Med Surg II Exam 4 , Fortis Med / surg 2 Exam 4 with complete solution 2023 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES VERIFIED ANSWERS ALREADY GRADED A+

Med Surg II Exam 4 , Fortis Med / surg 2 Exam 4
with complete solution 2023 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+
which patient in the progressive care unit would the nurse be most concered about? -
ANSWER-a patient prescribed tPA or IV heparin that has the opportunity to bleed out
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
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
how to manage a patient breathing over a vent? - ANSWER-verbally coach them
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
what to do if respiratory secretions are thick? - ANSWER-increase fluid intake
a patient with sepsis and petechiae is going into multiorgan failure, what is she at risk
for? - ANSWER-DIC
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
how to know pt is going into hypovolemic shock?
-what to do first to treat this patient? - ANSWER-they will be cool and clamy
-initiate O2 therapy by non-rebreather
how to know when anaphylactic shock treatment is effective? - ANSWER-when the
patients O2 sat increases
signs and symptoms of neurogenic shock? - ANSWER--low BP
-low HR (apical pulse less than 45bpm)
what to further assess after a fracture from a fat embolism occurs? - ANSWER--lung
sounds
-SOB
-O2 sats
what is a concern with a lumbar vertebral compression? - ANSWER-loss of bowel of
bladder function indicates an emergency
what is a concern with a wrist fracture (Colle's fracture)? - ANSWER-if capillary refill is
dimished or prolonged, call HCP
how to treat a knee meniscus injury? - ANSWER-apply a knee immobilizer to the
affected leg
femur fracture concerns - ANSWER--loss of distal pulses
-SOB (embolism)
-slow cap refill to foot
what are we most concerned with during post op? - ANSWER-infection and bleeding
what to do if a patient has a long bone fracture and is SOB? - ANSWER-give O2 (this is
a possibly fat embolism)
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
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
who should the nurse assess first after a back surgery? - ANSWER-pt who has not
voided for 8 hours after a laminectomy
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
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
what to tell a patient who has crhonic back pain who lifts heavy things for a job? -
ANSWER--do exercises like squat at the gym to strength the back muscles
clinical manifestations of osteoporosis in a 55 y/o female? - ANSWER-loss of height
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
what to alert to the HCP before a procedure about what a patient has eaten? -
ANSWER-alert HCP about the use of garlic
post op morbid obeses patient, what should you worry about? - ANSWER-the wound
edges seperating (dehiscence) is the biggest concern
what does a low albumin indicate? - ANSWER-poor wound healing
tramatic brain injury concern? - ANSWER-elevated BP and low HR
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
what to do if you see clear CSF? - ANSWER-test it for glucose
what to do if a patient gets an epidural hematoma? - ANSWER-prep them for an
emergency craniotomy
what to teach young patients about meningitis? - ANSWER-encourage them to get
vaccinated against neisseria meningitides
what should the home health nurse assess for with a patient post stroke? - ANSWERensure there is family support
what to do after a patient had a stroke before giving them something to eat or drink? -
ANSWER-assess gag reflex while the patient is in an upright position