Nursing 185 exam 2, fall 2023, with complete verified solution

Nursing 185 exam 2, fall 2023, with complete verified solution What kind of nutrition do we provide for someone to promote tissue healing Protein ( chicken, fish, eggs, lean meat) Vitamin A Vitamin c Stages of burns Stage 1 (emergent phase) Stage 2 (intermediate phase) Stage 3 (long term rehabilitation)) What do you do for a stage 1 burn Focus on Airway and pain Give patient IV lactated ringers for hypovolemic shock Stage 2 acute pain burn what do we do for 72 hours to 10 days patient is prone to infection (increased fever and increased wbc) What to do for stage 3 Rehabilitation burn Help patient learn to readjust and live Burn percentages on the body Nursing intervention for burn patients Sterile dressing (to remove debris in exudate) Reverse isolation Pain management IV therapy High protein caloric Rich diet NG tube if ordered Skin cancer prevention Use sunscreen liberally with SPF 15 and above and reapply every two hours watch for overcast days you can still get sunburn UV shirts Check moles No tanning beds or Sun lamps Avoid sunlight from 10 a. M. To 4 p. M. What do we do to prevent pressure ulcers Adequate fluid intake Turn patient every 2 hours Allow patient to bathe one to two times a week Gentley Dry clients skin Float heels Silver sulfadiazine ( silvadene) Topical antibiotic Promote healing for second-degree burns PAinless and soothing Mafendine (sulfamylon) Bacteriostatic Can cause metabolic acidosis May cause local discomfort and burning with application Can be alternated with silver sulfadiazine Gentamacin sulfate (acramycin) Used prophylactically and with localized MRSA Adverse effects: Nephrotoxicity (high bun and high cr) Ototoxicity (tinnitus) Neurotoxicity (dizziness) Propranolol Beta blocker Not for person with COPD or asthma Check best blood pressure and heart rate Used for hypertension, migraines, angina, dysrhythmia No herbs or alcohol Side effects of propranolol Dizziness and fatigue Hypotension Bradycardia Nausea Vomiting May mask the signs of hypoglycemia ( can affect Accu-Chek) Sidenafil Viagra Ensure patient to rise slowly No nitrates (nitropaste and patch) Side effects may include headache Carbidopa/ levodopa For Parkinson's What does a person with Parkinson's exhibit Tremors Bradykinesis (slow walking) Shuffle gait Drooling Methotrexate For person on chemo or rheumatoid arthritis Immunosuppressant Consult doctor before immunization Tramadol (ultram) Mild moderate pain Check blood pressure May be addictive What do you do when your patient is on a PC pump and the respirations are less than 12 Stop the pump Side effects and what to report for PCA pump patient Itching is common Report if patient is unresponsive and has poor urine output Hydrocodone (apap/vicoden/lorcet) No acetaminophen because it already has some in it No Benadryl do to possibly lowering respirations How can hydromorphone be given Sub-Q How often should you provide catheter care Every shift What do you do for a central line/picc Assess for infection Assess for patency