Prep Questions And Correct Answers With Detailed
ANSWERS/GRADED A+
Prophylactic DVT Care - answer--Assess and compare peripheral pulses
-Caused by dehydreation, obesity, trauma, malignancy, Hx of thrombosis, hormones, and use of
indwelling cath
-Nursing actions: prevention, avoid dangling pt for long periods, anticoagulants, provide adequate
hydration
Cardiac contussion by blunt trauma causes damage to which ventricle of the heart? - answer-Right-
-it's behind the sternum
Cardiac cath postoperative care - answer--Apply an initial dressing of gauze and replace with
transparent dressing w/i 24 hr
-x ray to ensure placement
-assess q8hr
- Use 10mL or < syringe to flush
-Clean port for 3 seconds and allow to dry
-flush before, between, and after meds
- no BP on arm with PICC
Ventricular fibrillation - answer--can cause cardiogenic shock
-Dx- ECG, Ech, CT, Cardiac cath, chest x ray
-Tx- Cardiac cath, Anticoagulants, defib shock to fix rythem
Hyperthyroidisim: monitoring lab results - answer--Serum THS test- decreased
-FTI and T3 increased
-Thyroid-releasing hormone- failure of expected rise
,Arthoplasty: Post op care following a knee arthoplasty - answer-Prevent complication- DVT,
anemia,
-Older adults @ higher risk
CPM
Prevent pressure ulcers
Inflammatory bowel disease: Interpreting lab results - answer-HGB & HCT decreased
ESR Increased
WBC increased
Platelet count increased
Serum albumin decreased
K, Mg, C decreased
Post op expected findings following coronary artery bypass graft - answer-Splint incision with deep
breathing and coughing
Consult resp. services
Continually monitor HR and rythem
Hypertension and Hypotension
Chest tube dreain >150mL/hr could mean hemorrage
control plan
Monitor fluid and electrolyte
Pulmonary embolism: Interventions - answer-Administer O2 therapy
nitiate and maintain IV therapy
Provide emotional support
Monitor changes in LOC and mental status
Heart failure and pulmonary edema: prioritizing interventions - answer-Class I: Pt exhibits no
symptoms with activity
Class II: Pt has symptoms with ordinary exertion
Class III: Pt displays symptoms with minimal exertion
, Class IV: Pt symptoms @ rest
Post op care following a thyroidectomy - answer-Keep trach @ bedside
IV urography - answer--detect obstruction, assess for a parenchymal mass assess size of the kidney
-encourage increased fluids
-bowel cleansing
-NPO after midnight
-Allergy to iodine
-Creatinine and BUN lvls
-Hold metformin
Mass Casualty triage - answer-Red- emergent
Yellow- need care soon
Green- walking wounded
Black- expected to die
Noninflammatory bowel disorders: Self management strategies - answer-High fiber diet
reduce stress
Instruct pt to limit irritating foods
Keep food diary
Delegation of post op care following prostate surgery - answer-Vitals
Disorders of the eye: Expected findings - answer-Retinal detachment- flashes of light and blind
spots
Glaucoma- increased IOP causing gradual vision loss
Manifestations of left-sided heart failure - answer--Dyspnea
-Orthopena