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NUR356 Exam Study Guide with Complete Solutions

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NUR356 Exam Study Guide with Complete Solutions Standard 8: Recognising and responding to Clinical Deterioration in Acute Health. - Answer--Recognise failing respiratory, cardiovascular, and neurological -Allocates points to measure routine vital signs. -An increased score indicates an increas...

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  • October 6, 2024
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  • 2024/2025
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  • 2024/2025
  • 2024/2025
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024

NUR356 Exam Study Guide with
Complete Solutions

Standard 8: Recognising and responding to Clinical Deterioration in Acute Health. -

Answer✔✔--Recognise failing respiratory, cardiovascular, and neurological


-Allocates points to measure routine vital signs.

-An increased score indicates an increased risk of deterioration and death.

-Purpose of these charts is to support timely recognition of clinical deterioration.

Advanced life support (ALS) - Answer✔✔-- standardised approach to cardiac arrest

management

-• Nurse to analyses the rhythm and decide if it's a shockable rhythm such as VF or

pulseless VT or to continue with CPR if it's Asystole or PE

ALS Drugs - Answer✔✔-Adrenaline: Shockable and Non-Shockable

-1mg bolus (10ml of 1:10,000) or (1ml 1:1000)

• Vasoconstriction leads to an increase in coronary and cerebral perfusion

• Increases coronary and cerebral blood flow



Amiodarone: Shockable Only

-300mg bolus diluted in 20ml of 5% dextrose

• Anti-arrhythmic

• Increases the duration of the action potential and refractory period in atrial and

myocardium

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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YEAR ©2024 ALL RIGHTS RESERVED,
FIRST PUBLISH SEPTEMBER 2024
• AV conduction is slowed

Shockable - Answer✔✔-Ventricular Fibrillation (VF) & Ventricular Tachycardia (VT)

Non-Shockable - Answer✔✔--Asystole

-Pulseless Electrical Activity (PEA

4 Hs and 4 T's - Answer✔✔--Hypoxia

-Hypovolaemia

-Hypokalaemia

-Hypothermia



-Tension pneumothorax

-Tamponade

-Toxins

-Thrombosis

Post resus care - Answer✔✔--Re-evaluate A-E

-12 lead ecg

-Treat precipitating cause

-Aim for Sp02 94-98%

-Targeted temperature management

Endotracheal Tube (ETT) - Answer✔✔-Indications:

• Upper airway obstruction

• Apnea

• High-risk aspirations


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FIRST PUBLISH SEPTEMBER 2024



Equipment:

• Suction

• Laryngoscope

• Cuffed ETT tube

• Lubricant

Nursing care of an intubated patient - Answer✔✔-• Observing the physical signs of

the patient

• Observe Tidal volume and pressure.

• Gas exchange

• Lung auscultation every 2-4hrs for presence of secretions

• Maintain humidification

• Monitor vital signs

Oral hygiene every 2hrs (Prevent VAP

Central Line Catheter CVC - Answer✔✔-Benefits:

• Immediate access to the central venous system

• Reduced need for venepuncture

• Allows for continuous and rapid administration of medications and fluids



Risks:

• Increased risk of systemic infection

• Invasiveness of the procedure



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