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AH2 EXAM 2 LATEST EXAM 2025 STUDYGUIDE QUESTIONS AND 100% CORRECT ANSWERS | A+ GRADE STUDY GUIDE
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AH2 EXAM 2 LATEST EXAM 2025 STUDYGUIDE QUESTIONS AND 100% CORRECT ANSWERS | A+ GRADE STUDY GUIDE
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AH2 EXAM 2 LATEST EXAM 2025STUDYGUIDE QUESTIONS AND 100%
CORRECT ANSWERS | A+ GRADE
STUDY GUIDE
pt teaching for aspiration prevention w/ open vocal cord
paralysis Correct Answer teach pt to tuck their chin while
swallowing in order to prevent aspiration of food
voice rest therapy for vocal cord polyps Correct Answer
not speaking - especially whispering because this puts
more strain on the vocal cords.
pre-surgical interventions for total laryngectomy Correct
Answer monitor for subcut emphysema and assess O2 sat
status if emphysema is presnent. assist the patient in
choosing a communication method for after the surgery.
infection control for total laryngectomy and humidifier use
Correct Answer humidified are may be needed. increased
cleanliness in home to prevent the spread of mold or other
infectious agents.
diet selection for patient w/ esphagitis Correct Answer
bland, soft, high-calorie foods along with liquid nutritional
supplements.
Spicy and acidic foods my be very painful to eat.
,Nursing interventions for patient w/ a chest tube. Correct
Answer pain management - very painful. may have a PCA,
monitor vitals, and plan care around timing of analgesia to
reduce additional pain stimulation
safety interventions for pt w/ a chest tube Correct Answer
keep padded clamps at the bedside for use if the drainage
system is interrupted.
side effects of heparin therapy Correct Answer
thrombocytopenia
interventions for a pt who is dyspneic Correct Answer
oxygen therapy, position of comfort (usually upright),
relaxation, diversion, guided imagery, energy-conserving
measures, drugs (inhaler to widen bronchioles and
decrease inflammation to promote gas exchange.)
pt teaching for implantable cardioverter-defibrillator
Correct Answer keep away from electro-magnetic fields
because they can reset the device.
clinical symptoms of Mitral Valve Stenosis Progression
Correct Answer Dyspnea on Exertion, fatigue, orthopnea,
hymoptysis, hepatomegaly, neck vein distention, pitting
edema, a.fib., paroxysmal nocturnal dyspnea
pt teaching post mitral valve replacement surgery Correct
Answer importance of prophylacitc antibiotic therapy
before any invasive procedure (bronchoscopy, endoscopy,
colonoscopy, surgery, dental work, etc.)
,wait a minimum of 6 months following surgery to have
dental procedures done due to risk for endocarditis
pt teaching for position changes post heart transplant
Correct Answer change positions slowly as the new heart
is denervated, so the baroreceptor and other mechanisms
that compensate for BP drops caused by position changes
do not function.
abdominal aneurysm assessment Correct Answer
auscultate for a bruit over the mass, but avoid palpating
the mass because it may be tender and there is a risk for
rupture.
maintain BP at a normal level to decrease risk of rupture.
pt teaching for peripheral arterial disease Correct Answer
caution the pt to never apply direct heat to the limb such
as with the use of a heating pad or extremely hot water
patient teaching for use of insulin while a pt is in shock
Correct Answer during the initial stage of shock the BG
levels may rise requiring more insulin
definition of graft vs. host disease Correct Answer
complications that can occur after a transplant where the
newly transplanted donor cells attack the transplant
recipient's body
occurs within 1-2 weeks of transfusion
s/s thrombocytopenia, anorexia, n/v, chronic hepatitis,
weight loss, recurrent infection
, Nursing responsibilities before a blood transfusion Correct
Answer assess labratory values, verify the medical
prescription, asses the patient's vitals, urine output, skin
color, and history of transfusion reaction, obtain venous
access (at least 20G), obtain blood products from blood
bank, transfuse within 30 minutes, with another RN verify
the patient by name and medical record number, check
blood compatibility and note expiration time.
Nursing Responsibilities during a blood transfusion
Correct Answer administer the blood product using the
appropriate filtered tubing, dilute blood products ONLY
with normal saline, remain w/ pt during the frist 15-30
minutes of infusion, inf the blood product at the prescribed
rate, monitor vitals
Nursing Responsibilities after a blood transfusion Correct
Answer when the transfusion is completed, discontinue
the infusion and dispose of the bag and tubing in a
biohazard bag if no transfusion reaction occurred. if a
reaction occurred place the bag and tubing in a biohazard
bag and take it back to the blood bank once the pt is
stable. document the type of product infused, product
number, volume infused, time of infusion, and any adverse
reactions
how to calculate pack-years for a pt who smokes Correct
Answer packs/day x number of years smoking
what should a nurse always do when dealing with blood
Correct Answer Put on gloves
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