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NSG233/ NSG 233 Exam 1 Review: (New
2024/ 2025 Update) Med Surg III | Questions
and Verified Answers| 100% Correct| A
Grade – Herzing
QUESTION
IV potassium for hypokalemia, why monitor urine output? Answer: Make sure patient can waste the potassium as well, makes sure hyperkalemia doesnt occur
QUESTION
Ingested corrosive substance - ABC - what do you implement first? Answer: Asses ariway
QUESTION
Client comes in with CO poisioning, what do you check first before treatment? Answer: assess carboxyhemoglobin levels
QUESTION
Acetaminophen overdose - what do you give?
Answer: acetylcysteine
- looses secretions and mucus
QUESTION
ETOH withdrawal client recieves Lorazepam. What will you monitor? Answer: Vitals every 30 minutes low light restrain leave alone
QUESTION
STI medications needed, but take anticoagulants? Answer: Ceftriaxone is not conpatable, they are already on anticoagulant
QUESTION
Client with full blown psychosis in the ER. What is the immediate goal? Answer: gain control of the situation, then determine risk for patient self harm
QUESTION
Manifestation of a tension pneumothroax?
QUESTION
Compartment syndrome signs and symptoms? Answer: pain, tightness, trouble moving toes
QUESTION
If you have signs and symptoms of progressive shock, how do you pormotes tissue perfusion and what do you need in order to do this? Answer: give patient a large bore IV for fluids!
QUESTION
Patient has septicemia. What kind of assessment data should you report to the HCP? Answer: urine output of 50 mL over the last two hours
QUESTION
Teaching environmental safety on heat exhaustion manifestations to the elderly? Answer: headache, syncope (LOC), muscle cramps, diaphoresis
QUESTION
Frostbite Intervention Answer: SOAK feet in warm water!
QUESTION
Laceration to an arm, what vaccination? Answer: Be sure to ask about tetanus shot
- give it have not been recieved
QUESTION
Hypothermia at 88 degree's. Major complications to monitor? Answer: when patient is being rewarmed... VENTRICULAR FIBRILLATION huge risk
- because everything was so low
QUESTION
Intervention to prevent complications of decompression sickness Answer: SUPINE position
- helps promote circulation to large blood vessels
QUESTION
Answer: Answer: Answer: Answer: give 0.9% NS, fluid resusciation!
QUESTION
Main assessment finding with flail chest? Paradoxical chest movements, atelectasis, resp alkalosis
QUESTION
Elderly in the ER with signs and symptoms of UTI. This advances to what problem usually? Septic shock
QUESTION
Early signs of hypovolemic shock? tachycardia
QUESTION
Signs and symptoms of neurogenic shock? SATA hypotension lower extremity redness and swelling low temp Answer:
bradycardic
QUESTION
What medication manages extravasion of norepinephine in a patient? Answer: Inject dilute phenotolamine
QUESTION
Early symptoms of multiorgan dysfunction syndrome? SATA Answer: dyspnea
- lungs usually first to fail
QUESTION
Teraputic effects of phenylphrine? Answer: Vasoconstiction and elevation of blood pressure
QUESTION
Emergency Surgery / Reasons for importance of NPO Answer: last meal 1 hour ago
- pt at risk for aspiration
QUESTION
What would trigger a critial stress management meeting for staff Answer: Traumatic expereinces
QUESTION
Abdominal Compartment syndrome symptoms Answer: SOB, bradycardia, absent bowel, oliguria (absent of urine)
QUESTION
What do we need before we ar eable to give rapid blood/fluid products? Answer: ACCESS to begin with!
QUESTION
Heparin overdose - give what? Watch for what reactions? Answer: have equipment ready for possible resuscitation
- protein sulfate is antidote
