Nrs 440 Study guides, Class notes & Summaries

NRS 440 Topic 5 DQ 2: Advocacy Theinfluenceofleadershipcanbefar-reachinginpracticeandimprovingpatientoutcomesevenwhen notinaformalrole.Describeadvocacystrategiesthatyoucanuseasaleadertocreatepositivechange inyourcurrentworkplace.Inresponsetopeers,describeatimewhenyouprovidedleadershipandthe outcome. Was there anything that you would dodifferently?

shock - condition in which the CV system fails to perfuse tissues adequately life-threatening an impaired cardiac pump, circulatory system, and/or volume can lead to compromised blood flow to tissues inadequate tissue perfusion can lead to - generalized cellular hypoxia (starvation) widespread impairment of cellular metabolism tissue damage -> organ failure death dx of shock - MAP < 60 clinical s/s of hypoperfusion of vital organs -increased HR -hypother...

Organ rejection that occurs minutes to hours after transplantation due graft specific cytotoxic antibodies is - hyperacute rejection if a patient is seropositive prior to the transplant or after receiving a seropositive organ or blood transfusion that patients is at risk for developing what infection - cytomegalovirus infection posttransplant patients are at increased risk for malignancies secondary to - persistent viral infections and prolonged immunosuppressant therapy risk f...

Ventilator breath stacking - Occurs when a mandatory breath is delivered during the inspiratory phase of a spontaneous breath Can cause high tidal volumes which can lead to lung injury, decreased venous return, and decreased cardiac output Decrease venous return/CO Increase tidal volume Lung injury Acid-Base Balance - Homeostasis Buffer solutions keep pH at constant Problems that lead to imbalances: Diabetes Mellitus, Vomiting and diarrhea, and respiratory conditions No...

One of your patients begins to vomit large amounts of bright red blood. The patient is taking Warfarin. You call a rapid response. Which assessment findings indicate this patient is developing hypovolemic shock? Select all that apply: Urinary output 15 mL/hr Anxiety, restlessness Temperature 104.8 ‘F Heart rate 40 bpm Heart rate 140 bpm Pale, cool skin Blood pressure 220/106 Weak peripheral pulses Blood pressure 70/56 Urinary output 15 mL/hr Anxiety, restlessne...

critical care nursing - play a very important role in facilitating recovery for very sick/injured patients have much more advanced monitoring/support devices than can be found on a general care unit form the bases of rapid response teams; which equals earlier tx of potentially crashing patients -> fewer codes what are the common problems r/t the critically ill patient - anxiety environmental stressors (sensory overload/deprivation) delirium sleep deprivation pain nutrition...

A nurse is caring for a patient admitted to the ICU. The patients vital signs are heart rate of 28 per minute, blood pressure of 78/48mm/Hg, respiratory rate of 34/min, and temperature of 38.6 (101.4F). The client is becoming unresponsive. Which of the following interventions should the nurse perform first? - Apply transcutaneous pacing pads A patient is taking a beta1 adrenergic drug to improve the stroke volume of the heart. The nurse caring for this patient knows that this drug acts b...

acid-base balance - homeostasis the body's balance is tightly regulated. buffer solutions keep the pH constant in a wide variety of chemical actions health problems lead to imbalance: -DM(DKA), vomiting, diarrhea, respiratory conditions pH - measure of H+ ion concentration blood is slightly alkaline at pH of 7.35-7.45 balance between bicarb and H+ increase H+ - acidic decreased pH decrease H+ - alkalosis increased pH carbonic acid ratio to bicarbonate...

thermal burns - caused by flame, flash, scald, or contact with hot objects most common type of burn severity of injury depends on: -temperature of burning agent -duration of contact time smoke inhalation burns - from inhalation of hot air or noxious chemicals cause damage to respiratory tract major predictor of mortality in burn victims need to be treated quickly more prone to ARDS and pneumonia monitor ABGs types of inhalation injuries: metabolic asphyxiation ...

Hemodynamic monitoring - A branch of physiology that deals with the circulation of the blood -Heme = blood -dynamic: physical force of energy; movement Study/movement of blood through the body End Diastolic Volume (EDV) - Heart is done filling before releasing -fills 2x as long as systole End Systolic Volume (ESV) - volume of blood remaining in each ventricle after systole Volume or Pressure? - Blood measured in volume -hemodynamics measured in pressure -volume DOES ...