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COMP 283 FINAL EXAM WITH ALL ANSWERS.
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COMP 283 FINAL EXAM WITH ALL ANSWERS.
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COMP 283 FINAL EXAM WITH ALLANSWERS
Deligation to UAP - correct answer-Transfer a duty. b b b bb b b b
they can get V/S, after RN has gotten initial set.
b b b b b b b b b
ambulate as long as pt has been cleared for weight bearing status.
b b b b b b b b b b b
re-ENFORCE education that RN has taught b b b b b
assist with ADL's b b
CPR
document I&O's b
glucose check, finger stick, per facility protocol
b b b b b b b
12 lead EKG, per facility protocol
b b b b b b
turn & reposition
b b
Delegation to LPN - correct answer-med administration, enteral feedings, urinary Cath
b b b bb b b b b b b
insertion, suctioning, tracheostomy care, reinforcement of pt education
b b b b b b b b
RN job duties remember neumonic - correct answer-ADPIE
b b b b b bb b
A-assessment b
D-diagnosis b
P-planning
I-implementation
E-evaluation
NG tube placement - correct answer-pH paper.
b b b bb b b
xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and
b b b b b b b b b b b b
amt), monitor nasal skin around tube, monitor tubing for kinks & "plugs", continue to
b b b b b b b b b b b b b b
assess BS's and abdominal girth, pain, **aspirate contents & irrigate the tube w/ 30 mL of
b b b b b b b b b b b b b b b b
NS q 4 hrs or as ordered by hcp
b b b b b b b b b
,NG assessment - correct answer-1st turn OFF suction
b b bb b b b b
verify placement b
can irrigate with sterile saline
b b b b
SCD's on (high risk for clots and pneumonia)b b b b b b b
turn & reposition b b
Peptic Ulcer Disease - correct answer-A break or ulceration in the protective mucosal
b b b bb b b b b b b b b
lining of the lower esophagus, stomach, or duodenum
b b b b b b b b
coffee ground emesis (old blood) b b b b
NPO, NG tube b b
triple therapy 2 antibiotics and 1 PPI
b b b b b b
could have an active bleed b b b b
H. pylori
b
early stage cirrhosis - correct answer-enlarged liver
b b b bb b b
jaundice
GI disturbances
b
weight loss b
increase protein b
late stage cirrhosis - correct answer-liver becomes smaller and nodular
b b b bb b b b b b
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
b b b b b b b b
bleeding tendancies, decreased vitamin K and prothrombin, anemia b b b b b b b
esophageal varices, internal hemorrhoids b b b
dyspenia (from ascites and anemia) b b b b
pruritis from dry skin b b b
clay colored stools; no bile in stool
b b b b b b
tea colored urine; bile in urine
b b b b b
End stage cirrhosis - correct answer-hepatic encephalopathy/coma
b b b bb b b
portal hypertension - correct answer-A potential complication of chronic alcoholism
b b bb b b b b b b
resulting in liver damage and obstruction of venous blood flow through the liver. The
b b b b b b b b b b b b b b
rising blood pressure in the veins between the gastrointestinal tract and liver causes
b b b b b b b b b b b b b
engorgement of veins around the umbilicus (navel). The characteristic radiating pattern
b b b b b b b b b b b
of veins is called a "caput medusae" (head of Medusa). Medusa was the "snake-haired
b b b b b b b b b b b b b b
lady" in Greek mythology.
b b b b
end-stage cirrhosis b
self breast exam - correct answer-Monitor for any change in size, contour, dimpling.
b b b bb b b b b b b b b
Perform exam every month, 7 days after your period. Use finger pads of the three middle
b b b b b b b b b b b b b b b b
fingers.; lay down arm up, or stand in front of mirror
b b b b b b b b b b b
postmenopausal (or MEN) - pick same day every month b b b b b b b b
self testicular exam - correct answer-Looking for lumps that may be the first sign of
b b b bb b b b b b b b b b b
cancer common in men ages 15-35
b b b b b b
perform in shower, roll 'ball' between fingers b b b b b b
, Addison's disease - correct answer-A rare, chronic endocrine disorder in which the
b b bb b b b b b b b b
adrenal glands do not produce sufficient steroid hormones.
b b b b b b b b
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
b b b b b b b
need life long cortisol replacement
b b b b
Monitor for addisonian crisis b b b
Addisonian crisis - correct answer-N/V confusion, abdominal pain, extreme weakness, b b bb b b b b b b
hypoglycemia, dehydration, EXTREME decreased BP
b b b b b
triggered by stress or infection b b b b
MEDICAL EMERGENCY b
Cushing's syndrome - correct answer-caused by prolonged exposure to high levels of
b b bb b b b b b b b b
cortisol
b
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue, muscle
b b b b b b b b b b b b
weakness, depression/anxiety, hypertension, hypernatremia (polydipsia),
b b b b b
hypokalemia, hyperglycemia
b b
Nutritional needs for infant - correct answer-breast or bottle MAIN source of nutrition for
b b b b bb b b b b b b b b
first year
b b
no juice
b
no honey (not even pacifier dip)
b b b b b
no water
b
no sugar
b
Warfarin - correct answer-Coumadin b bb b
Anticoagulant b
used in A-fib and DVT b b b b
bVit K is the antidote for OD
b b b b b b
INR therapeutic range 2-3
b b b
PT 1.5-2X the normal
b b b
Inerdisciplinary team (rounds) - correct answer-late stage Parkinson's b b b bb b b b
cystic fibrosis b b
MS
dialysis
pts who DO NEED; multidemeantional needs, do they have 2 or more of the needs in the
b b b b b b b b b b b b b b b b
hierarchy triangle
b b
PT NEEDS REHABILITATION
b b
Car seat safety - correct answer-Use rear-facing car seat in back seat, preferably the
b b b bb b b b b b b b b b
middle until age 2 or until the child reaches max height and weight
b b b b b b b b b b b b b
anchored in the car!!!! b b b
emergent - correct answer-require immediate treatment to survive b bb b b b b b b
ABC issues b
trach deviation b b
loss of life or limb
b b b b
airway obstruction b b
cardiac arrest b
shock
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