Exam (elaborations)
NSG 304 Adult health final exam
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NSG 304 Adult health final exam
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NSG 304 Adult health final examAbsence seizures (petit mal) Correct Answers Children ou
tgrow absence in their
S/S daydreaming, for seconds, staring into space can 100 times
per day
acute pancreatitis Correct Answers Sudden inflammation of the
pancreas
Caused by obstruction such as gallstones
Sudden infection/
Acute symptoms
Severe pain
GI upset
Color around umbilicus bruised (ecchymosis)
advance consent Correct Answers Must be done before
procedure
Must be given freely
If the Pt does not fully sign consent, have to notify the surgeon
otherwise the procedure cannot be done
Must witness by a health professional
Age-related macular degeneration (AMD) Correct Answers
Account for more than 50% of blindness in older adults
Wet type- may have abrupt onset more serious fluid is leaking.
Anaphylaxis treatment Correct Answers Administer Oxygen
Give epinephrine
Antihistamine
Corticosteroids
,IV fluids
Vasopressor
Volume expanders to increase blood pressure
Monitor for shock: Hypovolemic, septic, anaphylactic
We need to know the cause of the anaphylaxis
Anemia Correct Answers Vitamin B12 for red blood cells
production
Should be taken with Vitamin C helps with absorption.
Anemia (B12) Correct Answers pernicious
anxieties surrounding anesthesia Correct Answers Pt can be
fearful of procedures (fearful of not waking up)
Listen to concerns of Pt and let the surgeon know about Pt
anxieties
This allows the surgeon to explain more about the anesthesia
Asthma Assessment Correct Answers ELEVATED WHITE
BLOOD CELLS/ EOSINOPHILS HIGH
Wheezing lung sounds
-cough
-SOB, chest tightness
-Symptoms worse at night or when trigger present
Concern if sputum is yellow or green
Pt may have more than one respiratory condition
Infection signs
Increased temperature
Asthma triggers Correct Answers Exposure to cigarette smoke
Mites
,Mold
Pollen
Pets
Food, such as eggs, milk, shellfish, peanuts
atonic seizure Correct Answers Falling or stumbling for no
reason
Lasting a few 15 seconds, wearing helmet, assess head injury
Atypical symptoms Correct Answers Eye blinking, jerking
movement of the lips last 10 seconds
basal insulin Correct Answers long-acting insulin (insulin
glargine) Lantas
Levemir
Bolus insulin Correct Answers short acting insulin
Aspart( novolog) 15-20 minutes before meals
Lispro
Fast acting and rapid acting
Want a quick result
BPH (benign prostatic hyperplasia) Correct Answers TURP-
transurethral surgery
CBI- continuous bladder irrigation 3 way Foley catheter after to
remove BLOOD CLOTS
Cataract treatments Correct Answers Eye drops, wearing dark
sunglasses
Surgical treatment only 1 time each eye
Avoid lifting more than 10ths
, Avoid sneezing, blowing nose
Avoid straining in bathroom
Take antibiotics. Eye drops, steroids
Allow 4-6 weeks
Catartact Correct Answers An opacity clouding of the lens of
the eye
Catartact discharge instruction Correct Answers Call HCP any
vision changes
Continuous flashing lights appear
Redness, swelling, pain increase
Type and amount of drainage increase
Causes of seizures Correct Answers Illness, infection, meds,
trauma, head strokes
CBI complications Correct Answers Hemorrhage- maintain
fluid volume balance due to risk of hypovolemia
BLEEDING SHOULD GRADUALLY DECREASE TO
LIGHT PINK IN 24 HOURS
If bright red after 24 hours, indicative of hemorrhaging.
Cholelithiasis (gallstones) Correct Answers Solid, round stones
in the gallbladder
2 types
PIGMENT- made from pigments of bile (green in color) cannot
be broken up must be taken out with surgery
CHOLESTEROL STONES- formed from cholesterol
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