NR 341 exam bundle(graded A)

Describe the prevention levels of trauma & examples of each. - Answer- ●Primary; PREVENTS an event ex: driving safety classes, speed limits, anti drinking & driving campaigns ●Secondary; MINIMIZES an impact ex: seat belt use, airbags, car seats, helmets ●Tertiary; MAXIMIZE the outcome ...

What are medications for angina and MI? - Answer- MONA (ONAM is correct order) + beta blocker Important nursing considerations for a patient that had a cardiac catheterization - Answer- -HOB no higher than 30 degrees -Keep the affected extremity straight -Stay on bed rest for 4-8 hrs -If pt co...

Normal ICP - Answer- - 0-15 - >20 you're concerned What does Increased ICP do to CPP? - Answer- - Cerebral Perfusion Pressure decreases - leads to cerebral ischemia and then brain death Normal CPP - Answer- 60-100 (<55 patient will die) How do you calculate CPP? - Answer- MAP - ICP...

What is the rationale for using preoperative checklists on the day of surgery? a. The patient is correctly identified b. All pre-op orders are carried out, records are complete c. Family is informed where they can wait for the patient d. Pre-op meds are the last procedure before going to the O...

What are 3 causes of adrenal crisis? - Answer- Damaged adrenal cortex, adrenalectomy, and damage to the pituitary gland. What does cortisol do? - Answer- It's the stress hormone that helps the body deal with stress, increase blood sugar levels, and balance electrolytes. What are the 5 S's an...

Acute Kidney Injury - Answer- -rapid-onset disease of the kidneys resulting in a failure to produce urine -most common cause: sepsis -will see: hyperkalemia, dialysis daily, possibly reversible oliguric phase - Answer- <400ml/day, U/A= casts, RBCs, WBCs, sp gr 1.010, metabolic acidosis, incr...

Priority of assessment in trauma clients - Answer- ABCDEFGHI · Alertness and Airway · Breathing · Circulation · Disability (neuro check) · Exposure and Environmental Control (get them naked and search) · Facilitate Adjuncts (vitals) and Family Presence · Get Resuscitation Adjuncts (L...

Pre-renal - Answer- above the kidney structure- a pump problem, if patient is hypotensive or in a shock, the perfusion/volume is no longer doing to the kidney Intrarenal - Answer- the kidney itself- anything to do with structure, meds such as antibiotics (NSAIDS), contrast dye, acute tubular necr...

How long to intervene for Trauma Patient? - Answer- 1 hour-- golden hour primary prevention - Answer- avoid development of disease or disability in healthy individuals Secondary Prevention - Answer- intervention implemented after a disease has begun, but before it is symptomatic teritiary p...

Cardiac output - Answer- heart rate x stroke volume Preload - Answer- -amount of blood in the ventricles before contractions Afterload - Answer- -how hard the heart needs to pump to push blood out Contractility - Answer- -force and velocity of ventricle ejection Compliance - Answer- -abi...

Cardiac output - Answer- 4-8 L/min Cardiac index - Answer- 2.5-4.2 L/min/m2 Central venous pressure (CVP) and right atrial pressure (RAP) - Answer- 2-6 mm Hg Left atrial pressure (LAP) and pulmonary artery occlusion pressure (PAOP) - Answer- 8-12 mm Hg PAS - Answer- 15-25 mm Hg PAD - ...

Organ Donation Triggers - Answer- 1. talk about ventilator withdrawal/terminal wean 2. comfort care measures 3. GCS < or = 5 4. Brain death testing 5. Positive apnea test Apnea Test - Answer- -ran for 8-10 mins -take patient off vent but keep O2 -positive: no respiratory movement = incr...

Which of the following professional organizations best supports critical care nursing practice? a. American Association of Critical-Care Nurses b. American Heart Association c. American Nurses Association d. Society of Critical Care Medicine - Answer- a The synergy model of practice focuses o...

high school student comes to ed with headache, fever, and neck pain - Answer- expect lumbar puncture bc indicative of bacterial meningitis Status epileptics medication - Answer- benzodiazepines (Lorazepam (ativan) is drug of choice) When the first line drugs are not effective for status epilep...