Exam 1: NSG233/ NSG 233 (Latest 2023/ 2024 Update) Med Surg 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing

Exam 1: NSG233/ NSG 233 (Latest 2023/

2024 Update) Med Surg 3 Exam| Questions

and Verified Answers| 100% Correct| Grade

A- Herzing

Q: what will the SPO2 of a Carbon Dioxide Poision pt look like

Answer:

it will be Nl

Q: whats does Hypothermia put pt's at risk for?

Answer:

hypoxia

acidosis

dysrhythmias

Q: a pt w/ dysrhythmias secondary to hypothermia is having secondary v-fib, what should RN

know?

Answer:

pt must be rewarmed to >90F (32.2c) prior to defibrillation!!!!!

Q: who all is screened in IPV?

Answer:

q pt.

ask "do you feel safe at home?"

Q: whats the pt w/ Compensatory Shock look like?

Answer:

Normal BP

tachycardia

tachypneic

PaCO2<32>

cold, clammy

confused/agitated

respiratory alkalosis

Q: whats Compensatory Shock?

Answer:

first phase of shock,

pt is able to maintain fluid vol, normal BP

Q: whats Progressive Shock?

Answer:

shocks begins to fail to meet metabolic needs

bp starts to lower

Q: whats the pt w/ progressive Shock look like?

Answer:

systolic <90>

MAP <65>

NEEDS fluid for BP

TACHYYY >150

rapid, shallow RR

crackles

mottled, petechiae

lethargic

metabolic acidosis

Q: whats the pt w/ irreversible Shock look like?

Answer:

REQUIRES MECHANICAL / PHARMACOLOGIC SUPPORT

erratic

REQUIRES INTUBATION/MECH VENT

jaundice

anuric - requires dialysis

profound acidosis

Q: whats MODS

Answer:

Multiple organ dysfunction syndrome

- altered organ function in acutely ill pt, requires mech vent for organ support

-can be a complication of shock

-common in sepsis pt

Q: how do you assess a MODS pt?

Answer:

tools such as APACHE, SAPS, PIRO, SOFA

Q: what can cause hypovolemic shock?

Answer:

external fluid loss - traumatic blood loss

internal fluid shifts - severe dehydration , severe edema, ascites