NUR 245 FINAL STUDY GUIDE QUESTIONS WITH SOLUTIONS
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Course
NUR 245
Institution
NUR 245
Subjective data patient's verbal descriptions of their health problems
assessment, diagnosis, planning, intervention, evaluation What are the steps of the nursing process?
Diagnosis related to factors as evidenced by signs and symptoms What is a correct format for a nursing diagnosis?
Coping A p...
NUR 245 FINAL STUDY GUIDE
QUESTIONS WITH SOLUTIONS
Subjective data ✅patient's verbal descriptions of their health problems
assessment, diagnosis, planning, intervention, evaluation ✅What are the steps of the
nursing process?
Diagnosis related to factors as evidenced by signs and symptoms ✅What is a correct
format for a nursing diagnosis?
Coping ✅A person's cognitive and behavior efforts to manage stressors that seem to
exceed available resources. This includes emotion-focused coping and problem-
focused
Imagery ✅A type of "special place: of mental retreat
Relaxation breathing ✅Do in stressful situations. Focuses on diaphragm. 4x4
technique is helpful
stress meditation ✅state of increased concentration and awareness
sleep apnea ✅cessation of respirations for longer than 10 seconds during sleep
(complete or partial airway obstruction)
sleep apnea ✅caused by narrowing of air passages by relaxation of muscles and also
by the tongue and soft palate falling backward to cover the pharynx
obesity, age, neck circumference (>17), smoking, craniofacial abnormalities, (more
common in women after menopause) ✅Risk Factors of Sleep Apnea
snoring, morning headaches, hypercapnia, insomnia, bad sleep ✅Signs and
symptoms of sleep apnea
polysomnograph 5 or more apnea episodes with a 3-4% decrease in o2 stat ✅How do
you diagnose sleep apnea?
sleep on side, elevate head of bed. Avoid alcohol and lose weight ✅What are some
conservative treatments for sleep apnea?
CPAP machine ✅What are some treatments of severe sleep apnea?
, Ask questions and assess pt for stiffness, swelling, pain or difficulty moving, never push
beyond the resistance point or to the point of pain ✅What are some principles of ROM
exercises?
active ROM ✅When the patient can move his joints himself
passive ROM ✅when the patient needs help from the nurse to move his joints
Malignant Hyperthermia ✅A rare disorder characterized by hyperthermia with rigidity of
skeletal muscles than can result in death.
Family history ✅What is the most important thing to ask a patient when assessing for
malignant hyperthermia risk?
malignant hyperthermia ✅Results in muscle contracture, hyperthermia, hypoxemia,
lactic acidosis, and cardiac alterations. Also expected findings include tachycardia,
tachypnea and ventricular dysrhythmias. .
identify actual and potential patient problems that may occur as a result of anesthesia
and surgery and intervene ✅What is the primary goal of the PACU?
Respiratory care ✅What is a nurses biggest concern as the patient enters the PACU?
ECG and intense monitoring (especially respiratory system) ✅What is phase 1 of
PACU care?
circulation, respiration ✅Any evidence of inadequate _____________ or
_______________ in the PACU requires immediate intervention
ambulation ✅What is part of phase II of PACU care? And important for patients to do
as soon as they are able
As soon as they enter the PACU ✅When should you start explaining things to your
patient after surgery?
Obstruction from patients tongue ✅What is the most common cause of airway
compromise in the PACU?
laterally ✅What position should you put an unconscious patient for good airway
clearance?
Elevate head of bed and supine ✅What position should a conscious patient be in for
good airway clearance?
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