comp 283 final exam
Deligation to UAP - correct answer Transfer a duty.
they can get V/S, after RN has gotten initial set.
ambulate as long as pt has been cleared for weight bearing status.
re-ENFORCE education that RN has taught
assist with ADL's
CPR
document I&O's
glucose check, finger stick, per facility protocol
12 lead EKG, per facility protocol
turn & reposition
Delegation to LPN - correct answer med administration, enteral feedings, urinary Cath insertion,
suctioning, tracheostomy care, reinforcement of pt education
RN job duties remember neumonic - correct answer ADPIE
A-assessment
D-diagnosis
P-planning
I-implementation
E-evaluation
NG tube placement - correct answer pH paper.
xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and amt), monitor nasal
skin around tube, monitor tubing for kinks & "plugs", continue to assess BS's and abdominal girth, pain,
**aspirate contents & irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp
NG assessment - correct answer 1st turn OFF suction
,verify placement
can irrigate with sterile saline
SCD's on (high risk for clots and pneumonia)
turn & reposition
Peptic Ulcer Disease - correct answer A break or ulceration in the protective mucosal lining of the lower
esophagus, stomach, or duodenum
coffee ground emesis (old blood)
NPO, NG tube
triple therapy 2 antibiotics and 1 PPI
could have an active bleed
H. pylori
early stage cirrhosis - correct answer enlarged liver
jaundice
GI disturbances
weight loss
increase protein
late stage cirrhosis - correct answer liver becomes smaller and nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
, End stage cirrhosis - correct answer hepatic encephalopathy/coma
portal hypertension - correct answer A potential complication of chronic alcoholism resulting in liver
damage and obstruction of venous blood flow through the liver. The rising blood pressure in the veins
between the gastrointestinal tract and liver causes engorgement of veins around the umbilicus (navel).
The characteristic radiating pattern of veins is called a "caput medusae" (head of Medusa). Medusa was
the "snake-haired lady" in Greek mythology.
end-stage cirrhosis
self breast exam - correct answer Monitor for any change in size, contour, dimpling. Perform exam every
month, 7 days after your period. Use finger pads of the three middle fingers.; lay down arm up, or stand
in front of mirror
postmenopausal (or MEN) - pick same day every month
self testicular exam - correct answer Looking for lumps that may be the first sign of cancer common in
men ages 15-35
perform in shower, roll 'ball' between fingers
Addison's disease - correct answer A rare, chronic endocrine disorder in which the adrenal glands do not
produce sufficient steroid hormones.
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
need life long cortisol replacement
Monitor for addisonian crisis
Addisonian crisis - correct answer N/V confusion, abdominal pain, extreme weakness, hypoglycemia,
dehydration, EXTREME decreased BP
triggered by stress or infection
MEDICAL EMERGENCY
Cushing's syndrome - correct answer caused by prolonged exposure to high levels of cortisol
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue, muscle weakness,
depression/anxiety, hypertension, hypernatremia (polydipsia), hypokalemia, hyperglycemia
