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Comp -1 NU280 Galen exam with answers

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Comp -1 NU280 Galen exam with answers

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Comp #1 NU280 Galen exam with
answers


Besides checking the IV therapy site for REED, what is another primary assessment for during I V
infusion therapy? - ** VERIFIED ANSWERS **✔✔respiratory assessment, check lungs for crackles.
Also check for SOB, cough, elevated BP, puffy eyes, edema, neck vein distention.



What is the infusion therapy intervention for fluid overload? - ** VERIFIED ANSWERS **✔✔Slow I
V rate, notify physician, monitor vitals, elevate HOB, administer oxygen, and give diuretics



If the order is to infuse over 4 hours but your late starting it, can you speed up the rate? - **
VERIFIED ANSWERS **✔✔No, because this will cause fluid overload.



What is the difference between graves and hyperthyroidism? - ** VERIFIED ANSWERS **✔✔Graves
is autoimmune disorder that produces too much thyroid hormone causing hyperthyroidism.



What causes hyperthyroidism? - ** VERIFIED ANSWERS **✔✔multiple thyroid nodules, tumors, or
excessive use of thyroid replacement hormones



What are classic symptoms of hyperthyroidism? - ** VERIFIED ANSWERS **✔✔SWEATING:
sweating, Weight loss, Emotional liability and exophthalmos, Appetite increased, Tremors and
tachycardia, Intolerance to heat/irritability/irregular menstrual, nervous, goiter and GI problems like
diarrhea



What is thyroid storm - ** VERIFIED ANSWERS **✔✔life-threatening condition associated with
untreated hyperthyroidism.



What are the symptoms of thyroid storm - ** VERIFIED ANSWERS **✔✔A dangerously increase in
heart rate, blood pressure, body temperature by one degree, without prompt aggressive treatment
thyroid storm is fatal.

, What is the intervention for thyroid storm - ** VERIFIED ANSWERS **✔✔PCP's: Propylthiouracil
[PTU] 1 gram PO, Corticosteroids, propranolol, SSKI [saturated solution of potassium iodine], radio
active iodine, methimazole



What does thyroid storm, organ rejection, and infection have in common? - ** VERIFIED ANSWERS
**✔✔elevated temperature/hyperpyrexia



What does CHF and Pericarditis have in common? - ** VERIFIED ANSWERS **✔✔SOB,
chest/shoulder pain, cough, JVD, edema



What are the symptoms for pericarditis? - ** VERIFIED ANSWERS **✔✔pain radiates to left side of
neck/shoulder/back, aggravated breathing, cough, swallowing, friction rub, chronic - right sided HF,
elevated venous pressure with JVD, hepatic engorgement, edema



What are symptoms for cardiac tamponade? - ** VERIFIED ANSWERS **✔✔JVD, paradoxical pulse,
decreased HR, dyspnea, fatigue, muffled heart sounds, hypotension



What is the treatment for cardiac tamponade - ** VERIFIED ANSWERS **✔✔pericardiocentesis to
remove fluid, monitor in case emergency sternotomy is needed for tamponade recurs



What are the symptoms for left sided heart failure - ** VERIFIED ANSWERS **✔✔DO CHAP -
dyspnea, orthopnea, cough, hemoptysis, adventitious breath sounds, pulmonary congestion
[crackles]



What are the symptoms for right sided heart failure - ** VERIFIED ANSWERS **✔✔AW HEAD -
anorexia and nausea, weight gain, hepatomegaly, edema, ascites, distended neck vein



What does ACE inhibitors, Addison, and K-sparing diuretics have in common? - ** VERIFIED
ANSWERS **✔✔Hyperkalemia



What are the symptoms of hyperkalemia? - ** VERIFIED ANSWERS **✔✔MURDER - muscle
weakness, urine/oliguria/anuria, respiratory distress, decreased cardiac contractility, ECG changes,
reflexes/hyperreflexia/areflexia [flaccid]

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