nr224 nr 224 fundamentals final exam review latest 2022 2023 chamberlain college of nursing
Written for
Nursing
All documents for this subject (40009)
Seller
Follow
chinks
Reviews received
Content preview
NR I224 IFinal IExam IReview
• Bulimia INervosa
• Recurrent Iepisodes Iof Ibinge Ieating I(rapid Iconsumption Iof Ia Ilarge Iamount
I ofIfood I in Ia Idiscrete Iperiod Iof I time)
• A Ifeeling Iof I lack Iof Icontrol Iover Ieating Ibehavior Iduring Ieating Ibinges
• Recurrent I inappropriate Icompensatory Ibehaviors Ito Iprevent Iweight Igain, Isuch
IasIs elf-induced I vomiting, I use I of I laxatives I or Idiuretics, I strict I dieting I or Ifasting,
I orIvigorous I exercise
• Binge Ieating Iand I inappropriate Icompensatory Ibehaviors Ithat Iboth Ioccur,
IonIa verage, Iat I least I once I a I week I for I 3 I months
• Self-evaluation I unduly I influenced Iby Ibody Ishape Iand Iweight
• To Iprevent Ihypoglycemia, Ido Inot Iabruptly Idiscontinue ITPN Ibut Itaper
Irate Idown I to Iwithin I10% Iof I infusion Irate I1 I to I 2 I hours I before Istopping.
• Assess Ifor Isigns Iof I medical Itoxicity Iin Iolder Iadult Ibecause: I re duced
I glomerularIf iltration
• Majority Iof Iabsorption: Ismall Iintestine
• Indicate Ithe Iuse Iof I z-track: Ilast Ishot Iturned Iskin Ito Icolors
• GI Itract
o mouth, Iesophagus, Istomach, Ismall Iintestine, Ilarge Iintestine,
I rectum,Ia nus
o small Iintestine: Iduodenum, I jejunum, Iileum
o large Iintestine: Icecum, Iascending Icolon, Itransverse Icolon,
I descendingIcolon, I sigmoid I colon, I and I rectum
• Dose Iis Iincorrectly Iinte rpreted: INURSE Iis Iat I fault
• if Ipt. Irefuses Imedication: Iexplain Ipurpose/ Ieducate Iwhy Ithey Iare
I gettingIit/ I ask I why I they I don’t I want I to I take I it
• excrete Igaseous Imedication: Icough Iand Itake Ideep Ibreaths
• expired Imedication: Icall Iphysician
• Nurse I is I going Ito Iadminister Ipain I medication I for Ipt I with Ipe ripheral
I IV.IN otices I red I streak, I warm I and I tender I to I touch I = I Phlebitis-iv I site I that I is
I blown/bust, I and I the I fluid I just I starts I to I puddle: I DO INOT Igive Ipain I medication.
• Nurse I is Ipreparing I medication Ito Ipatients Iwith Isame Ilast Iname Iand
I didIN OT I check I identification I before I administering I medication: I return I to
I room I to I check I and I assess I pt.
• Pt Idid Inot Itake Idaily Iallergy Imedication Iin I the I morning Ibc I felt
ItooIdrowsy: Ichange I time I to I 9PM I so Idrowsiness Ioccurs Iwhen Ipt I is Isleeping
• Successful Igoal Iof Iconstipation: Isoft Istool
• Pt Iasks I if I she Iwill Ibe I needing Ito I have I the Ibag I(ostomy) Ion Iat Iall Itime:
I yesIbc I it I by-passes I the I large I intestine I and I constantly I oozes I liquid
• Concerned Iif Istoma Iis Iblue/purple/black
• REE: Iconsumed Iover I24 Ihour I period I for Ibody Ito I maintain Iall Iof I its
internal I working
• Pain I meds. ICause Iconstipation. I3 Idays Iwithout
I bowelImovement=constipated
,• Meet Inutritional Ineeds: Ido Inot Igain Ior Ilose Iweight I- Initrogen Ibalance-
Inegative I is I malnutrition, I positive-healing
• Breastfeeding Iis I necessary I for Ithe I first I4-6 Imonths Iof Ilife Cow’s Imilk
I can I be I drank I after I 1 I year
• PoorInutrition: Ishort Iattention Ispan; Idry, Ibrittle Ihair; Idry, Irough
I andIpale I skin
• Colorectal Icancer
o African-americans Iare Iat Ihighest Irisk
o Risk Ifactors: Ihigh Ianimal Ifats Iand Ired Imeat; Iobesity, Itype I2
I diabetes,Is moking, I and I heavy I alcohol
o Causes Iof Igyno ----obesity, Ialcohol, IliverIcirrhosis
o Warning Isigns: Ichange Iin Ibowel Ihabits; Irectal Ibleeding;
I incomplete Ie vacuation I and I unexplained I abdominal I or I back I pain
o Colonoscopy: Ievery I10 Iyears Iafter I50 Iyears
o Sigmoidoscopy: Ievery I5 Iyears IafterI50
o Pap Ismears: Iwomen Iget Ithis Itest Ievery Iyear
• C. Idiff: I wash Ihands Iwith Isoap Iand I water
• Infectious Iagent, Ireservoir, Iportal Iof Iexit, Imode Iof Itrans mission, Iportal
I ofIe ntry, I susceptible I host
• Measure Ifor ING Itube: Itip Iof Inose, Iearlobe, Ixiphoid Iprocess
• AdministerIeardrops
o Children: Ipull Iauricle Idown Iand Iback
o Adult: Ipull Iauricle Iupward Iand Ioutward
o Cotton
o Apply Igentle Ipressure Ito Itragus Iof Iear
• Toxicity: Ikidney Ifailure
• BMI Iof I28: Ioverweight
• Opioids: Iconstipation
• Alcohol I with Iopioids Iwould Imake Ithe Ieffect Iwork
I faster=synergisticIaffect
• Deltoid Ineedle: I22-25 Iand I1-1 Iand Ia Ihalf I in
• Valsalva Imaneuver: Idon’t Ihave IaIaging Iadult Ido Ithis
I becauseIintracranial I pressure
• Inserting Ia Isuppository: ILeft-side Iwith I(right) Iknee Ibent
• Feeding:
• Too I many Imedications, Iconcerned Iwith Iclogging: I(what Idoes Inurse Ido?)
o use Iliquid Iforms Iof Imedication, I if Ipossible
o flush Itube I with I30 Ito I50 ImL Iof Iwater Ior I normal Isaline Ibefore Iand
IafterImedication Iadministration Iand Ibefore Iand Iafter Ibolus I feeding
o flush Iwith I water Ievery I4 Ihours I for Icontinuous I feeding
o answer: Icall I the Ipharmacy Iand Iask Ithem I to Isend I you I liquid I form
IofImedications
• TPN Itotal Iparenteral I nutrition-through Ithe Icentral I line
• HTN I medication Iand Iorange Istool: Iquestion: I what I medications Ihave
IyouItaken Irecently
, • Laxative: Ilong-term Ican Icause Iconstipation
• Older Iadult: Icalcium Iand Ivitamin ID
• Candidate I for Itube: I throat Icancer
• nurse Ineeds I further Iteaching: I(always Iprepare I the Iregular I insulin I first)
o Draw IRegular I insulin I first, Ithen Ithe INPH I in Ithe Isyringe
o NPH Iis I intermediate
o insulin I garglane I(Lantis) I- Ialways Idrawn I in I its Iown Isyringe I(drawn Ialone)
o Regular Iinsulin I is Ithe IONLY Iinsulin I that’s Igiven IIV
• IV Iis Ithe Ifastest Iabsorption
• Topical Iis Ithe Islowest
• Enteral Ifeeding: Icannot Iingest Ifood Ibut Ican Idigest Iand
I absorbInutrients
• Stop Iusing IET Iwhen I75% Iof Ibody Ineeds Iare Imet, Itapering I method
• Inserted Iright Iinto Ithe Idigestive Itract Ilike Ia IJ-tube, IG-tube, ING Itube
o Candidates: Ifunctioning IGI
• Parenteral Ifeeding: Icannot Idigest, Iabsorb ----- proble m Iwith Ithe IGI Iso
you Ihave Ito Iget Ia Icentral Iline Iclose Ito Ithe Iheart
o Candidates: I NON Ifunctioning IGI
• Side Ieffect: Iunavoidable, Ipredictable
• Idiosyncratic Ieffect: Iover/under-reactionIorIdifferent Ireaction
IfromInormal, I unpredictable Iex: I like I if I CNS Istimulator I and I instead I of
I becoming I restless I and I have Ienergy I the I patient I falls I asleep
• At Irisk: I motorcycle Iaccident Ivictim
• Surgery: Iprimary I intention, Iclean I incisions, Iapproximated Iedges
• Burn: Isecondary Iintention, Iburns, Ipressure Iulcers, ISCARRING
• Tertiary Iintention: I left Iopen I for I7 Idays I until I necrotic Istuff I is I gone, Iand Ithen
I itIc loses- Ibecause I you Idon’t I want Ito I trap Ibacteria I in Ithe I wound
• Shallow Iopening: IStage III
• Nonblanchable: IStage II
• Nectrotic: IUnstageable, I need Ito Iremove I(debridement)
• Wound Ican’t Ibe Istaged Iuntil Iit’s Idebrided
• Classification Iof IPressure IUlcers
o Stage II: I intact Iskin I with Inonblanchable Iredness
o Stage III: Ipartial-thickness Iskin I loss I(epidermis, Idermis, Ior Iboth)
o Stage IIII: I full-thickness Itissue I loss Iwith I visible I fat
o Stage IIV: I full- thickness Itissue Iloss Iwith Iexposed Ibone, I muscle, Ior
Itendon,IEschar
• First Isign Iof I hypoxia: Irestlessness
• the I last Isign Iof I hypoxia I is: Icyanosis I (turning Iof Ithe Iskin Iblue)
• Administer Ianalgesic Iwithin I30 Ito I60 I minutes
o Dressing Ichange: Iprovide Ianalgesic I meds
• Acute Idistress Isyndrome: I give Ibronchodilator
• Atelectasis: Ibreathing Iexercises I- Ievery I1-2 Ihours I make I them Icough
IandIdeep Ibreath Iand I incentive Ispirometer I is I10 Iper I hour Iand I make Isure I to I inspire
Inot Iexpire I(use Iaccessory I muscles)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller chinks. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
