NUR 449 FINAL EXAM
STUDY GUIDE WITH
COMPLETE
SOLUTION!!
1.Anxiety and stress
Can stem from:
- A variety of caregivers
- Frequent visitors to the unit and the room
- Insufficient nonclinical physical contact
- Experiences of emotional and physical pain
- Heightened perceptual disturbances: Patient education in the critical
care set- ting
2.Pain, financial, and inability to sleep: What are the top three
stressors for patients in the critical care setting?
3.Ensure safety
Reduce sleep deprivation
Reduce noxious sensory overload
Increase pleasant sensory input
Provide reorientation: How can nurses give psychosocial support in the
critical care setting?
4.Palliative care: This is care designed to improve the quality of life for
a patient who is diagnosed with an illness that does not have to be
terminal.
5.Comfort care: When the healthcare team does everything, they can
to keep a patient comfortable!
No excessive treatments... only treat what causes the patient discomfort
6.Dyspnea (O2, Opioids,
Benzos) N/V (Antiemetics)
Fever/Infections (ATBs)
Edema (Diuretics POSSIBLY)
Delirium (Benzos, Opioids, Haldol)
Metabolic Derangement: What is the symptom management for end-of-life
care?
7.Advanced directives: a written statement of a person's wishes
regarding med- ical treatment, often including a living will, made to
ensure those wishes are carried out should the person be unable to
communicate them to a doctor.
These need to be documented for each patient
,8.MAP (mean arterial pressure): (DBP * 2 + SBP) / 3
The MAP needs to be greater than 65 for adequate perfusion
9.Stable angina: chest pain that occurs when a person is active or
under severe stress. It is relieved with rest and a nitro.
, 10.Unstable angina: chest pain that occurs while a person is at rest
and not exerting himself. It does not go away with a nitro.
11.Varient Angina: Transient coronary vasospasm. Can lead to
dysrhythmias or infarction. Can be treated with calcium channel
blockers.
Usually takes place at the same time of the day each time it happens!
12.silent ischemia: Heart blood flow is interrupted, but there is no pain
involved.
Patient may have SOB, N/V, Dizziness, etc.
13.If Pain Does Not Go Away with 1st Nitro: When should a patient call
911 when having angina?
14.3 tablets: How many nitro tablets can a patient take?
15.5 minutes: How many minutes apart should Nitro be taken?
16.Non-STEMI: non-ST elevation myocardial infarction
partial occlusion
17.STEMI: ST elevation myocardial infarction
full occlusion
18.S/S of an MI: chest
pain anxiety
N/V
Tachycardia
vomiting
sweating
dizziness
19.diagnosis of an AMI: 12-lead EKG (ST
elevation) CBC
Troponin and CK-MB
20.Reperfusion arrhythmias: Arrhythmias occurring after restoring
blood flow. They will have an initial rise and then drop with cardiac
biomarkers.
21.Treatment of AMI:
Morphine oxygen
nitroglycerin
anticoagulants (plavix & aspirin)
statins
STUDY GUIDE WITH
COMPLETE
SOLUTION!!
1.Anxiety and stress
Can stem from:
- A variety of caregivers
- Frequent visitors to the unit and the room
- Insufficient nonclinical physical contact
- Experiences of emotional and physical pain
- Heightened perceptual disturbances: Patient education in the critical
care set- ting
2.Pain, financial, and inability to sleep: What are the top three
stressors for patients in the critical care setting?
3.Ensure safety
Reduce sleep deprivation
Reduce noxious sensory overload
Increase pleasant sensory input
Provide reorientation: How can nurses give psychosocial support in the
critical care setting?
4.Palliative care: This is care designed to improve the quality of life for
a patient who is diagnosed with an illness that does not have to be
terminal.
5.Comfort care: When the healthcare team does everything, they can
to keep a patient comfortable!
No excessive treatments... only treat what causes the patient discomfort
6.Dyspnea (O2, Opioids,
Benzos) N/V (Antiemetics)
Fever/Infections (ATBs)
Edema (Diuretics POSSIBLY)
Delirium (Benzos, Opioids, Haldol)
Metabolic Derangement: What is the symptom management for end-of-life
care?
7.Advanced directives: a written statement of a person's wishes
regarding med- ical treatment, often including a living will, made to
ensure those wishes are carried out should the person be unable to
communicate them to a doctor.
These need to be documented for each patient
,8.MAP (mean arterial pressure): (DBP * 2 + SBP) / 3
The MAP needs to be greater than 65 for adequate perfusion
9.Stable angina: chest pain that occurs when a person is active or
under severe stress. It is relieved with rest and a nitro.
, 10.Unstable angina: chest pain that occurs while a person is at rest
and not exerting himself. It does not go away with a nitro.
11.Varient Angina: Transient coronary vasospasm. Can lead to
dysrhythmias or infarction. Can be treated with calcium channel
blockers.
Usually takes place at the same time of the day each time it happens!
12.silent ischemia: Heart blood flow is interrupted, but there is no pain
involved.
Patient may have SOB, N/V, Dizziness, etc.
13.If Pain Does Not Go Away with 1st Nitro: When should a patient call
911 when having angina?
14.3 tablets: How many nitro tablets can a patient take?
15.5 minutes: How many minutes apart should Nitro be taken?
16.Non-STEMI: non-ST elevation myocardial infarction
partial occlusion
17.STEMI: ST elevation myocardial infarction
full occlusion
18.S/S of an MI: chest
pain anxiety
N/V
Tachycardia
vomiting
sweating
dizziness
19.diagnosis of an AMI: 12-lead EKG (ST
elevation) CBC
Troponin and CK-MB
20.Reperfusion arrhythmias: Arrhythmias occurring after restoring
blood flow. They will have an initial rise and then drop with cardiac
biomarkers.
21.Treatment of AMI:
Morphine oxygen
nitroglycerin
anticoagulants (plavix & aspirin)
statins
