NU431 Midterm Exam With
Complete Solution
Sepsis, fever, burns - ANSWER hypermetabolic states
Acute renal failure - ANSWER example of catabolic state
Chronic cardiac, pulmonary, or liver diseases - ANSWER conditions that may
cause pt to be malnoursished
Preserves structure and function of digestion - ANSWER major benefit of
enteral nutrition
cannot pass NG, leaking of gastric contents, UC, bowel obstruction, short
bowel syndrome - ANSWER contraindications to enteral therapy
paralytic ileus, diffuse peritonitis, intestinal obstruction, pancreatitis, GI
ischemia, intractable vomiting/diarrhea - ANSWER possible indications for
parenteral therapy
threat to physical health, loss of control, foreign environment - ANSWER
potential causes of anxiety in an intensive care setting
encourage pt to express concerns, bring in personal items, explain all
procedures, pharmacological/CAM interventions - ANSWER ways nurses
can mediate and reduce anxiety
sedation, head injury, delirium, encephalopathy, intubatoin - ANSWER
reasons why ICU pts may have impaired communication
NO - ANSWER is sedation pain medicine
,70% - ANSWER percentage of ICU patients with moderate to severe
unrelieved pain
sedation vacation - ANSWER daily weaning of sedating medications to see
how patient tolerates
delirium - ANSWER a state of temporary but acute mental confusion
80% - ANSWER percent of patients in the ICU that experience delirium
advanced age, preexisting cognitive impairment, sensory impairment,
drug/etoh abuse, sleep deprivation, sensory overload, hemodynamic
instability - ANSWER conditions that may increase the likelihood of a
patient experiencing delirium
frequent assessments, remove cause, avoid malnutrition, avoid use of
physical restraints, dc all unnecessary pt lines - ANSWER management of
delirium in critically ill older adults
structure activities and rest periods, dim lights at night, limit noise, time
medications/prns - ANSWER management of sleep disruption in the ICU
locked in syndrome - ANSWER individual is aware and capable of thinking
but is paralyzed and unable to communicate
provide realistic hope, give straightforward answers and information,
reassure - ANSWER guiding principles when relating to the critically ill
adult's family
eight - ANSWER the number of lives one organ donation may save
systemic infection, active cancer - ANSWER two automatic rule outs for
organ procurement
, Buddhism, some sects of Islam - ANSWER religions that do not support
organ donation
HOPE Act - ANSWER signed in 2015, allows individuals with hepatitis C
infection to donate their organs
GCS less than 5, evaluation for brain death, plan to withdraw care, severe
neurologic injury is confirmed (obvious head trauma, poor neurodiagnostics,
MD determination of brain stem reflexes) - ANSWER clinical triggers to
contact OPO
organ procurement organization - ANSWER facilitate the organ donation
process by evaluating in-hospital deaths for donor eligibility; consulting with
families of potential donors; and retrieving, preserving, and transporting
organs for transplantation
first person authorization - ANSWER a person's legally binding decision to
become an organ and/or tissue donor after their death
15.5 - ANSWER age a person may consent to an FPA for the purpose of organ
donation- can be reversed by a legal guardian until the age of 18
MPOA, spouse, oldest adult child, parent, oldest living sibling - ANSWER OPO
chain of consent
living donation - ANSWER organ donor is a living person; may donate 1
kidney, 1 lobe of the liver, 1 lung, part of the pancreas/intestines, and tissue
donation after circulatory death - ANSWER pt does not meet criteria for
brain death, but has poor prognosis for meaningful existence, typically
withdrawn from life support
five consecutive minutes - ANSWER how long a heart must be stopped after
Complete Solution
Sepsis, fever, burns - ANSWER hypermetabolic states
Acute renal failure - ANSWER example of catabolic state
Chronic cardiac, pulmonary, or liver diseases - ANSWER conditions that may
cause pt to be malnoursished
Preserves structure and function of digestion - ANSWER major benefit of
enteral nutrition
cannot pass NG, leaking of gastric contents, UC, bowel obstruction, short
bowel syndrome - ANSWER contraindications to enteral therapy
paralytic ileus, diffuse peritonitis, intestinal obstruction, pancreatitis, GI
ischemia, intractable vomiting/diarrhea - ANSWER possible indications for
parenteral therapy
threat to physical health, loss of control, foreign environment - ANSWER
potential causes of anxiety in an intensive care setting
encourage pt to express concerns, bring in personal items, explain all
procedures, pharmacological/CAM interventions - ANSWER ways nurses
can mediate and reduce anxiety
sedation, head injury, delirium, encephalopathy, intubatoin - ANSWER
reasons why ICU pts may have impaired communication
NO - ANSWER is sedation pain medicine
,70% - ANSWER percentage of ICU patients with moderate to severe
unrelieved pain
sedation vacation - ANSWER daily weaning of sedating medications to see
how patient tolerates
delirium - ANSWER a state of temporary but acute mental confusion
80% - ANSWER percent of patients in the ICU that experience delirium
advanced age, preexisting cognitive impairment, sensory impairment,
drug/etoh abuse, sleep deprivation, sensory overload, hemodynamic
instability - ANSWER conditions that may increase the likelihood of a
patient experiencing delirium
frequent assessments, remove cause, avoid malnutrition, avoid use of
physical restraints, dc all unnecessary pt lines - ANSWER management of
delirium in critically ill older adults
structure activities and rest periods, dim lights at night, limit noise, time
medications/prns - ANSWER management of sleep disruption in the ICU
locked in syndrome - ANSWER individual is aware and capable of thinking
but is paralyzed and unable to communicate
provide realistic hope, give straightforward answers and information,
reassure - ANSWER guiding principles when relating to the critically ill
adult's family
eight - ANSWER the number of lives one organ donation may save
systemic infection, active cancer - ANSWER two automatic rule outs for
organ procurement
, Buddhism, some sects of Islam - ANSWER religions that do not support
organ donation
HOPE Act - ANSWER signed in 2015, allows individuals with hepatitis C
infection to donate their organs
GCS less than 5, evaluation for brain death, plan to withdraw care, severe
neurologic injury is confirmed (obvious head trauma, poor neurodiagnostics,
MD determination of brain stem reflexes) - ANSWER clinical triggers to
contact OPO
organ procurement organization - ANSWER facilitate the organ donation
process by evaluating in-hospital deaths for donor eligibility; consulting with
families of potential donors; and retrieving, preserving, and transporting
organs for transplantation
first person authorization - ANSWER a person's legally binding decision to
become an organ and/or tissue donor after their death
15.5 - ANSWER age a person may consent to an FPA for the purpose of organ
donation- can be reversed by a legal guardian until the age of 18
MPOA, spouse, oldest adult child, parent, oldest living sibling - ANSWER OPO
chain of consent
living donation - ANSWER organ donor is a living person; may donate 1
kidney, 1 lobe of the liver, 1 lung, part of the pancreas/intestines, and tissue
donation after circulatory death - ANSWER pt does not meet criteria for
brain death, but has poor prognosis for meaningful existence, typically
withdrawn from life support
five consecutive minutes - ANSWER how long a heart must be stopped after
