EXAM UPDATE | QUESTIONS & DETAILED
VERIVIED ANSWERS A+ AGRADED
Autonomic Dysreflexia - ......ANSWERS.....-
caused by SCI
- 1st assessment is bladder distension
S/sx of autonomic dysreflexia -
......ANSWERS.....- pounding headache
- diaphoresis
- bradycardia
- HTN (systolic BP can reach 300)
when the trigger/stimuli resolves the s/sx will
resolve
Hepatitis A is caused by -
......ANSWERS.....fecal-oral contamination,
usually food
ex: contaminated seafood not fully cooked,
fruit/veggies overseas washed with
contaminated water
,Hepatitis B is caused by -
......ANSWERS.....unprotected sex, needle
sticks (IV drug user), blood transfusion
Who is most at risk for Hep B infection? -
......ANSWERS.....20 year old with multiple
sexual partners
Hepatitis C is caused by -
......ANSWERS.....blood contact with infected
person; cannot be spread casually
Hep C treatment - ......ANSWERS.....ribavirin;
take a long time to work so med compliance is
key, teach to use pill organizer
Pt present with hypotension, bradycardia, and
dizziness, what would you anticipate
administering? - ......ANSWERS.....atropine; pt
has symptomatic bradycardia
Primary manifestations of diabetes -
......ANSWERS.....3 P's: polyuria, polyphagia,
polydipsia
,Pt presents to the ED bleeding profusely from a
head wound. What is the first action the nurse
should take? - ......ANSWERS.....don
gloves/PPE
Manifestations of cirrhosis - ......ANSWERS.....-
ascites, edema, elevated ammonia levels,
proteinuria, low albumin, esophageal varices
- tx for ammonia is lactulose; diarrhea is
expected
Cirrhosis pt with ascites may experience what
pulmonary problem? - ......ANSWERS.....SOB,
too much fluid in peritoneal cavity
A pt with cirrhosis has developed esophageal
varices. What is the nurse's priority -
......ANSWERS.....- maintain airway
- monitor for s/sx of hemorrhage
Teaching pt with cirrhosis - ......ANSWERS.....-
low sodium to reduce ascites
, - watch protein levels to avoid high
concentrations of ammonia and hepatic
encephalopathy
S/sx of hyperthermia -
......ANSWERS.....sweaty red skin, tachypnea,
tachycardia
Murmur is best heard on -
......ANSWERS.....right side of sternal border
PVC strip - ......ANSWERS.....dips after PQRS,
occurs before next beat
Teaching for heart failure pt -
......ANSWERS.....- restrict salt in diet
- check weight at same time every day
V-tach - ......ANSWERS.....- unstable tx:
synchronous SHOCK (cardioversion), CPR, O2,
- stable tx: O2
- 150-250 BPM
- can lead to cardiac arrest