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complex med surg exam 1 QUESTIONS AND ANSWERS 100% CORRECT!
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what can be delegated to UAP? - ANSWER can delagate vital signs if they are given parameters and guidelines of when to report back to RN, help with showers, transfers, etc. NO teaching or assessment. what are the signs and symptoms of PE? - ANSWER Dyspnea, chest pain, and tachycardia, dry cough,...

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  • September 24, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • complex med surg exam 1 questions and answers 100
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  • what can be delegated to uap answer can delagat

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, complex med surg exam 1 QUESTIONS
AND ANSWERS 100% CORRECT!
what can be delegated to UAP? - ANSWER can delagate vital signs if they are given
parameters and guidelines of when to report back to RN, help with showers, transfers,
etc. NO teaching or assessment.

what are the signs and symptoms of PE? - ANSWER Dyspnea, chest pain, and
tachycardia, dry cough, distended neck veins, loss of consciousness, cyanosis,
hypotension, ecg (t wave changes and ST elevation), petechiae, feeling of doom

what is the response and treatment for PE? - ANSWER - Apply O2, raise head of bead,
monitor vital signs every 2 hours, watch arrhythmias, drug therapy anticoagulant,
fibrinolytic, surgical embolectomy, hypotension fixed with fluid, positive inotropics, and
antianxiety meds.

What are the risk factors for PE? - ANSWER - Immobilization, central lines, surgery (fat
embolism, fracture), obesity, old age, hypercoagulability (factor 5 leiden), history PE,
lung or prostate cancer, smoking, estrogen therapy, stroke.

what is a PE and causes? - ANSWER Collection of solid, liquid, gas that lodges in
venous circulation in pulmonary vessels that obstruct blood flow, decrease oxygenation,
and can be fatal (fat, oil, air tumor cells, amniotic fluid, abscess)

what are lab value changes with a PE? - ANSWER - First 15 minutes tachypneic
causes resp alkalosis then CO2 rises and causes metabolic acidosis, draw metabolic
panel, troponin, BNP, D-dimer

What imaging is used to see a PE? - ANSWER CT (ctpa pulmonary angiography) or
MRA(magnetic resonance arteriography), chest x ray, ECG, doppler for VTE

when do you call rapid response for a PE? - ANSWER Shortness of breath, chest pain,
hypotension

What drugs are given for hypotension caused by pulmonary embolism? - ANSWER
Positive inotropic (increase contractility) such as milrinone and dobutamine.
norepinephrine, epinephrine, dopamine, and nitroprusside to decrease pulmonary artery
pressure.

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