NSG 430 Exam 1 – Questions With Accurate
Solutions
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Terms in this set (71)
Ex/ of s/sx of deterioration to call RRT 1. Commonly the first is a neuro cog differences like
subtle ones like confusion, anxiety, restlessness, or
more major ones like LOC changes or a feeling of
impending doom
2. Early tachycardia
3. HYP (really any VS that's extremely out of wack)
4. narrowed pulse pressure
5. Respiratory changes (ex/ tachypnea, dyspnea or
labored breathing)
Who, generally, comprises the RRT 1. ICU or specifically a RRT nurse
2. Assigned nurse giving a bedside report
3. RT specifically for airway
4. Pharmacist
5. Provider cna place orders and escalate concerns
,Actions to take while RRT is on the way 1. Monitor ABCs
2. Drawing labs
3. Use SBar to give the report to RRT
Cardiopulmonary vs brain death Cardiopulmonary: cessation of both the heart and
resp death
Brain death: may still have a HR on mechanical
ventilation but are clinically and legally dead, should
determine w/ a neuro exam and apnea testing. Make
use to focus on supporting the family and that they
understand this isn't a coma there is NO chance of
recovery
End of Life s/sx 1. VS changes
2. metabolism slowing down
3. Death rattle (com freom pooled secretions can be
managed w/ meds, positioning, and suction)
4. Mottling (waxy) of skin while also becoming cold,
clammy, cyanosis
5. Urinary system decreasing and incontinence
6. GI digestive tact slowing, loss of bowel control
7. Musculoskeletal: loss of ability to move, facial
muscle tone decreases, swallowing becomes to
difficult
early tachycardia, HR weakens and slows, irregular
cardiac rhythm's
8. Cheyne stokes breathing (apnea then deep rapid
breathing)
How to manage meds w/ end of life lack of circulation and slowed digestives so should
care have PO and use more direct methods like IV,
sublinguals, and trans dermal meds
, Palliative Care Care designed not to treat an illness but to provide
physical and emotional comfort to the patient and
support and guidance to his or her family. But can be
given along side treating care if the condition is
severe enough
Hospice Care A form of palliative care that only begins after
deciding to stop curative TxTx usually have about 6
months or less to live and is purely focused on
comfort and peaceful death. To qualify they have to
stop curative Tx
Criteria: 6 months left, not pursing curative Tx, and a 2
doc sign off agreeing to the severity
Cardiac Output (CO) Amount of Blood that's pumped per minute, L/min
SVxHR=CO
Normal is 4-8
Cardiac Index (CI) CO that's adjusted for body size a normal is 2.5-4
L/min (CO/Body Surface Area=CI)
Ejection Fraction (EF) Percentage of blood forced out of L vent, normal is
55-75%
Stroke Volume (SV) Volume per heart beat and made up of 3 different
parts
1. Preload: the stretch/the volume at the end of
diastole
2. Afterload: What the body is going against/the
amount the ventricles are pushing against
3. Contractility: The squeeze and the strength of the
ventricles
If one decreases the others increase to compensate
Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (71)
Ex/ of s/sx of deterioration to call RRT 1. Commonly the first is a neuro cog differences like
subtle ones like confusion, anxiety, restlessness, or
more major ones like LOC changes or a feeling of
impending doom
2. Early tachycardia
3. HYP (really any VS that's extremely out of wack)
4. narrowed pulse pressure
5. Respiratory changes (ex/ tachypnea, dyspnea or
labored breathing)
Who, generally, comprises the RRT 1. ICU or specifically a RRT nurse
2. Assigned nurse giving a bedside report
3. RT specifically for airway
4. Pharmacist
5. Provider cna place orders and escalate concerns
,Actions to take while RRT is on the way 1. Monitor ABCs
2. Drawing labs
3. Use SBar to give the report to RRT
Cardiopulmonary vs brain death Cardiopulmonary: cessation of both the heart and
resp death
Brain death: may still have a HR on mechanical
ventilation but are clinically and legally dead, should
determine w/ a neuro exam and apnea testing. Make
use to focus on supporting the family and that they
understand this isn't a coma there is NO chance of
recovery
End of Life s/sx 1. VS changes
2. metabolism slowing down
3. Death rattle (com freom pooled secretions can be
managed w/ meds, positioning, and suction)
4. Mottling (waxy) of skin while also becoming cold,
clammy, cyanosis
5. Urinary system decreasing and incontinence
6. GI digestive tact slowing, loss of bowel control
7. Musculoskeletal: loss of ability to move, facial
muscle tone decreases, swallowing becomes to
difficult
early tachycardia, HR weakens and slows, irregular
cardiac rhythm's
8. Cheyne stokes breathing (apnea then deep rapid
breathing)
How to manage meds w/ end of life lack of circulation and slowed digestives so should
care have PO and use more direct methods like IV,
sublinguals, and trans dermal meds
, Palliative Care Care designed not to treat an illness but to provide
physical and emotional comfort to the patient and
support and guidance to his or her family. But can be
given along side treating care if the condition is
severe enough
Hospice Care A form of palliative care that only begins after
deciding to stop curative TxTx usually have about 6
months or less to live and is purely focused on
comfort and peaceful death. To qualify they have to
stop curative Tx
Criteria: 6 months left, not pursing curative Tx, and a 2
doc sign off agreeing to the severity
Cardiac Output (CO) Amount of Blood that's pumped per minute, L/min
SVxHR=CO
Normal is 4-8
Cardiac Index (CI) CO that's adjusted for body size a normal is 2.5-4
L/min (CO/Body Surface Area=CI)
Ejection Fraction (EF) Percentage of blood forced out of L vent, normal is
55-75%
Stroke Volume (SV) Volume per heart beat and made up of 3 different
parts
1. Preload: the stretch/the volume at the end of
diastole
2. Afterload: What the body is going against/the
amount the ventricles are pushing against
3. Contractility: The squeeze and the strength of the
ventricles
If one decreases the others increase to compensate
