Exam 3: NU 185 NU185 Latest

Exam 3: NU 185 / NU185 (Latest

Update 2025 / 2026) Medical- Surgical Nursing II | Questions with Answers | Grade A | 100% Correct (Verified Solutions) - Galen

Question:

pulmonary embolism patho

Answer:

pulmonary vessel is plugged with a mass or clot causing an interference with blood flow in the lung distal to the point where embolus lodges, obstruction causes shunting and blood is blocked from flowing past the alveoli which prohibits receiving O2 or getting rid of CO2

Question:

s/s PE

Answer:

dyspnea, chest pain, cough, hemoptysis and anxiety, hypotension, tachycardia or confusion may occur, SUDDEN ONSET OF DYSPNEA AND DROP IN SPO2- very indicative of PE 1 / 4

Question:

PE diagnosis

Answer:

D-dimer testing, CXR, echo, ABG, ECG

Question:

treatment of PE

Answer:

IV heparin- pts who might require invasive test or treatment stable pts are started on injectable heparin and may be transitioned to oral anticoagulants for 3 months thrombolytic therapy is reserved for a big clot that causes hemodynamic instability

Question:

PE nursing management

Answer:

prevention is best intervention pt is on bed rest in semi-fowlers initially, TCDB are important to prevent atelectasis

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Question:

acute respiratory distress syndrome patho

Answer:

alveolar capillary membrane is injured, it becomes more permeable to intravascular fluid. alveoli fill with fluid and O2 and CO2 cannot cross membrane into and out of the capillaries

Question:

ARDS s/s

Answer:

dyspnea, tachypnea, tachycardia and hypoxemia may have fine, scattered crackles increasing hypoxemia and respiratory alkalosis from tachypnea onset as soon as 12-48 hrs after initiating event

Question:

ARDS diagnosis

Answer:

history, ABG, CXR (will show bilateral infiltrates which is called "white out")

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Question:

ARDS treatment and nursing management

Answer:

ventilatory support, PEEP, CPAP, treatment of underlying disorder careful fluid and electrolyte management, total care for basic needs ICU setting on a ventilator

Question:

respiratory failure

Answer:

s/s- restlessness, agitation, confusion, increase in rr, HR, bp to compensate diaphoresis and retractions, cyanosis are late signs outcome can be cardiac arrest from respiratory acidosis

Question:

intrathoracic surgery- pre-op

Answer:

assessment of respiratory status and improvement is needed, arm and leg exercises are taught preop to prevent DVT

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