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ADVANCED MED SURG FINAL EXAM RELIABLE QUESTIONS AND ANSWERS

ADVANCED MED SURG FINAL EXAM RELIABLE QUESTIONS AND ANSWERS

ADVANCED MED SURG FINAL EXAM
RELIABLE QUESTIONS AND ANSWERS

1. Pt. receiving chemo with acute dehydration (nausea and vomiting), what to do to prevent to Systemic inflammatory response syndrome (SIRS) and Multiple organ dysfunction syndrome (MODS) –
a. place patient in a private room (immunocompromised)

2. When assessing hemodynamic of patient with shock of unknown etiology, don’t give large volumes of
crystalloids when –
a. CO is high and CVP is low (septic shock)

3. Diabetic patient vomiting and diarrhea for past 3 days, glucose is 748, urine output 120, cyanotic hands and feet–
a. progressive stage of hypovolemic shock

4. Industrial acids at work spilled on patient, what to do before transporting to hospital –
a. flush burned area with large amounts of tap water

5. 6 hours after thermal burn to arms and legs, important info to tell doctor
a. urine output 20-30 ml per hour
6. During early emergent phase of burns –
a. give opioid IV so that medications will be rapidly effective

7. Nurse caring for pt. admitted with burns, 30% of body surface recognized, emergent to acute phase –
a. pt. has large quantities of pale urine

8. Pt. acute phase of burn injury requires frequent hydrotherapy sessions for wound debridement –
a. closely monitor serum sodium level

9. Acute asthma attack, which info indicates pt. requires further teaching –
a. pt. has been using Proventil more frequently over the last 4 days

10. Asthma pt. admitted for acute respiratory distress, notify HCP immediately if –
a. decreased breath sounds and wheezing

11. Intubation with mechanical ventilation for pt. with status asthmaticus when –
a. fatigue and oxygen saturation of 88% develops

12. Asthma pt. has new prescription for Advair and diskus, ask nurse for purpose of 2 drugs –
a. one drug decreases inflammation, other is a bronchodilator

13. HCP prescribed MDI q8h Maxair and Symbicort –
a. use spacer with MDI

14. Activity intolerance for pt. with asthma –
a. work of breathing

15. Finding for acute asthma attack was responding to bronchodilator therapy –
a. wheezes are more easily heard
16. Pt. has mild persistent asthma uses Proventil has new prescription for chromolyn –
a. use chromolyn for inflammatory airway changes, take several weeks for max effect

17. During assessment of asthma, has wheezing and dyspnea –
a. give meds to reduce airway narrowing

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