{"id":131279,"date":"2024-01-11T07:47:36","date_gmt":"2024-01-11T07:47:36","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=131279"},"modified":"2024-01-11T07:47:38","modified_gmt":"2024-01-11T07:47:38","slug":"exam-3-nsg233-nsg-233-latest-2023-2024-update-med-surg-3-exam-questions-and-verified-answers-100-correct-grade-a-herzing","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/01\/11\/exam-3-nsg233-nsg-233-latest-2023-2024-update-med-surg-3-exam-questions-and-verified-answers-100-correct-grade-a-herzing\/","title":{"rendered":"Exam 3: NSG233\/ NSG 233 (Latest 2023\/ 2024 Update) Med Surg 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing"},"content":{"rendered":"\n<p>Exam 3: NSG233\/ NSG 233 (Latest 2023\/ 2024 Update) Med Surg 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing<\/p>\n\n\n\n<p>Exam 3: NSG233\/ NSG 233 (Latest 2023\/<br>2024 Update) Med Surg 3 Exam| Questions<br>and Verified Answers| 100% Correct| Grade<br>A- Herzing<br>Q: Plan of care for vented trach patients:<br>Answer:<br>care every 8hr or more as needed<br>trach cuff pressure 20-25mm Hg<br>assist of 2 ppl w\/ trach strap<br>obdurator @ bedside all times (keeps hole open)<br>Q: Chest tube intervention for accdiental disconnection from drainage system:<br>Answer:<br>Air can enter pleural space, producing a pneumothorax<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prevent by immersion of chest tube in sterile water will temporarily reestablish a water seal and<br>prevent collape or restore lung function<br>Q: Excessive bubbling in the water seal compartment of the chest tube:<br>Answer:<br>leak in drainage system<br>Q: Normal water level in chest drainage system<br>Answer:<br>20cm level<\/li>\n<\/ul>\n\n\n\n<p>Q: Steps to chest tube insertion:<br>Answer:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Insertion of chest tube = consent needed before action taken<\/li>\n\n\n\n<li>discuss the procedure with the patient<\/li>\n\n\n\n<li>provide pain medication, the procedure is not pleasant<\/li>\n\n\n\n<li>gather all supplies needed to assist with procedure<\/li>\n\n\n\n<li>assist the client into position-supine<br>Q: High frequency oscilator support ventilor- understanding of:<br>Answer:<br>delievers rapid, small pulses of air down the center of the airways to open up alveoli allowing<br>alveolar air to exit the lungs along the margins of the airways<br>Q: Effective coughing techniques after a thoracotomy:<br>Answer:<br>clear sounds after cough<br>Q: Assessment finding for pulmonary edema:<br>Answer:<br>pink frothy sputum<br>Q: What is propofol infusion syndrome?<br>Answer:<br>?????????????<br>get pdf at <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\"><strong>https:\/\/learnexams.com\/search\/study?query=<\/strong><\/a><\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>Trouble shooting ventilator alarms:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>can pause<\/li>\n\n\n\n<li>NEVER turn off<\/li>\n\n\n\n<li>check pt safety first<\/li>\n\n\n\n<li>check alarm if pt is okay (not in distress)<\/li>\n<\/ul>\n\n\n\n<p>Non-invasive postiive pressure ventiatlion type patients:<br>COPD, chronic heart failure, sleep disorders<\/p>\n\n\n\n<p>**PP during inspiration keeps airway and trachea open during sleep<\/p>\n\n\n\n<p>Signs of ventilator intolerance?<br>restless, tachycardic<\/p>\n\n\n\n<p>Expected assessments when vented:<br>????<\/p>\n\n\n\n<p>VAP ventilator bundle SATA:<br>elevate head 30-45<br>&#8220;sedation vacation&#8221;<br>PPI prophylaxis<br>DVT prophylaxis<br>Daily oral care<\/p>\n\n\n\n<p>Ventilator weaning criteria:<br>vital capacity 10-15mL\/kg<br>Max inspiratory pressure (MIP) at least -20cm H2O<br>Tidal volume (TV): 7-9mL\/kg<br>Minute ventilation: 6L\/min<br>Rapid\/Shallow breathing index: below 100breaths\/min\/L: PaO2&gt;60mm Hg w\/ Fi)2 &lt;40%<\/p>\n\n\n\n<p>Complications of mechanical ventilation:<br>Alterations in cardiac function<br>Barotrauma\/Pneumothorax<br>Pulmonary Infections<br>Delirium<\/p>\n\n\n\n<p>Plan of care for vented trach patients:<br>care every 8hr or more as needed<br>trach cuff pressure 20-25mm Hg<br>assist of 2 ppl w\/ trach strap<br>obdurator @ bedside all times (keeps hole open)<\/p>\n\n\n\n<p>Chest tube intervention for accdiental disconnection from drainage system:<br>Air can enter pleural space, producing a pneumothorax<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prevent by immersion of chest tube in sterile water will temporarily reestablish a water seal and prevent collape or restore lung function<\/li>\n<\/ul>\n\n\n\n<p>Excessive bubbling in the water seal compartment of the chest tube:<br>leak in drainage system<\/p>\n\n\n\n<p>Normal water level in chest drainage system<br>20cm level<\/p>\n\n\n\n<p>Steps to chest tube insertion:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Insertion of chest tube = consent needed before action taken<\/li>\n\n\n\n<li>discuss the procedure with the patient<\/li>\n\n\n\n<li>provide pain medication, the procedure is not pleasant<\/li>\n\n\n\n<li>gather all supplies needed to assist with procedure<\/li>\n\n\n\n<li>assist the client into position-supine<\/li>\n<\/ol>\n\n\n\n<p>High frequency oscilator support ventilor- understanding of:<br>delievers rapid, small pulses of air down the center of the airways to open up alveoli allowing alveolar air to exit the lungs along the margins of the airways<\/p>\n\n\n\n<p>Effective coughing techniques after a thoracotomy:<br>clear sounds after cough<\/p>\n\n\n\n<p>Assessment finding for pulmonary edema:<br>pink frothy sputum<\/p>\n\n\n\n<p>What is propofol infusion syndrome?<br>?????????????<\/p>\n\n\n\n<p>Why pantoprazole when on a vent?<br>????????????????????<\/p>\n\n\n\n<p>Post-op care after esophageal varices endoscopy:<br>aspiration pneumonia<br>vagotomy syndrome<\/p>\n\n\n\n<p>What to avoid if you have esophageal varies? SATA<br>lifting heavy objects<br>trainig with stolling, sneezing, coughing, vomitng<br>irritating foods\/fluids<br>reflux<br>alcohol intake<br>aspirin intake<\/p>\n\n\n\n<p>Dallon tamponade therapy for esophageal varies:<br>REMAIN bedside<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>due to risk of displacement or threateningobstruction of the airway<\/li>\n<\/ul>\n\n\n\n<p>What drug promotes motility after esophogeal resection:<br>metoclopramide (monitor heart closely)<\/p>\n\n\n\n<p>Esophageal resection interventions: SATA<br>sit up in char<br>encourage incentive spirometry every hour<br>monitor temp q4hr<br>water cardiac for vagus nerve due to irriation<br>avoid ensure and boost<\/p>\n\n\n\n<p>Pathophysiology of ascities:<br>increase pressure in portal system with vasodilation causes fluid to leak from capillaries into abdominal cavity<\/p>\n\n\n\n<p>Symptoms of ascities:<br>enlarged abdomen<br>distended abdominal veins<br>SOB<br>abd distention<br>(signs fo portal hypertension)<\/p>\n\n\n\n<p>Dietary restriciton in ascities:<br>low sodium<br>watch salt for ammonia\/potassium<br>diuretic choice if diet not followed<\/p>\n\n\n\n<p>Purpose of lactulose in hepatic encephalopathy:<br>increase stooling to help get out ammonia due to it causing the encephalopathy<\/p>\n\n\n\n<p>Assessment fidning that indicates ascities is getting worse:<br>no weight loss<\/p>\n\n\n\n<p>Plan of care for portal hypertension\/cirrhosis: SATA<br>assess abd tympanic wave<br>monitor electrolytes<br>weigh daily<\/p>\n\n\n\n<p>Heaptic encephalopathy- what do you assess:<br>neuro assessment<br>pt confused, unkempt<br>alterations in mood and sleep patterns<\/p>\n\n\n\n<p>Stages of Encephalopathy:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>mild confusion, agitation, irritability, sleep disturbance, decreased affection<\/li>\n\n\n\n<li>lethargy, disorientation, inappropriate behavior, drowsiness<\/li>\n\n\n\n<li>somolent but arousable, slurred speech, confused, aggresisve<\/li>\n\n\n\n<li>coma<\/li>\n<\/ol>\n\n\n\n<p>Heaptic encephalopathy phenomenon:<br>neuo psychiatric manifestation of hepatic failure associated with portal hypertension and shunting of blood from portal venous system into the systemic cirulation<\/p>\n\n\n\n<p>Paracentesis procedure:<br>removal of fludi from peritoeal cavity through puncture with small surgical incision through abd wall under sterile conditions<\/p>\n\n\n\n<p>Role of low sodium albumin in paracentesis:<br>prevents re-accumulation of fluid by increase blood volume.<br>** if colloid not used as well, kidneys will try to correct by absorbing sodium causing water retention<\/p>\n\n\n\n<p>What is hepatocellular jaundice?<br>mobility of damaged liver cells to clear billirubin from blood<\/p>\n\n\n\n<p>A renal contusion nursing diagnosis:<br>ineffective renal tissure perfusion<\/p>\n\n\n\n<p>Modifiable bladder cancer risk:<br>smoking tobacco<\/p>\n\n\n\n<p>Stoma and appliance care for cutaneous urinary diversion for bladder cancer? SATA<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>monitor stomach for infection, irriation, decreased cirulation<\/li>\n\n\n\n<li>take vit c<\/li>\n\n\n\n<li>limit eggs, cheese, asparagus<\/li>\n\n\n\n<li>shower in non-moisturizing soap<\/li>\n<\/ul>\n\n\n\n<p>What is a ureterosigmoidostomy?<br>continent diversion procedure in which urine is viserted into the rectum<\/p>\n\n\n\n<p>&#8220;disturbed body image&#8221; bursing disgnosis goal:<br>are they acceptance of it, get pt to talk and verabilize about it<\/p>\n\n\n\n<p>Pre-procedure instructions for intravesical chemotherapy for bladder cancer?<br>INSTILLS MEDICATIONS INTO BLADDER, HOLD SOLUTIONFOR 2 HOURS<\/p>\n\n\n\n<p>Cachexic cancer patient- best solution for their eating food:<br>let them choose<\/p>\n\n\n\n<p>prostate cancer- reducing risks:<br>reduce red meat or dietary produces high in fat<\/p>\n\n\n\n<p>Gleason score of 3 follow up with prostate cancer?<br>external beam radiation therapy need for grade 3<\/p>\n\n\n\n<p>Dischage transurethral resection education:<br>water s\/s DVT (pain\/redness lower extremeties)<br>retrograde ejaculation<br>heamturia<br>bladder spasms<\/p>\n\n\n\n<p>Goserelin (Zoladex) hormone replacement treatment education:<br>increase blood glucose<br>increase risk myocardial infactions<br>** bone pain first week and bone density loss over time<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Exam 3: NSG233\/ NSG 233 (Latest 2023\/ 2024 Update) Med Surg 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing Exam 3: NSG233\/ NSG 233 (Latest 2023\/2024 Update) Med Surg 3 Exam| Questionsand Verified Answers| 100% Correct| GradeA- HerzingQ: Plan of care for vented trach patients:Answer:care every 8hr or more as neededtrach cuff [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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