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Exam (elaborations)

NU 414 Final Exam With Complete Solution

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  • NU 414
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  • NU 414

NU 414 Final Exam With Complete Solution...

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  • October 1, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • nu 414 final exam
  • NU 414
  • NU 414
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Belina
NU 414 Final Exam With
Complete Solution

What are the priority assessments for a pt that had a laryngectomy? -
ANSWER -Assess respiratory function: s/s of respiratory distress & hypoxia,
SpO2 , cyanosis

-Assess for hemorrhage: bleeding from the surgical site or within the trachea;
monitor VS for decreased BP, rapid weak pulse

-Assess for infection: increase in temperature, change in wound drainage,
redness, tenderness, odor, increased WBCs

-Assess for wound breakdown: assess the stoma; assess for hemorrhage or
brusing

-Assess for aspiration: assess for residual, drowsiness, impaired swallowing;
have suction readily available

-Assess for tracheostomal stenosis: assess for infection, assess pressure of
cuff, assess for narrowing

What equipment is needed at the bedside for a laryngectomy patient? -
ANSWER Oxygen, intubation equipment, call light, suction, trach tray, &
trach equipment

How will a patient with COPD present upon assessment? - ANSWER "Barrel"
chest, cyanosis of the lips and nails, tripod position, intercostal retractions

What are the classic signs and symptoms of asthma? - ANSWER Symptoms

,commonly occuring at night and in the morning, wheezing, chest tightness

How is acute rhinosinusitis treated? - ANSWER The infection is treated with
antibiotics, saline lavage and decongestants for congestion, home remedies:
hydration, steam, elevated HOB, saline nose drops

What are the signs and symptoms of acute coronary syndrome? - ANSWER
unusual fatigue

shortness of breath

sleep disturbances

anxiety

fleeting chest discomfort

diaphoresis

pallor

What is the most common donor vessel used in a CABG? - ANSWER Greater
saphenous vein

What are the side effects of common medications used to treat angina? -
ANSWER -Nitroglycerin: headache, weakness, dizziness, nausea, hypotension

-Aspirin: nausea, epigastric discomfort, dyspepsia

-Clopidogrel: dizziness, heache, dyspepsia, diarrhea

What are the EKG changes for ischemia? - ANSWER ST segment depression, T
inversion

What are the EKG changes for infarction? - ANSWER ST segment elevation

, What does T wave elevation indicate? - ANSWER Hyperkalemia

How is an Acute Myocardial Infarction treated? - ANSWER M: Morphine

O: Oxygen

N: Nitrates (Nitroglycerin)

A: Aspirin/Antiplatelets (Clopidogrel)

What are the signs and symptoms of right sided heart failure? - ANSWER
-Right HF specific: hepatomegaly, hepatojugular reflux, ascites, JVD

-Typical: dyspnea, cyanosis, cachexia

What are the s/s of left sided heart failure? - ANSWER dyspnea, pulmonary
congestion, crackles, pulmonary edema

What are home management interventions for heart failure? - ANSWER
-restricting sodium

-avoidance of excessive fluid intake

-avoidance of alcohol

-avoidance of smoking

-weight loss

-regular excercising

What are the side effects of common medications used in the treatment of
heart failure? - ANSWER -Inotropes (Digoxin): arrythmias, GI problems
(anorexia), neurologic symptoms (confusion)

-Diuretics: dehydration, electrolyte imabalances, hypovolemia

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