NSG 430 FINAL EXAM GUIDE
1. iron deficiency anemia diet: egg yolk, beef, legumes
2. parkland burn formula: 4ml x % body burned x weight (kg)
3. pre-transfusion assessment: vitals within 15 min of transfusionstay with the patient for the
first 15 min after infusion has started prime line with NS
hang within 30 min of getting blood
administer over the 2 hours from receiving it from lab
4. What is true regarding vitaminB12 injections for pernicious?: initially givenweekly, then
monthly for the rest of thier life
5. cancer remission: They are NOT experiencing symptoms
6. Does hypothermia require continuous EKG?: Yes
7. An RN is caring for a patient post crush injury, the patient is at high riskfor?:
Rhabdomyolysis
8. Rhabdomyolysis symptoms: •Generalized muscle pain, nausea, vomiting, ab-dominal
cramping, and red urine
•Diagnosed when patient has elevated level of another molecule, creatine kinasealso known as
Ck or CPK
9. decontamination: BLS should be provided until its completed
10. Lacrimation is a symptom often associated with exposure to ?: sarin gas(nerve agents)
11. A nurse caring for a pt with heat stroke should rehydrate with IV fluid...: -
rapidly and cool patient to 100.3Fuse vasopressors if needed
12. RSI drugs: - anxiolytic (fentynl)
- sedatives (Etomidate, Ketamine, propofol, midazolam)
- Neuromuscular blocking agent (paralytic) --> Succinylcholine, Rocuronium
13. RSI rapid sequence: 1) prepare and plan
2) preoxygenate
3) pre-treatment (anxiolytic)
4) paralysis and induction (sedate before you paralyze and intubate)
5) Protection and positioning (C-spine)
6) placement with proof (nurse check 5 spots for breath sounds)
,7) management of intubation (CXR, OG, foley)
14. sedate before : you paralyze the patient
15. A pt develops crackles, unequal breath sounds, and SOB they are mostlikely
experiencing: spontaneous pneumothorax
16. cardiac tamponade: Becks triad
- JVD
-hypotension
- muffled heart sounds
17. SLE teaching: the use of mild soaps and shampoos.
18. what does the nurse do if A urinalysis is positive for leukocyte esteraseand nitrates?: clean
catch urine for culture and sensitivity
19. A patient develops disequilibrium syndrome after hemodialysis what should the nurse
do?: assess for level of consciousness.Hypotensive, no brain
20. if a patient is on immunosupressants they should report....: sore throat (atrisk for
infection)
21. A pt with a 3 mm calculi in the right ureter with a sharp pain to the right flank should
expect: the nurse to encourage frequent urination, they can pass thisstone on their own
22. a patient collapsed o the floor with their eyes closed not moving whatshould the nurse do
first: check the patient for responsiveness
23. ARDS definition: o Clinical Syndrome described as a spectrum of a disease(umbrella
term), bilateral
· Ranges from Mild to Severe
· Mild: Acute Lung Injury
· Characterized by severe inflammatory process
· Sudden and progressive pulmonary edema and potential pulmonary hemorrhage(increases
capillary permeability)
24. ARDS S/S: · Rapid, shallow breathing
· Respiratory alkalosis
· Marked dyspnea
· Diffuse crackles
· Decreased lung compliance
· Hypoxemia unresponsive to Oxygen (refractory hypoxemia)
, · Hypoxic despite max FIO2 and PEEP
· Diffuse alveoli infiltration on CXR (white out lungs)
· Decreased CO and death
25. ARDS management: - prone positioning
- ID and treat underlying cause
- intubation and mech vent with PEEP
- hypovolemia treatment
- enteral feedings (35-45kcal/kg/day)
- reduce anxiety
26. thrombocytopenia: a condition in which there is an abnormally small numberof platelets
circulating in the blood
27. pyelonephritis: more than 1 Lflush kidneys
28. symptomatic bradycardia: atropine, pacemaker
29. GCS: any changes in LOC should be concern
- 15 normal
- 8 is not great
- 3 is the lowest
30. early sign of increased ICP: restlessness (is a change in LOC)
31. Cushing's triad: irregular breathing (bradypnea), bradycardia, increased systolicBP
- late sign
32. management of TBI: repeat assessmentsanything neuro
33. subarachnoid hemorrhage: "worst headache of their life"elevate HOB
do not limit calorie intake
34. epidural hematoma: o EMERGENCYo Atrial
o brief loss of consciousness and return to lucid state
35. intercerebral hematoma: o most common cause is HTN
36. subdural hematoma: o slower
o venous
o elderly, falls, alcoholics
37. hypokalemia: anorexia, fatigue, arrhythmia
- "everything is slow when K+ is low"
1. iron deficiency anemia diet: egg yolk, beef, legumes
2. parkland burn formula: 4ml x % body burned x weight (kg)
3. pre-transfusion assessment: vitals within 15 min of transfusionstay with the patient for the
first 15 min after infusion has started prime line with NS
hang within 30 min of getting blood
administer over the 2 hours from receiving it from lab
4. What is true regarding vitaminB12 injections for pernicious?: initially givenweekly, then
monthly for the rest of thier life
5. cancer remission: They are NOT experiencing symptoms
6. Does hypothermia require continuous EKG?: Yes
7. An RN is caring for a patient post crush injury, the patient is at high riskfor?:
Rhabdomyolysis
8. Rhabdomyolysis symptoms: •Generalized muscle pain, nausea, vomiting, ab-dominal
cramping, and red urine
•Diagnosed when patient has elevated level of another molecule, creatine kinasealso known as
Ck or CPK
9. decontamination: BLS should be provided until its completed
10. Lacrimation is a symptom often associated with exposure to ?: sarin gas(nerve agents)
11. A nurse caring for a pt with heat stroke should rehydrate with IV fluid...: -
rapidly and cool patient to 100.3Fuse vasopressors if needed
12. RSI drugs: - anxiolytic (fentynl)
- sedatives (Etomidate, Ketamine, propofol, midazolam)
- Neuromuscular blocking agent (paralytic) --> Succinylcholine, Rocuronium
13. RSI rapid sequence: 1) prepare and plan
2) preoxygenate
3) pre-treatment (anxiolytic)
4) paralysis and induction (sedate before you paralyze and intubate)
5) Protection and positioning (C-spine)
6) placement with proof (nurse check 5 spots for breath sounds)
,7) management of intubation (CXR, OG, foley)
14. sedate before : you paralyze the patient
15. A pt develops crackles, unequal breath sounds, and SOB they are mostlikely
experiencing: spontaneous pneumothorax
16. cardiac tamponade: Becks triad
- JVD
-hypotension
- muffled heart sounds
17. SLE teaching: the use of mild soaps and shampoos.
18. what does the nurse do if A urinalysis is positive for leukocyte esteraseand nitrates?: clean
catch urine for culture and sensitivity
19. A patient develops disequilibrium syndrome after hemodialysis what should the nurse
do?: assess for level of consciousness.Hypotensive, no brain
20. if a patient is on immunosupressants they should report....: sore throat (atrisk for
infection)
21. A pt with a 3 mm calculi in the right ureter with a sharp pain to the right flank should
expect: the nurse to encourage frequent urination, they can pass thisstone on their own
22. a patient collapsed o the floor with their eyes closed not moving whatshould the nurse do
first: check the patient for responsiveness
23. ARDS definition: o Clinical Syndrome described as a spectrum of a disease(umbrella
term), bilateral
· Ranges from Mild to Severe
· Mild: Acute Lung Injury
· Characterized by severe inflammatory process
· Sudden and progressive pulmonary edema and potential pulmonary hemorrhage(increases
capillary permeability)
24. ARDS S/S: · Rapid, shallow breathing
· Respiratory alkalosis
· Marked dyspnea
· Diffuse crackles
· Decreased lung compliance
· Hypoxemia unresponsive to Oxygen (refractory hypoxemia)
, · Hypoxic despite max FIO2 and PEEP
· Diffuse alveoli infiltration on CXR (white out lungs)
· Decreased CO and death
25. ARDS management: - prone positioning
- ID and treat underlying cause
- intubation and mech vent with PEEP
- hypovolemia treatment
- enteral feedings (35-45kcal/kg/day)
- reduce anxiety
26. thrombocytopenia: a condition in which there is an abnormally small numberof platelets
circulating in the blood
27. pyelonephritis: more than 1 Lflush kidneys
28. symptomatic bradycardia: atropine, pacemaker
29. GCS: any changes in LOC should be concern
- 15 normal
- 8 is not great
- 3 is the lowest
30. early sign of increased ICP: restlessness (is a change in LOC)
31. Cushing's triad: irregular breathing (bradypnea), bradycardia, increased systolicBP
- late sign
32. management of TBI: repeat assessmentsanything neuro
33. subarachnoid hemorrhage: "worst headache of their life"elevate HOB
do not limit calorie intake
34. epidural hematoma: o EMERGENCYo Atrial
o brief loss of consciousness and return to lucid state
35. intercerebral hematoma: o most common cause is HTN
36. subdural hematoma: o slower
o venous
o elderly, falls, alcoholics
37. hypokalemia: anorexia, fatigue, arrhythmia
- "everything is slow when K+ is low"
