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?

NRS 440 - Final Exam

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...

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...

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...

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 ...