NUR2755 / NUR 2755 FINAL EXAM (Latest
): Multidimensional Care IV / MDC 4 -
Rasmussen
MDC4 FINAL EXAM
What is the long-term reaction to Dilantin/phenytoin use?
- Gum hyperplasia
Pt that is on Dilantin long-term, what might happen if they abruptly d/c?
- Status epilepticus would develop
Pt is in the postictal phase of a tonic-clonic seizure, what will they look
like?
- Tired & drowsy
Priority assessment in pt in the postictal phase?
- Airway
Give instructions/education to a pt going to receive and EEG, can they
have anything with caffeine?
- NO caffeine
What would we observe in a pt in the ictal phase?
- Loss of awareness, rigidity; stiffness, violent muscle
contractions
, Decerebrate posturing?
- The back is arched & all 4 extremities are rigidly extended
What is the desired PTT for heparin therapy?
- 60
Pt with a PTT of 25 seconds, what would we do?
- Increase heparin
Pt is genetically predisposed to a PE; what would we expect to do?
- Teaching for an IVC filter
Pt has a massive blood loss from trauma, what will you expect to see in
their MAP?
- It will drop
Pt's RR was 12 and is now at 16, HR 80 and now 92, what
is the priority action? - Continue to monitor/document
findings
Pt's WBC: 3.8, BS: 198, Temp: 96.2, what is the priority action?
- Call MD about the temperature.
One thing to give instructions on for older adults in a community to
prevent dehydration - Inc. fluid intake/drink more water
Number 1 lab to look at when evaluating shock
- Lactic acid
Ways to prevent PTSD
): Multidimensional Care IV / MDC 4 -
Rasmussen
MDC4 FINAL EXAM
What is the long-term reaction to Dilantin/phenytoin use?
- Gum hyperplasia
Pt that is on Dilantin long-term, what might happen if they abruptly d/c?
- Status epilepticus would develop
Pt is in the postictal phase of a tonic-clonic seizure, what will they look
like?
- Tired & drowsy
Priority assessment in pt in the postictal phase?
- Airway
Give instructions/education to a pt going to receive and EEG, can they
have anything with caffeine?
- NO caffeine
What would we observe in a pt in the ictal phase?
- Loss of awareness, rigidity; stiffness, violent muscle
contractions
, Decerebrate posturing?
- The back is arched & all 4 extremities are rigidly extended
What is the desired PTT for heparin therapy?
- 60
Pt with a PTT of 25 seconds, what would we do?
- Increase heparin
Pt is genetically predisposed to a PE; what would we expect to do?
- Teaching for an IVC filter
Pt has a massive blood loss from trauma, what will you expect to see in
their MAP?
- It will drop
Pt's RR was 12 and is now at 16, HR 80 and now 92, what
is the priority action? - Continue to monitor/document
findings
Pt's WBC: 3.8, BS: 198, Temp: 96.2, what is the priority action?
- Call MD about the temperature.
One thing to give instructions on for older adults in a community to
prevent dehydration - Inc. fluid intake/drink more water
Number 1 lab to look at when evaluating shock
- Lactic acid
Ways to prevent PTSD
