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NR324- Adult Health I- STUDY GUIDE 2.
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NR324- Adult Health I- STUDY GUIDEExam 2
Cardio and Hematology Chapters 30, 31, 32, 33, 34, 35, 36 & 67
Anatomy and Function: o What system does this effect? o What are the three most significant things that
the nurse MUST know?
Pathophysiology: o Discuss the pathology of this topic as it relates to:
Etiology: Causes, Contributing Factors
Signs and Symptoms
Medical treatment modalities
Nursing considerations Nursing Care: o Identify the PRIORITY nursing
diagnosis related to the topic.
Identify one long term and one short-term goal for each priority item.
To identify appropriate priorities, utilize Maslow’s hierarchy of needs.
o What are the KEY nursing assessments?
What should the physical examination of the patient include?
Identify expected verses unexpected. What does each finding mean to the nurse?
o What is the plan of care for this patient?
Review both independent as well as collaborative interventions.
Independent interventions/ Nursing Management Why is the nurse doing this?
• How will this assist the patient in meeting the established goal?
• How will the nurse evaluate the effectiveness of the intervention?
Collaborative interventions
• Medications o Classification o Action/ Administration o Side Effects o
Adverse Effects o Nursing Considerations o Patient/ Family education.
• Treatments o Reason? o Review steps of the procedure. o Side Effects
o Adverse Effects o Nursing Considerations o Patient/ Family Education
• Diagnostics o Reason? o Is this the “gold” standard diagnostic for this
issue? o What results are expected related to the pathology?
o What are the nursing considerations associated with this diagnostic?
o Special instructions?
TESTING STRATEGIES TO REVIEW
• Analyze the situation described in the question.
• Treat each question as a NEW situation unless otherwise directed.
• Determine what the question is asking.
• ACCEPT that what is the correct nursing action/ answer for one item MAY NOT be
CORRECT in another scenario.
• Select the answer that represents the safest nursing judgment.
• Identify the topic of the question.
• Select an answer by eliminating choices.
• Do not use background information unless necessary.
• Do not “read into” the question.
• Think about what the answer choices really mean
• THERAPEUTIC COMMUNICATION:
• Open ended responses
• Nonjudgmental response
*** Please note that this is meant to serve as a study tool. Students ARE subject to be tested on any material
related to readings, simulations, labs, assignments and
activities within the course. ***
, NR324- Adult Health I- STUDY GUIDE
Exam 2
• ONLY use YES or No questions in a crisis situation.
• “Why”.. Places people on the defensive.
• Delegation/ Assignment • ONLY AN RN MAY:
• Assess
• Teach
• Perform a skill that requires “clinical judgment”
• POSITIONING:
• Are you being asked to prevent or promote something?
• Does it address the problem?
• PRIORITIZATION:
• Select ACTUAL over Potential problems
• What is the safest thing to do?
• Address the MOST unstable issue first.
The Center for Academic Success offers TESTING Strategies workshops routinely. All students
are recommended to attend at least one per session. Please reach out to your faculty or
directly to the CAS staff to obtain a schedule.
not be correct on another que
Alternate Type Questions: Multiple Choices - Select all that Apply -
Medication Calculation
Total Number of Questions: Exam 2: 60 questions; 4 points each
Topics Resourc
es
Dysrhythmias Lewis et
Cardiopulmonary Resuscitation (See Appendix A highlights) al., 9th
Cardiopulmonary Resuscitation edition
Cardiac arrest is characterized by the absence of a pulse and breathing
Cardio in an
unconscious victim. The current approach for CPR is the chest and
compressions–airway-breathing (CAB) sequence.1 Hematol
The first step in CPR is to perform a pulse check by palpating the ogy carotid pulse for at least 5 but
no more than 10 seconds. While Chapter maintaining a head-tilt position with one hand on the
forehead, locate the s 15,30, victim's trachea using two or three fingers of the other hand. Slide these
31,32,
fingers into the groove between the trachea and the neck muscles where 33, 34,
35, 36, the
carotid pulse can be felt. The technique is more easily performed on 38 & 67 the side nearest you.
*** Please note that this is meant to serve as a study tool. Students ARE subject to be tested on any material
related to readings, simulations, labs, assignments and
activities within the course. ***
, NR324- Adult Health I- STUDY GUIDE
Exam 2
If a pulse is felt, give one rescue breath every 5 to 6 seconds (10 to 12 Please breaths/minute) and
recheck the pulse every 2 minutes (see Fig. A-1 and use the Airway and Breathing below). If no pulse is
felt, initiate CAB.1 blue FIG. A-1 The head tilt–chin lift maneuver is used to open the victim's
highligh
airway to give rescue breaths. A, Rescuer places one hand on the victim's ts from
your
Eforehead and applies firm, backward pressure with the palm to tilt the book head back. The chin is lifted
and brought forward with the fingers of the and the other hand. B, Mouth-to-barrier device: Rescuer
places the device tightly notes over the victim's mouth and nose and delivers a regular breath. C,
Mouth- attached to-mouth technique: Rescuer pinches the victim's nostrils, tightly seals to the
mouth over victim's mouth, and delivers a regular breath. NOTE: Rescuer highligh
should observe for a rise in the victim's chest (blue arrows). ts in
order to
comple ment the study
Chest Compressions guide
topics The
proper technique for providing chest compressions is shown in Fig. A- for each 2. Chest compression
technique consists of fast and deep applications of chapter pressure on the sternum. The victim must
be in the supine position when **For all the compressions are performed. The victim must be lying on a
flat, hard your surface, such as a CPR board (specially designed for use in CPR), a exams
*** Please note that this is meant to serve as a study tool. Students ARE subject to be tested on any material
related to readings, simulations, labs, assignments and
activities within the course. ***
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