Advanced Medsurg Final for lucky students download score A PLUS 104 PAGES

Advanced Medsurg Final for lucky students download score A PLUS 1. Pt. receiving chemo with acute dehydration (nausea and vomiting), what to do to prevent to Systemic inflammatory response syndrome (SIRS) and Multiple organ dysfunction syndrome (MODS) – a. place patient in a private room (immunocompromised) 2. When assessing hemodynamic of patient with shock of unknown etiology, don’t give large volumes of crystalloids when – a. CO is high and CVP is low (septic shock) 3. Diabetic patient vomiting and diarrhea for past 3 days, glucose is 748, urine output 120, cyanotic hands and feet– a. progressive stage of hypovolemic shock 4. Industrial acids at work spilled on patient, what to do before transporting to hospital – a. flush burned area with large amounts of tap water 5. 6 hours after thermal burn to arms and legs, important info to tell doctor a. urine output 20-30 ml per hour 6. During early emergent phase of burns – a. give opioid IV so that medications will be rapidly effective 7. Nurse caring for pt. admitted with burns, 30% of body surface recognized, emergent to acute phase – a. pt. has large quantities of pale urine 8. Pt. acute phase of burn injury requires frequent hydrotherapy sessions for wound debridement – a. closely monitor serum sodium level 9. Acute asthma attack, which info indicates pt. requires further teaching – a. pt. has been using Proventil more frequently over the last 4 days 10. Asthma pt. admitted for acute respiratory distress, notify HCP immediately if – a. decreased breath sounds and wheezing 11. Intubation with mechanical ventilation for pt. with status asthmaticus when – a. fatigue and oxygen saturation of 88% develops 12. Asthma pt. has new prescription for Advair and diskus, ask nurse for purpose of 2 drugs – a. one drug decreases inflammation, other is a bronchodilator 13. HCP prescribed MDI q8h Maxair and Symbicort – a. use spacer with MDI 14. Activity intolerance for pt. with asthma – a. work of breathing 15. Finding for acute asthma attack was responding to bronchodilator therapy – a. wheezes are more easily heard 16. Pt. has mild persistent asthma uses Proventil has new prescription for chromolyn – a. use chromolyn for inflammatory airway changes, take several weeks for max effect 17. During assessment of asthma, has wheezing and dyspnea – a. give meds to reduce airway narrowing Advanced Medsurg Final for lucky students download score A+ 18. Pt. with acute asthma attack comes to ER, ABG’s are drawn, pH 7.4, co2 32, paO2 70, teach pt use of peak flow meter – a. take something before peak flow readings when asthma attack/symptoms 19. COPD pt. has dyspnea, cough, yellow sputum, upon palpation of thorax expected finding – a. chest expansion is diminished 20. COPD with barrel chest, why – overinflation of the alveoli 21. Pulmonary function test for COPD pt – increased residual volume 22. Chronic hypoxemia 89-90 % caused by COPD, compliance – arrange pt. spouse to be present during teaching 23. 68 YO with COPD, cor pulmonale manifestation – 3+ edema in lower extremities 24. COPD that smokes, tell them that smoking – decreases area available for oxygen absorption 25. Acute COPD exacerbation, ph 7.32 paO2 58, co2 55, pulse ox 86 indicates – respiratory acidosis 26. Imbalanced nutrition less than body requirement intervention – a. offer high calorie snacks between meals and at bedtime 27. COPD, info given by patient that confirms chronic bronchitis – a. productive cough every winter for 2 months 28. Pursed lip breathing purpose – a. preventing airway collapse and trapping air in lung during expiration 29. Impaired gas exchange in COPD with acute respiratory distress – pulse ox 86% 30. COPD with cor pulmonale, assess/monitor for – JVD 31. COPD receiving oxygen – maintain oxygen at 90% or...

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