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Exam (elaborations)

Nursing 3 Final Exam Questions With Complete Solutions

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Nursing 3 Final Exam Questions With Complete Solutions

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Nursing 3 Final Exam Questions With Complete Solutions

Acid/Base r/t diarrhea (what is happening)? Correct Answers
Metabolic acidosis due to loss of base
Hypokalemia
pH is going to be acidic

Assessment pre-bone marrow transplant? Correct Answers
Look for signs of infection (ie; temp)


Causes of cirrhosis of the liver Correct Answers 1st) ETOH
2nd) post necrotic biliary
3rd)Right-sided heart failure
Hepatitis B
Biliary (blocked bile ducts)
Hereditary
Hepatotoxic drugs

Males more common than females

Causes of hyponatremia? Correct Answers Diuretics, SIADH,
fluid overload
Priority pts: SIADH, tumor releasing ADH!

Causes of respiratory alkalosis? Correct Answers
Hyperventilation
Anxiety

Causes of TBI? Correct Answers SIDS, MVA, Falls, Sports,
ETOH, drug use

,**MVA most common throughout all ages

Clinical manifestations of a stroke? Correct Answers Based on
Past Medical History
How long sxs for? Progression of sxs?
Manage each stroke as it's own!

Common reasons for liver transplant (for an adult)? Correct
Answers Cirrhosis,

Common reasons for liver transplant (for children)? Correct
Answers Biliary atresia

Complications for portal HTN? Correct Answers Esophageal
varicies, enlarged spleen, distended veins, caput medufac,
sodium/water retention, hemorrhoids

Complications of a liver biopsy? Correct Answers #1-
Bleeding/hemorrhage (most important!!)
Infection, pain, N/V

Complications of an ERCP (Endoscopy for liver issues)?
Correct Answers Perforation of the stomach, duodenum
Pancreatitis
Aspiration of gastric contents
Anaphylaxis to the contrast dye

Complications of shunt placement for portal HTN? Correct
Answers **Pulmonary edema
Hemorrhage
Infection

, Contraindications for TPA Correct Answers Neuro
surgery/head trauma within 3 months
BP: >185 or Diastolic >110
Lumbar puncture recently
>3 hours
If it is a hemorrhagic stroke
Seizures
Abnormal glucose levels <50 >400
Any known bleeding disorders
Active internal bleeding
Suspected or confirmed endocarditis

Contraindications for TPA? Correct Answers After 3 hours of
onset of symptoms
If they are on blood thinners
If it is a hemorrhagic stroke
If they had a lumbar puncture
If had a stroke/head injury within the last 3 months
If systolic >185 or Diastolic >110
Hx of intracranial hemorrhage
If seizure with the onset of the stroke
Glucose >400 or <50
If has endocarditis

Describe a hemorrhagic stroke? Correct Answers Blood vessel
bursts

Describe and give examples of mild brain injury. Correct
Answers -No long-lasting effects, rapid recovery
-Concussion,

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