NSG430 Final Exam Questions with Correct Answers 100% Verified| Guaranteed Success
Symptoms of unstable angina New onset and long duration, occurs at rest and unrelieved by
nitro
Symptoms of stable angina Short duration and symptoms relived with rest or nitro, lasting
less than 20 minutes and radiates to the left arm and jaw
What is it and what causes an adrenal/addisons crisis -Acute adrenal insufficiency
-Triggered by stress, abruptly stopping steroids, adrenal surgery, or sudden pituitary gland
destruction
S/S of Addisons crisis Hyponatremia, hyperkalemia, hypoglycemia, hypotension, bronze
color skin (hyperpigementation)
Treatment for Addisons High dose hydrocortisone replacement, increase in salt, dont stop
taking meds
S/S of ADHF Pulmonary congestion and fluid overload, increased RR, pulmonary edema, use
of accessory
What labs do you monitor for ADHF? BNP, troponin
What is effective treatment in ADHF? Reduced dyspnea with the head of the bed at 30
degrees (semi fowlers)
What is the cause of pre renal AKI and what is it? -Hemorrhage, burns, hypotension, trauma,
cardiac damage
-Reduction in renal blood flow caused by hypovolemia
,What is the cause of intrarenal AKI and what is it? -Acute tubular necrosis
-Direct damage to kidneys by infection, nephrotoxins, major surgery
What is the cause of post renal AKI and what is it? -BPH and renal calculi
-Mechanical obstruction in the outflow of urine
What is RIFLE in AKI? Risk , Injury, Failure, Loss, and End-stage renal disease
S/S of AKI oliguria (UO to less than 400 ml/day- hypervolemia), hyponatremia, potassium
excess, in diuretic phase the sign is hypovolemia
Interventions for animal & human bite ` Leave puncture wound open (DON'T suture),
prophylactic antibiotics and tetanus, rabies for animal bite
What important question would you ask when someone gets a human bite? Do you have
your tetanus shot and when did you get it? (you can get it if you haven't had tetanus shot in last
10 years)
What precautions need to be taken for aplastic anemia? Neutropenia (infection)
precautions
What is the medication Atorvastatin (Lipitor) used for? Treat high cholesterol
Serious side effects of atorvastatin (Lipitor) Kidneys & rhabdomyolysis
Patient teaching for atorvastatin (Lipitor) Compliance is needed- taking for life; blood and
eye exams; take in evening; report blurred vision, headache, muscle pain and weakness
, What does a fib look like on monitor? Fibrillations before each QRS complex, no p waves
Treatment for a fib Amiodarone & electrical cardioversion
What is patient most at risk for with a fib? Stroke and blood clots
What is the most concerning assessment finding in back pain that would indicate immediate
intervention and possible surgical intervention? Decreased bladder and bowel function-
indicate possible spinal cord compression
Treatment for back pain NSAIDS (motrin- ibuprofen)
What are s/s & treatment of febrile blood transfusion reaction? -Fever, chills, malaise
-acetaminophen
What are s/s & treatment of hemolytic transfusion reaction? -Immediate fever/chills,
headache, N/V, dark urine, hypotension
-Stop transfusion, immediate vigorous crystalloid infusion, diuretic therapy to maintain urine
output
What are s/s & treatment of allergic reaction to transfusion? -Urticaria or hives
-Symptomatic care & antihistamines
What might indicate a delay in transfusion? Fever or person has had a reaction to it before
What are you worried about with an electrical burn? Dysrhythmias- put on cardiac monitor
Symptoms of unstable angina New onset and long duration, occurs at rest and unrelieved by
nitro
Symptoms of stable angina Short duration and symptoms relived with rest or nitro, lasting
less than 20 minutes and radiates to the left arm and jaw
What is it and what causes an adrenal/addisons crisis -Acute adrenal insufficiency
-Triggered by stress, abruptly stopping steroids, adrenal surgery, or sudden pituitary gland
destruction
S/S of Addisons crisis Hyponatremia, hyperkalemia, hypoglycemia, hypotension, bronze
color skin (hyperpigementation)
Treatment for Addisons High dose hydrocortisone replacement, increase in salt, dont stop
taking meds
S/S of ADHF Pulmonary congestion and fluid overload, increased RR, pulmonary edema, use
of accessory
What labs do you monitor for ADHF? BNP, troponin
What is effective treatment in ADHF? Reduced dyspnea with the head of the bed at 30
degrees (semi fowlers)
What is the cause of pre renal AKI and what is it? -Hemorrhage, burns, hypotension, trauma,
cardiac damage
-Reduction in renal blood flow caused by hypovolemia
,What is the cause of intrarenal AKI and what is it? -Acute tubular necrosis
-Direct damage to kidneys by infection, nephrotoxins, major surgery
What is the cause of post renal AKI and what is it? -BPH and renal calculi
-Mechanical obstruction in the outflow of urine
What is RIFLE in AKI? Risk , Injury, Failure, Loss, and End-stage renal disease
S/S of AKI oliguria (UO to less than 400 ml/day- hypervolemia), hyponatremia, potassium
excess, in diuretic phase the sign is hypovolemia
Interventions for animal & human bite ` Leave puncture wound open (DON'T suture),
prophylactic antibiotics and tetanus, rabies for animal bite
What important question would you ask when someone gets a human bite? Do you have
your tetanus shot and when did you get it? (you can get it if you haven't had tetanus shot in last
10 years)
What precautions need to be taken for aplastic anemia? Neutropenia (infection)
precautions
What is the medication Atorvastatin (Lipitor) used for? Treat high cholesterol
Serious side effects of atorvastatin (Lipitor) Kidneys & rhabdomyolysis
Patient teaching for atorvastatin (Lipitor) Compliance is needed- taking for life; blood and
eye exams; take in evening; report blurred vision, headache, muscle pain and weakness
, What does a fib look like on monitor? Fibrillations before each QRS complex, no p waves
Treatment for a fib Amiodarone & electrical cardioversion
What is patient most at risk for with a fib? Stroke and blood clots
What is the most concerning assessment finding in back pain that would indicate immediate
intervention and possible surgical intervention? Decreased bladder and bowel function-
indicate possible spinal cord compression
Treatment for back pain NSAIDS (motrin- ibuprofen)
What are s/s & treatment of febrile blood transfusion reaction? -Fever, chills, malaise
-acetaminophen
What are s/s & treatment of hemolytic transfusion reaction? -Immediate fever/chills,
headache, N/V, dark urine, hypotension
-Stop transfusion, immediate vigorous crystalloid infusion, diuretic therapy to maintain urine
output
What are s/s & treatment of allergic reaction to transfusion? -Urticaria or hives
-Symptomatic care & antihistamines
What might indicate a delay in transfusion? Fever or person has had a reaction to it before
What are you worried about with an electrical burn? Dysrhythmias- put on cardiac monitor
