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NUR 308 EXAM 2 Exam 200Questions and Answers (Latest Update 2024/2025)
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NUR 308 EXAM 2 Exam 200Questions and Answers (Latest Update 2024/2025)
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NUR 308 EXAM 2 Exam 200Questions andAnswers (Latest Update 2024/2025)
What is a complication of pericarditis - CORRECT ANSWERS Cardiac
tamponade
What is Bex Triad? - CORRECT ANSWERS S/S of cardiac tamponade.
Include:
-Hypotension
-Muffled heart sounds
-JVD
S/S of Pericarditis - CORRECT ANSWERS pericardial friction rub
chest pain when lying down
chest pain upon inspiration
Who is more prone to infective endocarditis? - CORRECT ANSWERS IV drug
users
What is a major complication of infective endocarditis? - CORRECT ANSWERS
Vegetative valve
Likely to become an embolism.
Vegetative growth can also lead to valvular stenosis + valvular insufficiency
Major manifestation of infective endocarditis - CORRECT ANSWERS Osler's +
Janeway Nodes (raised, red areas on palms + soles of feet)
Why do we want to continue monitoring heart sounds in a patient with pericarditis
and endocarditis? - CORRECT ANSWERS To determine if there are any new
murmurs. This indicates a worsening of the condition
What is an important patient teaching regarding infective endocarditis? - CORRECT
ANSWERS Source of bacteria is the ORAL CAVITY.
,NUR 308 EXAM 2 Exam 200Questions and
Answers (Latest Update 2024/2025)
High risk individuals should perform good oral hygiene.
Use soft toothbrush and NO IRRIGATION SYSTEMS!
What are some common forms of triggers to avoid in chronic condition? - CORRECT
ANSWERS Stress, surgery, ILLNESS
(promote vaccinations)
First Stage (Mild Stage) of Alzheimer's - CORRECT ANSWERS Can continue
to perform ADl's.
Loss of smell (earliest finding)
Personality changes
NEW MEMORY LOSS!
Misplace household items
*This person is in DENIAL*
Second Stage (MODERATE) of Alzheimer's - CORRECT ANSWERS Impairment
of cognitive functions (difficulty paying bills, financial difficulty)
Often go missing at this stage/ get lost
Become confused in order of time, place, then person.
Agitation + mood swings
Nursing Diagnosis for Stage 2 of Alzhemier's - CORRECT ANSWERS Risk for
Injury (poor impulse control, memory is poor, abused)
What should you do if an Alzheimer's patient is confused BUT calm? - CORRECT
ANSWERS Re-orient the patient.
,NUR 308 EXAM 2 Exam 200Questions and
Answers (Latest Update 2024/2025)
What should you do if an Alzheimer's patient is confused BUT agitated? - CORRECT
ANSWERS Utilize validation therapy/ diversion techniques/ re-direction
(activities)
Stage 3 of Alzheimer's - CORRECT ANSWERS Patient is FULLY DEPENDENT
for all ADL's.
Lose facial recognition
Traumatic relocation stress - CORRECT ANSWERS Person with Alzheimer's
moving from home environment --> hospital.
Will become more confused and agitated.
In which stage is the Alzheimer's patient more prone to abuse? - CORRECT
ANSWERS Second stage. Because of cognitive decline
Apraxia - CORRECT ANSWERS inability to use words/ objects correctly.
ex. Not knowing what to do with house keys
Aphasia - CORRECT ANSWERS Inability to speak and/or understand
Expressive- can't speak
Receptive- can't understand
Global- Both
Nursing Consideration: Request speech pathology referral
Nursing interventions for somebody that has difficulty with expressive aphasia
(speaking) - CORRECT ANSWERS Provide patient with pen + paper
, NUR 308 EXAM 2 Exam 200Questions and
Answers (Latest Update 2024/2025)
Use of gestures
Be patient
How is Alzheimer's diagnosed? - CORRECT ANSWERS Based on S/S and
ruling out other possible causes
What is the number one concern for an Alzheimer's patient? - CORRECT ANSWERS
Risk for Injury
-Silver alert program
-Assist with ADL's in home
-Remove clutter
-Dead bolt locks to go outside
-Alarms
What is a key point regarding an Alzheimer's individual? - CORRECT ANSWERS
a PREDICTABLE ROUTINE!
*Calm, Consistent, Predictable Environment*
Nursing Diagnosis for the Alzheimer's Patient - CORRECT ANSWERS Risk for
Injury
Chronic Confusion
Compromised Family Coping
Disturbed Sleep Pattern
What are the clinical manifestations of Parkinsons's dz? - CORRECT ANSWERS
Tremors at rest**
Rigidity (postural)
Akinesia/ bradykinesia
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