Exam (elaborations)
Exam (elaborations) Medical surgery
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It Covers medical surgery and the process that involves in the surgery of all manners
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Medical Surgery Final ExamThoracentesis What Position you going to place them in?
Upright leaning over table to increase lung expansion
Metabolic Acidosis Respirations
Kussmaul respirations
Wheezing
are short high pitched sounds made on expiratory
Abnormal Breathe sounds
used to describe bronchial or bronchovesicular sounds heard in the peripheral lung fields.
Adventitous sounds
are extra breath sounds that are abnormal.
,The presence of bronchovesicular breath sounds in the peripheral lung fields is described as?
abnormal lung sounds
To prepare the patient for a thoracentesis, the nurse positions the patient
sitting upright with the elbows on an over-the-bed table.
Bronchoscopy
After procedure keep the patient NPO until gag reflux returns.
Hypoxemia
PaO2 is at 55% and SpO2 is 88
What test do you use to verify pulmonary embolus?
CT scan
A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates?
shift to the left in the oxygen-hemoglobin dissociation curve that could be caused by hypothermia.
Normal Arterial Blood Gases
, pH 7.35-7.45, PaO2 80-100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L
To determine when the patient with a tracheostomy tube can be effectively swallow, the nurse
deflates the cuff and?
has the patient drink a small amount of blue-colored water, observing for coughing and colored
secretions.
When obtaining a health history from a patient with possible cancer of the mouth, the nurse would
expect the patient to report?
Heavy tobacco and alcohol use.
The most normal functioning method of speech restoration in the patient with a total larynectomy is
a voice presthesis
A patients tracheostomy tube becomes dislodged with vigorous coughing. The first action by the
nurse is to?
attempt to replace the tube
What will the nurse teach a patient with pneumonia?
Deep breathing and coughing
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