Capstone Exam 2 Questions and Answers

Capstone Exam 2 Questions and Answers How much drainage is normal for a t-tube? 750 - 1000 mL Nursing education for GERD Eat small amounts, sit up for 2 - 3 hours, no alcohol, spicy foods, or caffeine · Signs and symptoms of hypermagnesemia Decreased reflexes, ST elevation, inverted T-wave S/s of hypokalemia Muscle camps, muscle weakness, abnormal heart rhythms, hypotension EKG findings of a patient having an MI Q waves that are abnormally deep and wide ST elevation ST depression T wave inversion What to do first if you suspect a patient is having an abnormal heart rhythm? Assess them first Assessing a patient receiving peritoneal dialysis and if there are complications during instillation Check for kinks, call the MD, position patient on their side · Nursing assessment of a patient with Hashimoto's thyroiditis, what can indicate a possible problem? Changes in their voice Diet teaching for a patient with a uric acid kidney stone Avoid beef, pork, and shellfish Nursing interventions for a patient with hypovolemic shock IV fluids Blood products Trendelenburg Oxygen therapy Monitor weight · Adverse effects of calcitonin Carpopedal spasm Adverse effect of carbamazepine Low WBC What to assess with an increase serum ammonia level with cirrhosis Change in LOC · What is an EMG- electromyography Measures electrical activity in muscle from nerve stimulation Normal WBC count Normal HgB 11.7 - 17.3 Normal HcT 35 - 50 Normal platelet count 150,000-450,000 Normal BUN 10-20 What is considered an oncological emergency for a patient with metastatic prostate cancer? Wide T waves Short ST segments What are the signs and symptoms of oncological emergencies? Increased serum calcium levels Swelling Numbness and tingling · Signs and symptoms of glomerulonephritis Dark and foamy urine Nursing interventions for caring for a patient having a tonic-clonic seizure Observe the seizure Priority assessment for Guillain-Barre Syndrome Airway · What is a positive Brudzinski sign? Resistance with passive extension of knee Nursing assessment of a patient post-op craniotomy- what neurological assessment? PERRLA, motor response, LOC Signs and symptoms of left sided heart failure SOB, chronic cough, fatigue Common symptom of pericarditis? jugular vein distention What can untreated pericarditis lead to? cardiac tamponade Nursing interventions for a patient undergoing an upper GI endoscopy and after the procedure Maintain NPO Monitor airway Have emergency equipment ready What is the frequent complication postop of a patient with an ileostomy? Dehydration What should a fetal heart rate be in the third trimester? 110-160 What IV therapy is given to a DKA patient? Dextrose 78-year-old patient is restless and aggressive. Check urine Head and chest injuries from car crash - how do we know they are ready to transfer to CCU? Stable vitals Signs and symptoms of hypovolemia Low BP tachycardia What to watch for with a pca pump? Respiratory depression