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

Final Exam: NSG233/ NSG 233 (Latest 2023/

2024 Update) Med Surg 3 Exam| Questions

and Verified Answers| 100% Correct| Grade

A- Herzing

Q: Bite Priority

Answer:

Human bite: know what to do first with a human bite!

Animal: rabies prophylaxis

Snakebite: lie down, removing constrictive items, providing warmth, cleansing the wound,

covering the wound with a light sterile dressing, and immobilizing the injured body part below

the level of the heart.

CABs (Circulation, Airway Breathing)

NO: Ice, incision and suction, or a tourniquet

Tetanus and analgesia should be given as necessary.

Meds: FabAV or CroFAb: no limit on how much to give

S&S: necrosis, edema, ecchymosis

Tick: remove with tweezers, straight up pull, (try to get close to skin as possible)

S&S: bulls eye rash

Q: Poisoning in the house

Answer:

Carbon Monoxide: 100% O2 Atmospheric/hyperbaric chamber

Ingested Poison: ABC, Call poison control, try to describe what was ingested

Charcoal: most effective, Do not use if heavy metals were ingested. Corrosives: give water/milk

Cathartics: sorbitol: give w/ 1st dose of charcoal

syrup ipecac: Induces vomiting, only give to alert patients-and NO patients who ingested a

corrosive agent

Gastric emptying: intubate before lavage ( if -LOC/-gag reflex) with in 1 hour of ingestion.

Q: Overdose- multiply organ dysfunction syndrome

Answer:

Find out what Patient OD'd on. Give antidote if there is one

Treatment goals for a patient with a drug overdose are to support the respiratory and

cardiovascular functions, to enhance clearance of the agent, and to provide for safety of the

patient and staff.

Q: Abuse- interpersonal violence

Answer:

Priority: ask questions IN PRIVATE, separate from person who is abusive/neglectful

referral to shelter

adults are free to accept or refuse help

safety plans should be explored

Mandatory report: children and elderly abuse - only need to suspect abuse, do not need to prove

it

Q: PTSD- rape and stabbing

Answer:

Keep patient comfortable

Offer therapeutic communication -listen

Avoid triggers

**ask if patient plans to harm selfQ: Chest-Blunt trauma complications **

Answer:

Flail chest: paradoxical chest movement, hypoxemia, resp acidosis

Pulmonary contusion: abnormal accumulation of fluid,

- lung sounds, cough, frank blood, mucus, chest pain, atelectasis, -BP, resp acidosis

Monitor: fluid intake, fluid replacement and pain

Managment: airway, O2, treat pain, bronchoscopy

Meds: morphine

Medical Management• ABC-oxygen, possible endotracheal intubation, ventilatory support•

Replace fluid volume• Restore negative intrapleural pressure if needed• Needle decompression•

Chest tube if needed• Hemothorax• Pneumothorax• Hemo-pneumothorax

Q: Crush injuries and trauma

Answer:

Hypovolemic shock

Spinal Cord Injury

Fractures

Acute Kidney Injury

Priority: ABC's

SATA: Rhabdomyolysis: Triad: muscle cramps, muscle weakness, dark urine

Labs: CK levels, serum lactic acid levels

Compartment syndrome: elevate extremity, fasciotomy.

proper alignment of extremities, check peripheral pulses

Meds: pain, cephalosporins, penicillin

Q: Creatine Kinase (CK)

Answer:

Depend on age

30-200 men

30-170 women

Q: dissecting abdominal aneurysm

Answer:

medical emergency