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NUR198 Final Exam QUESTIONS WITH VERIFIED ANSWERS GRADED A+

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NUR198 Final Exam QUESTIONS WITH VERIFIED ANSWERS GRADED A+

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NUR 198
Course
NUR 198

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NUR198 Final Exam QUESTIONS WITH
VERIFIED ANSWERS GRADED A+

n ABGs - correct answer ✔✔ Arterial Blood Gases

Reports the status of oxygenation and acid base balance of the blood

pH 7.35- 7.45

HCO3 (Bicarbonate) normal values 22-26 mEq/L

PaCO2 ( CO2 or carbon dioxide content) 35-45 mm Hg

PaO2 (oxygen saturation in arteria blood)- 80-100 mm Hg



Uncompensated metabolic alkalosis - correct answer ✔✔ pH: 7.5, paCO2: 42mm Hg, HCO3: 29
mEq/L



Compensated respiratory acidosis - correct answer ✔✔ pH: 7.36, paCO2: 47mm Hg, HCO3:30
mEq/L



Uncompensated metabolic acidosis - correct answer ✔✔ pH: 7.31, paCO2: 43mm Hg, HCO3: 19
mEq/L



Uncompensated respiratory alkalosis - correct answer ✔✔ pH 7.48, paCO2: 33mm Hg, HCO3: 25
mEq/L



Acidosis - correct answer ✔✔ Hyperventilation

Rapid fast breathing



A-Fib: Risk factors - correct answer ✔✔

,A-Fib: Patho - correct answer ✔✔ Atria is rapid firing

No coordination



A-Fib: Manifestations - correct answer ✔✔



A-Fib: Diagnosis - correct answer ✔✔



A-Fib: Interventions - correct answer ✔✔



A-Fib: Treatment - correct answer ✔✔ - Amiodarone

- plavix

- Aspirin

- Ca+ channel blockers

- heparin

- lovenox, reduces risk of clots due to blood stasis in atria = *RISK FOR CVA*



A-Fib: Education - correct answer ✔✔



A-fib: Complications - correct answer ✔✔ Myocardial infarct

Stroke



Angina: Risk factors - correct answer ✔✔



Angina: Patho - correct answer ✔✔ chest pain, occurs with low O2 and nutrient levels

Negative troponin

,Angina: Manifestations - correct answer ✔✔



Angina: Diagnosis - correct answer ✔✔ ECG, stress test, interventional studies



Angina: Interventions - correct answer ✔✔ stop activity and rest

nitroglycerin tablet placed under the tongue for quick absorption (up to two more does at 5-min
intervals)

call 911 if not relieved in 5 min (unstable)

headache is a common adverse effect of this medication.

sit and lie down slowly.



Angina: Treatment - correct answer ✔✔



Angina: Education - correct answer ✔✔



ARDS: Risk factors - correct answer ✔✔ -Sepsis

-Aspiration of gastric contents

-Shock

-Infection

-Trauma

-Toxic inhalation

-Near drowning

-Multiple blood transfusions



ARDS: Patho - correct answer ✔✔ Lung injury to respiratory distress within 72 hrs

, Severe acute inflammation and pulmonary edema without evidence of fluid overload or
impaired cardiac function

Mortality rate 30%-40% from multi-system organ failure in those untreated

Acute Respiratory Distress Syndrome



ARDS: Manifestations - correct answer ✔✔ restlessness, tachypnea, dyspnea (early signs)

blood tinged fronthy sputum

bronchial breath sounds

crackles

use of accessory muscles (see intercostal retractions)



ARDS: Diagnosis - correct answer ✔✔



ARDS: Interventions - correct answer ✔✔ Prone positioning to open up alveoli

Frequent turning

Help w anxiety or assist w sedation



ARDS: Treatment - correct answer ✔✔ Get intubated to help lungs stay open

Identify and treat the underlying cause

High pressure ventilation (PEEP)

High level O2 therapy

Supportive care

Nutrition

Fluid/electrolytes

Sedation facilitates ventilation and decreases O2 consumption

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