Nur 400 Final Exam Updated Actual Questions And Correct Answers

NUR 400 Final Exam UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS Resp Failure/ Physiological Adapt/Planning - CORRECT ANSWER combative behavior, hypoxemia, tachycardia, tachypnea, HTN, cyanosis (late sign) s/s: MSC, restlessness, - Apply oxygen (maintain Pa)2 above 60-70), suctioning, high fowlers, deep breathing, prepare to intubate if O2 stays low - Nutrition: no PO intake during acute respiratory failure, enteral or parenteral nutrition started within 24-48 hours. PO nutrition resumes when acute s/s discontinue. Ventilator/ ROR/Implementation - CORRECT ANSWER Sterile Suction Hyperventilation before suction Wait 15 minutes for ABG after suction Weaning IV ABX 7-14 days ventilation before Trach Ventilator/ROR/Planning - CORRECT ANSWER Oral Care or Trach Care sedate pt before paralytics & intubation cannot be extubated if PEEP is 8 (5 is normal.) Weaning only if pt has: hematocrit 25%,normalizing electrolytes, temp102, off of neuromuscular blockers, improving ABGs, O2 sat, 90%, and PEEP5, NIF-60, and hemoglobin11-16, Elevate HOB to reduce aspiration PPI Hemodynamic monitor Barotrauma Respiratory Patients/ Physiological Adapt/Assessment - CORRECT ANSWER breathing patterns Lung sounds, - Normal values: PaO2 60, O2 sat 90%, PaCO2 38-42, CO2 23-29, pH 7.35-7.45, HCO3 22-28 - PE s/s: sudden SOB, anxiety, chest pain, tachy, petechiae on chest - Pneumothorax/Hemothorax s/s: tachypnea, shallow breaths, dyspnea, decreased lung sounds, tracheal deviation - Tension Pneumothorax s/s: flail chest, tracheal deviation, JVD, decreased lung sounds, severe sweating, cyanosis MI/BC&C and Evaluation - CORRECT ANSWER - Troponin: onset 3-8hr, peak 12-24hr, duration 7-14 days - Diagnostic of choice for MI - CK-MB: onesie 4-8hr, peak 18-24hr, duration 2-3 days - Myoglobin: onset 2-4hr, peak 6-12hr, duration 24 hr