100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NR324 (Adult Health I) Final Review 2024/2025. $12.49   Add to cart

Exam (elaborations)

NR324 (Adult Health I) Final Review 2024/2025.

 5 views  0 purchase
  • Course
  • Institution

NR324 (Adult Health I) Final Review 2024/2025. 112 Questions and Answers.

Preview 3 out of 19  pages

  • April 10, 2024
  • 19
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
avatar-seller
NR324 (Adult Health I) Final Review 2024/2025.
What are some conditions/procedures that put patient @ high risk for fluid volume deficit?

-diabetes insipidus
-osmotic diuresis
-hemorrhage
-GI losses: vomiting, NG suction
-diuretics
-inadequate fluid intake
-third-space fluid shifts: burns, pancreatitis

What are some of the things nurse monitors when administering fluids/electrolytes?

-Daily weights
-x-ray
-I/O
-labs:
--BUN
--NA
--K
--HCT
--Osmolality
-monitor vitals
-monitor tissue perfusion
-assess skin turgor/mobility

How do we know we're on the right track with fluid balance?

-when I/O's are WNL
-when BP and HR stabilize

What are the vitals fluid volume deficit

-BP decreases
-HR increases
-RR increased (shallow)

Vitals fluid volume excess

-BP increases
-HR decreases
-RR decreases

Respiratory alkalosis

1. Causes: hyperventilation, pain, anxiety, fever
2. Effects: Restlessness, muscle twitching, paresthesia, coma

,3. Compensation: kidneys conserve H+ ions, kidneys eliminate bicarb
4. Results: pH > 7.45, HCO3 < 22 (compensation)

Respiratory acidosis

1. Causes: hypoventilation, overdose, sedation, chronic COPD
2. Effects: confusion, high urine pH, lethargy, coma, death
3. Compensation: kidneys secrete acid, increased bicarbonate
4. Lab results: pH < 7.35, HCO3 > 26 (compensation)

Metabolic acidosis

1. Causes: renal failure, diarrhea, DKA, shock

2. Effect: confusion, high urine pH, lethargy, coma, death

3. Compensation: Lungs increase RR, kidneys retain HCO3- and eliminate H+ ions

4. Lab results: pH < 7.35, PCO2 < 35 (compensation)

Metabolic alkalosis

1. Causes: excessive vomiting, excessive GI suction/drainage, excessive antacids, hypokalemia

2. Effects: restlessness, muscle twitching, paresthesia, coma

3. Compensation:
-lungs decrease RR
-kidneys conserve H+ & eliminate HCO3-

4. Lab results:
-pH > 7.45, PCO2 > 45 (compensation)

Normal ABG'S

a. pH: 7.35-7.45
b. PaCO2: 35-45
c. HCO3: 22-26
PaO2: 92-100%

Hypoxia s/s

mild:
-restlessness, tachycardia, dysrhythmias,
dyspnea
HTN
moderate:
-confusion
-lethargy

, -dysrhythmias

severe
-cyanosis
-coma
-resp/cardiac arrest

How do you reduce resp. complications after surgery?

-monitor vitals, esp pulse O2, capnography, resp assessment
-position patient in lateral "recovery" position to keep airway open/reduce aspiration risk if vomiting
occurs

Meds prescribed to patient after MI to prevent clot

-nitrates
-angiotensin-converting enzyme (ACE) inhibitors,
-beta blockers,
-calcium channel blockers

Why do you assess apical/radial pulses?

-to evaluate their heart health
-if radial pulse < apical pulse, this signals pulse deficit.
patient has atrial fib, decreased left ventricular output, or congestive heart failure

What do you tell a patient who has a pacemaker inserted newly?

-follow up with provider to check function
-report signs of infection @ incision site
-keep incision dry for 4 days after insertion
-avoid lifting arm on that side until approved
-don't go in MRI
-don't drive/have sex until cleared
-tell security it will set off metal detector
-always carry ICD identification card

Common blood tests to determine depth of tissue injury in MI

-creatine-kinase (CK)
--CK-MB band is specific to heart muscle cells & helps quantify myocardial damage.
--CK-MM (muscle)
--Ck-BB (brain)

and troponin.

How do we determine the location of the cardiac muscle injury?

-10-lead EKG

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

71498 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart