NSG233/ NSG 233 Exam 2 Review: (New 2024/ 2025 Update) Med Surg III Q&A, Exams of Medicine

Download NSG233/ NSG 233 Exam 2 Review: (New 2024/ 2025 Update) Med Surg III Q&A and more Exams Medicine in PDF only on Docsity! NSG233/ NSG 233 Exam 2 Review: (New 2024/ 2025 Update) Med Surg III | Questions and Verified Answers| 100% Correct| A Grade – Herzing Q: What sign in a critically ill pt would indicate they could be developing DIC? Answer: petechiae bleeding mucus membranes tachycardia hypotensive low temp Q: What pt are at highest risk for developing DIC? Answer: sepsis abruptia placenta trauma malignancy shock toxins allergic reactions Q: What is DIC? Answer: Inflammatroy response (trigger) initiates a process of inflammations and coagulation (clotting) ** result = bleeding/clotting condition Q: Characteristics of cardiac tampondae? Answer: sudden chest pain SOB tachypnea dyspnea JVD hypotension pulses paradox Q: Interventiosn for cardiac tampondae? Answer: ** quick removal of paracardial fluid!! - Pericardiocentesis (needle & small cath into the pericardium) Q: Abdominal Aortic Aneurysm assessment findings? Answer: abdominal pain perisistent or intermittent low back or flank pain pulsating abdominal mass systolic bruit Q: Abdominal aortic aneurysm surgery......? Answer: Q: Which order would you question for an incontinent spinal cord patient injury? Answer: No foley cath ** pt at risk for bladder issue in future Q: Symptoms of autonomic dysreflexia Answer: (EMERGENCY) ** head of bed up - blinding headache - increase BP - bladder full get spasms? Q: Spinal cord injury at T5 level? What are things the pateint should not do? Answer: Avoid raising knees ** @ risk for DVT Q: Tetraplewgia patient and bed elevation? Answer: Pt should stay above 30 degrees ** @ risk for seizures Q: Dilantin Patient teaching? Answer: Headache Nausea/Vomiting Constipation Trouble sleeping Need back up oral BC Q: Posturing that happening in ICP patients? Answer: Decorticate (flexor) Decerebrate (extensor) Q: What drug is used to decrease cerebral inflammation? Answer: corticosteriods Q: Dantrolene (used to manage muscle spasms) teaching: Answer: severe hepatic impairment (liver testing needed) diarrhea anorexia nervousness hyperkalemia Q: What to do to prevent complications from a traumatic brain injury TBI Answer: - nutrition - monitor I&O - monitor: glucose, Na, K, Mg - protect from injury Q: DIC lab values: Answer: LOW platelet LOW fibrimogen HIGH d-dimmer HIGH aPTT HIGH PT Q: What would you not want to inject into a DIC patient? Answer: Vitamin K Q: Amlopidine dietary modifications? Answer: NO GRAPE FRUIT JUICE! Q: Diagnostic test needed to confim thoracic aneurysm? Answer: asthma heart failure bronchospasms Q: Description of a "fixed or asynchornous" pacemaker? Answer: constant no matter what Q: Discharage teaching for permanent pacemaker? Answer: no raising arm above shoulder 2 weeks lead dislodgement can happen fall precautions cell phoen of opposite side of pacemaker aireport detector excuse from MD no MRI medical bracelet Q: Patient recovering from an MI needs medicaiton for a HR of 44 degrees but they have a history of glaucoma, what medication is contraindicated? Answer: Atropine contraindicated!! Q: ICU drug of choice for agitation? Answer: Propofol Q: Glascow coma scale indicating severe brain damage? Answer: 3-8 Q: Signs that indicate brain death? Answer: coma absense of brain stem reflexes apnea Q: Early signs of ICP Answer: CUSHINGS TRIAD- - Systolic htn: widening pulse pressure - Bradycardia: full and bounding pulse - Irregular respirations Q: ICP Ocular Signs: Answer: Dilation of pupil of same side (ipsilateral) Unequal pupils in any form/side Ptosis (droopy lid) Diplopia Doll's Eye (tip back, eye go back instead of opposite direction) Sluggish/Blurred Q: Baclofen medication teaching? Answer: do not stop taking suddenly do not drink alcohol Q: Mild concussion discharge instructions? Answer: Return if you have: - persistant headache - lethargy - changes in behavior - shortened attention span - change in intelectual abilities