NUR198 Adult Health
Nursing Exam 1 | Study
Guide, Practice Questions
& Exam Review
|Guaranteed success|
,What is the first symptom of Acidosis? Hyperventilation, increased Respiration Rate
action of 3% sodium hyperosmolar agent
used in patients with severe hyponatremic encephalopathy, traumatic brain
injury, and cerebral edema
pain scales numeric rating scale: numbers
visual analog scale: faces
categorical scale: words, numbers, colors, locations on the body
nonverbal cues of pain Decreased activity, grimacing, frowning, crying, moaning, and irritability.
Priority assessment in the PACU breathing, circulation, and respiratory adequacy
ABCs: airway, breathing, circulation
malignant hyperthermia a genetic severe reaction to certain drugs used for anesthesia
What are Symptoms of Malignant Hyperthermia ? Symptoms of Malignant Hyperthermia are a Dangerously high body
(Hyper: Over or Excess, Thermia: Heat ) temperature, Rigid Muscles or Spasms, a rapid Heart Rate(Tachycardia),
Tachypnea (High Breath Rate) and High Fever
What Medications Can cause Malignant Hyperthermia? These Anesthesia drugs Can Cause Malignant Hyperthermia:
Halothane: Used to Induce or Maintain Anesthesia
Sevoflurane: Inhaled and used to Maintain a loss of Consciousness during
Surgery
Desflurane: Used to Induce or Maintain Anesthesia
Succinylcholine: Is a Depolarizing Skeletal Muscle Relaxant and used Adjuncty
to Anesthesia, and during Intubation.
What is the Treatment for Malignant hyperthermia ? The treatment is the Administration of Dantrolene. This
Limits the activation of calcium receptor and preventing the response of the
muscle to move.
What are the Appropriate medications for low- acetaminophen (tylenol)
moderate pain? NSAIDs: Ibuprofen (Advil, Motrin),Naproxen (Aleve)
Acetylsalicylic: Aspirin
non-opioid
, Post-Op teaching should include wound care
pain management or pain goals
activity restrictions
dietary guidelines
medication management or adherence
signs of complications
ambulation to prevent DVT
follow up appointments
Most common form of elder abuse Financial abuse
role of the nurse in elder abuse mandatory reporter and documentation
- dementia or Alzheimer's are the most at risk(also parkinsons, immobile clients)
- neurological or degenerative diseases
most common affective disorder in elderly depression
risk of suicide is increased from losses, isolation, and illness
delirium - Acute
- Fluctuating state of confusion
- Onset: fast
- Duration: hours to less than 1 month
- Causes: multiple, such as surgery, infection (sepsis, stoke, UTI's), drugs
- Management: remove or treat the cause
- Nursing interventions: reorient the client to reality; provide a safe
environment
possible causes of delirium ○ Dehydration
○ Electrolyte imbalance/ emotional stress
○ Lung, liver, heart, kidney, brain disorders
○ Infection (sepsis, stroke, UTI's)
○ Rx Drugs
○ Immobility
○ Untreated pain, unfamiliar environment
○ Metabolic disorders
if delirium is left untreated what are possible outcomes changes in level of consciousness, irreversible brain damage, and sometimes
death
what assessments are performed on patients when they CAM, confusion assessment method
are in a state of acute confusion with alterations in
attention and cognition? (delirium is suspected)
Nursing Exam 1 | Study
Guide, Practice Questions
& Exam Review
|Guaranteed success|
,What is the first symptom of Acidosis? Hyperventilation, increased Respiration Rate
action of 3% sodium hyperosmolar agent
used in patients with severe hyponatremic encephalopathy, traumatic brain
injury, and cerebral edema
pain scales numeric rating scale: numbers
visual analog scale: faces
categorical scale: words, numbers, colors, locations on the body
nonverbal cues of pain Decreased activity, grimacing, frowning, crying, moaning, and irritability.
Priority assessment in the PACU breathing, circulation, and respiratory adequacy
ABCs: airway, breathing, circulation
malignant hyperthermia a genetic severe reaction to certain drugs used for anesthesia
What are Symptoms of Malignant Hyperthermia ? Symptoms of Malignant Hyperthermia are a Dangerously high body
(Hyper: Over or Excess, Thermia: Heat ) temperature, Rigid Muscles or Spasms, a rapid Heart Rate(Tachycardia),
Tachypnea (High Breath Rate) and High Fever
What Medications Can cause Malignant Hyperthermia? These Anesthesia drugs Can Cause Malignant Hyperthermia:
Halothane: Used to Induce or Maintain Anesthesia
Sevoflurane: Inhaled and used to Maintain a loss of Consciousness during
Surgery
Desflurane: Used to Induce or Maintain Anesthesia
Succinylcholine: Is a Depolarizing Skeletal Muscle Relaxant and used Adjuncty
to Anesthesia, and during Intubation.
What is the Treatment for Malignant hyperthermia ? The treatment is the Administration of Dantrolene. This
Limits the activation of calcium receptor and preventing the response of the
muscle to move.
What are the Appropriate medications for low- acetaminophen (tylenol)
moderate pain? NSAIDs: Ibuprofen (Advil, Motrin),Naproxen (Aleve)
Acetylsalicylic: Aspirin
non-opioid
, Post-Op teaching should include wound care
pain management or pain goals
activity restrictions
dietary guidelines
medication management or adherence
signs of complications
ambulation to prevent DVT
follow up appointments
Most common form of elder abuse Financial abuse
role of the nurse in elder abuse mandatory reporter and documentation
- dementia or Alzheimer's are the most at risk(also parkinsons, immobile clients)
- neurological or degenerative diseases
most common affective disorder in elderly depression
risk of suicide is increased from losses, isolation, and illness
delirium - Acute
- Fluctuating state of confusion
- Onset: fast
- Duration: hours to less than 1 month
- Causes: multiple, such as surgery, infection (sepsis, stoke, UTI's), drugs
- Management: remove or treat the cause
- Nursing interventions: reorient the client to reality; provide a safe
environment
possible causes of delirium ○ Dehydration
○ Electrolyte imbalance/ emotional stress
○ Lung, liver, heart, kidney, brain disorders
○ Infection (sepsis, stroke, UTI's)
○ Rx Drugs
○ Immobility
○ Untreated pain, unfamiliar environment
○ Metabolic disorders
if delirium is left untreated what are possible outcomes changes in level of consciousness, irreversible brain damage, and sometimes
death
what assessments are performed on patients when they CAM, confusion assessment method
are in a state of acute confusion with alterations in
attention and cognition? (delirium is suspected)
