NURS 239 Final Exam – Questions With Verified
Solutions
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Terms in this set (139)
Patient is allergic to Rocephin
penicillin, what other
antibiotic could the
patient be allergic to as
well?
What is a side effect of Ototoxicity, check hearing loss
aminoglycosides?
What does the nurse do if hold the medicine and call the doctor
vanco levels come back
too high?
A nurse is caring for a C. -wash hands with soap and water
Diff patient, what -clean with bleach
interventions/precautions -DO NOT give patient immodium
are correct to take? -contact precautions (enteric)
Patient comes into the ER -cultures
with a stable blood -antibiotics
pressure, has a fever, is -fluids
septic, but is not in shock -tylenol
yet, what is the priority
intervention?
-MAP is 65
How do you determine
-adequate urine output
adequate tissue for your
-Good LOC
patient?
-good cardiac output
,How would you know if -paralytic ileus
the GI tract is affected -hypoactive bowel sounds
after a trauma?
The nurse is caring for a -bleeding precautions
patient with DIC, what -No IVs or injections
interventions should be -Avoid rectal tubes or probes
implemented? -Oral care done with a soft toothette
-Increased D.dimer
What will the labs of a
-FDP increased
DIC patient look like?
-decrease in platelets
What type of Ebola and Smallpox
bioterrorism needs to be
in airborne/droplet
precautions?
A patient dies from -everything must be burned
anthrax inhalation, what
should be done with the
body?
Order of PPE application gown, mask, goggles, gloves
Order of PPE removal gloves, goggles, gown, mask
How will smallpox presents on the face extremities, lesions looks the
present compared to same
chickenpox?
You're the nurse triaging Black
after a mass casualty, a 20
year old pregnant
women is not breathing
and you're unable to get
a open airway, what tag
will she recieve?
, You're the nurse triaging Green
after a mass casualty, a 17
year old boy presents
with a broken leg and no
other problems, what tag
will he recieve?
If the patient has a low -Give fluids
BP, high HR, infection, -blood pressure must be treated first!
blood sugar is also high,
what is the PRIORITY
intervention?
If the patient is in septic Lasix
shock, their CVP is
decreased, urine output
is low, what order would
you question from the
physician?
-decreased BP
hyperdynamic phase of -increased temp
septic shock -increased RR
-warm flushed skin
-decreased BP
-decreased temp
hypodynamic phase of -decreased RR
septic shock -decreased CVP
-cold to touch
-decreased cardiac output
Patient with septic shock Norepinephrine (Levophed)
has been given fluids and
there is no change in BP,
what intervention comes
next?
Patient comes in after delayed neuro symptoms
being struck by
lightening, what do you
expect symptom wise
from the patient?
Solutions
Save
Terms in this set (139)
Patient is allergic to Rocephin
penicillin, what other
antibiotic could the
patient be allergic to as
well?
What is a side effect of Ototoxicity, check hearing loss
aminoglycosides?
What does the nurse do if hold the medicine and call the doctor
vanco levels come back
too high?
A nurse is caring for a C. -wash hands with soap and water
Diff patient, what -clean with bleach
interventions/precautions -DO NOT give patient immodium
are correct to take? -contact precautions (enteric)
Patient comes into the ER -cultures
with a stable blood -antibiotics
pressure, has a fever, is -fluids
septic, but is not in shock -tylenol
yet, what is the priority
intervention?
-MAP is 65
How do you determine
-adequate urine output
adequate tissue for your
-Good LOC
patient?
-good cardiac output
,How would you know if -paralytic ileus
the GI tract is affected -hypoactive bowel sounds
after a trauma?
The nurse is caring for a -bleeding precautions
patient with DIC, what -No IVs or injections
interventions should be -Avoid rectal tubes or probes
implemented? -Oral care done with a soft toothette
-Increased D.dimer
What will the labs of a
-FDP increased
DIC patient look like?
-decrease in platelets
What type of Ebola and Smallpox
bioterrorism needs to be
in airborne/droplet
precautions?
A patient dies from -everything must be burned
anthrax inhalation, what
should be done with the
body?
Order of PPE application gown, mask, goggles, gloves
Order of PPE removal gloves, goggles, gown, mask
How will smallpox presents on the face extremities, lesions looks the
present compared to same
chickenpox?
You're the nurse triaging Black
after a mass casualty, a 20
year old pregnant
women is not breathing
and you're unable to get
a open airway, what tag
will she recieve?
, You're the nurse triaging Green
after a mass casualty, a 17
year old boy presents
with a broken leg and no
other problems, what tag
will he recieve?
If the patient has a low -Give fluids
BP, high HR, infection, -blood pressure must be treated first!
blood sugar is also high,
what is the PRIORITY
intervention?
If the patient is in septic Lasix
shock, their CVP is
decreased, urine output
is low, what order would
you question from the
physician?
-decreased BP
hyperdynamic phase of -increased temp
septic shock -increased RR
-warm flushed skin
-decreased BP
-decreased temp
hypodynamic phase of -decreased RR
septic shock -decreased CVP
-cold to touch
-decreased cardiac output
Patient with septic shock Norepinephrine (Levophed)
has been given fluids and
there is no change in BP,
what intervention comes
next?
Patient comes in after delayed neuro symptoms
being struck by
lightening, what do you
expect symptom wise
from the patient?
