NUR 265 EXAM 1 QUESTIONS & CORRECT ANSWERS LATEST SELF ASSESSMENT GUIDE 2024
- GALEN COLLEGE OF NURSING
What is pericarditis?
- Inflammation/ infection of the periardial sac
What are S/S of pericarditis?
- Chest pain
-Sharp, stabbing -Behind breast bone -Left side of chest -Elevated with tripod position
-SOB-oxygen -Low grade temp -Relieved with positioning -worse on inspiration -pericardial friction rub
What are S/S of endocarditis?
-Fever- night sweats, malaise, chills, fatigue -Anorexia and weight loss -Cardiac murmur -Heart failure development -Petechiae -Osler's nodes
-Splinter hemorrhage: black longitudinal lines on nails
What is endocarditis caused by?
- A bacterial infection: normally staph or strep
What long term antibiotic is the patient with endocarditis on?
- Usually Vanco for 6 wks 1 / 4
What are the S/S of abdominal aortic aneurysm (AAA)?
- gnawing pain in abdomen, flank, or back lasting for hours, pulsating in upper
abdomen. Listen for bruit
NEVER PALPATE PULSATING ABDOMEN!!!- RUPTURE
If pain worsens and moves down the leg it is an emergency!!!
What medication is given if the patient is in sinus bradycardia?
- Atropine. Give IV fluids and oxygen pacing
What is the treatment for sinus tachycardia?
- treat the underlying cause.
Valsalva maneuver, stress management, beta blocker, diltiazem, dig
What medications are given if the pt is in atrial fibrillation?
- Amiodarone, diltiazem, metoprolol, digoxin
What is the normal range for H&H?
- Hemoglobin:
M: 14-18 g/dL
F: 12-16 g/dL
Hematocrit:
M: 42%-52%
F: 37%-47%
What is the normal range for BUN?
- 10-20 mg/dL 2 / 4
What is the normal range for creatnine?
- M: .06-1.2
mg/dL F: 0.5-1.1
mg/dL
What is the normal PT range?
- 11-12.5 sec
**1.5-2.5 times the normal on Coumadin
What is the normal INR range?
- 0.9-1.2 sec
What is the normal PTT range?
- 60-70 sec
**1.5-2.5 times the normal on Heparin
What is the normal APTT range?
- 30-40 sec
**1.5-2.5 times the normal on Heparin
What is the normal range for specific gravity?
- 1.005-1.030
What is the therapeutic Digoxin range?
- 0.5-2 ng/mL
What is the normal platelet range?
- / 4
- 150-400 m^3
What is the normal albumin range?
- 50-80mg / 24 hrs at rest
What is the normal triglyceride range?
- M: 40-60
mg/dL F: 35-135
mg/dL
What is the normal glucose range?
- 70-110 mg/dL
After thrombolytic are administered, what needs to be watched?
- Watch for signs of bleeding
What is the treatment for angina pectoris?
- "NBC"
Nitro, Beta Blockers, Calcium Channel Blockeprs
What are s/s of bacteria peritonitis?
- new fever & abd pain
What are s/s of DIC?
- petechiae
- / 4
ecchymosis prolonged bleeding severe uncontrolled hemorrhage everywhere black tips on fingers, toes, ears, nose