NUR 185 Final Exam Questions And Answers With Revised Solutions

NUR 185 Final Exam Questions And Answers With
Revised Solutions
What does the LPN do before suctioning a vent patient?

- Set up sterile field
- Hyper oxygenate




What should the LPN do if the alarm on the vent keeps ringing?
- Check pump
- Check for kinks
- Disconnect
- Ambu bag on patient




Vent care

- SCDs
- Suction for 10 seconds
- Suction at bedside
- No NS into endo tube or trach

- No peroxide
- Hyperoxygenate before suction
- HOB 30-40 degrees
- Mouth care

- Apply suction pulling out
- VS frequently




Prevention of VAP
- HOB 30-45 degrees

,- Oral care


- Peptic ulcer prophylaxis (decrease bacterial growth) using Pepcid, Zantac, Protonix




Respiratory acidosis

- COPD
- Asthma
- Emphysema
- Chronic bronchitis

- Apply O2
- S/S anxious, SOB, cyanotic, increased respirations




Respiratory alkalosis
Hyperventilation




Metabolic acidosis
- Diarrhea
- DKA




Metabolic alkalosis
- Vomiting
- NG tube




Metabolic syndrome
- Quit smoking

,- Lose weight
- Carb control, no fatty food
- Take statins (Lipitor)

- Check BS if diabetic




Interventions for a patient w/ burns on 80% of body

- Fluids
- Reverse isolation
- Antibiotics
- Pain meds

- Foley to monitor I&O's
- Tetanus toxoid injection




Emergent stage of burns
- 1st 48 hrs


- Hypovolemic shock


- Acute RF


- Hyperkalemia


- Insert IV


- LR


- Antibiotics


- Indwelling foley cath

, - Pain meds




Acute/diuretic phase of burns
- 72 hrs - 10 days


- Circulatory overload


- Hypokalemia


- Will have high urine output




Rehabilitation phase of burns
Goal to prevent infection




Interventions for 3rd degree burns
- Reverse isolation

- Pain control
- Escharotomy
- Skin graft




1st degree burn appearance


- Superficial