NUR 2243 Final Exam
- Autonomic Dysreflexia
Answer
- caused by SCI
- 1st assessment is bladder distension
- S/sx of autonomic dysreflexia
Answer
- pounding headache
- diaphoresis
- bradycardia
- HTN (systolic BP can reach 300)
when the trigger/stimuli resolves the s/sx will resolve
- Hepatitis A is caused by
Answer
fecal-oral contamination, usually food
ex
contaminated seafood not fully cooked, fruit/veggies overseas washed with contaminated water 1 / 4
- Hepatitis B is caused by
Answer
unprotected sex, needle sticks (IV drug user), blood transfusion
- Who is most at risk for Hep B infection?
Answer
20 year old with multiple sexual partners
- Hepatitis C is caused by
Answer
blood contact with infected person; cannot be spread casually
- Hep C treatment
Answer
ribavirin; take a long time to work so med compliance is key, teach to use pill organizer
- Pt present with hypotension, bradycardia, and dizziness, what would you anticipate
administering?
Answer
atropine; pt has symptomatic bradycardia
- Primary manifestations of diabetes
Answer 2 / 4
- P's
polyuria, polyphagia, polydipsia
- Pt presents to the ED bleeding profusely from a head wound. What is the first action the
nurse should take?
Answer
don gloves/PPE
- Manifestations of cirrhosis
Answer
- ascites, edema, elevated ammonia levels, proteinuria, low albumin, esophageal varices
- tx for ammonia is lactulose; diarrhea is expected
- Cirrhosis pt with ascites may experience what pulmonary problem?
Answer
SOB, too much fluid in peritoneal cavity
- A pt with cirrhosis has developed esophageal varices. What is the nurse's priority
Answer
- maintain airway
- monitor for s/sx of hemorrhage 3 / 4
- Teaching pt with cirrhosis
Answer
- low sodium to reduce ascites
- watch protein levels to avoid high concentrations of ammonia and hepatic en- cephalopathy
- S/sx of hyperthermia
Answer
sweaty red skin, tachypnea, tachycardia
- Murmur is best heard on
Answer
right side of sternal border
- PVC strip
Answer
dips after PQRS, occurs before next beat
- Teaching for heart failure pt
Answer
- restrict salt in diet
- / 4