NUR 195 exam 2 Study guide with correct answers

NUR 195 exam 2 Study guide with correct answers Kidney stone diet - Answer-Increase fluid intake and protein AVOID chocolate and calcium, nuts, shellfish, wheat products, carbonated beverages Care coordination tier 1 - Answer-Frail, elderly, terminal illness, dying, children w/ disabilities Care coordination tier 2 - Answer-Mental health Care coordination tier 3 - Answer-Everyone else medication reconciliation - Answer--NPSG -Every time a patient has a procedure/surgery, moves facility, unit or goes up the doctor will review current medications lasix, spironolactone - Answer--Diuretics -Lowers blood pressure Which patient would benefit the most from care coordination - Answer-87 year old who just had a CV resulting in dysphasia and right sided weakness right sided heart failure - Answer--Jugular vein distention -edema (starts in feet can radiate to sacrum) -Ascites EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 2/8 -Nausea and vomiting -Abdominal distention -Enlarged liver -Low appetite Left sided heart failure - Answer--Dyspnea, SOB -Crackles -PINK FROTHY SPUTUM -Pulse OX is dropping -hypertrophy -restless -Cool/pale skin -Restless -Low urine output (oliguria) ramopril - Answer-Ace inhibitor -Hypertension -Low dose-cardiac effect Amiodarone (Cordarone) - Answer--Tachycardia, ventricular fibrillation -Can damage the heart EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 3/8 -Can cause blue/grey color to the skin Common side effect: Hypotension National patient safety goals - Answer--Suicide prevention -Pass meds safely -Prevent infection Preferred skin cleanser - Answer--Chloraprep -Chlorohexidine- chloraprep and alcohol mixed Digoxin (Lanoxin) - Answer--Slows HR down and strengthens contraction -PO, IV, IV push -CHF -Apical pulse below 60 BPM HOLD the medication Congestive heart failure intervention - Answer--Fluid restriction -Sodium restrictions Promethazine (Phenergan) - Answer--motion sickness, N/V -Sedation Common SE: Constipation, Urinary retention, dizziness, drowsiness Severe SE: Thrombocytopnea, neuroleptic malignant syndrome VESICANT EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 Page 4/8 Cardiac bypass surger - Answer--Surgen -Dietician -Cardiac rehab -Cardiologist orthopedic surgeon - Answer-Bone doctor Contact percautions - Answer-Minimum gown and gloves Droplet - Answer-Minimum of mask with face