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NR324 Exam 3 Study Guide
NR324 Exam 3 Study Guide 
 
HIV – 7 questions 
-	You cannot get HIV through kissing. 
-	Not a disease you can get casually. 
-	Retroviral disease – it replicates backward – that’s why it is difficult to cure. 
o	Many are living longer with HIV. It is more a chronic disease today. Just like diabetes. 
-	HIV is not AIDS 
o	AIDS is the end stage of HIV. Takes about 8-10 years from HIV to AIDS. 
o	Some do develop AIDS very quickly. 
-	HIV is a virus suppresses/destroys the immune sys...
- Exam (elaborations)
- • 34 pages •
NR324 Exam 3 Study Guide 
 
HIV – 7 questions 
-	You cannot get HIV through kissing. 
-	Not a disease you can get casually. 
-	Retroviral disease – it replicates backward – that’s why it is difficult to cure. 
o	Many are living longer with HIV. It is more a chronic disease today. Just like diabetes. 
-	HIV is not AIDS 
o	AIDS is the end stage of HIV. Takes about 8-10 years from HIV to AIDS. 
o	Some do develop AIDS very quickly. 
-	HIV is a virus suppresses/destroys the immune sys...
NR324 Exam 2 Running Review
NR324 Exam 2 Running Review 
Week 3 
 
Ch. 31: Assessment of Cardiovascular System 
 
•	Labs 
o	Creatine kinase MB (CK-MB): 2-6 ng/mL 
	Release 4-6 hrs after MI 
	Myocardial muscle 
	So myocardial muscle death it will release CK-MB, elevated means cell death so a cardiac problem 
o	Troponin: < 0.3 ng/mL 
	If pt has chest pain, first thing is do ECG and check troponin 
	Found in cardiac muscle 
	Enters blood stream before creatine kinase 
	Go to gold standard for ca...
- Exam (elaborations)
- • 21 pages •
NR324 Exam 2 Running Review 
Week 3 
 
Ch. 31: Assessment of Cardiovascular System 
 
•	Labs 
o	Creatine kinase MB (CK-MB): 2-6 ng/mL 
	Release 4-6 hrs after MI 
	Myocardial muscle 
	So myocardial muscle death it will release CK-MB, elevated means cell death so a cardiac problem 
o	Troponin: < 0.3 ng/mL 
	If pt has chest pain, first thing is do ECG and check troponin 
	Found in cardiac muscle 
	Enters blood stream before creatine kinase 
	Go to gold standard for ca...
NR324 Exam 2 Running Review Week 3
NR324 Exam 2 Running Review 
Week 3 
 
Ch. 31: Assessment of Cardiovascular System 
 
•	Labs 
o	Creatine kinase MB (CK-MB): 2-6 ng/mL 
	Release 4-6 hrs after MI 
	Myocardial muscle 
	So myocardial muscle death it will release CK-MB, elevated means cell death so a cardiac problem 
o	Troponin: < 0.3 ng/mL 
	If pt has chest pain, first thing is do ECG and check troponin 
	Found in cardiac muscle 
	Enters blood stream before creatine kinase 
	Go to gold standard for ca...
- Exam (elaborations)
- • 21 pages •
NR324 Exam 2 Running Review 
Week 3 
 
Ch. 31: Assessment of Cardiovascular System 
 
•	Labs 
o	Creatine kinase MB (CK-MB): 2-6 ng/mL 
	Release 4-6 hrs after MI 
	Myocardial muscle 
	So myocardial muscle death it will release CK-MB, elevated means cell death so a cardiac problem 
o	Troponin: < 0.3 ng/mL 
	If pt has chest pain, first thing is do ECG and check troponin 
	Found in cardiac muscle 
	Enters blood stream before creatine kinase 
	Go to gold standard for ca...
NR 340 CRITICAL CARE FINAL STUDY GUIDE
NR 340 CRITICAL CARE FINAL STUDY GUIDE 
•	Ethics 
o	Informed consent 
	Competence 
	Voluntariness 
	Disclosure of information 
o	Proxy- makes decisions for patient, designated by state 
•	Comfort and Sedation 
o	Rapid sequence intubation 
	Succinocholine and etomidate 
o	Conscious sedations 
	Versed and fentanyl 
o	Reversal for fentanyl narcan 
o	Reversal for versed flumazenil 
o	Medications 
	Benzos 
•	Versed 
•	Ativan 
•	Valium 
•	Precedex- similar to ver...
- Exam (elaborations)
- • 14 pages •
NR 340 CRITICAL CARE FINAL STUDY GUIDE 
•	Ethics 
o	Informed consent 
	Competence 
	Voluntariness 
	Disclosure of information 
o	Proxy- makes decisions for patient, designated by state 
•	Comfort and Sedation 
o	Rapid sequence intubation 
	Succinocholine and etomidate 
o	Conscious sedations 
	Versed and fentanyl 
o	Reversal for fentanyl narcan 
o	Reversal for versed flumazenil 
o	Medications 
	Benzos 
•	Versed 
•	Ativan 
•	Valium 
•	Precedex- similar to ver...
NR 340 Critical Care Exam 3 Guide
NR 340 Critical Care Exam 3 Guide 
Neuro Basics 
·	Brain metabolism 
o	Soul source of energy for the brain is glucose. Brain needs glucose to function. Brain cannot store it, but needs a constant supply. If glucose levels start to fall you will some changed. 
o	Cerebral glucose < 70 mg/dL = confusion 
o	Cerebral glucose < 20 mg/dL = damage 
·	Cerebral blood flow 
·	Autoregulation 
o	Changes in pressure 
o	Changes in CO2 
▪	Alters cerebral blood volume with change in blood vessel ...
- Exam (elaborations)
- • 27 pages •
NR 340 Critical Care Exam 3 Guide 
Neuro Basics 
·	Brain metabolism 
o	Soul source of energy for the brain is glucose. Brain needs glucose to function. Brain cannot store it, but needs a constant supply. If glucose levels start to fall you will some changed. 
o	Cerebral glucose < 70 mg/dL = confusion 
o	Cerebral glucose < 20 mg/dL = damage 
·	Cerebral blood flow 
·	Autoregulation 
o	Changes in pressure 
o	Changes in CO2 
▪	Alters cerebral blood volume with change in blood vessel ...
NR 341 EXAM 3 STUDY NOTES
NR 341 EXAM 3 STUDY NOTES 
Exam 3 
 
Adrenal Crisis “Addisonian Crisis” p. 1178-1179 
-	A condition in which the pituitary gland doesn’t make enough adrenocorticotropic hormone or ACTH 
-	A medical emergency and potentially life-threatening situation and require immediate emergency treatment 
-	Causes of Adrenal Crisis 
•	When the body cannot produce sufficient amounts of cortisol 
•	Caused by either previously undiagnosed or untreated Addison’s disease 
•	Suddenly stopping inta...
- Exam (elaborations)
- • 44 pages •
NR 341 EXAM 3 STUDY NOTES 
Exam 3 
 
Adrenal Crisis “Addisonian Crisis” p. 1178-1179 
-	A condition in which the pituitary gland doesn’t make enough adrenocorticotropic hormone or ACTH 
-	A medical emergency and potentially life-threatening situation and require immediate emergency treatment 
-	Causes of Adrenal Crisis 
•	When the body cannot produce sufficient amounts of cortisol 
•	Caused by either previously undiagnosed or untreated Addison’s disease 
•	Suddenly stopping inta...
NR 341
Outcomes	 
 
 
Acute/Chronic	No of Items	Individual Score	 
Description 
 
Acute	 
1	 
100.0%	 
A disease, condition or injury characterized by a relatively 
			sudden onset of symptoms that are usually severe. An episode 
			of acute disease results in: recovery to a state comparable to 
			the client’s condition of health and activity before the disease; 
			progression into a chronic illness; or death. 
Chronic	1	0.0%	A disease or condition that persists for 6 months or more, or in 
			whic...
- Exam (elaborations)
- • 5 pages •
Outcomes	 
 
 
Acute/Chronic	No of Items	Individual Score	 
Description 
 
Acute	 
1	 
100.0%	 
A disease, condition or injury characterized by a relatively 
			sudden onset of symptoms that are usually severe. An episode 
			of acute disease results in: recovery to a state comparable to 
			the client’s condition of health and activity before the disease; 
			progression into a chronic illness; or death. 
Chronic	1	0.0%	A disease or condition that persists for 6 months or more, or in 
			whic...
NR 324 FINAL EXAM REVIEW
NR 324 FINAL EXAM REVIEW 
1.	Types of Traction 
Skin: Weights attached to patient’s skin to decrease muscle spams and immobilize the extremity before surgery. Ex Bryant traction (for hip dysplasia in children) and Buck ‘s traction for hip fracture in adult patients). 
Skeletal: Screws are inserted into bone. Used for long bone fractures such as femur, tibia, fibula, humerus, ulna, radius, metacarpals, phalanges and metatarsals. 
Halo: used for cervical bone fractures. Nurse should make sure ...
- Exam (elaborations)
- • 7 pages •
NR 324 FINAL EXAM REVIEW 
1.	Types of Traction 
Skin: Weights attached to patient’s skin to decrease muscle spams and immobilize the extremity before surgery. Ex Bryant traction (for hip dysplasia in children) and Buck ‘s traction for hip fracture in adult patients). 
Skeletal: Screws are inserted into bone. Used for long bone fractures such as femur, tibia, fibula, humerus, ulna, radius, metacarpals, phalanges and metatarsals. 
Halo: used for cervical bone fractures. Nurse should make sure ...
NR 341: Week 4 Summary Acute Kidney and Chronic Kidney Disease; Shock, Sepsis, and Multiple Organ Dysfunction
NR 341: Week 4 Summary 
 Acute Kidney and Chronic Kidney Disease; Shock, Sepsis, and Multiple Organ Dysfunction 
 
Acute Kidney Injury: 
It is the SUDDEN decrease in renal function that will lead to the buildup of waste in the blood, fluid overload, and electrolyte imbalances. AKI can be reversible. 
Role of the kidneys: Filters the blood which creates a filtrate called urine. In addition, the kidneys regulate electrolyte levels, removes waste, and excessive fluid in the body. The kidneys norma...
- Exam (elaborations)
- • 14 pages •
NR 341: Week 4 Summary 
 Acute Kidney and Chronic Kidney Disease; Shock, Sepsis, and Multiple Organ Dysfunction 
 
Acute Kidney Injury: 
It is the SUDDEN decrease in renal function that will lead to the buildup of waste in the blood, fluid overload, and electrolyte imbalances. AKI can be reversible. 
Role of the kidneys: Filters the blood which creates a filtrate called urine. In addition, the kidneys regulate electrolyte levels, removes waste, and excessive fluid in the body. The kidneys norma...
National Patient Safety Goals
CHAPTERS 1-5: 
Informed Consent: The doctrine of informed consent is based on the principle of autonomy; competent adults have the right to self-determination or to make decisions regarding their acceptance or rejection of treatment. 
1.	3 primary elements: Must be present for a person’s consent or decline of medical treatment or research participation to be consider valid. 
a.	Competence = A person’s ability to understand info regarding medical and nursing Tx. 
b.	Voluntariness 
c.	Discl...
- Exam (elaborations)
- • 15 pages •
CHAPTERS 1-5: 
Informed Consent: The doctrine of informed consent is based on the principle of autonomy; competent adults have the right to self-determination or to make decisions regarding their acceptance or rejection of treatment. 
1.	3 primary elements: Must be present for a person’s consent or decline of medical treatment or research participation to be consider valid. 
a.	Competence = A person’s ability to understand info regarding medical and nursing Tx. 
b.	Voluntariness 
c.	Discl...