NR 341 FINAL EXAM REVIEW

● Burns -- give morphine prior to wound care - side effects - respirations - Zofran for nausea - prochlorperazine ○ Nausea med before morphine ● Bloody Diarrhea - Stool Culture ● Who to see first - A B C s ● Dry mucous membranes - Dehydration ● Vomit Blood Loss - Lactated Ringers ● Trauma - peritoneal lavage - irrigating the abdomen - brown fecal drainage return - perforated bowel - take to OR STAT ● How to Prevent Constipation - Fluid and Fiber - Exercise - Stool Softeners - ● Bowel Movement after Breakfast - YES ● OTC meds cause constipation - YES ● Paracentesis - Ascites - nursing intervention prior - empty the bladder ● Esophageal varices with balloon tamponade - Impaired airway - ● Grave’s Disease - Hyperthyroidism - first treat with PTU - antithyroid medications take several months for full effect ○ Surgery - Hyperparathyroidism - ● Steroid Therapy - DO not discontinue abruptly - monitor glucose and weight and infection ● Green Drainage out NG or JVD - JVD more concerning - Fluid Overload - ● Shock diagnosis - Administer O2 - to do no more harm - make sure they are perfusing O2