NURS 343 Final exam || Complete Exam File: High-
Scoring Q&A Set!!
3 requirements prior to surgery and/or blood transfusion correct answers Adequate disclosure
Understanding and comprehension
Consent given voluntarily
Goals for the preop assessment and teaching correct answers Identify risk factors
Plan care
Ensure safety
What are some things on the preop checklist? correct answers Preop medications
Blood type
Allergies
Diagnostic tests
Vital signs
What is the SCIP Protocol? correct answers Implemented for patient safety
Glucose levels
Antibiotics
Hair removal - electric hair clippers
Urinary catheter
Beta blocker
VTE prophylaxis
Temperature management
Difference between spinal and epidural correct answers Spinal - total ANS blockade
Epidural - MInimal ANS blockade
What might happen as a direct anaphylactic rxn. to anesthesia? correct answers Malignant
hyperthermia
What do you administer for malignant hyperthermia. correct answers Dantrolene
Respiratory complication after surgeries correct answers Atelectasis
What measures can be taken to prevent surgical site infections correct answers Glucose
control
Prophylactic antibiotics
Appropriate hair removal before surgery
Risk factors for UTI correct answers Inability to fully empty the bladder
Inflammation
Immunocompromised
Obstruction to flow
Instrumentation - Cath
When should you remove a catheter correct answers Less than 2 days and/or 2 days after
surgery
,What is the third leading cause of end stage renal disease correct answers Glomerulonephritis
What can a strep infection lead to correct answers Glomerulonephritis
What will you see in a patient's urine sample in glomerulonephritis? correct answers
Proteinuria
Hematuria
Increased BUN and creatinine
Fever
Surgery used to treat kidney stones correct answers Lithotripsy - Vibrations
Nephrolithotomy
What to teach someone that has a lot of kidney stones correct answers Drink plenty of water
2000-3000ml of fluid
Lower protein intake
Limits sodas, caffeine, and tea
Amputation, Hip fractures, and joint surgeries correct answers ...
Leading causes of amputation correct answers Infection
PAD
DM
Trauma
What are you going to see with someone that just fractured their hip? correct answers
External rotation and shortening of the affected limb
Muscle spasm
Severe pain
And shock
What is a Bucks traction? correct answers Used to prevent further injury and relieves pain
from muscle spasms. End of the bed support.
Complications associated with a joint surgery correct answers Infection and DVTs
Complications that can occur with a fracture correct answers Compartment syndrome
Fat embolism
DVT
Immobility
Impaired fracture healing
How do you treat compartment syndrome? correct answers Fasciotomy (cut open fascia)
Clinical manifestations of compartment syndrome correct answers Pain out of nowhere
Person was just stretching
Nursing care of the patient with a cast correct answers Neurovascular checks
WBC checks
, What is the difference between skeletal and skin traction (Bucks)? correct answers Bucks -
pulls to promote and maintain alignment to the affected joint
Skeltal is a balanced suspension that pulls with weights and ropes. Screws are inserted into
the bone
When is a halo traction used? correct answers Cervical injury
Difference between type 1 and type 2 DM correct answers Type 1: pancreas produces little or
no insulin. Autoimmune
Type 2: pancreas makes insulin, but cells resist insulin's action
Major complications with DM 1 and DM2 correct answers Type 1 - DKA
Typpe 2 - Hyperosmolar, hyperglycemic, non-keto syndrome (HHKS)
Type 1 what occurs when the body is not intaking enough glucose? correct answers Goes to
reserves - Muscle and fat --> Makes ketones --> Leads to DKA
Clinical manifestations for DM correct answers Polyuria
Polydipsia (Increased thirst)
Polyphagia (Increased hunger)
Diagnostic findings for DM correct answers Fasting blood glucose 126
A1C over 6.5
2 hour post glucose over 200
Random BG of over 200
If a patient is intaking 45 g of carbohydrates, how much insulin should they take? Regular
insulin? correct answers 3 U
1 U lowers the BG by how much? correct answers 50mg/dL
When would you administer lispro? correct answers 15 mins before meal
What would you administer to a type 2 diabetic? correct answers Oral hypoglycemics -
Metformin
Help increase the sensitivity of insulin, facilitate uptake into the cell
What is considered hypoglycemic? correct answers under 70 mg/dL
Signs and symptoms of hypoglycemia correct answers Mild: Fatigue, Hungry, Dizzy, Shakey
Moderate: ALOC
Severe: Seizures, unconsciousness, coma
How do you treat severe hypoglycemia? correct answers IV amp of D50
IV access not available? Give glucagon IM
What are the two physical indicators of bacterial/viral meningitis? correct answers Kernig
and Brudzinski's sign
Scoring Q&A Set!!
3 requirements prior to surgery and/or blood transfusion correct answers Adequate disclosure
Understanding and comprehension
Consent given voluntarily
Goals for the preop assessment and teaching correct answers Identify risk factors
Plan care
Ensure safety
What are some things on the preop checklist? correct answers Preop medications
Blood type
Allergies
Diagnostic tests
Vital signs
What is the SCIP Protocol? correct answers Implemented for patient safety
Glucose levels
Antibiotics
Hair removal - electric hair clippers
Urinary catheter
Beta blocker
VTE prophylaxis
Temperature management
Difference between spinal and epidural correct answers Spinal - total ANS blockade
Epidural - MInimal ANS blockade
What might happen as a direct anaphylactic rxn. to anesthesia? correct answers Malignant
hyperthermia
What do you administer for malignant hyperthermia. correct answers Dantrolene
Respiratory complication after surgeries correct answers Atelectasis
What measures can be taken to prevent surgical site infections correct answers Glucose
control
Prophylactic antibiotics
Appropriate hair removal before surgery
Risk factors for UTI correct answers Inability to fully empty the bladder
Inflammation
Immunocompromised
Obstruction to flow
Instrumentation - Cath
When should you remove a catheter correct answers Less than 2 days and/or 2 days after
surgery
,What is the third leading cause of end stage renal disease correct answers Glomerulonephritis
What can a strep infection lead to correct answers Glomerulonephritis
What will you see in a patient's urine sample in glomerulonephritis? correct answers
Proteinuria
Hematuria
Increased BUN and creatinine
Fever
Surgery used to treat kidney stones correct answers Lithotripsy - Vibrations
Nephrolithotomy
What to teach someone that has a lot of kidney stones correct answers Drink plenty of water
2000-3000ml of fluid
Lower protein intake
Limits sodas, caffeine, and tea
Amputation, Hip fractures, and joint surgeries correct answers ...
Leading causes of amputation correct answers Infection
PAD
DM
Trauma
What are you going to see with someone that just fractured their hip? correct answers
External rotation and shortening of the affected limb
Muscle spasm
Severe pain
And shock
What is a Bucks traction? correct answers Used to prevent further injury and relieves pain
from muscle spasms. End of the bed support.
Complications associated with a joint surgery correct answers Infection and DVTs
Complications that can occur with a fracture correct answers Compartment syndrome
Fat embolism
DVT
Immobility
Impaired fracture healing
How do you treat compartment syndrome? correct answers Fasciotomy (cut open fascia)
Clinical manifestations of compartment syndrome correct answers Pain out of nowhere
Person was just stretching
Nursing care of the patient with a cast correct answers Neurovascular checks
WBC checks
, What is the difference between skeletal and skin traction (Bucks)? correct answers Bucks -
pulls to promote and maintain alignment to the affected joint
Skeltal is a balanced suspension that pulls with weights and ropes. Screws are inserted into
the bone
When is a halo traction used? correct answers Cervical injury
Difference between type 1 and type 2 DM correct answers Type 1: pancreas produces little or
no insulin. Autoimmune
Type 2: pancreas makes insulin, but cells resist insulin's action
Major complications with DM 1 and DM2 correct answers Type 1 - DKA
Typpe 2 - Hyperosmolar, hyperglycemic, non-keto syndrome (HHKS)
Type 1 what occurs when the body is not intaking enough glucose? correct answers Goes to
reserves - Muscle and fat --> Makes ketones --> Leads to DKA
Clinical manifestations for DM correct answers Polyuria
Polydipsia (Increased thirst)
Polyphagia (Increased hunger)
Diagnostic findings for DM correct answers Fasting blood glucose 126
A1C over 6.5
2 hour post glucose over 200
Random BG of over 200
If a patient is intaking 45 g of carbohydrates, how much insulin should they take? Regular
insulin? correct answers 3 U
1 U lowers the BG by how much? correct answers 50mg/dL
When would you administer lispro? correct answers 15 mins before meal
What would you administer to a type 2 diabetic? correct answers Oral hypoglycemics -
Metformin
Help increase the sensitivity of insulin, facilitate uptake into the cell
What is considered hypoglycemic? correct answers under 70 mg/dL
Signs and symptoms of hypoglycemia correct answers Mild: Fatigue, Hungry, Dizzy, Shakey
Moderate: ALOC
Severe: Seizures, unconsciousness, coma
How do you treat severe hypoglycemia? correct answers IV amp of D50
IV access not available? Give glucagon IM
What are the two physical indicators of bacterial/viral meningitis? correct answers Kernig
and Brudzinski's sign
