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NRSG 327 Week 2 Test Questions: Surgical Stress and Complications, Exams of Nursing

Montana State UniversityNursing

A comprehensive overview of surgical stress and its impact on various bodily systems. It outlines the physiological responses of the brain, lungs, heart, kidneys, gi tract, and pancreas to surgical stress. The document also explores common postoperative complications, including pain, nausea, blood loss, delirium, fluid and electrolyte imbalances, and deep vein thrombosis (dvt). It provides insights into the causes, symptoms, and treatment approaches for these complications. This resource is valuable for nursing students and professionals seeking to understand the physiological and clinical aspects of surgical stress and postoperative management.

Typology: Exams

2024/2025

Available from 03/18/2025

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NRSG 327 WEEK 2 TEST QUESTIONS WITH ACCURATE
ANSWERS
How does the brain respond to surgical stress -- Answer ✔✔ increase blood flow,
dilates pupils to allow for more light to go in
How does the lungs respond to surgical stress -- Answer ✔✔ inc. RR, bronchodilation
How does the heart respond to surgical stress -- Answer ✔✔ inc. HR, inc. BP,
peripheral vasodilation
How does the kidneys respond to surgical stress -- Answer ✔✔ decrease blood flow to
kidneysinc. Renin vasoconstriction & inc BP
How does the GI respond to surgical stress -- Answer ✔✔ dec gastric emptying
How does the pancreas respond to surgical stress -- Answer ✔✔ dec. insulin, inc.
glucagon
Primary Assessment - A -- Answer ✔✔ Airway Look: drool? Vomit? Secretions?
Colour?
Listen: able to speak in full, clear sentences? Slurring words? Stridor?
Primary Assessment - B -- Answer ✔✔ Breathing Look: colour, spontaneous resps?
Rate? Work of breathing? Accessory muscle use
Listen: Adventitious sounds?
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Download NRSG 327 Week 2 Test Questions: Surgical Stress and Complications and more Exams Nursing in PDF only on Docsity!

NRSG 327 WEEK 2 TEST QUESTIONS WITH ACCURATE

ANSWERS

How does the brain respond to surgical stress -- Answer ✔✔ increase blood flow, dilates pupils to allow for more light to go in How does the lungs respond to surgical stress -- Answer ✔✔ inc. RR, bronchodilation How does the heart respond to surgical stress -- Answer ✔✔ inc. HR, inc. BP, peripheral vasodilation How does the kidneys respond to surgical stress -- Answer ✔✔ decrease blood flow to kidneysinc. Renin vasoconstriction & inc BP How does the GI respond to surgical stress -- Answer ✔✔ dec gastric emptying How does the pancreas respond to surgical stress -- Answer ✔✔ dec. insulin, inc. glucagon Primary Assessment - A -- Answer ✔✔ Airway Look: drool? Vomit? Secretions? Colour? Listen: able to speak in full, clear sentences? Slurring words? Stridor? Primary Assessment - B -- Answer ✔✔ Breathing Look: colour, spontaneous resps? Rate? Work of breathing? Accessory muscle use Listen: Adventitious sounds?

Primary Assessment - C -- Answer ✔✔ Circulation Assess skin colour, warmth, moisture Palpate radial pulse - rate, regularity, strength Primary Assessment - D -- Answer ✔✔ Disability/Dextrose/Discomfort: LOC, pain assessment (OPQRSTU or LOTARSP), blood glucose Primary Assessment - E -- Answer ✔✔ - exposure/environment

  • remove clothing for full visual inspection, including the back
  • prevent hypothermia with warming blankets and warmed IV fluid Primary Assessment - F -- Answer ✔✔ full set of vitals (q15min), Primary Assessment - G -- Answer ✔✔ Give comfort Primary Assessment - H -- Answer ✔✔ Head to toe assessment Primary Assessment - I -- Answer ✔✔ Inspect the posterior Potential Neuro Complications -- Answer ✔✔ delirium, fever, hypothermia, dec LOC Potential Resp complications -- Answer ✔✔ airway obstruction, aspiration, atelectasis, bronchospasms, hypoventilation, hypoxemia, pneumonia, pulmonary edema, pulmonary embolism Potential Cardiac Complications -- Answer ✔✔ dysrhythmia, hemorrhage, hypertension, hypotension, venous thrombosis Potential GI Complications -- Answer ✔✔ delayed gastric emptying, constipation, nausea, vomiting, postop ileus

How to treat electrolyte imbalances -- Answer ✔✔ Give Na+ & K+ Why is dizziness a common complication? -- Answer ✔✔ Postural changes, hypotension, AEIOUTIPS AEIOUTIPS -- Answer ✔✔ Alcohol Epilepsy Insulin Overdose/oxygenation Uremia/underdose Trauma Infection Psychiatric / poisoning Stroke/shock How to treat dizziness -- Answer ✔✔ Find the cause and treat What is Virchow's Triad for? -- Answer ✔✔ DVT What is Virchow's triad? -- Answer ✔✔ 1. Venous stasis

  1. Hypercoagulability
  2. Trauma to a vessel (vascular damage) What are the S&S of a PE? -- Answer ✔✔ Dyspnea, tachypnea, sharp chest pain on inspiration Treatment of PE -- Answer ✔✔ Anticoagulant (Heparin)