Exam 1: NR324/ NR 324 (Latest 2024/ 2025 Update) Adult Health I Review| Questions and Verified Answers | 100% Correct | Grade A - Chamberlain

Exam 1: NR324/ NR 324 (Latest 2024/ 2025 Update) Adult Health I Review| Questions and Verified Answers | 100% Correct | Grade A - Chamberlain Q: CVADs (central venous access devices) Answer: -Flushed every 8-12 hours per hos- pital protocol Complications: -Pneumothorax: ‘SOB, ‘RR, “O2 -Infection: must be sterile -Clots Q: Respiratory Auscultations Answer: -Crackles: thin "wet" (aka Rales) -Rhonchi: thick "gunk" -Wheezes: musical -Stridor: constriction "high pitched"-medical emergency Q: Respiratory Nursing Interventions Answer: Dependent: -Oxygen -Bronchodilators -Steroids -IVF/blood products -Diuretics -Incentive spirometer -Antibiotics Independent: -Vital Signs -Repositioning -‘ HOB -Suctioning -Deep breathing Q: COPD s/s Answer: -Tripop/accessory muscle use -‘ Anterior-posterior diameter (barrel chest) -Nail clubbing -“ cap refill -Cyanosis(late) Q: Chest tube Answer: Good Indications: -Tidaling/Fluctuations move ‘ with inspiration and “ with expiration Complications: -Air leak: bubbles -Dislodged from body: cover hole -Disconnected: put tubbing end in water Q: What s/s are classic with a pneumonia infection? How do we treat it? Answer: What s/s are classic with a pneumonia infection? -Fever, shaking chills, Green, yellow sputum How do we treat it? -Antibiotics -65+ gets vaccine Q: What are the manifestations of TB? What does a positive TB skin test mean? Answer: What are the manifestations of TB? -Wt. loss -night sweats -Hemoptysis -Chronic Productive Cough (over 3 weeks) What does a positive TB skin test mean? -Induration: read in 48-72 hours 5 mm (immunocompromised) 10 mm (drug user, kids/infants, or travel outside US) 15 mm if no risk factors Q: What is a PE(Pulmonary Embolism)? Risk Factors? What drug would you use? What are the acute interventions? Answer: What is a PE(Pulmonary Embolism)? -Blockage of pulmonary arteries Risk Factors? -Immobility/DVT, pregnancy, obesity What drug would you use? -fibrinolytic/thrombolytic(clot buster): dissolve clots(RF: bleeding) What are the acute interventions? -Anticoagulants(prevent new clots): Heparin(IV), Warfarin(PO) Q: How do you use a peak flow meter and what does it tell you? Answer: How do you use a peak flow meter and what does it tell you? For asthma -Green=good -Yellow=take another hit -Red=call 911