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NUR 376 exam 2 Questions With Complete Solutions
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NUR 376 exam 2 Questions With Complete Solutions
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NUR 376 exam 2 Questions With Complete Solutions12 lead EKG chest placements Correct Answers V1 = right 4th
ICS
V2 = left 4th ICS
V3 = between V2 and V4
V4 = mid-clavicular, 5th ICS
V5 = anterior axillary, 5th ICS
V6 = mid-axillary, 5th ICS
12 lead EKG peripheral placements Correct Answers - left
ventral forearm
- right ventral forearm
- left distal pretibial
- right distal pretibial
3 goals with status epilepticus Correct Answers - stop seizure
ASAP
- ensure adequate cerebral perfusion
- remain seizure-free
ABG complication of MG crises Correct Answers respiratory
acidosis
ALS interventions/education Correct Answers - home aide as
needed
- fall precautions
- hobbies/activities to decrease depression
- give support to family/caregivers
- mobility, assistive lifts if needed
- utensils/eating devices
,ALS S&S Correct Answers - spasticity
- fatigue
- pain
- drooling
- constipation
- depression
- aspiration/dysphagia
- EOL signs = pain, dyspnea, delirium
amyotrophic lateral sclerosis (ALS) Correct Answers condition
of progressive deterioration of motor nerve cells resulting in
total loss of voluntary muscle control
assessment findings for Raynaud's Correct Answers - pallor,
blushing, numbness, tingling, burning pain
- episodes brought on by triggers (cold, stress)
assessment findings for VTE Correct Answers - calf
pain/tenderness
- unilateral calf edema
- skin color changes
- AMS
- respiratory changes (SOB, dyspnea)
atrial fibrillation Correct Answers - disorganized atrial
electrical activity without effective contraction
- atrial rate = 300-600 bpm
- irregular rhythm
- NO P waves
- NO PR interval (d/t no P wave)
, - narrow QRS complex
atrial fibrillation/flutter causes Correct Answers - HTN
- current/past heart attack
- CAD
- abnormal heart valves
- congenital heart defect
- stimulants (i.e. meds, caffeine, tobacco, alcohol)
- previous heart surgery
- viral infection
- stress
atrial fibrillation/flutter S&S Correct Answers - palpitations
- SOB
- fatigue/weakness
- lightheadedness
- chest pain
atrial fibrillation/flutter treatment Correct Answers -
antiarrhythmic medications
- anticoagulants
- beta blockers
- CCBs
- cardioversion
atrial flutter Correct Answers - ectopic atrial focus, slow
ventricular response
- atrial rate = 250-400 bpm
- regular rhythm
- *SAWTOOTH* P waves, observe ratio between
- NO PR interval (no measurable P waves)
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