NURS 4390_ Final Exam Study Guide.

NURS 4390_ Final Exam Study Guide. Nursing 4390; Study Guide Final Exam Winter Quarter 2022 There are 55 questions on the final exam, including multiple-choice, multiple select, matching, and one questions that asks you to put interventions in order in which they should be done. Most are critical thinking questions rather than simple knowledge. These types of questions help prepare you for the NCLEX exam. I suggest that you study the power points and fill in with the book. I also suggest that you review the following tables in the book: Table 48-10 Exercise for patients with diabetes mellitus; Table 48-16 comparison of hyper and hypoglycemia; Table 57-3 Types of strokes; Figure 57-4 Manifestations of right-brain and left-brain damage; Table 57-8 Emergency management; Table 60-7 Autonomic dysreflexia; Table 64-4 Joint protection and energy conservation; comparison of rheumatoid and osteoarthritis; Table 64-11 Protection of small joints; Table 46-12 Comparison of peritoneal and hemodialysis. If you have an older edition you should be able to find the tables by their titles. Inflammatory bowel disease; 4 questions • Antigen initiates the inflammation o Overactive and sustained inflammatory response • Malnutrition o May lead to anemia (decrease Hgb, albumin, and Hct) • TPN (total parental nutrition) o Hard on the liver o Do not put into the peripheral vein ▪ Because it can damage the vein ▪ It has to go in a PICC line • Complication: o Antibiotics: Metronidazole ▪ Infection related to open sores and wounds inside the body which are good reservoirs for bacteria to grow ▪ Steroids are immunosuppressants so patients are at an increased risk for infections • If patient is nauseous and vomiting o You would question NS IV infusion order since patient is most likely losing electrolytes ▪ It should be lactated ringers