Proctor N480 Questions And Answers(Guaranteed Success)Already passed A+
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Course
NURS 480
Institution
NURS 480
Proctor N480 Questions And Answers(Guaranteed Success)Already passed A+
Hydrocortisone - correct answer...-For Addison's disease who has adrenal corticoid insufficiency, which is inability to the pituitary to produce cortisol
-Treat adrenal insufficiency
Rifampin - correct answer...Antiviral...
Proctor N480 Questions And
Answers(Guaranteed Success)Already
passed A+
Hydrocortisone - correct answer...✔✔-For Addison's disease who has adrenal corticoid
insufficiency, which is inability to the pituitary to produce cortisol
-Treat adrenal insufficiency
Rifampin - correct answer...✔✔Antiviral medication for TB
Loperamide - correct answer...✔✔Antidiarrheal for N&V
Addison's disease (adrenal insuffiency) - correct answer...✔✔-Has increased
potassium levels, along with low sodium levels as a result of fluid depletion
-Adrenal glands do not product enough cortisol
-RN should administer fluid and electrolytes to restore volume lost
Expected findings
-hypotension
-weight loss
-salt craving
-increased skin pigmentation
-darkening of skin
Diet:
-High in protein, carbs, and sodium (turkey and cheese)
-low in potassium
Nurse's priority : Stroke - correct answer...✔✔-ACB approach
-Check pt's ability to to clear secretions => to protect airway and reduce risk of
aspiration
Check pt's ability to move all extremities - correct answer...✔✔To evaluate mobility and
promote independence
Check ability to control elimination of urine - correct answer...✔✔To promote
independence and maintain skin integrity
Manifestations of HTN - correct answer...✔✔-Often asymptomatic
Manifestations of Meniere's disease - correct answer...✔✔vertigo
Exopthalmos - correct answer...✔✔-protrusion of eyes => caused by thyroid disorder
Spondylolisthesis - correct answer...✔✔-Vertebra slips => pressure on the nerve root
and creating pain in back and over buttocks
Implanted Venous Access Port - correct answer...✔✔-Should be flushed after each use
and at least once a month when not in use = aka locking or de-accessing => prevent the
formation of blood clots in catheter
***Solution of 5 mL heparin should be 100 units/mL
-placed in SubQ tissue, usually in the upper chest or upper extremity
-Do not require dressing to cover port site
-Special non-coring needle can be used to access the port => needle has deflected tip
used to penetrate the dense septum w/o coring small pieces of it. Port in the chest can
tolerate about 2000 punctures. Edges of the port should be carefully palpated to identify
the septum prior to placement of the needle. It is appropriate for RN to use a 22g non-
corning needle to access the device.
-Prior to administering meds, RN should check for blood return
-If no blood returns = should hold meds until patency is ensured.
-Serious extravasation can occur d/t formation of a fibrin sheath over the tip of catheter
=> retrograde subQ leakage
Skeletal traction following a femur fracture - correct answer...✔✔-Ensure traction
weight is hang freely
-Pt can use overhead trapeze bar to move up in bed, or RN can assess pt while making
sure to maintain proper alignment of extremity
-Should not remove weight w/o prescription => could interfere w/ correct alignment of
extremity
-Ensure traction ropes are on the pulley. No lifting ropes b/c it can displaces the weight
and interfere w/ correct alignment
Manifestations of hypoglycemia - correct answer...✔✔Diaphoresis
Palpitations
Shakiness
Tachycardia
Fatigue
ABC Approach - correct answer...✔✔-Having open airway, being able to breath in
adequate amounts of o2, and circulating oxygen to the body's organs via blood
-Airway= priority bc it must be open for oxygen exchange to occur
-Breathing = 2nd priority bc adequate ventilatory effort is essential for oxygen exchange
to occur
-Circulation = 3rd priority bc delivery of o2 to critical only occurs if heart and blood
vessels are capable of efficiently carrying o2 to them
Cold pack to knee after total knee anthroplasty - correct answer...✔✔To reduce edema
of joint
Myelosuppresion - correct answer...✔✔Bone-marrow depression=> put pt at high risk
of infection after chemotherapy
Precaution for chemotherapy pts - correct answer...✔✔-No flowers or potted plants
-Clean and sanitize pt's room daily
-Utilize single-use equipment and keep reusable equipment in pt's room for dedicated
use by pt only
-Limit visitors to healthy adults with good hand hygiene before enter the room
-Replace any would dressing daily to allow inspection and cleaning
Diet for late-stage chronic kidney disease - correct answer...✔✔-Can develop
hypocalcemia d/t reduced production of active vitamin D, which needed for calcium
absorption => increase of calcium in diet
-Can develop hyperphosphatemia d/t excretion of phosphorus by kidney is reduced
-Can develop hyperkalemia d/t excretion of potassium is reduced
-Can develop hypernatremia d/t excretion of sodium is reduced
Stomatitis of mouth - correct answer...✔✔-Suck on popsicles or ice chips to numb
mouth
-Avoid spices, acidic foods, and salt because these can irritate and burn mouth
-Can use straw => decrease comfort when drinking liquids
AGRADESOLUTIONS
, -Consume foods that are cold or at room temperature
-Hot food can be irritating or burn mouth
Flattened T wave or development of U waves on EKG - correct answer...✔✔-Indicate
low potassium level
Assessing for DIC patient w/ septic shock - correct answer...✔✔-Formation of large
amount of microemboli in ciruclation depletes body's platelet and clotting factors =>
uncontrollable bleeding
-Manifestation: bleeding at venipuncture site, petechiae on chest and arms and bleeding
at abdominal cavity result in abd. distention d/t internal bleeding
-DIC = complex malfunction involving body's ability to clot
Manifestation of hemorrhaging - correct answer...✔✔Tachycardia and pallor
Manifestations of hyperglycemia - correct answer...✔✔-increase in urination (polyuria)
-signs of dehydration (dry mucuous membranes & sunken eyeballs)
-kussmaul respirations
-Excessive thirst (polydipsia)
Bronchoscopy - correct answer...✔✔-visual examination of the bronchi
-Pt will receive premedication w/ benzodiazepine or opioid to ensure sedation and
amnesia
-Pt will sign a consent form => RN verify that Dr. explained procedure and pt
understands it
-Remains NPO for 4 to 8 hrs before procedure
-MD can obtain sputum during procedure
AGRADESOLUTIONS
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