Download Exam 4: NUR209/ NUR 209 (New 2024/ 2025 Update) Medical Surgical Nursing II Review | Q&A and more Exams Nursing in PDF only on Docsity!
Exam 4 : NUR20 9 / NUR 20 9 (New 2024/
2025 Update) Medical Surgical Nursing II
Review | Questions and Verified Answers|
100% Correct| A Grade – Fortis
QUESTION
clinical manifestations of osteoporosis in a 55 y/o female? Answer: loss of height
QUESTION
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
QUESTION
what to alert to the HCP before a procedure about what a patient has eaten? Answer: alert HCP about the use of garlic
QUESTION
post op morbid obeses patient, what should you worry about? Answer: the wound edges seperating (dehiscence) is the biggest concern
QUESTION
what does a low albumin indicate? Answer: poor wound healing
QUESTION
tramatic brain injury concern? Answer: elevated BP and low HR
QUESTION
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
QUESTION
what to do if you see clear CSF?
QUESTION
what should the plan of care be for a patinet with a T2 spinal cord injury? Answer:
- urinary cath care
- continuous cardiac monitoring
- maintain warm room temperature
- administer H2 receptor blockers
QUESTION
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
QUESTION
how to know when anaphylactic shock treatment is effective? Answer: when the patients O2 sat increases
QUESTION
signs and symptoms of neurogenic shock? Answer:
- low BP
- low HR (apical pulse less than 45bpm)
QUESTION
what to further assess after a fracture from a fat embolism occurs? Answer:
QUESTION
what is a concern with a lumbar vertebral compression? Answer: loss of bowel of bladder function indicates an emergency
QUESTION
what is a concern with a wrist fracture (Colle's fracture)? Answer: if capillary refill is dimished or prolonged, call HCP
QUESTION
how to treat a knee meniscus injury? Answer: apply a knee immobilizer to the affected leg
QUESTION
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
QUESTION
who should the nurse assess first after a back surgery? Answer: pt who has not voided for 8 hours after a laminectomy
QUESTION
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
QUESTION
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
QUESTION
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
QUESTION
what not to give a patient with a hemorrhagic stroke who has a severe headace? Answer: do not give them aspirin or blood thinners
QUESTION
patient teaching for trigeminal neuralgia? Answer:
- avoid triggers
- eat luke-warm food
- dont expose face to draft or air
QUESTION
what to do for a Bell's palsy patinet during meal time? Answer: understand that they cannot control their secretions and should eat in privacy
QUESTION
what to assess for with a patient with a C-spine injury?
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
QUESTION
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
QUESTION
how to manage a patient breathing over a vent? Answer: verbally coach them
QUESTION
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
QUESTION
what to do if respiratory secretions are thick?
Answer: increase fluid intake
QUESTION
a patient with sepsis and petechiae is going into multiorgan failure, what is she at risk for? Answer: DIC
QUESTION
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
