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PN 4006 FINAL TEST PN 4006 FINAL TEST
Typology: Exams
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What are the different levels of orientation? - ANSWERS-Alert Lethargy/somnolent Stuporous semi-comatose Comatose What number needs to go up for resp acidosis? - ANSWERS-PACO Normal ranges of PACO2 - ANSWERS- 35 - 45 Normal range of HCO3 - ANSWERS- 22 - 26 Normal range of ph - ANSWERS-7.35-7. Sa02 - ANSWERS- 95 - 100% Who do u not do cpr on - ANSWERS-DNR patients
How do u know pt is unconscious? - ANSWERS-No response to pain, verbal, light What is the circulating nurse? - ANSWERS-Assists in the OR by obtaining needed equipment and supplies- is not "scrubbed in" so that he/she may leave the operating suite to obtain needed items What is anesthesiologist responsible for? - ANSWERS-Vitals during surgery Maintaining anesthesia What meds do u give prophylactically? - ANSWERS-Antibiotics Risk factors before surgery - ANSWERS-Age Obesity Smoker Allergies What does agoraphobia mean? - ANSWERS-Fear of outside
What do we check for when doing blood transfusion? - ANSWERS- Cross check blood product. Monitor the transfusion for reaction. What can LPN's do during a blood transfusion? - ANSWERS-Lpn's can double sign when giving blood. 2 signatures required. Antibiotic first or blood first during transfusion? - ANSWERS-Both at same time if they have separate lines After surgery Pt has ulcer on the back they have not been moving. What should they do? - ANSWERS-Promote ambulation Reposition q2h Client admitted with diabetes. What should we do first? - ANSWERS- Check BG When does pt care start? - ANSWERS-Right away (after they walk into the hospital doors aka once admitted)
What is the procedure to get rid of pressure ulcer? - ANSWERS- Debridement- gets rid of debris Pt has colonoscopy first priority - ANSWERS-Assess vital signs Pt overdosed with opiods, what do we give? - ANSWERS- Narcan/naloxone Suprapubic catheter, what do we do? - ANSWERS-Keep skin dry and clean What do we worry about when we think of shellfish? - ANSWERS- Allergy risk If your pt has an indwelling catheter, how do we get a sterile specimen? - ANSWERS-Use a needle Post op what can we tell our patients? - ANSWERS-Discharge teaching Deep breathing exercises to re expand lungs cause resp depression can occur Pt has advance directive what do we do? - ANSWERS-Respect their wishes
Client complaining of pain, what can we do without a doctors order? - ANSWERS-Vital signs PQRST Any prn meds Pt IV not working, what can we do? - ANSWERS-assess iv How do we gather accurate baseline data - ANSWERS-Check charts for previous Ask family How do we assess a pt who is dehydrated? - ANSWERS-skin turgor Can pt who is dehydrated still cry? - ANSWERS-Yes PT on palliative what can we do? - ANSWERS-Comfort measures Not chasing pain What is denial? - ANSWERS-refusal to accept reality
What is bargaining? - ANSWERS-seeks to bargain to avoid loss. Patient says "let me live some more days and then I will be ready to go" What is acceptance? - ANSWERS--comes to terms with death/loss of loved one
Resp distress BP low HR high What does delegation mean? - ANSWERS-the process for a nurse to direct another person to perform nursing tasks and activities (within their scope of practice) Pt is npo and they're hungry, what can we offer them? - ANSWERS- Ice chips Pt has dried lips what can we do - ANSWERS-Petroleum jelly Vector borne - ANSWERS-Insect or animal is an intermediate host Vehicle transmission - ANSWERS-transmission by an inanimate reservoir (food, water, air) Food that makes u sick is considered what kind of transmission - ANSWERS-Vehicle transmission Contact precaution illnesses - ANSWERS-Rubella Cdiff
Chicken pox How does HIV spread? - ANSWERS-through bodily fluids (blood and sex) Is standard precautions enough to help prevent blood borne - ANSWERS-Yes Nosocomial infection - ANSWERS-hospital acquired infection What is it called when an antibiotic can't treat the infection? - ANSWERS-Antibiotic resistance MRSA(methicillin-resistant Staphylococcus aureus) Vagnial ph changes - ANSWERS-Normal flora gets destroyed=increased infection What does douching do to the vagina? - ANSWERS-Destroys normal flora What does mechanical defense mechanism mean - ANSWERS- coughing
Happens close to death Benefit of hospice vs home? - ANSWERS-Constant care from nurses Family coping/ is family capable enough to do everything pt needs at home? What does cluster activities mean? - ANSWERS-Bed change, bed bath and wound change at once to allow rest periods in between. Promotes adequate rest
