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COMP 283 GALEN LATEST 2025 STUDYGUIDE QUESTIONS AND 100% CORRECT ANSWERS | A+ GRADE
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COMP 283 GALEN LATEST 2025 STUDYGUIDE QUESTIONS AND 100% CORRECT ANSWERS | A+ GRADE
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COMP 283 GALEN LATEST 2025 STUDYGUIDEQUESTIONS AND 100% CORRECT ANSWERS | A+
GRADE
Deligation to UAP - ...Ans...Transfer a duty.
they can get V/S, after RN has gotten initial set.
ambulate as long as pt has been cleared for weight bearing status.
re-ENFORCE education that RN has taught
assist with ADL's
CPR
document I&O's
glucose check, finger stick, per facility protocol
12 lead EKG, per facility protocol
turn & reposition
Delegation to LPN - ...Ans...med administration, enteral feedings, urinary Cath
insertion, suctioning, tracheostomy care, reinforcement of pt education
RN job duties remember neumonic - ...Ans...ADPIE
A-assessment
D-diagnosis
P-planning
I-implementation
E-evaluation
NG tube placement - ...Ans...pH paper.
xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and
amt), monitor nasal skin around tube, monitor tubing for kinks & "plugs", continue to
assess BS's and abdominal girth, pain, **aspirate contents & irrigate the tube w/ 30
mL of NS q 4 hrs or as ordered by hcp
NG assessment - ...Ans...1st turn OFF suction
verify placement
can irrigate with sterile saline
SCD's on (high risk for clots and pneumonia)
turn & reposition
Peptic Ulcer Disease - ...Ans...A break or ulceration in the protective mucosal lining of
the lower esophagus, stomach, or duodenum
coffee ground emesis (old blood)
NPO, NG tube
triple therapy 2 antibiotics and 1 PPI
could have an active bleed
H. pylori
early stage cirrhosis - ...Ans...enlarged liver
jaundice
GI disturbances
weight loss
increase protein
,late stage cirrhosis - ...Ans...liver becomes smaller and nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
End stage cirrhosis - ...Ans...hepatic encephalopathy/coma
portal hypertension - ...Ans...A potential complication of chronic alcoholism resulting
in liver damage and obstruction of venous blood flow through the liver. The rising
blood pressure in the veins between the gastrointestinal tract and liver causes
engorgement of veins around the umbilicus (navel). The characteristic radiating
pattern of veins is called a "caput medusae" (head of Medusa). Medusa was the
"snake-haired lady" in Greek mythology.
end-stage cirrhosis
self breast exam - ...Ans...Monitor for any change in size, contour, dimpling. Perform
exam every month, 7 days after your period. Use finger pads of the three middle
fingers.; lay down arm up, or stand in front of mirror
postmenopausal (or MEN) - pick same day every month
self testicular exam - ...Ans...Looking for lumps that may be the first sign of cancer
common in men ages 15-35
perform in shower, roll 'ball' between fingers
Addison's disease - ...Ans...A rare, chronic endocrine disorder in which the adrenal
glands do not produce sufficient steroid hormones.
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
need life long cortisol replacement
Monitor for addisonian crisis
Addisonian crisis - ...Ans...N/V confusion, abdominal pain, extreme weakness,
hypoglycemia, dehydration, EXTREME decreased BP
triggered by stress or infection
MEDICAL EMERGENCY
Cushing's syndrome - ...Ans...caused by prolonged exposure to high levels of cortisol
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue,
muscle weakness, depression/anxiety, hypertension, hypernatremia (polydipsia),
hypokalemia, hyperglycemia
Nutritional needs for infant - ...Ans...breast or bottle MAIN source of nutrition for first
year
no juice
no honey (not even pacifier dip)
no water
no sugar
Warfarin - ...Ans...Coumadin
Anticoagulant
used in A-fib and DVT
, Vit K is the antidote for OD
INR therapeutic range 2-3
PT 1.5-2X the normal
Inerdisciplinary team (rounds) - ...Ans...late stage Parkinson's
cystic fibrosis
MS
dialysis
pts who DO NEED; multidemeantional needs, do they have 2 or more of the needs in
the hierarchy triangle
PT NEEDS REHABILITATION
Car seat safety - ...Ans...Use rear-facing car seat in back seat, preferably the middle
until age 2 or until the child reaches max height and weight
anchored in the car!!!!
emergent - ...Ans...require immediate treatment to survive
ABC issues
trach deviation
loss of life or limb
airway obstruction
cardiac arrest
shock
urgent - ...Ans...mild issue
stable v/s
stable for the moment
Non-urgent - ...Ans...Lowest priority; minor conditions which are not time-sensitive
and care is not needed immediately
rashes
Contusions
fractures
chest tube - ...Ans...Catheter inserted through the thorax into the chest cavity for
removing air or fluid; used after chest or heart surgery or pneumothorax.
if it comes out, immediately place tube in sterile water
needs to be lower than the pt
water seal chamber- air leak has vigorous bubbling
MD ONLY TO REMOVE CHEST TUBE
Ventilator Alarms
-Low Pressure
-High Pressure - ...Ans...-Low: disconnection
-High: suction for possible secretions, kinks.
***IF YOU CAN"T FIGURE OUT ALARM, DISCONNECT AND MANUALLY BAG PT
sickle cell anemia - ...Ans...a genetic disorder that causes abnormal hemoglobin,
resulting in some red blood cells assuming an abnormal curved or sickle shape
H- HYDRATE
O- OXYGENATE
P- PAIN CONTROL
***In children, have mom encourage fluids***
V-Fib (Ventricular Fibrillation) - ...Ans...D-FIB FOR V-FIB
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