Exam (elaborations)
NURS 480 MED SURGE
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Exam study book Introduction to Medical-Surgical Nursing - E-Book of Adrianne Dill Linton - ISBN: 9780323295338 (NURS 480 MED SURGE)
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NURS 480 MED SURGE FINAL EXAM NEWEST 2024ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
Aspirin (ASA) mechanism of action? - ANSWER: decreases platelet aggregation and
reduces likelihood of thrombus formation
Measuring CVP is used for what? - ANSWER: to check how fluids, which aid in
perfusion, are affecting organs and the body
What is checked after giving IVF to check for efficacy? - ANSWER: 1. CVP
2. BP
What should be given to increase CVP? - ANSWER: 1. IVF first, then check CVP
2. then give Lopressor and norepinephrine to increased CVP if pt still low CVP
What are the three most common disease causes of elevated CVP? - ANSWER: 1.
heart failure
2. SIADH
3. renal disease
Common blood transfusion reactions are? - ANSWER: 1. hemolytic
2. anaphalytic
Hemolytic reaction to blood transfusion signs and first step? - ANSWER: sudden flank
pain
STOP the infusion
Anaphyltic reaction to blood transfusion signs and first step - ANSWER: SOB and
redness at IV site
STOP the infusion
Reasons for cardiac rehabilitations - ANSWER: to help pt return safely to ADLs
Chest pain priority interventions - ANSWER: 1. 12 lead ECG- STEMI v non STEMI
a. ST depression and/ or T wave inversion indicated ISCHMIC issues
2. LABS
a. CMK
b. Tropinin I and T
c. Myoglobin
, Common cues of MI - ANSWER: 1. palpitations
2. diaphoresis
3. anxiety
4. nausea
Signs of MI in diabetics - ANSWER: 1. fatigue (epigastric pain/ heartburn)
2. shoulder blade pain
Cardiac catheterization post procedure care - ANSWER: 1. VS
2. Assess for bleeding/ hematoma
3. Neuro check
a. Q15 * 4
b. 30 min * 2
c. 1 hr * 4
d. Q4 gr
4. Bed rest with supine position with extremity STRAIGHT
The pacer spike for a pacemaker should come where on a EKG? - ANSWER: before
the QRS complex
Atrial fibrillation CM - ANSWER: ?????
ventricular tachycardia treatment - ANSWER: If MONOMORPHIC & stable -> \
1. amiodarone IV or procainamide
POLYMORPHIC->>
1. phenytoin or IV mag
2. Cardiovert if drug therapy FAILS and pt has PULSE
Hyperkalemia S/S - ANSWER: M.U.R.D.E.R.
M - Muscle weakness
U - Urine, oliguria, anuria
R- Respiratory distress
D - Decreased cardiac contractility
E - ECG changes
R - Reflexes, hyperreflexia, or areflexia (flaccid)
Hypokalemia S/S - ANSWER: Fatigue, Anorexia, N/V, Muscle weakness, Decreased GI
motility, Dysrhythmias, Paresthesia, Flat T waves on ECG
Hyperkalemia EKG - ANSWER: 1. Peak T waves
2. Wide QRS
3. Loss of P waves
4. Sine wave
5. Asystole
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