Exam 2: NSG233/ NSG 233 (Latest 2023/ 2024 Update) Med Surg 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing

Exam 2: NSG233/ NSG 233 (Latest 2023/

2024 Update) Med Surg 3 Exam| Questions

and Verified Answers| 100% Correct| Grade

A- Herzing

Q: Pushes the painful stimulus away

Answer:

Expected response to painful stimulus in motor function assessment.

Q: Adjust the client's head of bed

Answer:

Action to maintain cerebral perfusion pressure in severe traumatic brain injury.

Q: Reduce edema of the brain

Answer:

Purpose of administering osmotic diuretic to client with increased intracranial pressure.

Q: Extension of the arms

Answer:

Expected finding in decerebrate posturing.

Q: Elevate the head of the bed

Answer:

Intervention to promote reduction of intracranial pressure.

Q: Use pillows to keep heels off the bed surface

Answer:

Nursing action to prevent skin breakdown in client with spinal cord injury and paralysis.

Q: Nuchal rigidity

Answer:

Manifestation of increased intracranial pressure in client with suspected bacterial meningitis.

Q: Brisk pupillary reaction to light

Answer:

Expected finding in infant with motor vehicle crash and increased intracranial pressure.

Q: Paraplegia

Answer:

Type of disability associated with spinal cord injury at T2-T3 vertebrae.

Q: Pacemaker spikes before each QRS complex

Answer:

Indication of proper functioning of ventricular pacemaker.

Q: Hypotension

Answer:

Adverse effect of verapamil, a calcium channel blocker.

Q: Atrial fibrillation

Answer:

Dysrhythmia characterized by rapid and irregular heart rate with no visible P waves.

Q: Pacemaker spikes before each QRS complex

Answer:

Indication of proper functioning of ventricular pacemaker.

Q: Defibrillation

Answer:

Priority action for client with ventricular fibrillation.

Q: Irregular pulsations

Answer:

Finding on auscultation of apical pulse in client with premature ventricular contractions.

Q: Ventricular fibrillation

Answer: