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MOC FINAL EXAM QUESTIONS & ANSWERS 100% CORRECT!!
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MOC FINAL EXAM QUESTIONS & ANSWERS 100% CORRECT!!
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MOC FINAL EXAMQUESTIONS &
ANSWERS 100%
CORRECT!!
MOC
Evatee 8/7/24 MOC
,MOC FINAL EXAM QUESTIONS & ANSWERS
100% CORRECT!!
What medications should the nurse document for a pre-op patient? Answer -
Ginger, gingko, ginseng, garlic, warfarin, heparin, aspirin, recreational drugs
What are the priority nursing interventions for a patient undergoing surgery?
Answer - Consent, IV access, bowel prep/skin prep, advanced directives, power
of attorney, NPO 8-12 with conscious sedation or general anesthesia*
What needs to be done in regard to the WBC to determine the possible cause
of the infection? Answer - CBC w/ differential
What does elevated neutrophils indicate? Lymphocytes? Eosinophils? Answer -
bacterial
viral
allergies & parasites
What does a culture & sensitivity test tell us?
How long does it take to get results back? Answer - culture - type of organism
growing
sensitivity - what antibiotic the bacteria responds/resistant to
24-48 hr
Rule for C&S and when do give antibiotic Answer - Do C&S first before starting
on antibiotic
,When is ESR elevated? Answer - infection/inflammation
What is the difference in an antibody screening test in comparison to an
antigen test? Answer - Antigen- tells us if you have an active disease/active
pathogen
Antibody - tells us if person has ever been exposure to pathogen, tells us if they
have antibodies against it
Early signs of hypoxemia?
Late? Answer - E: mild confusion/forgetfulness, cyanosis in distal extremities,
can't sit still, irritable, tachycardia, tachypnea
L: severe confusion, unresponsive/coma, bradycardia
ABGs
What do they look at?
Interventions? Answer - O2 & PaO2 levels; acid-base balance
put pressure after drawing blood from artery, blood is placed in heparinized
syringe & on ice. Time and date it and also how much oxygen they were on
When should a TB test be read?
What is the measurements (high risk, general population &
immunocompromised) Answer - 48-72 hrs
10 mm
15 mm
5 mm (immunocompromised, HIV, chronic steroid use)
Pre-op interventions for bronchoscopy
, & Post Answer - Pre: lidocaine & hurricane spray to numb gag reflex, NPO,
consent
Post: check for gag reflex
Expected findings post bronch & not expected/complication findings Answer -
sore throat & cough, if biopsy was also done: cough up blood tinged sputum
persistently high temp, WBC staying high - infection
How is a patient positioned during a thoracentesis?
What must the client do during the procedure?
How are they positioned afterwards? Answer - Leaning forward on bedside
table
Hold still
Lay on unaffected side
S&S of influenza
Care Answer - cough, SOB, fever, malaise, body aches
rest, hydration, tamiflu
What is the main complication of influenza? What is the main sign influenza is
turning into this? Answer - Pneumonia; crackles
If you know you have someone is coming up with a new trach, what do you
want in the room? What happens if it becomes dislodged? Answer - oxygen,
suction, ambu bag, obturation, 2 replacement trachs (one same size, one size
smaller)
call for help, oxygenate & get trach back in
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