NR341 / NR 341 Exam 1: (Latest Update 2025 /
2026) Complex Adult Health | Questions &
Answers | Grade A | 100% Correct.
Chamberlain
1. Delirium: an acute brain dysfunction; reversible; can lead to cognitive
decline if not fixed
Risk factors:
- UTI in older adults
- sleep deprivation
- sensory deprivation (normal stuff like glasses or hearing aids) - immobility
- sepsis
- increased age
- hx of substance abuse
Nursing interventions:
- screening tools
,- assessing LOC
- reorient
- adjust alarms and noises/dim lights/take nap
- family interaction
2. increased anxiety
and vice versa. Increased anxiety = increased pain: What does increased
pain cause?
3. Benzodiazepines: - midazolam (Versed) - lorazepam
(Ativan) used for anxiety
Side effects:
- respiratory depression
- syncope/orthostatic hypotension
- ataxia
- paradoxical agitation - delirium/confusion
Reversal = flumazenil
4. Opioids
,** Narcan has a shorter half life.. they can become sedated again.. that's
why some people are put on a Narcan drip until opioid is out of their
system: - fentanyl
- morphine sulfate - hydromorphone used for pain
- respiratory depression
- constipation
- urinary retention
- N/V
- orthostatic hypotension
- pruritus
Reversal = nalaxone (Narcan)
5. Sedation medications: commonly given to patients on a ventilator
dexmedetomidine (Precedex) side effects:
- hypotension
- bradycardia
- sinus arrest
, - reversal = atipamezole
diprivan (Propofol) side effects:
- hypotension
- respiratory depression
- irregular heartbeat
- hyperlipidemia
- may cause death
- change iv tubing every 12 hours because there is high risk for infection
6. ABCDEF bundle: A = have patient describe in their own terms what kind
of pain and anxiety and how much; non pharmacological and pharmacological
B = patient's aren't intended to be on ventilators for very long; weaning trial
C = increase patient's comfort level; don't want to overuse drugs because it
can cause delirium
D = delirium is an acute cognitive problem; every shift do an assessment;
know things that increase risk; know how to decrease risk —> promote
2026) Complex Adult Health | Questions &
Answers | Grade A | 100% Correct.
Chamberlain
1. Delirium: an acute brain dysfunction; reversible; can lead to cognitive
decline if not fixed
Risk factors:
- UTI in older adults
- sleep deprivation
- sensory deprivation (normal stuff like glasses or hearing aids) - immobility
- sepsis
- increased age
- hx of substance abuse
Nursing interventions:
- screening tools
,- assessing LOC
- reorient
- adjust alarms and noises/dim lights/take nap
- family interaction
2. increased anxiety
and vice versa. Increased anxiety = increased pain: What does increased
pain cause?
3. Benzodiazepines: - midazolam (Versed) - lorazepam
(Ativan) used for anxiety
Side effects:
- respiratory depression
- syncope/orthostatic hypotension
- ataxia
- paradoxical agitation - delirium/confusion
Reversal = flumazenil
4. Opioids
,** Narcan has a shorter half life.. they can become sedated again.. that's
why some people are put on a Narcan drip until opioid is out of their
system: - fentanyl
- morphine sulfate - hydromorphone used for pain
- respiratory depression
- constipation
- urinary retention
- N/V
- orthostatic hypotension
- pruritus
Reversal = nalaxone (Narcan)
5. Sedation medications: commonly given to patients on a ventilator
dexmedetomidine (Precedex) side effects:
- hypotension
- bradycardia
- sinus arrest
, - reversal = atipamezole
diprivan (Propofol) side effects:
- hypotension
- respiratory depression
- irregular heartbeat
- hyperlipidemia
- may cause death
- change iv tubing every 12 hours because there is high risk for infection
6. ABCDEF bundle: A = have patient describe in their own terms what kind
of pain and anxiety and how much; non pharmacological and pharmacological
B = patient's aren't intended to be on ventilators for very long; weaning trial
C = increase patient's comfort level; don't want to overuse drugs because it
can cause delirium
D = delirium is an acute cognitive problem; every shift do an assessment;
know things that increase risk; know how to decrease risk —> promote
