NUR254
Exam 4: NUR 254 | Galen College | 2025
Complete Maternal & Pediatric Nursing Grade
A.
1. Why is pain control important for sedated patients?: To ensure
patient comfort and safety during sedation
2. What is dopamine?: used for hypotension
can also be used for RENAL FAILURE:
if we use 2/4mcg per kg
3. What is renal dosing for dopamine?: 2/4mcg per kg
4. What is dobutamine?: used for hypotension
can also be used for heart
failure helps with
contractility
6. What are need to knows for TPN?: DW
,NUR254
BG
monitor electrolyte status Q6
PICC
7. What is the tx of ARDS?: high fiO2
high PEEP
Tx of underlying Dx
8. Hepatic encephalopathy: Due to liver failure confused slurred speech
different gait
treated with lactulose
9. DKA signs and symptoms: Fruity breath (from acetone), dry mucous
membranes from polyuria
Deep respirations possibly kussmaul respirations
Drowsiness, stupor or coma
Low BP from polyuria
Glucosuria,
ketonuria, Polyuria
and polydipsia, n/v,
, NUR254
not necessarily
hunger Glucose at
300-800mg/dl 17.
10. Tx for DKA?:
Insulin drip hourly
BG checks
NPO!!
electrolytes Q6 (K and Mg are replaced a lot in these pt)
if your K is too low, your body won't make enough insulin, which causes
higher sugar
11. how to notice your pt is in sepsis?: tachypnea low BP
high HR
12. What to do if your pt is in sepsis?: notify the MD follow sepsis
bundle
(fluids, ABX, cultures, pressors when that fails)
13. What is hypovolemic shock?: Hemorrhagic vs non Hemorrhagic
shock
Exam 4: NUR 254 | Galen College | 2025
Complete Maternal & Pediatric Nursing Grade
A.
1. Why is pain control important for sedated patients?: To ensure
patient comfort and safety during sedation
2. What is dopamine?: used for hypotension
can also be used for RENAL FAILURE:
if we use 2/4mcg per kg
3. What is renal dosing for dopamine?: 2/4mcg per kg
4. What is dobutamine?: used for hypotension
can also be used for heart
failure helps with
contractility
6. What are need to knows for TPN?: DW
,NUR254
BG
monitor electrolyte status Q6
PICC
7. What is the tx of ARDS?: high fiO2
high PEEP
Tx of underlying Dx
8. Hepatic encephalopathy: Due to liver failure confused slurred speech
different gait
treated with lactulose
9. DKA signs and symptoms: Fruity breath (from acetone), dry mucous
membranes from polyuria
Deep respirations possibly kussmaul respirations
Drowsiness, stupor or coma
Low BP from polyuria
Glucosuria,
ketonuria, Polyuria
and polydipsia, n/v,
, NUR254
not necessarily
hunger Glucose at
300-800mg/dl 17.
10. Tx for DKA?:
Insulin drip hourly
BG checks
NPO!!
electrolytes Q6 (K and Mg are replaced a lot in these pt)
if your K is too low, your body won't make enough insulin, which causes
higher sugar
11. how to notice your pt is in sepsis?: tachypnea low BP
high HR
12. What to do if your pt is in sepsis?: notify the MD follow sepsis
bundle
(fluids, ABX, cultures, pressors when that fails)
13. What is hypovolemic shock?: Hemorrhagic vs non Hemorrhagic
shock
