NURS 239 Final Exam Questions Correct 100%

Patient is allergic to penicillin, what other antibiotic could the patient be allergic to as well? - ANSWER Rocephin What is a side effect of aminoglycosides? - ANSWER Ototoxicity, check hearing loss What does the nurse do if vanco levels come back too high? - ANSWER hold the medicine and call the doctor A nurse is caring for a C. Diff patient, what interventions/precautions are correct to take? - ANSWER -wash hands with soap and water -clean with bleach -DO NOT give patient immodium -contact precautions (enteric) Patient comes into the ER with a stable blood pressure, has a fever, is septic, but is not in shock yet, what is the priority intervention? - ANSWER -cultures -antibiotics -fluids -tylenol How do you determine adequate tissue for your patient? - ANSWER -MAP is 65 -adequate urine output -Good LOC -good cardiac output How would you know if the GI tract is affected after a trauma? - ANSWER -paralytic ileus -hypoactive bowel sounds The nurse is caring for a patient with DIC, what interventions should be implemented? - ANSWER -bleeding precautions -No IVs or injections -Avoid rectal tubes or probes -Oral care done with a soft toothette What will the labs of a DIC patient look like? - ANSWER -Increased D.dimer -FDP increased -decrease in platelets What type of bioterrorism needs to be in airborne/droplet precautions? - ANSWER Ebola and Smallpox A patient dies from anthrax inhalation, what should be done with the body? - ANSWER -everything must be burned Order of PPE application - ANSWER gown, mask, goggles, gloves Order of PPE removal - ANSWER gloves, goggles, gown, mask How will smallpox present compared to chickenpox? - ANSWER presents on the face extremities, lesions looks the same You're the nurse triaging after a mass casualty, a 20 year old pregnant women is not breathing and you're unable to get a open airway, what tag will she recieve? - ANSWER Black You're the nurse triaging after a mass casualty, a 17 year old boy presents with a broken leg and no other problems, what tag will he recieve? - ANSWER Green If the patient has a low BP, high HR, infection, blood sugar is also high, what is the PRIORITY intervention? - ANSWER -Give fluids -blood pressure must be treated first! If the patient is in septic shock, their CVP is decreased, urine output is low, what order would you question from the physician? - ANSWER Lasix hyperdynamic phase of septic shock - ANSWER -decreased BP -increased temp -increased RR -warm flushed skin hypodynamic phase of septic shock - A Patient is allergic to penicillin, what other antibiotic could the patient be allergic to as well? - ANSWER Rocephin What is a side effect of aminoglycosides? - ANSWER Ototoxicity, check hearing loss What does the nurse do if vanco levels come back too high? - ANSWER hold the medicine and call the doctor A nurse is caring for a C. Diff patient, what interventions/precautions are correct to take? - ANSWER -wash hands with soap and water -clean with bleach -DO NOT give patient immodium -contact precautions (enteric) Patient comes into the ER with a stable blood pressure, has a fever, is septic, but is not in shock yet, what is the priority intervention? - ANSWER -cultures -antibiotics -fluids -tylenol How do you determine adequate tissue for your patient? - ANSWER -MAP is 65 -adequate urine output -Good LOC -good cardiac output How would you know if the GI tract is affected after a trauma? - ANSWER -paralytic ileus -hypoactive bowel sounds The nurse is caring for a patient with DIC, what interventions should be implemented? - ANSWER -bleeding precautions -No IVs or injections -Avoid rectal tubes or probes -Oral care done with a soft toothette What will the labs of a DIC patient look like? - ANSWER -Increased D.dimer -FDP increased -decrease in platelets What type of bioterrorism needs to be in airborne/droplet precautions? - ANSWER Ebola and Smallpox A patient dies from anthrax inhalation, what should be done with the body? - ANSWER -everything must be burned Order of PPE application - ANSWER gown, mask, goggles, gloves Order of PPE removal - ANSWER gloves, goggles, gown, mask How will smallpox present compared to chickenpox? - ANSWER presents on the face extremities, lesions looks the same You're the nurse triaging after a mass casualty, a 20 year old pregnant women is not breathing and you're unable to get a open airway, what tag will she recieve? - ANSWER Black You're the nurse triaging after a mass casualty, a 17 year old boy presents with a broken leg and no other problems, what tag will he recieve? - ANSWER Green If the patient has a low BP, high HR, infection, blood sugar is also high, what is the PRIORITY intervention? - ANSWER -Give fluids -blood pressure must be treated first! If the patient is in septic shock, their CVP is decreased, urine output is low, what order would you question from the physician? - ANSWER Lasix hyperdynamic phase of septic shock - ANSWER -decreased BP -increased temp -increased RR -warm flushed skin hypodynamic phase of septic shock - A