NUR 2243 Final Exam review
- Danger with 3rd degree heart block
Answer
this is a 100% block and is an emergency, a patient with this block must get to the cath lab immediately.
- Post Cardiac Catheterization considerations
Answer
when femoral artery is used as access the patient must lie flat for at least 6 hours, this is so the bleeding can be controlled. bleeding that would occur after this procedure would be internal so look out for abdomen bruising or flank pain. call rapid or the physician if you see either.
- Heart transplant patient teaching
Answer
change positions slowly, the heart is not connected to the nervous system yet and cannot accommodate for changes in blood pressure
- pH normal range
Answer
7.35-7.45, lower the pH the more acidic, higher the pH the more alkalotic
- PaCO2 norm
Answer
35-45, lower the PaCO2 the more alkalotic, higher the pH the more acidic 1 / 3
- HCO3 normal range
Answer
22-26, lower the HCO3 the more acidic, higher the HCO3 the more alkalotic
- Mild TBI is synonymous with what term
Answer
concussion
- Moderate TBI glasgow coma scale score
Answer
9-12, these patients need to be hospitalized
- Severe TBI (open or closed) glasgow coma scale score
Answer
3-8
- Nursing care during resuscitation phase of burn injury
Answer
secure the airway, fluid replacement, provide analgesics to the patient, prevent infection through careful wound care, maintain the body temperature. during this phase no physical therapy, just focused on stabilizing the patient
- Diet for burn injuries
Answer 2 / 3
5,000 kcal/day, high protein, collaborate with the dietitian and offer lots of snacks
- Heat stroke Interventions
Answer
administer oxygen, fluid therapy, lab tests should be performed for baseline on electrolytes. if they have a high temp do not give tylenol
- Communicating with a patient who has expressive aphasia
Answer
this is damage to the speech center of the brain, use simple phrases and questions, speak clearly without shouting, ask yes/no questions, use a communication board, do not rush the patient
- Autonomic Dysreflexia s/s
Answer
sudden significant rise in blood pressure accom- panied by bradycardia, profuse sweating above the level of the lesion, goosebumps, flushing of the face, neck and shoulders, blurred vision, spots in the patients vision field, nasal congestion, onset of a severe throbbing headache
- Neurogenic shock with a spinal cord injury s/s
Answer
decreased O2 sats, brady- cardia, decreased LOC, low urine output, hypotension
- Common symptoms after a left sided stroke
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