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NU 185 - Final Exam with precise detailed solutions

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NU 185 - Final Exam with precise detailed solutions

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NU 185 Final Exam with precise
!!| !! !!| !!| !!| !!| !!|




detailed solutions !!|




What does the LPN do before suctioning a vent patient?
!!| !!| !!| !!| !!| !!| !!| !!| !!|




- Set up sterile field
!!| !!| !!| !!|



- Hyperoxygenate
!!|




What should the LPN do if the alarm on the vent keeps
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|



ringing?
- !!| Check pump !!|



- !!| Check for kinks !!| !!|



- !!| Disconnect
- !!| Ambu bag on patient !!| !!| !!|




Vent care !!|




- !!| SCDs
- !!| Suction for 10 seconds !!| !!| !!|



- !!| Suction at bedside !!| !!|



- !!| No NS into endo tube or trach
!!| !!| !!| !!| !!| !!|



- !!| No peroxide
!!|



- !!| Hyperoxygenate before suction !!| !!|



- !!| HOB 30-40 degrees
!!| !!|



- !!| Mouth care !!|



- !!| Apply suction pulling out
!!| !!| !!|



- !!| VS frequently
!!|




Prevention of VAP !!| !!|




- HOB 30-45 degrees
!!| !!| !!|




- Oral care
!!| !!|

,- Peptic ulcer prophylaxis (decrease bacterial growth) using
!!| !!| !!| !!| !!| !!| !!| !!|



Pepcid, Zantac, Protonix !!| !!|




Respiratory acidosis !!|




- !!| COPD
- !!| Asthma
- !!| Emphysema
- !!| Chronic bronchitis !!|



- !!| Apply O2 !!|



- !!| S/S anxious, SOB, cyanotic, increased respirations
!!| !!| !!| !!| !!|




Respiratory alkalosis !!|




Hyperventilation
Metabolic acidosis !!|




- Diarrhea
!!|



- DKA
!!|




Metabolic alkalosis !!|




- Vomiting
!!|



- NG tube
!!| !!|




Metabolic syndrome !!|




- !!| Quit smoking
!!|



- !!| Lose weight
!!|



- !!| Carb control, no fatty food
!!| !!| !!| !!|



- !!| Take statins (Lipitor)
!!| !!|



- !!| Check BS if diabetic !!| !!| !!|




Interventions for a patient w/ burns on 80% of body !!| !!| !!| !!| !!| !!| !!| !!| !!|




- !!| Fluids
- !!| Reverse isolation !!|



- !!| Antibiotics
- !!| Pain meds!!|

, - Foley to monitor I&O's
!!| !!| !!| !!|



- Tetanus toxoid injection
!!| !!| !!|




Emergent stage of burns !!| !!| !!|




- 1st 48 hrs
!!| !!| !!|




- Hypovolemic shock
!!| !!|




- Acute RF
!!| !!|




- Hyperkalemia
!!|




- Insert IV
!!| !!|




- LR!!|




- Antibiotics
!!|




- Indwelling foley cath
!!| !!| !!|




- Pain meds
!!| !!|




Acute/diuretic phase of burns !!| !!| !!|




- 72 hrs - 10 days
!!| !!| !!| !!| !!|




- Circulatory overload
!!| !!|




- Hypokalemia
!!|




- Will have high urine output
!!| !!| !!| !!| !!|




Rehabilitation phase of burns !!| !!| !!|




Goal to prevent infection
!!| !!| !!|




Interventions for 3rd degree burns !!| !!| !!| !!|




- !!| Reverse isolation !!|



- !!| Pain control !!|



- !!| Escharotomy
- !!| Skin graft !!|




1st degree burn appearance
!!| !!| !!|

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