COMP 283 FINAL EXAM WITH ALL ANSWERS.

COMP 283 FINAL EXAM WITH ALL
ANSWERS




Deligation to UAP - correct answer-Transfer a duty. b b b bb b b b




they can get V/S, after RN has gotten initial set.
b b b b b b b b b




ambulate as long as pt has been cleared for weight bearing status.
b b b b b b b b b b b




re-ENFORCE education that RN has taught b b b b b




assist with ADL's b b




CPR
document I&O's b




glucose check, finger stick, per facility protocol
b b b b b b b




12 lead EKG, per facility protocol
b b b b b b




turn & reposition
b b




Delegation to LPN - correct answer-med administration, enteral feedings, urinary Cath
b b b bb b b b b b b




insertion, suctioning, tracheostomy care, reinforcement of pt education
b b b b b b b b




RN job duties remember neumonic - correct answer-ADPIE
b b b b b bb b




A-assessment b




D-diagnosis b




P-planning
I-implementation
E-evaluation

NG tube placement - correct answer-pH paper.
b b b bb b b




xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and
b b b b b b b b b b b b




amt), monitor nasal skin around tube, monitor tubing for kinks & "plugs", continue to
b b b b b b b b b b b b b b




assess BS's and abdominal girth, pain, **aspirate contents & irrigate the tube w/ 30 mL of
b b b b b b b b b b b b b b b b




NS q 4 hrs or as ordered by hcp
b b b b b b b b b

,NG assessment - correct answer-1st turn OFF suction
b b bb b b b b




verify placement b




can irrigate with sterile saline
b b b b




SCD's on (high risk for clots and pneumonia)b b b b b b b




turn & reposition b b




Peptic Ulcer Disease - correct answer-A break or ulceration in the protective mucosal
b b b bb b b b b b b b b




lining of the lower esophagus, stomach, or duodenum
b b b b b b b b




coffee ground emesis (old blood) b b b b




NPO, NG tube b b




triple therapy 2 antibiotics and 1 PPI
b b b b b b




could have an active bleed b b b b




H. pylori
b




early stage cirrhosis - correct answer-enlarged liver
b b b bb b b




jaundice
GI disturbances
b




weight loss b




increase protein b




late stage cirrhosis - correct answer-liver becomes smaller and nodular
b b b bb b b b b b




splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
b b b b b b b b




bleeding tendancies, decreased vitamin K and prothrombin, anemia b b b b b b b




esophageal varices, internal hemorrhoids b b b




dyspenia (from ascites and anemia) b b b b




pruritis from dry skin b b b




clay colored stools; no bile in stool
b b b b b b




tea colored urine; bile in urine
b b b b b




End stage cirrhosis - correct answer-hepatic encephalopathy/coma
b b b bb b b




portal hypertension - correct answer-A potential complication of chronic alcoholism
b b bb b b b b b b




resulting in liver damage and obstruction of venous blood flow through the liver. The
b b b b b b b b b b b b b b




rising blood pressure in the veins between the gastrointestinal tract and liver causes
b b b b b b b b b b b b b




engorgement of veins around the umbilicus (navel). The characteristic radiating pattern
b b b b b b b b b b b




of veins is called a "caput medusae" (head of Medusa). Medusa was the "snake-haired
b b b b b b b b b b b b b b




lady" in Greek mythology.
b b b b




end-stage cirrhosis b




self breast exam - correct answer-Monitor for any change in size, contour, dimpling.
b b b bb b b b b b b b b




Perform exam every month, 7 days after your period. Use finger pads of the three middle
b b b b b b b b b b b b b b b b




fingers.; lay down arm up, or stand in front of mirror
b b b b b b b b b b b




postmenopausal (or MEN) - pick same day every month b b b b b b b b




self testicular exam - correct answer-Looking for lumps that may be the first sign of
b b b bb b b b b b b b b b b




cancer common in men ages 15-35
b b b b b b




perform in shower, roll 'ball' between fingers b b b b b b

, Addison's disease - correct answer-A rare, chronic endocrine disorder in which the
b b bb b b b b b b b b




adrenal glands do not produce sufficient steroid hormones.
b b b b b b b b




s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
b b b b b b b




need life long cortisol replacement
b b b b




Monitor for addisonian crisis b b b




Addisonian crisis - correct answer-N/V confusion, abdominal pain, extreme weakness, b b bb b b b b b b




hypoglycemia, dehydration, EXTREME decreased BP
b b b b b




triggered by stress or infection b b b b




MEDICAL EMERGENCY b




Cushing's syndrome - correct answer-caused by prolonged exposure to high levels of
b b bb b b b b b b b b




cortisol
b




Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue, muscle
b b b b b b b b b b b b




weakness, depression/anxiety, hypertension, hypernatremia (polydipsia),
b b b b b




hypokalemia, hyperglycemia
b b




Nutritional needs for infant - correct answer-breast or bottle MAIN source of nutrition for
b b b b bb b b b b b b b b




first year
b b




no juice
b




no honey (not even pacifier dip)
b b b b b




no water
b




no sugar
b




Warfarin - correct answer-Coumadin b bb b




Anticoagulant b




used in A-fib and DVT b b b b




bVit K is the antidote for OD
b b b b b b




INR therapeutic range 2-3
b b b




PT 1.5-2X the normal
b b b




Inerdisciplinary team (rounds) - correct answer-late stage Parkinson's b b b bb b b b




cystic fibrosis b b




MS
dialysis
pts who DO NEED; multidemeantional needs, do they have 2 or more of the needs in the
b b b b b b b b b b b b b b b b




hierarchy triangle
b b




PT NEEDS REHABILITATION
b b




Car seat safety - correct answer-Use rear-facing car seat in back seat, preferably the
b b b bb b b b b b b b b b




middle until age 2 or until the child reaches max height and weight
b b b b b b b b b b b b b




anchored in the car!!!! b b b




emergent - correct answer-require immediate treatment to survive b bb b b b b b b




ABC issues b




trach deviation b b




loss of life or limb
b b b b




airway obstruction b b




cardiac arrest b




shock