NUR 213 Midterm Exam Review: Key Concepts and Medications, Assignments of Nursing

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NUR 213 MIDTERM

EXAM

Details and Topics

The Facts  (^) Content from modules 1-  (^) 40 questions  (^) Bowtie  (^) Drop-down  (^) Fill in the Blank  (^) Matrix  (^) Multiple Choice  (^) Multiple Response (select n)  (^) Multiple Response Grouping  (^) Select all that Apply  (^) Unfolding case study (6 questions)

What should you know?  (^) For conditions or disorders  (^) What is it  (^) Signs/symptoms  (^) Nursing interventions/treatments  (^) Patient education  (^) Complications  (^) For medications  (^) Use  (^) Side effects  (^) Contraindications  (^) Patient education

Module 1  HIV(standard precautions)- fever, swollen glands, diarrhea, weight loss  Managable diagnosis  (^) abacavir, emtricitabine, lamivudine, and tenofovir  AIDS- Kaposi's sarcoma, same as HIV S&S, oral thrush  Clostridium difficile- watery foul-smelling diarrhea, abdominal cramping/pain, Nausea, fever, loss appetite, increased WBC, dehydration  Requires PPE  Vancomycin, metronidazole (flagyl)  Fecal transplant  Types of immunity  Passive-Passive immunity occurs when a person is given antibodies rather than producing them through their own immune system.  Active -Active immunity occurs when the body’s immune system produces its own antibodies in response to the presence of a pathogen or a vaccine.  Tuberculosis (standard & airborne)-pt to wear surg mask, weight loss, cough, night sweats, blood-streaked sputum, chest pain  Ethambutol, isoniazid- empty stomach, rifampin, pyrazinamide  Mantoux skin test- identifies TB infection, if (+) further eval needed, Quantiferion Gold, chest x-ray  (^) Private room w/- pressure airflow, staff-N95mask,  Pneumocystis carinii pneumonia- occurs with AIDS due to impaired immune system, turn, cough, deep breath. Resp. acidosis,

Module 3  (^) Post-operative complications malignant hyperthermia (deadly)- Tx w/ Dantrolene. Caused by anesthesia & genetics- requires cooling blankets  (^) Fat embolism- more common thru ventricles & vales ( petechia rash)  (^) Neuromuscular blocking agents-  (^) hemorrhage stroke- due to CSF fluid escaping- causes severe headaches, fluid w/blood patch  (^) Affects bowel & bladder- can’t pee or have BM, HTN, headaches  (^) Pre-operative care- education  (^) Post-operative - interventions  (^) Pulmonary embolism- DVT that travels to lungs.  (^) Typically due to fracture of long bone or surgical repair. Patient reports: something feels wrong, can’t breathe, SOB  (^) TX: Heparin 1st, then Warfarin  (^) Heparin prevents clots from forming, does not break them down.

Module 4

 Peptic ulcer disease- acid reflux

 (^) TX: antibiotics, acid reducing meds AVOID NSAIDS

 Paralytic ileus- ambulate, NPO

 Gastroesophageal reflux disease- proton inhibitors- Pantoprazole, Cimetidine, Famotidine

 (^) Avoid foods  (^) Premord conditions  (^) Education-

 GI bleed- upper- dark, tarry stool, gag. Lower-bright red bleeding

 (^) Tx:proton pump inhibitor (PPI), omeprazole, esomeprazole

 Ulcerative Colitis- inflammation localized to colon, effects the lining of the GI, severe abdominal

pain, swollen abdomen, pallor, Increased Hr & Temp

 (^) Tx- corticosteroids- Golimumab, Methylprednisolone

 Peritonitis- caused by bacteria or fungi. Commonly caused by perirenal dialysis.

 (^) TX; antibiotics, iv fluids

 Gastroenteritis- caused by virus- ask how many times urinated per day?

 (^) Acidosis- too much diarrhea Alkalosis- too much vomiting  (^) Tx: fluids, due to dehydration

General Topics  (^) Medication calculation  (^) Prioritization