NURS 480 EXAM 1 QUESTIONS AND ANSWERS
SET A+
✔✔Hyperkalemia EKG - ✔✔1. Peak T waves
2. Wide QRS
3. Loss of P waves
4. Sine wave
5. Asystole
✔✔Hypokalemia EKG - ✔✔T waves flatten; U waves
✔✔NA for asystole - ✔✔1. CPR
2. Epinephrine
3. intubation
✔✔NA for ventricular fibrillation - ✔✔1. NO pulse
2. CPR and Defib
3. epi
4. amiodarone
✔✔What two corticosteroids are used for patients with respiratory issues?
What is its therapeutic effect? - ✔✔IV methylprednisolone (Solumedrol)
IV Dexamethasone (Decadron
better breathing and oxygenation as inflammation calms down
✔✔When monitoring a chest tube make sure to check ? - ✔✔1. resp status and VS q4h
2. check water seal level, add water if needed
3. check drainage output amount and color
4. Keep atrium chambers UPRIGHT and BELOW chest at all times
5. bad if continuous bubbling in water chamber (air leak)
6. bad if absence of tidaling in water chamber
, 7. bad if drainage greater than 70 mL/hr
8. bad if bright red blood (dark is fine)
✔✔What to monitor for a pt with acute respiratory failure? - ✔✔1. Look at abg values
a. Hypoxemia? Resp acidosis?
2. Vital signs?
3. Abnormal WBC?
4. Lactate acid value?
o Normal : less than 2
o Abnormal: 2 , common in start of septic pts.
o Greater than 4: septic shock extreme
✔✔4 signs that differentiate respiratory failure from pneumonia ? - ✔✔??????
resp failure
1.
2.
3.
pneumonia
1. Crackles
2. Fever
3. Frothy green sputum
✔✔NA for pt with respiratory failure and intubation ? - ✔✔1. Head of bed 30-45
2. Suction as needed
3. Oral care
4. Repeat chest x ray
5. Sedation
a. With propofol
· - preferred for neuro issues as it can easily be turned off
8. Benzos
o Midazolam
✔✔CABG pre/post op questions? - ✔✔Pre
i. Take cardiac and glucose meds
ii. Stop blood thinners
PostOp
i. How long they stay
Ii. Mediastinal chest tube possibly
✔✔Cushing's dietary teaching? - ✔✔· High protein and calcium
· Low fat and salt
✔✔Addison's Treatment? - ✔✔- Topical hydrocortisone for daily, Hydrocortisone IM for
emergency
SET A+
✔✔Hyperkalemia EKG - ✔✔1. Peak T waves
2. Wide QRS
3. Loss of P waves
4. Sine wave
5. Asystole
✔✔Hypokalemia EKG - ✔✔T waves flatten; U waves
✔✔NA for asystole - ✔✔1. CPR
2. Epinephrine
3. intubation
✔✔NA for ventricular fibrillation - ✔✔1. NO pulse
2. CPR and Defib
3. epi
4. amiodarone
✔✔What two corticosteroids are used for patients with respiratory issues?
What is its therapeutic effect? - ✔✔IV methylprednisolone (Solumedrol)
IV Dexamethasone (Decadron
better breathing and oxygenation as inflammation calms down
✔✔When monitoring a chest tube make sure to check ? - ✔✔1. resp status and VS q4h
2. check water seal level, add water if needed
3. check drainage output amount and color
4. Keep atrium chambers UPRIGHT and BELOW chest at all times
5. bad if continuous bubbling in water chamber (air leak)
6. bad if absence of tidaling in water chamber
, 7. bad if drainage greater than 70 mL/hr
8. bad if bright red blood (dark is fine)
✔✔What to monitor for a pt with acute respiratory failure? - ✔✔1. Look at abg values
a. Hypoxemia? Resp acidosis?
2. Vital signs?
3. Abnormal WBC?
4. Lactate acid value?
o Normal : less than 2
o Abnormal: 2 , common in start of septic pts.
o Greater than 4: septic shock extreme
✔✔4 signs that differentiate respiratory failure from pneumonia ? - ✔✔??????
resp failure
1.
2.
3.
pneumonia
1. Crackles
2. Fever
3. Frothy green sputum
✔✔NA for pt with respiratory failure and intubation ? - ✔✔1. Head of bed 30-45
2. Suction as needed
3. Oral care
4. Repeat chest x ray
5. Sedation
a. With propofol
· - preferred for neuro issues as it can easily be turned off
8. Benzos
o Midazolam
✔✔CABG pre/post op questions? - ✔✔Pre
i. Take cardiac and glucose meds
ii. Stop blood thinners
PostOp
i. How long they stay
Ii. Mediastinal chest tube possibly
✔✔Cushing's dietary teaching? - ✔✔· High protein and calcium
· Low fat and salt
✔✔Addison's Treatment? - ✔✔- Topical hydrocortisone for daily, Hydrocortisone IM for
emergency
