PNLE NP3 AND NP4 Practice Exam#1.

Burns - correct answer 1st, 2nd and 3rd degree burns. Tissue damage cause by extreme heat. Remember that PAIN is the hardest part for the nurse in caring for a burned victim. Burn wounds heal by secondary intention. Classification of Burns - correct answer Nursing Diagnosis for Burns - correct answer Drug use in burns - correct answer Silver sulfadiazine cream - correct answer a sulfa medication used to prevent and treat bacterial or fungal infections Tx for burns S/E: Neutropenia, burning CROSS-ALLERGY: sulfonamides Electrolyte changes in burn - correct answer Hyperkalemia treatment - correct answer Treatment - Give diuretics, glucose/insulin Kaexelate Hyponatermia Treatment - correct answer WHO Pain ladder scale, - correct answer Demerol (meperidine) - correct answer -Used for pain management -Opioid analgesic. Used for chronic pain or intense short term pain episodes. Morphine and fentanyl - correct answer -Morphine & Fentanyl mimic endorphines and sedate and reduce pre-op anxiety. -Side effects = resp depression, sedation, dizzy, hypotension, retention. -Don't give to patient who had biliary/ colon surgery. -Phenobarbitor increases CNS depressant. -Hold if resp rate under 8/min. Nursing diagnosis after anesthesia - correct answer RISK FOR INFECTION or INEFFECTIVE AIR CLEARANCE Surgical Monitoring - correct answer q30 PACU MONITORING - correct answer Q15 , **patent airway/breathing; breath sounds, O2, restorations Circulation: skin color, BP, HR, ECG GU: input & output Surgical site for dressings or drains Pain Morphine - correct answer causes spasms in the sphincter of oddi. narcotic drug derived from opium, used to treat severe pain Hepa A - correct answer oro-fecal infectious hepatitis both A & B have vaccines either passive or active but if already exposed, Give PASSIVE. Hepa B - correct answer is caused by blood exchange associated with 10% of transfusion acquired hepatitis Diabetes mellitus - correct answer a group of metabolic disorders characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both Metformin and contrast medium [stop metformin due to renal toxicity], Insulin rotation and administration, diabetes r/t footcare. Avoid wearing canvass shoes, check for the sensation, do not go outside without slippers. PERIPHERAL NEUROPATHY. OHA drugs.