Exam (elaborations) NUR 2790 PROFESSIONAL NURSING 3 FINAL EXAM REVIEW GRADED A

NUR 2790 PROFESSIONAL NURSING 3 FINAL EXAM REVIEW Nursing Interventions for Hypokalemia (top priority) - At Risk for Falls. - Respiratory Status. - Administration of Oxygen. - EKG Symptoms for Brain Tumors (to immediately inform the physician - Visual Problems - Aphasia (Difficulty Speaking) - New-Onset Seizures - Hemiparesis (One-sided weakness) - Gait or Balance Disturbances - Hearing Loss Common Metastases Sites 1. LIVER. 2. Lung. 3. Bone. Treatment for NEW Brain Tumors - Surgical Removal Preventative for Skin Cancer - Sunscreen. Signs & Symptoms of Colon Cancer - Anemia. - Tarry Stool. - Blood in Stool. - Tenesmus (Straining to defecate). Nursing Interventions for patient recieving Chemotherapy - Administer Zofran 30 minutes before Chemotherapy - Providing quiet, restful areas. - Encourage patient to avoid taxing activities. - Eat small frequent meals. Clinical Manifestation (life threatening) of Bone Marrow Transplants Fever. Implications for Developing Cancer Non-Modifiable - Age Patient Education for Lobectomy - Incentive Spirometer - Cough and Deep Breathing Exercises. Interventions for a Respiratory Complications after Lobectomy - Cough and Deep Breathing Exercises. - Incentive Spirometer- Oxygen Therapy. Complementary Therapies Examples - Acupuncture - Ayurveda - Biofeedback - Chelation therapy - Chiropractic or osteopathic manipulation - Deep breathing exercises - Diet-based therapies - Energy healing - Guided imagery - Homeopathic treatment - Hypnosis - Massage - Meditation - Movement therapies - Natural products - Naturopathy - Progressive relaxation - Qi gong - Tai chi - Traditional healers - Yoga Kubler Ross Stages of Grief Denial-Educate Anger-"how can I make it better?" Bargaining-active listening Depression-express feelings Acceptance-advocate for the patient/family Hospice Care - Full Comfort Care - Six Months to Live - No Treatments/Chemotherapy - Don't Call 911 Palliative Care - Not responsive to curative treatment - Pain Control - "Quality of life" Hospice Goals - Control Symptoms - Pain - Delirium - Anxiety - Constipation - Keep the Patient Comfortable Patient Education for Full Thickness Burn patient in Rehab - Passive ROM exercises 3 times a day on effected extremities. - Active ROM exercises 3 times a day on hands. - Ambulation 2-3 time a day. Indication for Tagamet in Burn Patient Used for gastric ulcers, which are a side effect of severe burns. Nursing Assessment for top priorities with Facial Burns 1. Airway 2. Breathing 3. Possible Intubation Clinical Manifestations for patient at Risk for Impaired Gas Exchange - Shortness of Breath - Abnormal Respirations - Abnormal Breath Sounds - Abnormal Breathing Pattern - Dyspnea - Cough - Wheezing - Sputum Production - Chest Tightness - Tidal Volume <4ml/kg Body Weight - Oxygen <95% - PaO2 <55 Lab which show risk for Impaired Gas Exchange - HBG (Normal 12-16) Sinoatrial Node Role in Rhythm - Normal Sinus Rhythm 60-100 - Pacemaker of the Heart sends Electrical Signals Electrolyte Imbalance which leads to Cardiac Dysrhythmias Potassium Nursing Assessment for Effective Perfusion (top priority) Vital Signs Pulse Cap Refill Under 3 seconds Adverse Effects of breakdown in Communication - Creates conflict that jeopardizes patient safety. - Frequent cause of serious injuries and death in healthcare settings. Nursing Assessment for Adequate Ventilation - Oxygen >95% - Lung Sounds - Respirations Congestive Heart Failure Etiology - Coronary Artery Disease (CAD) - Myocardial Infarction (MI) - Cardiomyopathy - High Blood Pressure. - Valve Disease. - Thyroid Disease. - Kidney Disease. - Diabetes. - Heart Defects. Interactions with Warfarin - Vitamin K (Kale, spinich, brussel sprouts, green tea) - Avoid Cranberry Juice/Alcohol Depletion for fetal hemoglobin places infants at risk for this medical condition: