NURS 320 Med Surge 1 Final Exam

NURS 320 Med Surge 1 Final Exam Review Questions With Complete Solutions Primary prevention for alterations in gas exchange - Correct Answers ✅1) infection control 2) stop smoking 3) immunizations 4) preventing post op complications Immunizations for primary prevention for alterations in gas exchange - Correct Answers ✅1) flu vaccine 2) pneumococcal when giving the flu vaccine, what do you want to check first with the pt? - Correct Answers ✅whether they have an egg allergy what are the 2 pneumococcal vaccines that are given or primary prevention for alterations in gas exchange - Correct Answers ✅1) PCV13 (pneumococcal conjugate) 2) PPSV23 (pneumococcal polysaccharide) what do the PCV13 (pneumococcal conjugate) and PPSV23 (pneumococcal polysaccharide) vaccines prevent? who is given PPSV23? - Correct Answers ✅- pneumonia

• meningitis 1 / 4

NURS 320 Med Surge 1 Final Exam Review Questions With Complete Solutions PPSV23 given to smoker/have asthma gas exchange is an interaction between what 3 systems? - Correct Answers ✅1) neurologic 2) respiratory 3) CV

• screening tests for TB - Correct Answers ✅1) mantoux

skin test 2) interferon-gamma release assay (IGRA) determining TB - Correct Answers ✅- read TB test 48-72 hours after exam is given

• look at the induration
• = exposure, but not necessarily active TB

if + need to have CXR completed if + TB, + CXR, + sputum culture = put on meds health care workers typically put on meds for 6 months CT scan - Correct Answers ✅- for cancer, brain bleed, etc. 2 / 4

NURS 320 Med Surge 1 Final Exam Review Questions With Complete Solutions

• done with or without contrast dye so check allergies
• check renal fxn (bun + creat)
• encourage fluids to get the dye out of system

MRI - Correct Answers ✅NO METAL

• some may have contrast dye so check allergies

V/Q scan - Correct Answers ✅- inhale gas and inject radioactive dye + scan for perfusion

• check for PE

PET scan - Correct Answers ✅- full body scan done for pts when they want to find other areas of cancer for example

• pt will ingest radioactive glucose

peak flow - Correct Answers ✅how much air a pt has in their lungs, how much they are holding onto, how much is being blown out bronchoscopy - Correct Answers ✅- scope put down a pts throat to look at trachea, bronchioles, etc.

• need to get consent 3 / 4

NURS 320 Med Surge 1 Final Exam Review Questions With Complete Solutions

• pt may experience spasms when the scope comes out, pain,

inflammation, constricted airway

• DO NOT give pt food or drink until gag reflex returns

thoracentesis - Correct Answers ✅3rd spacing where fluid is trapped and we have to manually pull it out

• fluid trapped in pleural space around the lungs
• breath sounds diminished
• impacting ventilation
• can be done at the bedside
• pt needs to be as still as possible

spiral scan - Correct Answers ✅done to check for PE transbronchial needle biopsy - Correct Answers ✅- outside of the bronchioles

• as risk for collapsed lung, pneumothorax

D-DIMER - Correct Answers ✅if elevated = PE if giving corticosteroids for gas exchange pharmacotherapy need to remember... - Correct Answers ✅need to rinse mouth after med to NOT develop thrush

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