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NR 341 Exam 2: Questions With Verified Solutions CA$29.60
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Exam (elaborations)

NR 341 Exam 2: Questions With Verified Solutions

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  • NR 341
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  • NR 341

NR 341 Exam 2: Questions With Verified Solutions

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  • November 15, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 341
  • NR 341
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NR 341 Exam 2: Questions With Verified Solutions

Cause of pericarditis Right Ans - virus after MI, Rheumatic fever

What can pericarditis lead to Right Ans - cardiac tamponade

Assessment/indicators of pericarditis Right Ans - -complaints of localized
"pleuritic" chest pain that lasts a few seconds and increases with cough,
swallowing, and inspiration and is relieved with leaning forward
-pericardial friction rub
-ST segment elevation in ALL leads

Tx for pericarditis Right Ans - Pain relief → colchicine, indomethacin,
ibuprofen, or steroids
Antibiotics in presence of infection
Pericardiocentesis if effusion present

Indicated by muffled heart tones Right Ans - cardiac tamponade

Should be ruled out for any pt presenting with fever + new murmur (usually
bacterial) Right Ans - endocarditis

Assessment for endocarditis Right Ans - Fever lasting for several weeks,
medium-high grade
Headaches/Fatigue/Malaise/Weight loss
Exertional dyspnea + Cough
Murmurs may not be detectable
Skin changes: Pallor, purpura, petechiae
Osler's nodes (painful nodules in the phalanges)
Splinter hemorrhages (look @ fingernails)
Janeway lesions (macules on palms and soles)
Splenomegaly

Transesophageal echocardiography (TEE) Right Ans - gold standard dx for
endocarditis

Interventions for endocarditis Right Ans - Oxygen
Decrease activity while febrile
Obtain blood cultures

, Abx
Antipyretics
I&O
VS
Anti-inflammatories

prevention of endocarditis Right Ans - abx before invasive procedures

tx for endocarditis Right Ans - Tx: antipyretics, abx, rest
-may need a heart valve (last intervention)

Ventilator indications Right Ans - Hypoxemia = PaO2 ≤ 60 mmHg on FiO2 >
0.50
Hypercapnea = PCO2 ≥ 50 mmHg with pH ≤ 7.25
Progressive deterioration
↗ WOB, ↗ RR, ↘ VT

Endotracheal Suctioning PRN Right Ans - Hyperoxygenate (w/ 100% O2)
throughout procedure
Avoid normal saline instillation

Nasotracheal tube contraindicated in Right Ans - pt with skull/facial
fracture

Pt. has an ETT placed in, you don't see left lung expansion with inspiration...
what could be going on? Right Ans - Tube likely in the wrong place
Ex: it's in the esophagus
Likely in right bronchus

Fraction of Inspired Oxygen (FiO2): Right Ans - % of O2 the ventilator is
giving

possible causes of high pressure alarms Right Ans - kink in the tubing
↑ secretions
Mucus plug
Wheezing
Bronchospasm
Displaced ETT
Kink (or water) in tubing

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