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NUR 185 Exam 1 Practice Questions
- Course
- Adult Health NUR 185 Hondros
- Institution
- Hondros College School Of Nursing
Detailed Practice Questions on Exam 1 for Nur 185.
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185 EXAM 1 NOTESWEEK 1:
MEDS:
1. THEOPHYLINE- BRONCHIDILTOR
a. TREAT ASTHMA AND OTHER LUNG PROBLEMS
b. INCREASE HR AND BP
c. NURSING INTERVENTIONS – VITALS, LUNG ASSESSMENT, SAFETY
2. MIDAZOLAM – BENZODIAZEPINE
a. SEDATIVE, GIVEN PRE-OP, AMNESIA EFFECT, PRODUCE SLEEP, SHORT ACTING
b. DROWSY, CONFUSION, HYPOT, HEPATOXIC, LOW HEART RATE
c. ANTIDOTE: FLUMAZENIL (ROMAZICON)
d. NURSING INTERVENTION- RECORD VITALS
3. MUCOMYST (ACETYL CYSTEINE) – LIQUIDY MUCUS
a. TREAT PNEUMONIA, EMPHYSEMA, ASTHMA, BRONCHITIS
b. NAUSEA, VOMIT, ODOR ROTTEN EGGS, TACHYC, HYPOT
c. SERIOUS ADVERSE EFFECT – BRONCHOSPASM
d. NEBULIZER
e. ANTIDOTE FOR TYLENOL (ORAL)
f. NURSING INTERVENTIONS – VITALS, MONITOR COUGH, BRONCHIAL SECRETION,
RECORD GI SYPMTOM BEFORE AND AFTER
4. IPRATROPIUM (ATROVENT) –
a. TREAT ASTHMA, LONG TERM REVERSIBLE BRONCHOSPASM ASSOCIATED WITH COPD
b. COMMON ADVERSE EFFECT- MOUTH DRY, THROAT IRRITATE, DIZZY, NASAL CONGESTED
c. SERIOUS ADVERSE EFFECT – TACHYC, URINE RETENTION, EXACERBATION OF symptoms
d. NURSING INTERVENTION – VITALS, MONITOR COUGH AND SECRETION, RECORD GI
SYMPTOM BEFORE AND AFTER
5. BROMIDE/ALBUTEROL (DUO NEB) –
a. COMBOMED
b. TREAT WHEEZING, SHORT OF BREATH
c. HEADACHE, SHAKING, TREMOR, NERVOUS, DRY MOUTH, STUFFY NOSE
d. NURSING INTERVENTION – VITALS, MONITOR COUGH/SECRETION, RECORD GI
SYMPTOM BEFORE AND AFTER
6. PREDNISONE – CORTICOSTEROID, BY MOUTH
a. DECREASE INFLAMMATION
b. TREAT SEVER INFLAMMATION, MULTIPE SCLEROSIS, PULMONARY FIBROSIS, ASTHMA,
COPD
c. CAUTION WITH DIABETES – INCREASE BLOOD SUGAR
d. WEIGHT GAIN, DEPRESSION, POOR WOUND HEALING, MOOD CHANGE, DECREASE
IMMUNITY
e. PT TEACH – DO NOT STOP ABRUPTLY, TAPER OFF AS DOC DIRECTED
, OXYGEN DEVICES
1. NASAL CANULA 1 TO 6 LITERS
2. NON REBREATHER 10 TO 15 LITERS
3. SIMPLE FACE MASK 5 TO 8 LITERS
4. VENTURI 4- 1O LITERS
SUCTIONING STEPS
1. STERILE TECHNIQUE, FACE MASK
2. LUBRICATE
3. OXYGENATE
4. DURING INSERTION, VENT OPEN SO SUCTION DOESN’T OCCUR
5. SUCTION WHILE ROTATING CATH BACK AND FORTH
6. SUCTION FOR 10-15 SECONDS AT A TIME
7. RINSE CATHETER, SUCTION NORMAL SALINE
8. OXYGENATE
9. DOCUMENT
TRACH CARE STEPS
1. STANDARD PRECAUTION
2. SUCTION TRACH BEFORE REMOVING OLD DRESSING
3. STERILE GLOVES
4. NORMAL SALINE CLEAN OUTER CANNULA
5. RINSE/ DRY INNER CANNULA
6. CLEANSE STOMA AND SURROUNDING SKIN
7. NO SOLUTION IN STOMA
8. CHANGE TRACH TIES
9. REPLACE TRACH DRESSING
10. TIE TIES ON THE SIDE
10 CARE ESSENTIAL FOR VENTILATOR PATIENTS
1. COMMUNICATION BOARD
2. CHECK VENT SETTINGS (RR, FI02, TV/V1, PIP)
3. SUCTION AS NEEDED, HYPEROXTGENATE BEFORE AND AFTER
4. ASSESS PAIN AND SEDATION NEEDS
5. PREVENT INFECTION
6. PREVENT HEMODYNAMIC INSTABILITY
7. MANAGE AIRWAY
8. MEET NUTRITIONAL NEEDS
9. WEAN PATIENT
10. EDUCATE PT
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