Exam (elaborations)
NUR 242 Final Exam Review Questions With Completed & Verified Solutions 2024.
- Course
- Institution
NUR 242 Final Exam Review Questions With Completed & Verified Solutions 2024.
[Show more]
Content preview
NUR 242 Final Exam ReviewExam 1: - ANS
Cane: - ANS -Appropriate height (at wrist level when arm is at side)
-Pt strong hand on cane
*MOVE CANE WITH WEAKER LEG*
At risk for falls due to: - ANS incontinence
Transferring pt to WC: - ANS -Place WC on strong side angled to bed
-Strong hand to armrest, then pivot
Safe pt handling: - ANS -Keep pt directly in front of you and as close as possible to prevent
back injuries
Skin integrity: - ANS -don't wear restrictive clothing
-WC pt lift themselves off buttock for 10 seconds q1hr
Pressure Ulcer stages: - ANS *Stage 2- skin is not intact; open or fluid blister*
Wet-to-damp wound care: - ANS mechanically removes necrotic tissue
does more damage than good bc it removes the good tissue as well
Informed consent: - ANS -surgeon is responsible for having consent signed
-Pt who can not sign can sign with an "X" but must be witnessed by two people
-If the pt doesn't understand the surgery, the surgeon has to be notified
-A blind pt can sign the consent, has to be witnessed by 2 people
-Nurses DO NOT clarify orders/procedure/risks, must call the MD to explain to pt
Pre-OP: - ANS -Report these to surgeon:
-increased PT/INR/aPTT/Creatinine
-Verify operative permit is signed
-Side rails up, bed down, call light within reach
Intra-OP: - ANS -Pts are lifted into position onto the OR table to prevent shearing
-Gel pads are placed on the OR table to prevent pressure ulcers
-Warming blankets are used
-Cover the pts head and feet (decrease hypothermia)
,*If saving is necessary, hair should be removed using disposable sterile supplies immediately
before the start of the procedure*
-Sterile scrubbing from fingertips to elbow for 3-5 minutes
Post-OP: - ANS -in PACU, nurse immediately assess pt airway, LOC
-RR <10 may indicate respiratory depression due to anesthesia
-Sanguineous to serosanguineous drainage is normal
-Crusting at incision line and swelling is normal
Malignant hyperthermia: - ANS -life threatening
-you will see HIGH TEMPERATURE
-early sign is tachycardia, muscle rigidity
-Dantrolene is used to treat
Pain Management: - ANS *Pain management referral for pts in chronic pain unrelieved*
-Pain after abdominal sx is from trapped carbon dioxide, ambulate pt as soon as possible
-Use FACES scale in pts with dementia
PCA Pump: - ANS -Lockout interval of 5-15 minutes
-Pt cannot be cognitively impaired
-Only the pt can press the button
If incision opens: - ANS -cover with wet sterile gauze
-Do not try to reinsert protruding organ
-Reassure pt
-Supine position with knees bent
IV: - ANS -20G 1-1.5" needle is adequate for most therapies
-Huber needle should be placed at 90 degree angle to access port (chemo pt)
TPN: - ANS - Check each bag twice
-If TPN is unavailable, hang 10% dextrose/water or 20% D/W until TPN is available
-If TPN not administered on time, do not increase the rate
-Change IV tubing q24 hours when new bag is hung
-Dressing change around IV site changed 2 48-72 hours
Sickle Cell: - ANS -Pain is the most common problem
-Requires large doses of opioid analgesics
-Hydrate with NS IV fluids, encourage oral fluids without caffeine
-Administer O2
-Remove restrictive clothing, No BP with external cuff
-Sickle Cell crisis: pain meds and IV fluids
, Vitamin B12 Deficiency: - ANS -Smooth, beefy red tongue
MRSA: - ANS -Sleep in separate beds until infection clears
-Wash clothes in HOT water
Standard precautions: - ANS -Hand hygiene
-Gloves
Contact precautions: - ANS -Private room
-Wear gloves when entering room
-Wash hands with soap and water
-Dedicated equipment
Airborne Precautions: - ANS -Private room with negative airflow
-Keep door closed
-N95 respirator
*Pt wear surgical mask when leaving room for labs/procedure*
Droplet precautions: - ANS -Private room preferred
-If not, may share a room with pt having same active infection
-Surgical mask when working WITHIN 3 FEET OF PT
-Pt to wear surgical mask when leaving room
Psoriasis: - ANS Treat with UV light but NOT A TANNING BED
Skin Cancer: - ANS -Avoid sun exposure from 11-3pm
-A=Asymmetry
-B=border
-C=color
-D=diameter
-E=evolving
-Examine the body monthly for changes
Exam 2: - ANS
The nurse is teaching a client who has been prescribed alprazolam. Which of the following
statements by the nurse would be appropriate to make? - ANS You should inform your primary
health care provider (PHCP) before taking any herbal supplement.
The nurse is caring for a client who is scheduled to have a minor procedure under conscious
sedation. Which of the following medications should the nurse anticipate will be prescribed? -
ANS Propofol
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 phylliswambui. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77764 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now