med surg final all reviews combined

manifestations for a thrombus (blood clot) after surgery

pain, warmth, swelling, & tenderness

patient reports abdominal distention and gas

ambulate (get up) several times a day

patient reports pulling sensation paint at the incision

cover with sterile saline dressing notify provider

what should not be included in pre operative teaching

secure body piercings with tape jewelry must be removed

what shows understanding of teaching

i will splint my incision with a pillow when i cough

what prevents post op complications

use of sequential compression devices scds for blood circulation

what complication is most likely with post op nausea and vomiting

dehydration

monitor what side effects with a patient on morphine

constipation

best nursing intervention to reduce pain while coughing

splint incision with a pillow

what information should not be shared when witnessing consent

number of staff in the operating room

what should be included in discharge teaching

medication regimen with new and current medications

what puts the patient at risk for post operative complications

falls

correct administration of heparin

subcutaneous injection in the abdomen two inches away from the umbilicus

appropriate administration of heparin

rotate injection sites

med order for 1.5 mg but only has 1 mg tablets, what does the nurse do

notify provider for an alternate order

for post operative fever, what should the provider do first

obtain cultures before antibiotics

what shows correct use of incentive spirometer

exhale forcefully into the spirometer to improve lung function

best indicator of kidney function

urine output

priority post op assessment for femur fractures

skin color of the affected leg for circulation

removing a foley and documenting voiding (output) hours later addresses what element of care

monitor urinary function

surgery delayed fifteen minutes what should the nurse do

review post operative breathing exercises with the patient

discharge teaching for a patient who has been started on an anticoagulant.

use soft toothbrush

avoid high impact activities

wear medical alert bracelet

test for heparin

aptt

test for coumadin

inr

A nurse is teaching a client who smokes cigarettes about major respiratory disorders

associated with smoking. Which conditions should the nurse include?

Chronic bronchitis and emphysema

A nurse is caring for a client with COPD and emphysema. Which physical assessment

finding should the nurse expect?

Barrel chest and kyphosis (hunched back)

A client is admitted with a respiratory rate of 48 breaths/min, wheezing, and anxiety. The

nurse administers oxygen via face mask and IV methylprednisone. The client continues

to wheeze. Which medication should the nurse anticipate administering next?

albuterol

A client’s arterial blood gas results show: pH: 7.30, PaCO₂: Elevated How should the

nurse interpret these findings?

respiratory acidosis

A nurse reviews ABG results showing an arterial pH of 7.29. Which acid-base

imbalance should the nurse identify?

Respiratory acidosis

Which two disorders are most commonly associated with chronic obstructive pulmonary

disease (COPD)?

Emphysema and chronic bronchitis

A nurse is caring for a client diagnosed with pneumonia. Which assessment finding is

most characteristic of this condition?

fluid accumulation in the lungs

patient wheezing, O2 is 91% and breathing treatment is in an hour

notify resp. therapy to administer bronchodilator now

Which statement about age-related respiratory changes is true?

Physiological changes in the respiratory system of older adults can mimic airway obstruction

Which condition is caused by the presence of air in the pleural space and may require

chest tube insertion?

pneumothorax

A nurse is caring for a client with a chest tube. Which action is appropriate to ensure

proper function?

Keep the drainage system below heart level

Which condition is life-threatening and caused by a rapid shift of fluid from the plasma

into the pulmonary interstitial tissue?

pulmonary edema

A client’s chest tube becomes accidentally dislodged. What is the nurse’s priority

action?

Secure the site with a sterile dressing and notify the provider

A nurse is assessing a client with COPD and excess fluid. Which complication is the

client at greatest risk for?

pneumonia

A client with a pleural effusion undergoes thoracentesis. Which pleural fluid finding

should the nurse recognize as an indication of infection?

cloudy or pruluent fluid

A nurse provides education to a patient with COPD. Which outcome indicates successful teaching?

Increased motivation and engagement in managing the disease

A nurse is reinforcing teaching for a patient with a pulmonary embolism. Which statement is correct?

Treatment is required for all patients with pulmonary embolism

Which findings should be included when teaching a patient about pulmonary embolism?

Chest pain that worsens with deep breathing
Bloody sputum (hemoptysis)

A patient with a chest tube has bright red blood in the collection chamber. What is the nurse’s priority action?

Notify the provider immediately

Which statement indicates a patient understands teaching about thoracentesis?

“I may experience pain or discomfort during the procedure.”

Which statement best explains why a steroid inhaler is prescribed?

Steroid inhalers reduce airway inflammation, making breathing easier

A patient has O₂ saturation of 91%, wheezing, and is using accessory muscles. Which medication does the nurse expect the provider to prescribe?

bronchodilators

Which statement shows understanding of albuterol side effects?

“I should expect to have tremors.”

Which finding is expected in a patient with flail chest?

Only the flail segment pulls inward during inspiration

Which study is the preferred method to diagnose flail chest?

CT scans

A patient has impaired gas exchange related to pleural effusion. Which nursing intervention is appropriate?

Encourage deep breathing and coughing exercises

A nurse is reinforcing teaching to a patient who has coronary artery disease. Which statement should the nurse include to explain the correlation between changes in the coronary arteries and the manifestations that occur?

Coronary arteries decrease in diameter, leading to insufficient blood, oxygen, and nutrients to the heart muscle.

A nurse is reinforcing teaching to a patient who reports dizziness and palpitations and has atrial fibrillation. Which statement explains the cause of these manifestations?

The heart’s electrical signals are rapid, chaotic, and irregular.

A patient lost 800 mL of blood during surgery and BP has steadily decreased over 2 hours. Which category of shock is occurring?

Hypovolemic shock

A nurse is teaching about sudden cardiac arrest. Which statement should be included?

Sudden cardiac arrest is considered a public health burden worldwide.

A patient in hypovolemic shock has tachycardia, tachypnea, oliguria, and orthostatic hypotension. What level of blood loss is indicated?

24% (20–40% blood loss range)

Hypovolemic shock typically occurs with 20–40% blood loss.

A patient has a history of anaphylactic reaction to peanuts. Which factor increases the risk of death from a future reaction?

Taking beta blockers

A nurse is teaching about risk factors for developing atrial fibrillation. Which should be included?

History of thyroid disease

An older adult has been taking digoxin for several months. Which manifestation indicates digoxin toxicity?

Anorexia

Which nursing intervention is appropriate for a patient with mitral stenosis?

Administer a diuretic to decrease fluid overload.

If a patient has 3 BP medications ordered and BP is low, can you just give one?

No. Either hold the meds or give all the medications.

cerstesis

drainage

sinoatrial node

pacemaker of the heart

aptt

activated partial thromboplastin time → heparin + enoxiprin

p wave

first, before qrs

p - r interval

between atrial and ventricular repolarization

qrs complex

ventricle deplorization

t wave

ventricle repolarization

tripononin

test used to confirm or deny heart attack

dysthymia/arrhythmia

cardiac rhythm that deviates from normal rhythm

myocardial infraction

occulusion of a coronal artery

warfarin + coumadin

both the same

third degree block

spaced out waves

ventri fibril.

almost looks like ns

ventric. tachycardia

curved sections at the bottom

atrial fibrillation

no bottom waves

second degree block

spaced out but every other wave

fluid increase, edema

right sided heart failure

crackles in the lungs

left sided heart failure

meds for heart failure

diuretics, digoxin, nitrates

angina pectoris, patients will report of?

pain & impending doom

pulmonary edema

accumulation of extravascular fluid in lung tissues and alveoli

rheumatic heart disease

results from rheumatic fever

pericarditis

inflammation of the pericardium caused by bacteria, etc

endocarditis

inflammation of the endocardium

cardiomyopathy

used to describe a group of heart diseases that affect the structure and function of the myocardium

aging causes

thicker blood vessels, peripheral vascular resistance increases, & atherosclerotic changes increase

thrombophlebitis

inflammation of the vein with the formation of a thrombus

raynauds

caused by intermittent arterial spasms

buegers disease

arteries become inflamed

varicose veins

dilated veins

stasis ulcer

ulcers occur from chronic deep vein insufficiency and stasis of blood

A nurse is reinforcing teaching to apt who has a new prescription for warfarin which of the following Information should the nurse include?

electric razor

A patient with AFib is receiving heparin. Which finding is the nurse’s priority?

aPTT of 72 seconds

Which finding should the nurse expect in peripheral arterial disease?

Intermittent claudication

A patient has atrial fibrillation. What is the appropriate treatment?

Electrical cardioversion

If a patient has a chest tube, how should the nurse properly maintain the drainage system?

Keep the drainage system below the level of the chest

A nurse is reinforcing teaching with a newly licensed nurse about manifestations of hypoxia. Which finding should the nurse include?

Agitation

A nurse administers sublingual nitroglycerin to a patient with angina. The chest pain is relieved, but the patient now reports a headache. Which response by the nurse is appropriate?

A headache is a common adverse effect of this medication, but it will probably occur less often over time.

A nurse is caring for an older pt whe has left side heart fallure

frothy sputum

Apt who is seven days postpartum called the provider office and reported pain, swelling, and redness on her tell Calf beside the pt seeing the provider which of the following interventions should the nurse suggest?

elevate the leg