MS1 Final exam study guide
Questions and Correct Answers the
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Arcus Senilus
✓ Page 371; is a milky white gray ring encircling periphery of the cornea; cholesterol
deposits in peripheral cornea
Nursing priority care for tuberculosis
✓ placed on airborne isolation, receive a medical work up including a chest x-ray,
sputum smear & culture; appropriate drug therapy;teach how to minimize exposure
to close contacts in household; home should be well ventilated; should sleep alone &
spend as much time as possible outdoor
Positioning a patient for thoracentesis or thoracotomy
✓ Position patient upright with elbows on an overbed table and feet supported. The
patient sits on the edge of a bed and leans forward over a bedside table.
Positioning unconscious patient
✓ Side-lying; maintain airway
Evaluation of treatment for infection
✓ Wound is healing; no signs of infection e.g. Redness, warmth & swelling; no
inflammation, no purulent drainage; wound is healing and granulation is present; skin
integrity is impairing
✓ Observe and report signs of infection such as redness, warmth, discharge, and
increased body temperature; keep wound clean, encourage fluids and high calorie
diets; good hygiene and standard precautions; give antibiotics as prescribed
Criteria for giving TPA for MI;
✓ Page 751; chest pain of acute MI six hours or less in duration; 12 lead ECG findings
consistent with acute MI and no absolute contraindications
patient contraindications for TPA
✓ Active bleeding; history of cerebral aneurysm; intracranial neoplasm; cerebral
hemorrhage; Ischemic stroke; closed head or facial trauma; suspected aortic
dissection
patient contraindications for TPA
✓ Active peptic ulcer disease; use of anticoagulants; pregnancy; ischemic stroke,
dementia; recent surgery or puncture; recent internal bleeding; terminal cancer,
severe liver or kidney disease; uncontrolled hypertension; Traumatic or prolonged
CPR
Risks for tinnitus
✓ Medications such as aspirin, and lasix given too fast I V; Ménière's disease
Risks for AML
✓ Children ages 0-7; increased risk in advancing age over 55
Priority intervention for AML
✓ Infection control
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