NUR 337 Final Exam 2024 (Answered Verified
Solution
0-9
CIWA score that indicates absent to minimal withdrwal
10-14
CIWA score that indicates mild withdrawal (treatment with medication is required)
15-20
CIWA score that indicates moderate withdrawal, strong risk of delirium tremens
(shaking, confusion, hallucinations)
>20
CIWA score that indicates severe withdrawal
B12
Administer this to prevent Wernicke's syndrome
4; 8
Determine CIAW-Ar score every ___ hours until it is < ___ for 24 hours to assess needs
for medication
30-120
Delirium management should be for ________________ hours after the last drink
Diazepam, lorazepam, librium, antabuse, zofran
5 drugs used for alcohol withdrawal
Pre-contemplation
stage where patients may be aware of the costs off their addiction but they do not see
them as significant compared to the benefits; lack of interest in change; no intentions to
change
contemplation
people have become aware of the problems associated with their behavior but are
unsure if it is worth it to change; aware and open to change; desire change but lack
confidence and commitment
determination/preparation
people accept responsibility to change their behavior; develop a plan to make changes;
build confidence and commitment; have intention to change within one month
action
change efforts are self-directed; might get outside help; consciously choosing new
haveior; engaging in change actions for < 6 months; enthusiastic and gaining
momentum
maintenance
integrating change into their way of life; remaining alert to high-risk situations;
maintianing a focus on relapse prevention
termination
people to not react to temptation; have a happy life
Sex, age, depression, previous attempt, ethanol, rational thinking loss, social
support lacking, organized plan, no spouse, sickness
SAD PERSONS Scale
150,000-450,000
,Normal platelet count
500 mL
Vaginal birth should have an EBL of no more than
1000 mL
C-section should have EBL of no more than
Preterm labor
causes of this: multiple gestations, prior hx, cervical insufficiency, recurrents UTIs, DM,
HTN, CDK, overweight/underweight, smoking, substance abuse, lack of prenatal care,
stress
Magnesium sulfate
Treatment of PTL
Respirations and DTRs
what to monitor with mag sulfate
calcium gluconate
antidote in case of toxicity for mag sulfate
betamethason
corticosteroid administered to increase fetal lung maturity in case of PTL
empty bladder, left side lying, fluids, no sex
4 interventions to prevent PTL
Activity, pulse, grimace, appearance, respiration
what does APGAR stand for
passenger, passageway, powers, position, psychologic response
The five "P's" of labor
0-3 cm
Latent phase of 1st stage of labor
4-7 cm
active phase of 1st stage of labor
8-10 cm
Transition phase of first stage of labor
2.5 g
in a patient with CHF, sodium should be restricted to < _______/day
ACE inhibitors, Beta blockers, Diuretics, vasodilators, digitalis, potassium
supplements
Meds for HF (ABDVDP)
Entresto
Combination (Sacubitril and valsartan) HR drug; must DC ACE inhibitor at least 36
hours prior to starting; contraindicated in pregnancy
24/26 mg BID
recommended starting dose/frequency for pts taking Entrestor
Hypercalcemia
S/S include excessive thirst and urination, N/VC, constipation, bone pain, confusion,
lethargy, fatigue, and muscle weakness (over time)
Hypocalcemia
S/S include Positive Trousseau's or Chvostek's Sign, laryngeal stridor, dysphagia,
tingling around mouth or in extremeties, cardiac dysrhythmias
carpal spasm when inflating BP cuff
, What indicates a positive Trousseau's sign?
contraction of facial muscle from tap
what indicates a positive chvostek's sign
Labetalol
should not use this med if asthma, COPD, low BP, heart condition, HF, bradycardia;
used for HTN
100 mg PO BID
recommended starting dose/route/frequency for labetelol
10% dextrose
Parenteral nutrition cannot be given through peripheral IV if > _____ ___________
central line
Parenteral nutrition > 10% dextrose must be administered through what?
flashback; catheter
the tourniquet should be removed for a second time during IV instertion after a
_______________ is observed and the ____________ has been advanced off the stylet
B-type natriuretic peptide
diagnostic test most useful in determining whether a pateint has HF
60 mg
1 gr = how many mg?
5 mL
How many mL in one teaspoon?
15 mL
How many mL in one Tablespoon?
30 mL
how many mL in one oz?
B
What action would the nurse take first if an IV insertion site appeared red, warm, and
swollen?
A. Apply a heat pack
B. Discontinue the infusion
C. Change the dressing
D. Elevate the extremity the IV site is on
A, C, D, F
Which of the following should be AVOIDED when initiating and IV infusion?
A. The left arm of a pt who has a hx of a left masectomy
B. Site proximal to previous venitpuncture site
C. Sclerosed or hardened cordlike veins
D. Extremity with a dialysis shunt
E. Dorsal suface of the FA in an adult
F. Side of paralysis
A
When should the tourniquet be released a second time during the procedure for
insertion of a PIV?
A. After a "flashback" of blood is observed and the catheter has been advanced off the
stylet
B. Immediately after observing a "flashback of blood in the catheter
Solution
0-9
CIWA score that indicates absent to minimal withdrwal
10-14
CIWA score that indicates mild withdrawal (treatment with medication is required)
15-20
CIWA score that indicates moderate withdrawal, strong risk of delirium tremens
(shaking, confusion, hallucinations)
>20
CIWA score that indicates severe withdrawal
B12
Administer this to prevent Wernicke's syndrome
4; 8
Determine CIAW-Ar score every ___ hours until it is < ___ for 24 hours to assess needs
for medication
30-120
Delirium management should be for ________________ hours after the last drink
Diazepam, lorazepam, librium, antabuse, zofran
5 drugs used for alcohol withdrawal
Pre-contemplation
stage where patients may be aware of the costs off their addiction but they do not see
them as significant compared to the benefits; lack of interest in change; no intentions to
change
contemplation
people have become aware of the problems associated with their behavior but are
unsure if it is worth it to change; aware and open to change; desire change but lack
confidence and commitment
determination/preparation
people accept responsibility to change their behavior; develop a plan to make changes;
build confidence and commitment; have intention to change within one month
action
change efforts are self-directed; might get outside help; consciously choosing new
haveior; engaging in change actions for < 6 months; enthusiastic and gaining
momentum
maintenance
integrating change into their way of life; remaining alert to high-risk situations;
maintianing a focus on relapse prevention
termination
people to not react to temptation; have a happy life
Sex, age, depression, previous attempt, ethanol, rational thinking loss, social
support lacking, organized plan, no spouse, sickness
SAD PERSONS Scale
150,000-450,000
,Normal platelet count
500 mL
Vaginal birth should have an EBL of no more than
1000 mL
C-section should have EBL of no more than
Preterm labor
causes of this: multiple gestations, prior hx, cervical insufficiency, recurrents UTIs, DM,
HTN, CDK, overweight/underweight, smoking, substance abuse, lack of prenatal care,
stress
Magnesium sulfate
Treatment of PTL
Respirations and DTRs
what to monitor with mag sulfate
calcium gluconate
antidote in case of toxicity for mag sulfate
betamethason
corticosteroid administered to increase fetal lung maturity in case of PTL
empty bladder, left side lying, fluids, no sex
4 interventions to prevent PTL
Activity, pulse, grimace, appearance, respiration
what does APGAR stand for
passenger, passageway, powers, position, psychologic response
The five "P's" of labor
0-3 cm
Latent phase of 1st stage of labor
4-7 cm
active phase of 1st stage of labor
8-10 cm
Transition phase of first stage of labor
2.5 g
in a patient with CHF, sodium should be restricted to < _______/day
ACE inhibitors, Beta blockers, Diuretics, vasodilators, digitalis, potassium
supplements
Meds for HF (ABDVDP)
Entresto
Combination (Sacubitril and valsartan) HR drug; must DC ACE inhibitor at least 36
hours prior to starting; contraindicated in pregnancy
24/26 mg BID
recommended starting dose/frequency for pts taking Entrestor
Hypercalcemia
S/S include excessive thirst and urination, N/VC, constipation, bone pain, confusion,
lethargy, fatigue, and muscle weakness (over time)
Hypocalcemia
S/S include Positive Trousseau's or Chvostek's Sign, laryngeal stridor, dysphagia,
tingling around mouth or in extremeties, cardiac dysrhythmias
carpal spasm when inflating BP cuff
, What indicates a positive Trousseau's sign?
contraction of facial muscle from tap
what indicates a positive chvostek's sign
Labetalol
should not use this med if asthma, COPD, low BP, heart condition, HF, bradycardia;
used for HTN
100 mg PO BID
recommended starting dose/route/frequency for labetelol
10% dextrose
Parenteral nutrition cannot be given through peripheral IV if > _____ ___________
central line
Parenteral nutrition > 10% dextrose must be administered through what?
flashback; catheter
the tourniquet should be removed for a second time during IV instertion after a
_______________ is observed and the ____________ has been advanced off the stylet
B-type natriuretic peptide
diagnostic test most useful in determining whether a pateint has HF
60 mg
1 gr = how many mg?
5 mL
How many mL in one teaspoon?
15 mL
How many mL in one Tablespoon?
30 mL
how many mL in one oz?
B
What action would the nurse take first if an IV insertion site appeared red, warm, and
swollen?
A. Apply a heat pack
B. Discontinue the infusion
C. Change the dressing
D. Elevate the extremity the IV site is on
A, C, D, F
Which of the following should be AVOIDED when initiating and IV infusion?
A. The left arm of a pt who has a hx of a left masectomy
B. Site proximal to previous venitpuncture site
C. Sclerosed or hardened cordlike veins
D. Extremity with a dialysis shunt
E. Dorsal suface of the FA in an adult
F. Side of paralysis
A
When should the tourniquet be released a second time during the procedure for
insertion of a PIV?
A. After a "flashback" of blood is observed and the catheter has been advanced off the
stylet
B. Immediately after observing a "flashback of blood in the catheter
