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NUR 138 FINAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS

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NUR 138 FINAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS

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Discharge teaching instructions for a patient with iron deficiency anemia:


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, Take iron supplements
Vitamin C helps the body absorb iron.
Avoid taking iron with antacids or dairy products: they can interfere with
the absorption of iron.
Teeth: Iron supplements can stain teeth. Brush your teeth regularly and use
a fluoride toothpaste.
Glossitis/Pernicious anemia tongue is red and smooth and can feel sore.
Can also get mouth fissures and cracks. Must use alcohol free mouthwash




Causes of dysrythmias


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Smoking
Alcohol consumption
Caffeine intake
Stress & anxiety
Obesity
Physical inactivity
Poor diet
Substance abuse
Sleep disorders
Dehydration & electrolyte imbalances




Nitrate Patient Education


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- in acute angina attacks, take sublingual ever 5 minutes up to 3 times.
Avoid alcohol & other meds for low BP
Do not stop abruptly

,endocarditis


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inflammation of the inner lining of the heart (endocardium)
More common on the left side
Usually caused by an infection: bacterial or fungi. Staph and strep can
cause endocarditis.

Endocarditis affects the inner lining of the heart. Bacteria goes through the
bloodstream and finds it's way to the heart


At risk:
-people with bad teeth
-IV drug users
-People with artificial valves
-People with congenital heart defects




Vitamin D


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Enables the body to properly absorb and use calcium, critical for:
- Calcium absorption in the small intestine
- bone health
- immune function

Adverse effects with excessive supplementation:
- hypercalcemia --> N/V, weakness, confusion
- kidney damage


Patient education:
- safe sun exposure: balancing need for sun with excessive sun
- symptoms of deficiency

, Pharmacological Management of ICP


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Osmotic diuretics: Mannitol is a commonly used osmotic diuretic that
draws fluid out of the brain and reduces swelling.
Loop diuretics: Medications like Lasix increase urine output and help to
decrease fluid volume in the body, including the brain.
Antipyretics: Medications that reduce fever can help to decrease IICP by
lowering metabolic rate and reducing brain inflammation.
Pain relievers: Managing pain can help to prevent increases in IICP that
can be triggered by discomfort.
Laxatives: Stool softeners can help prevent constipation and straining,
which can increase pressure within the skull.
Anticonvulsants: Medications to control seizures.
Barbiturates: Medications to induce a coma to reduce brain activity.




Ulcerative Colitis


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"UC Blood"
"uLcerative Pain" == pain is in the left lower quadrant
5-30 mucousy stools a day
BMs will decrease the pain
focused in the large intestine and rectum
Mucosa layer is the most affected.
Continuous ulcers
Anemia
no cure unless rectum & colon removed.




How to conduct a suicide assessment

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