{"id":131390,"date":"2024-01-13T15:48:21","date_gmt":"2024-01-13T15:48:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=131390"},"modified":"2024-01-13T15:48:23","modified_gmt":"2024-01-13T15:48:23","slug":"exam-3-nsg223-nsg-223-latest-2024-2025-update-med-surg-2-exam-questions-and-verified-answers-100-correct-grade-a-herzing","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/01\/13\/exam-3-nsg223-nsg-223-latest-2024-2025-update-med-surg-2-exam-questions-and-verified-answers-100-correct-grade-a-herzing\/","title":{"rendered":"Exam 3: NSG223\/ NSG 223 (Latest 2024\/ 2025 Update) Med Surg 2 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing"},"content":{"rendered":"\n

Exam 3: NSG223\/ NSG 223 (Latest 2024\/ 2025 Update) Med Surg 2 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing<\/p>\n\n\n\n

Exam 3: NSG223\/ NSG 223 (Latest 2024\/
2025 Update) Med Surg 2 Exam| Questions
and Verified Answers| 100% Correct| Grade
A- Herzing
Q: What are some dietary recommendations for a patient with cushing’s syndrome?
Answer:
-Increase potassium, calcium and protein.
-Restrict fluid and sodium intake.
Q: What is acromegaly?
Answer:
hypersecretion of GH during adulthood
Q: What is gigantism?
Answer:
hypersecretion of GH in children
Q: What is contraindicated with ketoconazole?
Answer:
Antacids, because it decreases absorption.
Q: How should ketoconazole taken?<\/p>\n\n\n\n

Answer:
Fruit juice, acidic drinks to increase absorption.
Q: How should octreotide be administered?
Answer:
IM
Q: The nurse is caring for a client completing a fluid deprivation test. Which result should the
nurse expect to confirm?
Answer:
unchanged urine osmolarity
Q: The nurse is caring for a pt with SIADH knows that effective management of this disease
includes?
Answer:
CLOSELY MONITOR FLUID BALANCE
-I&Os and daily weights
Q: The nurse is preparing to administer desmopressin to a client with diabetes insipidus. What
would contraindicate med admin?
Answer:
Creatinine clearance less then 50ml!!!
(40mL)
Q: What are signs and symptoms of a fracture? SATA
Powered by https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n

The nurse is assessing a client with addison’s disease. Which assessment findings would the nurse expect? SATA
Muscle weakness
Dark pigmentation
Hyperkalemia
Hyponatremia<\/p>\n\n\n\n

What kind of diet should a patient with addison’s disease be on?
Diet high in sodium and fluids, low in potassium.<\/p>\n\n\n\n

A pt presents to the ED in addisonian crisis. Which IV fluid should the nurse anticipate to administer stat?
5% dextrose in normal saline<\/p>\n\n\n\n

What are contraindications for patients with addison’s disease on hydrocortisone treatment?
Live vaccines (MMR, varicella)<\/p>\n\n\n\n

How should hydrocortisone be administered? PT teaching Q
At 9am with breakfast (At the same time with a meal)<\/p>\n\n\n\n

The nurse is caring for a patient with possible cushing’s syndrome. What are some suspected findings upon assessment?
HIRSUTISM, weight gain, buffalo hump, bruising<\/p>\n\n\n\n

What are some dietary recommendations for a patient with cushing’s syndrome?
-Increase potassium, calcium and protein.
-Restrict fluid and sodium intake.<\/p>\n\n\n\n

What is acromegaly?
hypersecretion of GH during adulthood<\/p>\n\n\n\n

What is gigantism?
hypersecretion of GH in children<\/p>\n\n\n\n

What is contraindicated with ketoconazole?
Antacids, because it decreases absorption.<\/p>\n\n\n\n

How should ketoconazole taken?
Fruit juice, acidic drinks to increase absorption.<\/p>\n\n\n\n

How should octreotide be administered?
IM<\/p>\n\n\n\n

The nurse is caring for a client completing a fluid deprivation test. Which result should the nurse expect to confirm?
unchanged urine osmolarity<\/p>\n\n\n\n

The nurse is caring for a pt with SIADH knows that effective management of this disease includes?
CLOSELY MONITOR FLUID BALANCE
-I&Os and daily weights<\/p>\n\n\n\n

The nurse is preparing to administer desmopressin to a client with diabetes insipidus. What would contraindicate med admin?
Creatinine clearance less then 50ml!!!
(40mL)<\/p>\n\n\n\n

What are signs and symptoms of a fracture? SATA
-Crepitus
-Pain
-Bruising
-Swelling<\/p>\n\n\n\n

What are some precautions to take with an open (leg) fracture?
Immobilize the leg prior to moving pt to safer spot<\/p>\n\n\n\n

Discharge education for pts with fractures:
-Takes 6-8 weeks to heal
-Bone ossification 2-3 weeks
-Immobilized with splint cast for 6-8 weeks<\/p>\n\n\n\n

What assessment is most critical in the early detection of compartment syndrome for a pt with a leg cast?
Pain assessment<\/p>\n\n\n\n

What is important nursing care for patients with a cast or splint?
Assess for reports of burning (hotspots)can indicate a developing pressure ulcer.<\/p>\n\n\n\n

How can the nurse teach a pt with a cast how to prevent disuse syndrome?
Tense and contract muscles without moving any underlying bone. Every hour while awake! (isometric)<\/p>\n\n\n\n

Nurse detects redness and serous drainage at site of external fixation device. What should the nurse do next?
Notify the healthcare provider<\/p>\n\n\n\n

What is important to know about a PCA pump?
Patients must be able to know how to use the
pump, and most of all able to push the pain
button<\/p>\n\n\n\n

What should we assess for in pts on PCA pumps?
Respiratory depression<\/p>\n\n\n\n

Why should Meperidine be avoided in the elderly?
Causes agitation, seizures and hallucinations<\/p>\n\n\n\n

How is a patient with a fractured clavicle treated?
Sling, ice and pain meds<\/p>\n\n\n\n

A pts hip is crushed in a MVA, the nurse understands that in addition to hemorrhage, what is a serious problem?
Shock<\/p>\n\n\n\n

How is the peroneal nerve assessed?
pt will not be able to dorsiflex great toe and will have diminished sensation in the wen space<\/p>\n\n\n\n

How do you care for a patient with a rib fracture?
-Give regularly scheduled analgesics or NSAIDS
-Chst binders to immobilize the fracture are not used<\/p>\n\n\n\n

When would a below the knee amputation be necessary?
Damage to distal tibia or surrounding tissure<\/p>\n\n\n\n

When would an above the knee amputation be necessary?
Gangrene, uncontrolled diabetes, arterial insufficiency<\/p>\n\n\n\n

what is an elastic dressing?
Compression bandage to prevent swelling<\/p>\n\n\n\n

What do you do if the elastic dressing comes off with a new amputation?
Immediately put it back on<\/p>\n\n\n\n

A pt had an amputation of the left leg and is having self-esteem problems. As the nurse what is important?
Encourage communication and expression of feelings<\/p>\n\n\n\n

When does a PCA pump medication (Morphine) peak?
10-20 minutes<\/p>\n\n\n\n

Nurse is assessing a client with possible diagnosis of MS. What assessment findings support this diagnosis? SATA
weakness, pain, numbness, ataxia, fatigue<\/p>\n\n\n\n

Nurse is teaching a prevent muscle spasticity. What recommendations should be made for them?
Daily stretching exercises<\/p>\n\n\n\n

What is ataxia ?
Impaired coordination during voluntary movement<\/p>\n\n\n\n

What is MS?
demyelinating disease of the CNS<\/p>\n\n\n\n

What should be avoided in patients who have MS?
Hot baths bc of burns that can occur due to decreased sensation, cold temperatures bc it can increase spasticity.
— Avoid strenuous activity<\/p>\n\n\n\n

What is the medication of choice for treating spasticity in MS?
Baclofen<\/p>\n\n\n\n

A pt comes in with vision changes, muscle weakness, dysphagia and ptosis but no ataxia. Which condition do they most likely have?
myasthenia gravis (MG)<\/p>\n\n\n\n

What does MG affect?
the myoneural junction<\/p>\n\n\n\n

The nurse understands that a positive Tensilon Test confirms which autoimmune disorder?
Myasthenia Gravis<\/p>\n\n\n\n

What is affected in severe cases of MG?
Breathing and limb movement<\/p>\n\n\n\n

What is plasmapheresis used to treat?
Treat MG exacerbations for a few weeks<\/p>\n\n\n\n

Is there a cure for MG?
NO<\/p>\n\n\n\n

What is a thymectomy?
Removal of the thymus gland<\/p>\n\n\n\n

Who is a candidate for a thymectomy?
pts younger than 60 years with MG diagnosis within past 3 years (42 yr old w 5 yr histx)<\/p>\n\n\n\n

What should be avoided in a pt who has a cholinergic or myasthenic crisis?
Sedatives and tranquilizers bc they are ventilated (can cause resp and cardiac depression)<\/p>\n\n\n\n

A nurse is preparing to administer neostigmine for a client with MG. What effects does this med have?SATA
improved skeletal muscle tone and strength ; increase in tone of GI smooth muscle; increase salivary gland production; increase tone and contractility of bladder muscles
–relaxes bronchial muscles; ; decreased HR<\/p>\n\n\n\n

What is GBS and when does it often occur?
Acute attack of the myelin sheath, often follows a viral infection<\/p>\n\n\n\n

What findings support a diagnosis of GBS? SATA
Ascending muscle weakness, diminished lower extr. reflexes, areflexia, symmetrical weakness (TOES TO NOSE)
–Viral inf 2 weeks prior<\/p>\n\n\n\n

How is GBS treated?
Lovenox (Given subq in Abdomen)
–Sequential compression boots to prevent VTE
–Anticoagulant therapy<\/p>\n\n\n\n

What medications should be avoided in fibromyalgia?
Opiates (HYDROCODONE)<\/p>\n\n\n\n

What can treat fibromyalgia?
NSAIDS (ibuprofen) , flexeril, amitriptyline<\/p>\n\n\n\n

What is a nursing diagnosis for for GBS?
Impaired gas exchange due to weakness of intercostal muscles<\/p>\n\n\n\n