Medsurg Midterm

Question 1

1. Early signs of shock(pg.196)

Answer 1

 Hypotension, tachycardia
 Changes in mentation/LOC
 Cool & clammy
 Weak & rapid pulse
 Decreased urine output

Question 2

2. Hypovolemic shock medical management (you saw this question on my exam)

Answer 2

 Fluid replacement of Normal Saline IV (3:1 ratio)

Question 3

3. Manifestations of MOST forms of shock (VN 22 clo 2 S.G)

Answer 3

 Tachycardia
 Hypotension
 Weak & rapid pulse
 Cool & clammy skin
-Low urine output

Question 4

4. Evaluation outcomes for hypovolemic shock (you saw this question on my exam)

Answer 4

 Urinary outcome w/in normal limits
 Normal V/S

Question 5

5. Hypovolemic shock causes (S.G 1)

Answer 5

 Blood/plasma loss, surgery
 Trauma, birth
 Fluid loss, suctioning
 Burns, large draining wounds
 Diabetes insipidus

Question 6

6. Skin grafting client education/nursing actions (you saw this question on my exam)

Answer 6

 Administer pain meds as prescribed
 Monitoring the donor site & the graft site for signs of infection
 Wear warm clothing w/skin graft
 Restrict movement for a period of time (first 2-4 weeks)

Question 7

7. Manifestations of septic shock (you saw this question on my exam)

Answer 7

 A rapid, bounding pulse

Question 8

8. Anthrax nursing actions (you saw this question on my exam)

Answer 8

 Use standard precautions
 Administer ciprofloxacin abx (tx lasts 4 wks or longer
>biological disaster

Question 9

9. Cyanide exposure medical management (you saw this question on my exam)

Answer 9

 Amyl nitrite
 Sodium nitrite
 Sodium thiosulfate

Question 10

10. Radiological disaster nursing considerations (you saw this question on my exam)

Answer 10

 Remove all outer garments before entering a house or shelter

Question 11

11. Spinal shock criteria and complications and nursing considerations (you saw this question on my exam)

Answer 11

 No cord function below the point of injury
 Spinal shock can last for a week to months until the body adjusts to the damage caused by the injury
 Complications: autonomic dysreflexia(above T6)—>orthostatic hypotension, pressure ulcers,diaphoresis,severe headache & nausea, DVT(no crossing legs)

Question 12

12. Botulism nursing considerations (you saw this question on my exam)

Answer 12

 Can cause paralysis of the respiratory muscles (most likely to cause death)

Question 13

13. Smallpox manifestations (you saw this question on my exam)

Answer 13

 Skin lesions similar to chickenpox (begins on face, progress to extremities)
 High fever (101-104)
 Asymptomatic for 1st 7-14days before rash develops

Question 14

14. Two types of disasters (you saw this question on my exam)

Answer 14

 Natural & Human disasters

Question 15

15. How does the nurse assess for CSF? (you saw this question on my exam)

Answer 15

 Halo sign
 clear drainage from nose

Question 16

16. Nursing considerations for prevention of thrombi? (you saw this question on my exam)

Answer 16

 Keep client hydrated

Question 17

17. area of the body if burned puts clients at greatest risk for infection?

Answer 17

perineal area