NUR2243 final exam review
Questions and Answers (100% Pass)
Danger with 3rd degree heart block
✓ this is a 100% block and is an emergency, a patient with this block must
get to the cath lab immediately.
Post Cardiac Catheterization considerations
✓ when femoral artery is used as access the patient must lie flat for at
least 6 hours, this is so the bleeding can be controlled. bleeding that
would occur after this procedure would be internal so look out for
abdomen bruising or flank pain. call rapid or the physician if you see
either.
Heart transplant patient teaching
✓ change positions slowly, the heart is not connected to the nervous
system yet and cannot accommodate for changes in blood pressure
pH normal range
✓ 7.35-7.45, lower the pH the more acidic, higher the pH the more
alkalotic
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PaCO2 norm
✓ 35-45, lower the PaCO2 the more alkalotic, higher the pH the more
acidic
HCO3 normal range
✓ 22-26, lower the HCO3 the more acidic, higher the HCO3 the more
alkalotic
Mild TBI is synonymous with what term
✓ concussion
Moderate TBI glasgow coma scale score
✓ 9-12, these patients need to be hospitalized
Severe TBI (open or closed) glasgow coma scale score
✓ 3-8
Nursing care during resuscitation phase of burn injury
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✓ secure the airway, fluid replacement, provide analgesics to the
patient, prevent infection through careful wound care, maintain the
body temperature. during this phase no physical therapy, just focused
on stabilizing the patient
Diet for burn injuries
✓ 5,000 kcal/day, high protein, collaborate with the dietitian and offer
lots of snacks
Heat stroke Interventions
✓ administer oxygen, fluid therapy, lab tests should be performed for
baseline on electrolytes. if they have a high temp do not give tylenol
Communicating with a patient who has expressive aphasia
✓ this is damage to the speech center of the brain, use simple phrases
and questions, speak clearly without shouting, ask yes/no questions,
use a communication board, do not rush the patient
Autonomic Dysreflexia s/s
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