Exam (elaborations)
COMP 283 FINAL EXAM WITH ALL ANSWERS.
- Course
- Institution
COMP 283 FINAL EXAM WITH ALL ANSWERS.
[Show more]
Content preview
COMP 283 FINAL EXAM WITH ALLANSWERS
Deligation to UAP - correct answer-Transfer a duty. b b b bb b b b
they can get V/S, after RN has gotten initial set.
b b b b b b b b b
ambulate as long as pt has been cleared for weight bearing status.
b b b b b b b b b b b
re-ENFORCE education that RN has taught b b b b b
assist with ADL's b b
CPR
document I&O's b
glucose check, finger stick, per facility protocol
b b b b b b b
12 lead EKG, per facility protocol
b b b b b b
turn & reposition
b b
Delegation to LPN - correct answer-med administration, enteral feedings, urinary Cath
b b b bb b b b b b b
insertion, suctioning, tracheostomy care, reinforcement of pt education
b b b b b b b b
RN job duties remember neumonic - correct answer-ADPIE
b b b b b bb b
A-assessment b
D-diagnosis b
P-planning
I-implementation
E-evaluation
NG tube placement - correct answer-pH paper.
b b b bb b b
xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and
b b b b b b b b b b b b
amt), monitor nasal skin around tube, monitor tubing for kinks & "plugs", continue to
b b b b b b b b b b b b b b
assess BS's and abdominal girth, pain, **aspirate contents & irrigate the tube w/ 30 mL of
b b b b b b b b b b b b b b b b
NS q 4 hrs or as ordered by hcp
b b b b b b b b b
,NG assessment - correct answer-1st turn OFF suction
b b bb b b b b
verify placement b
can irrigate with sterile saline
b b b b
SCD's on (high risk for clots and pneumonia)b b b b b b b
turn & reposition b b
Peptic Ulcer Disease - correct answer-A break or ulceration in the protective mucosal
b b b bb b b b b b b b b
lining of the lower esophagus, stomach, or duodenum
b b b b b b b b
coffee ground emesis (old blood) b b b b
NPO, NG tube b b
triple therapy 2 antibiotics and 1 PPI
b b b b b b
could have an active bleed b b b b
H. pylori
b
early stage cirrhosis - correct answer-enlarged liver
b b b bb b b
jaundice
GI disturbances
b
weight loss b
increase protein b
late stage cirrhosis - correct answer-liver becomes smaller and nodular
b b b bb b b b b b
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
b b b b b b b b
bleeding tendancies, decreased vitamin K and prothrombin, anemia b b b b b b b
esophageal varices, internal hemorrhoids b b b
dyspenia (from ascites and anemia) b b b b
pruritis from dry skin b b b
clay colored stools; no bile in stool
b b b b b b
tea colored urine; bile in urine
b b b b b
End stage cirrhosis - correct answer-hepatic encephalopathy/coma
b b b bb b b
portal hypertension - correct answer-A potential complication of chronic alcoholism
b b bb b b b b b b
resulting in liver damage and obstruction of venous blood flow through the liver. The
b b b b b b b b b b b b b b
rising blood pressure in the veins between the gastrointestinal tract and liver causes
b b b b b b b b b b b b b
engorgement of veins around the umbilicus (navel). The characteristic radiating pattern
b b b b b b b b b b b
of veins is called a "caput medusae" (head of Medusa). Medusa was the "snake-haired
b b b b b b b b b b b b b b
lady" in Greek mythology.
b b b b
end-stage cirrhosis b
self breast exam - correct answer-Monitor for any change in size, contour, dimpling.
b b b bb b b b b b b b b
Perform exam every month, 7 days after your period. Use finger pads of the three middle
b b b b b b b b b b b b b b b b
fingers.; lay down arm up, or stand in front of mirror
b b b b b b b b b b b
postmenopausal (or MEN) - pick same day every month b b b b b b b b
self testicular exam - correct answer-Looking for lumps that may be the first sign of
b b b bb b b b b b b b b b b
cancer common in men ages 15-35
b b b b b b
perform in shower, roll 'ball' between fingers b b b b b b
, Addison's disease - correct answer-A rare, chronic endocrine disorder in which the
b b bb b b b b b b b b
adrenal glands do not produce sufficient steroid hormones.
b b b b b b b b
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
b b b b b b b
need life long cortisol replacement
b b b b
Monitor for addisonian crisis b b b
Addisonian crisis - correct answer-N/V confusion, abdominal pain, extreme weakness, b b bb b b b b b b
hypoglycemia, dehydration, EXTREME decreased BP
b b b b b
triggered by stress or infection b b b b
MEDICAL EMERGENCY b
Cushing's syndrome - correct answer-caused by prolonged exposure to high levels of
b b bb b b b b b b b b
cortisol
b
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue, muscle
b b b b b b b b b b b b
weakness, depression/anxiety, hypertension, hypernatremia (polydipsia),
b b b b b
hypokalemia, hyperglycemia
b b
Nutritional needs for infant - correct answer-breast or bottle MAIN source of nutrition for
b b b b bb b b b b b b b b
first year
b b
no juice
b
no honey (not even pacifier dip)
b b b b b
no water
b
no sugar
b
Warfarin - correct answer-Coumadin b bb b
Anticoagulant b
used in A-fib and DVT b b b b
bVit K is the antidote for OD
b b b b b b
INR therapeutic range 2-3
b b b
PT 1.5-2X the normal
b b b
Inerdisciplinary team (rounds) - correct answer-late stage Parkinson's b b b bb b b b
cystic fibrosis b b
MS
dialysis
pts who DO NEED; multidemeantional needs, do they have 2 or more of the needs in the
b b b b b b b b b b b b b b b b
hierarchy triangle
b b
PT NEEDS REHABILITATION
b b
Car seat safety - correct answer-Use rear-facing car seat in back seat, preferably the
b b b bb b b b b b b b b b
middle until age 2 or until the child reaches max height and weight
b b b b b b b b b b b b b
anchored in the car!!!! b b b
emergent - correct answer-require immediate treatment to survive b bb b b b b b b
ABC issues b
trach deviation b b
loss of life or limb
b b b b
airway obstruction b b
cardiac arrest b
shock
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now