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NURS 4700 NURSING CONCEPTS AND INTERVENTIONS EXAM 2 STUDY GUIDE RATED A MARQUETTE UNIVERSITY
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NURS 4700 NURSING CONCEPTS AND INTERVENTIONS EXAM 2 STUDY GUIDE RATED A MARQUETTE UNIVERSITY
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NURS 4700 NURSING CONCEPTS ANDINTERVENTIONS EXAM 2 STUDY GUIDE RATED
A MARQUETTE UNIVERSITY
,What are some metabolic emergencies?
✔✔1. SIADH: common in lung cancer
-Sx: weight gain without edema, weakness, anorexia, N/V
-Tx: fluid restriction, 3% NS infusion, consider lasix
2. Hypercalcemia: common in mets bone cancer
-Sx: depression, fatigue, muscle weakness, elevated serumcalcium
-Tx: hydration and diuretics
What is cardiac tamponade?
✔✔-Fluid accumulation in the pericardial sac, constriction of the
pericardium or pericarditis from radiation and common in lung cancer
-Sx: heavy chest, dyspnea, tachycardia, cough
-Tx: EMERGENT remove fluid
Difference between symptomatic interpretation model and symptom
management model
✔✔-Symptomatic interpretation: nurse interprets the patient's pain as what
the patient states
-Symptom management: >3 related symptoms that occur at the same time,
cluster care so it addresses more than 1 symptom
What is the pinwheel model of bereavement?
✔✔-Views loss as unique, lived experience; personal history is center of
model, cyclical movement through grief
-Inner experiences: being stopped, pain/hurting, missing, holding, seeking,
valuing
, What are the stages of organ transplant?
✔✔1. Candidate evaluation, recipient selection
2. Matching: organ procurement and transplantation network
3. Transplant surgery
4. Immediate postoperative recovery: maintain F+E, prevent infection, sx
of rejection
5. Long-term patient management
Who is the organ procurement coordinator?
✔✔-Handles the entire process of organ transplants
-Communicates between donor/donor family and medical team
-Contacted after donor's brain injury
What is the primary donor network
✔✔-Organ Procurement and Transplant Network: the transplant system in
the US; links all professionals involved in the US donation and
transplantation system
What is the brain death criteria?
✔✔-Coma or unresponsiveness
-Absence of brainstem reflexes
-Apnea
Issues with lack of donors and HOPE law for donation
✔✔-Issues: >116,000 people on OPTN waiting list. Individuals constantly
added to list, others pass away waiting for organs
-HOPE act: called for the use of organs from HIV-positive donors for
transplantation into HIV-positive candidates
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