The nurse knows their role in consent is to... - CORRECT ANSWERS Ask if patient has questions, witness them sign the form. (Surgeon explains sx, risks, benefits, etc) Who cannot sign a consent form? - CORRECT ANSWERS Those w/o capacity, underaged minors, medicated patients- must have a spouse, parent, guardian or proxy sign for them. What factors should be considered prior to position a patient in surgery? - CORRECT ANSWERS Age Weight Height Type of procedure MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING Type of anesthesia Pain on movement Location of surgery (surgical site) What are things that must be reported to the surgeon prior to surgery? - CORRECT ANSWERS Non-adherence to NPO Lack of intestinal preparation for colonoscopy Abnormal labs/diagnostics (ie no cardiac clearance) Hx of aspirin/antidepressants/steroids/NSAIDS Recent blood loss including menses What does a penrose drain do? - CORRECT ANSWERS Drain a surgical site onto a dressing, which is then changed How does a JP drain and hemovac work? - CORRECT ANSWERS They work by suctioning with negative pressure to pull fluid out which is then drained and measured A patient is in the PACU. Suddenly the patient has unstable vitals and is not breathing well. What is the nurses next action? - CORRECT ANSWERS Stay w/ patient, call anesthesia and RRT MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A ICU nurse observes a low pressure alarm going off. What should she assess the patient for? - CORRECT ANSWERS Disconnected tubing or leaks around the ET tube What can the nurse do if the vent is acting weird and the patient cannot restabilize? - CORRECT ANSWERS Bag valve them until the error is fixed What care should the nurse provide at the bedside while a patient is on a vent? - CORRECT ANSWERS Assess lungs more than once a shift, monitor labs, prevent infections and skin sores, sputum assessment, sterility, tube feeds for nutrition along with weights and I/O, bowel tones, SCDs, gastric pH What care can the nurse provide a patient to reduce vent acquired pneumonia? - CORRECT ANSWERS HOB 30 degrees, oral care with CHG every 2 hrs, suction as needed, assess lungs- ABCs, PPI for curling ulcer prevention A patient has been pulled from a house fire and has burns. What should the EMS person do first? - CORRECT ANSWERS Assess ABCS, protect self, IV fluids, dry sterile dressings, may need to brush off the burn carefully. Calculate the TBSA if a patient has the front of their left leg, front torso, and front of the left arm burned - CORRECT ANSWERS 9%+ 18%+4.5%= 31.5% MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING Calculate the TBSA if a patient has had their entire left and right legs burned along with their genital area. - CORRECT ANSWERS 18%+18%+1%=37% What type of fluid is the preferred fluid to give to a burn patient? - CORRECT ANSWERS LR What is the purpose of doing an escharotomy? - CORRECT ANSWERS Relieve pressure by making incision through the eschar of a burn What procedure may be done if an escharotomy doesn't to relieve the pressure from a burn? - CORRECT ANSWERS Fasciotomy What are some psychological problems that may come up due to a burn? - CORRECT ANSWERS Body image acceptance, depression. What are important goals for a patient during the acute phase of burn injury? - CORRECT ANSWERS infection prevention especially if immunosuppressed, high calorie and protein nutrition, PT/OT- movement! What medications might be given to a burn patient? - CORRECT ANSWERS Pain meds, tetanus shot, abx. A patient is allergic to sulfa drugs and has a burn. What agent should not be used with the patient? - CORRECT ANSWERS Silver sulfadiazine MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A patient who arrived at the ER after a house fire is seen to have facial burns, signed nasal hairs, blackened membranes and lips, hoarseness, and low o2 levels. What does the patient have and what is the most concerning for the patient? - CORRECT ANSWERS Inhalation injury, the patient needs patient airway most likely through intubation A burn patient has adequate fluid resuscitation when... - CORRECT ANSWERS UO is 30-50 ml/ hr, decreased lactic acid levels and no acidosis Fluid shifts in burn patients affect which electrolyte? - CORRECT ANSWERS Potassium- K is high Calculate the total amount of fluid this patient will receive in the first 8 hrs of burn resus: TBSA is 36% Wt is 80 kg Time burn occurred was 0900, Time arrived at ER is 1000 - CORRECT ANSWERS 36% x 80 kg x 4 ml / 2= 5760 Calculate the total amount of fluid this patient will receive in the first 8 hrs of burn resus: MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A nurse takes the blood sugar of a patient to rule out stroke and their reading comes back as 33. What should the nurse do next? - CORRECT ANSWERS Notify MD and start D10/D50 A nursing student is learning about agents that may precipitate anaphylactic shock. What might these agents be? - CORRECT ANSWERS Foods, medications, latex, bee stings, bites, etc that the patient is allergic to A nurse is rushed from employee health to the ER after having contact with latex gloves accidentally. What symptoms might indicate the nurse is having anaphylactic shock> - CORRECT ANSWERS ALOC, wheezes, low BP and high HR, itching, hives, swelling of throat. A patient who was recently stung by a bee for the first time is in the ER after going into severe anaphylactic shock and was given epinephrine. What medications will likely be prescribed long term for maintenance of the condition? - CORRECT ANSWERS Diphenhydramine, Bronchodilators, Steroids A mom is learning about how to care for a child with a new allergy to peanuts. What education is important for the nurse to provide to prevent anaphylaxis? - CORRECT ANSWERS Carry epipen, wear medical ID band, avoid allergens- may need to let school/ daycare/ extracurriculars/ friends about allergy. What is the problem revolving around hypovolemic shock? - CORRECT ANSWERS There is not enough blood or vascular volume circulating which causes not enough perfusion and gas exchange. MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING What happens when one goes into hypovolemic shock? - CORRECT ANSWERS Blood is shunted away from peripherals and to vital organs as there is not enough supply to assist the vital organs with functioning. A patient comes into the ER with dehydration, vomiting, and diarrhea for the last 3 days. What type of shock is the patient at risk for? - CORRECT ANSWERS Hypovolemic Shock A older adult comes into the ER from an ALF with a complaint from staff of not being himself. Further assessment shows a weak and thready pulse, increased cap refill time, tachycardia, and fast breathing. What is important to the nurse give this patient to counteract the symptoms presented with? - CORRECT ANSWERS IV fluids and O2 A patient is in progressive hypovolemic shock with a BP of 80/50. What position does the nurse need to place the patient in? - CORRECT ANSWERS Supine with feet elevated A patient is recovering in the ICU from hypovolemic shock related to dehydration. What should the nurse be looking for that indicates successful rehydration in the patient? - CORRECT ANSWERS Increased UO Low lactic and K levels MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING MDC 4 EXAM 3 (FINAL) 201Qs & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2024/2025 EXAM FOR NURSING A post op patient has been recovering in the ICU when the patient spikes a low fever and low BP and tachycardia appear on the monitor. What orders and actions should the nurse expect when caring for this patient? - CORRECT ANSWERS Sepsis bundle: draw lactic levels, get blood cultures, broad abx, fluids, vasopressors. Call RRT and assess patient further Which is worse for a septic patient? Hyperthermia or Hypothermia and why? - CORRECT ANSWERS Hypothermia as the patient may have a more severe form of sepsis. What is a key indicator a patient is going into septic shock? - CORRECT ANSWERS Hypotension with SBP less than 90 A patient is going into cariogenic shock after having an MI. What s/s might the nurse see? - CORRECT ANSWERS High BP and HR, SOB, crackles, pink sputum What medication is used to treat cariogenic shock? - CORRECT ANSWERS Dobutamine Why should the nurse not give diuretics to a patient with hypovolemic shock? - CORRECT ANSWERS Diuretics will pull fluid out of the body, and hypovolemic patients already have a deficit of fluid! MDC 4 EXAM 3 (FINAL) 201Q & AS ALL ANSWERS 100% CORRECTLY/VERIFIED ANSWERS 2023/2024 EXAM FOR NURSING