Exam (elaborations)
NUR 240 - Exam 4
Exam of 8 pages for the course NUR 321 - problems with excretion - renal system p at NUR 321 - problems with excretion - renal system p (NUR 240 - Exam 4)
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NUR 240 - Exam 4A in CAGE questionnaire - ANS-Annoyed by criticism of drinking?
acute rejection s/s - ANS-increased BUN
increased creatinine
weight gain
edema
increased BP
fever, chills, elevated WBC
graft swelling and tenderness
anaphylactic shock causes - ANS-Widespread hypersensitivity reaction
Foreign substances: antibiotics, NSAIDs, IVP, insects
anaphylactic shock meds - ANS-isotonic IV fluids, steroids, epinephrine,
vasoconstrictors, Benadryl, vasopressin
anaphylactic shock s/s - ANS-Hypotensive, increased pulse, dysrhythmias, dyspnea,
stridor, wheezes, SOB, laryngospasm, bronchospasm, pulmonary edema, edematous
(lips, eyelids, tongue, hands, feet, genitals), pruritis, pale, decreased cap refill,
decreased UO, histamine released
Mental status: restless, anxious, lethargic to comatose
Brain death criteria - ANS-Cerebral unresponsiveness
No spontaneous motor activity
Absent brainstem reflexes
Papillary, corneal, Oculocephalic, etc.
Absent cough/gag reflex with deep endotracheal suctioning
Absent respiratory drive to hypercarbia (PaCO2>60)
C in CAGE questionnaire - ANS-need to cut down on drinking?
cardiogenic shock causes - ANS-Myocardial infarction - most common cause
Cardiac tamponade, cardiac arrest, dysrhythmias (VF, VT), valvular dysfunction,
cardiomyopathy/CHF, CAD, complication of cardiac surgery, electrolyte imbalance (K,
Ca)
, cardiogenic shock medications - ANS-vasoconstrictors (norepinephrine), inotropes
(dopamine, dobutamine), vasodilators (nitroglycerin, nitroprusside), diuretics
cardiogenic shock s/s - ANS-Increased RR, JVD, crackles, Increased HR, then
decreased HR (due to pump failure)
Skin: cool, clammy, mottled skin, decreased capillary refill
Renal: low, dark, concentrated urine
Mentation: decreased LOC, restless, anxious, lethargic
CIWA scale - ANS-assess for:
nausea/vomiting
tremor
sweats
anxiety
agitation
disturbances
headache
orientation
compensatory stage of shock - ANS-increased HR, RR
pale, cool skin
IV fluid replacement
medication therapy
goal: restore BP and adequate tissue perfusion
Complications associated with TIPS procedure - ANS-Acute liver failure, hepatic
encephalopathy, hemorrhage, biliary injury, injury to surrounding organs, TIPS
thrombosis, TIPS dysfunction, TIPS migration
cross-matching - ANS-Before transplant to determine if potential recipient will react to
the donors organ. If negative, transplant may proceed. Routinely for kidney and
pancreas transplants
Cullen's sign - ANS-ecchymosis in umbilical area, seen with pancreatitis
E in CAGE questionnaire - ANS-Do you have an eye-opener first thing to steady your
nerves?
endoscopic retrograde cholangiopancreatography (ERCP) description - ANS-Invasive,
with contrast
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