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Exam (elaborations)

NU410 Exam 4 Study Guide with Complete Solutions

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  • NU 2024
  • Institution
  • NU 2024

NU410 Exam 4 Study Guide with Complete Solutions Lyme Disease Stage I - Ans:-- Within 4 weeks after bite, treated with doxycycline or penicillin - "Bulls eye rash" - Flulike symptoms Lyme Disease Stage II - Ans:-- 4-10 weeks after bite - Joint pain, memory loss, poor motor coordination, menin...

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  • October 24, 2024
  • 89
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 2024
  • NU 2024
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GraceAmelia
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NU410 Exam 4 Study Guide with
Complete Solutions


Lyme Disease Stage I - Ans:✔✔-- Within 4 weeks after bite, treated with doxycycline or penicillin


- "Bulls eye rash"


- Flulike symptoms


Lyme Disease Stage II - Ans:✔✔-- 4-10 weeks after bite


- Joint pain, memory loss, poor motor coordination, meningitis


Lyme Disease Stage III - Ans:✔✔-Arthritis, neuropathy, myalgia, myocarditis


Poisoning Treatment Goals - Ans:✔✔-- Remove or inactivate poison before it is absorbed


- Provide supportive care in maintaining vital organs systems


- Administer specific antidotes


- Implement tx to hasten elimination of the poison




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

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Alkaline Ingested Poisons - Ans:✔✔-Lye, drain cleaners, toilet bowl cleaners, bleach, nonphosphate

detergents, oven cleaners, button batteries


Acidic Ingested Posions - Ans:✔✔-- Toilet bowl cleaners, pool cleaners, metal cleaners; rust removers,

battery acid


- Bleach is mixed with an acid-containing toilet bowl cleaner, result will be the release of deadly chlorine

gas


Ingested Poisons - Ans:✔✔-- Can be corrosive


- Corrosive poisons include alkaline & acid agents that cause tissue destruction after coming into contact

with mucous membranes


Measures to remove the toxin or decrease its absorption in patients with ingested poisons - Ans:✔✔--

Use of emetics


- Gastric lavage


- Activated charcoal


- Cathartic when appropriate


- Administration of a specific antagonist as early as possible


- Other measures may include diuresis, dialysis or hemoperfusion


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




What don't want you to do in patients who've ingested corrosive poisonous agents - Ans:✔✔-Do not

induce vomiting as cause destruction of tissues by contact


True or False: A corrosive poison is an both an acidic and alkaline agent that causes tissue destruction

after contact - Ans:✔✔-True


Carbon Monoxide Poisoning - Ans:✔✔-- May occur as a result of industrial or household incident or

attempted suicide (fire suppression & motor vehicle exhaust)


- Colorless, odorless, & tasteless gas


Carbon Monoxide Poisoning Patho - Ans:✔✔-- Prevents O2 binding with RBC, thereby reducing O2-

carrying capacity of blood


- Hmg absorbs to CO 200 times faster than it absorbs O2


- Result is called carboxyhemoglobin & it does not transport O2


Carbon Monoxide Poisoning S/S - Ans:✔✔-- May appear intoxicated (from cerebral hypoxia), headache,

muscular weakness, palpitation, dizziness, & confusion which can progress into coma


- Skin can range from cherry-red (hallmark) to cyanotic to pale


- Pulse ox is not valid as hmg is well saturated (but not with O2, rather CO)


Carbon Monoxide Poisoning Nurse Management - Ans:✔✔-- Immediate tx


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- Reverse cerebral & myocardial hypoxia & to hasten elimination of carbon monoxide


- Carry patient to fresh air


- Loosen all tight clothing


- Initiate CPR if required; administer 100% O2


- Prevent chilling; wrap in blankets


- Keep patient quiet


- Do not allow patient to smoke or drink alcohol


Carbon Monoxide Poisoning Medical Management - Ans:✔✔-- 100% O2 is administered at atmospheric

or preferably hyperbaric pressures to reverse hypoxia & accelerated elimination of CO


- O2 is administered until CO level is less than 5%


- When unintentional CO poisoning occurs, contact health department


- A psychiatric consultation is warranted if poisoning was determined to be a suicide attempt


True or False: Carboxyhemoglobin is hemoglobin bound to carbon monoxide and therefore is unable to

bind with oxygen, resulting in hypoxemia - Ans:✔✔-True




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