Advanced Med/Surg Final Exam Questions With Complete Solution (85 Q&A)

Advanced Med/Surg Final Exam Questions With Complete Solution (85 Q&A)

A patient's cardiac catheterization has shown an 80% blockage of the right coronary artery (RCA). While waiting for bypass surgery, what is essential to have on hand?

{{Correct Ans- an external pacemaker

A patient with sepsis is in the ICU, and has a PA catheter. The mixed venous oxygen saturation (SvO2) is 86%. The patient's SaO2 is 92%, and temperature is 96.2 F. Which is the nurse's primary intervention?

{{Correct Ans- Apply warm blankets to the patient because they are not extracting enough oxygen at the tissue level to avoid anaerobic metabolism and subsequent academia.

Nursing interventions for the patient with sinus tachycardia include which of the following?

{{Correct Ans- Remove or treat the underlying cause, such as fever, pain, or anxiety.

A nurse is monitoring a patient undergoing exercise electrocardiography (stress test). Which assessment finding necessitates that the test be stopped?

{{Correct Ans- The patient's electrocardiogram (ECG) indicates significant ST segment depression.

The nurse is caring for the patient with acute pain associated with a myocardial infarction (MI). What is the goal or purpose of collaborative management for this patient?

{{Correct Ans- Eliminate discomfort by providing pain relief modalities, decrease myocardial oxygen demand, and increase myocardial oxygen supply.