NU-404 Final Exam Study Guide With
Complete Solution
Ethics:1-2 (know the ethical principles and be able to recognize/apply to
clinical situations) - ANSWER -beneficence: who benefits from action
-autonomy: patients rights to make decisions
-justice: who will be vulnerable, all clients fairly and equal treatment
-fidelity: nurse is responsible for commitments for others and self
-nonmaleficence: do no harm
-veracity: to tell the truth
-confidentiality: information is not shared beyond who needs to know
Upper airway problem in the child = 2 (know medication for Upper Airway
Obstruction/stridor/croup - ANSWER -upper airway:
-stridor: racemic epi
-croup: dexathmethasone
what are nursing interventions for upper airway in kids - ANSWER -have
suctioning available
-oxygen
-nose breathers
-towel behind neck
,what is the interpretation for the TB test - ANSWER - 5mm: HIV positive,
recents contact with an active TB, nodular or fibrotic changes on xray, organ
transplant
-10 mm: positive if from country with high levels, IV drug use,
resident/employee of high risk, comorbid conditions, children less than 4
-15mm: positive for people with no risk factors for TB
what are the side effects for isoniazid: - ANSWER -eat on empty stomach
-monitor for hepatotoxicity
-vitamin b6 - to prevent neurotoxicity
what are the side effects for rifampin - ANSWER -change urine to being
orange
-interfere with oral contraceptives
-monitor liver function tests
what are the side effects for pyrazinamide - ANSWER -monitor liver function
tests
-potentially cause worsen to gout and kidney problems
-avoid alcohol
what is patient teaching for someone with TB - ANSWER -isolate yourself
-test all family at home
-need 3 negative sputum cultures - get those every 3 weeks
-in isolation for 30 days
,-wear a mask if needing to leave house
-take medication
-put tissues in plastic bag to prevent spread
Carbon monoxide poisoning qs = 1 (clinical symptoms/vital signs/physical
exam findings & know what the best method is to monitor these patients) -
ANSWER -get an ABG
-replaced oxygen, will not show up on pulse ox
-cannot spell it
-silent killer
Beta Adrenergic agonist and their effect on the respiratory system =1 -
ANSWER relax muscles of airway
-albuterol
Arterial blood gas interpretation for DKA, chronic and acute respiratory
failure (2-3 questions) - ANSWER -DKA: metabolic acidosis, ketone breath, ph
is low and bicarb is also low
-Chronic respiratory failure: respiratory acidosis
-Acute respiratory failure: respiratory acidosis
Diabetes including DKA = 4 (including lab values in DKA) - ANSWER
-elevated BUN and creatinine
-decreased liver function
-high potassium: will drop when given insulin
, -DKA is in type 1
-HHS is in type 2
-HHS is much higher glucose than DKA
-type 1: does not produce any insulin
-type 2: insulin resistant
Asthma = 2 (understand the medications for asthma exacerbation;
understand how peak expiratory flow is utilized in asthma—what is its
purpose) - ANSWER -Albuterol: for asthma exacerbation, can give nebulized
-corticosteroid: methylprednisolone
-peak inspiratory flow: helps to understand how well your asthma is
controlled- 80%-100% shows it is under control
What is ESI triaging - ANSWER -level 1: resuscitation
-level 2: emergent
-level 3: urgent
-level 4: semi urgent
-level 5: non urgent
-what resources does the patient need
-ABC
Complete Solution
Ethics:1-2 (know the ethical principles and be able to recognize/apply to
clinical situations) - ANSWER -beneficence: who benefits from action
-autonomy: patients rights to make decisions
-justice: who will be vulnerable, all clients fairly and equal treatment
-fidelity: nurse is responsible for commitments for others and self
-nonmaleficence: do no harm
-veracity: to tell the truth
-confidentiality: information is not shared beyond who needs to know
Upper airway problem in the child = 2 (know medication for Upper Airway
Obstruction/stridor/croup - ANSWER -upper airway:
-stridor: racemic epi
-croup: dexathmethasone
what are nursing interventions for upper airway in kids - ANSWER -have
suctioning available
-oxygen
-nose breathers
-towel behind neck
,what is the interpretation for the TB test - ANSWER - 5mm: HIV positive,
recents contact with an active TB, nodular or fibrotic changes on xray, organ
transplant
-10 mm: positive if from country with high levels, IV drug use,
resident/employee of high risk, comorbid conditions, children less than 4
-15mm: positive for people with no risk factors for TB
what are the side effects for isoniazid: - ANSWER -eat on empty stomach
-monitor for hepatotoxicity
-vitamin b6 - to prevent neurotoxicity
what are the side effects for rifampin - ANSWER -change urine to being
orange
-interfere with oral contraceptives
-monitor liver function tests
what are the side effects for pyrazinamide - ANSWER -monitor liver function
tests
-potentially cause worsen to gout and kidney problems
-avoid alcohol
what is patient teaching for someone with TB - ANSWER -isolate yourself
-test all family at home
-need 3 negative sputum cultures - get those every 3 weeks
-in isolation for 30 days
,-wear a mask if needing to leave house
-take medication
-put tissues in plastic bag to prevent spread
Carbon monoxide poisoning qs = 1 (clinical symptoms/vital signs/physical
exam findings & know what the best method is to monitor these patients) -
ANSWER -get an ABG
-replaced oxygen, will not show up on pulse ox
-cannot spell it
-silent killer
Beta Adrenergic agonist and their effect on the respiratory system =1 -
ANSWER relax muscles of airway
-albuterol
Arterial blood gas interpretation for DKA, chronic and acute respiratory
failure (2-3 questions) - ANSWER -DKA: metabolic acidosis, ketone breath, ph
is low and bicarb is also low
-Chronic respiratory failure: respiratory acidosis
-Acute respiratory failure: respiratory acidosis
Diabetes including DKA = 4 (including lab values in DKA) - ANSWER
-elevated BUN and creatinine
-decreased liver function
-high potassium: will drop when given insulin
, -DKA is in type 1
-HHS is in type 2
-HHS is much higher glucose than DKA
-type 1: does not produce any insulin
-type 2: insulin resistant
Asthma = 2 (understand the medications for asthma exacerbation;
understand how peak expiratory flow is utilized in asthma—what is its
purpose) - ANSWER -Albuterol: for asthma exacerbation, can give nebulized
-corticosteroid: methylprednisolone
-peak inspiratory flow: helps to understand how well your asthma is
controlled- 80%-100% shows it is under control
What is ESI triaging - ANSWER -level 1: resuscitation
-level 2: emergent
-level 3: urgent
-level 4: semi urgent
-level 5: non urgent
-what resources does the patient need
-ABC
