Exam (elaborations)
NUR 321 Final Exam
Exam of 12 pages for the course NUR 321 - problems with excretion - renal system p at NUR 321 - problems with excretion - renal system p (NUR 321 Final Exam)
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NUR 321 Final Exam"OBRA 87" -- Omnibus budget Reconciliation Act - ANS-Legal act that imposes strict
standards on the use of restraints in long term care fascilities
6 Ps circulation assessment - ANS-1. Pain
2. Pulse
3. Pallor
4. Paresthesia
5. Paralysis
6. Poikilothermia
Age related changes that impact pharmacokinetics - ANS-1. Decreased body water
2. Decreased lean mass
3. decreased CO
4. Decreased serum albumin
5. decreased kidney function
6. increased adipose tissue
Blue bloaters - ANS-Chronic Bronchitis (COPD)
1. Inflammation
2. Excessive mucus production
3. Hypoxia
4. Hypercapnia
5. Cyanotic
6. Bloated
7. Cough
8. Rhonchi and wheezing
9. Peripheral edema
Cataracts - ANS-lens opacity
Characteristics of living wills - ANS-1. Legal document
2. made when the person is competent
3. Based on informed consent
4. Instructs the medical team of the patient's wishes
5. Varies from state to state
, 6. Must be recorded in the patients medical record
7. Includes wishes related to terminal care, life sustaining meausures
Compensated vs uncompensated heart failure - ANS-Compensated= chronic heart
failure
Uncompensated= acute heart failure
Complications of DMII - ANS-1. Peripheral Neuropathy
2. Cataracts
3. Glaucoma
4. Nephropathy
5. Stroke
6. Coronary artery disease
7. peripheral vascular disease
8. Poor wound healing
Complications of end stage renal failure - ANS-1. Hypertension
2. Hyper/hypovolemia
3. Muscle cramps
4. Neuro changes
5. GI bleeding
6. Infection
7. Anemia
Components in end of life care - ANS-1. Initial and ongoing assessments
2. Pain meds
3. Manage side effects (nausea/constipation)
Coronary artery disease - ANS-Blood is unable to flow through coronary arteries
causing ischemia or infarction
Diagnostics for diverticulitis - ANS-1. CT scan
2. MRI
3. Ultrasonography
Dietary considerations for older adults with CRD or ESRF - ANS-High calories and
carbs
Low protein, potassium, and phosphorus
Limit sodium
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