NU 185 Final Exam with precise
!!| !! !!| !!| !!| !!| !!|
detailed solutions !!|
What does the LPN do before suctioning a vent patient?
!!| !!| !!| !!| !!| !!| !!| !!| !!|
- Set up sterile field
!!| !!| !!| !!|
- Hyperoxygenate
!!|
What should the LPN do if the alarm on the vent keeps
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
ringing?
- !!| Check pump !!|
- !!| Check for kinks !!| !!|
- !!| Disconnect
- !!| Ambu bag on patient !!| !!| !!|
Vent care !!|
- !!| SCDs
- !!| Suction for 10 seconds !!| !!| !!|
- !!| Suction at bedside !!| !!|
- !!| No NS into endo tube or trach
!!| !!| !!| !!| !!| !!|
- !!| No peroxide
!!|
- !!| Hyperoxygenate before suction !!| !!|
- !!| HOB 30-40 degrees
!!| !!|
- !!| Mouth care !!|
- !!| Apply suction pulling out
!!| !!| !!|
- !!| VS frequently
!!|
Prevention of VAP !!| !!|
- HOB 30-45 degrees
!!| !!| !!|
- Oral care
!!| !!|
,- Peptic ulcer prophylaxis (decrease bacterial growth) using
!!| !!| !!| !!| !!| !!| !!| !!|
Pepcid, Zantac, Protonix !!| !!|
Respiratory acidosis !!|
- !!| COPD
- !!| Asthma
- !!| Emphysema
- !!| Chronic bronchitis !!|
- !!| Apply O2 !!|
- !!| S/S anxious, SOB, cyanotic, increased respirations
!!| !!| !!| !!| !!|
Respiratory alkalosis !!|
Hyperventilation
Metabolic acidosis !!|
- Diarrhea
!!|
- DKA
!!|
Metabolic alkalosis !!|
- Vomiting
!!|
- NG tube
!!| !!|
Metabolic syndrome !!|
- !!| Quit smoking
!!|
- !!| Lose weight
!!|
- !!| Carb control, no fatty food
!!| !!| !!| !!|
- !!| Take statins (Lipitor)
!!| !!|
- !!| Check BS if diabetic !!| !!| !!|
Interventions for a patient w/ burns on 80% of body !!| !!| !!| !!| !!| !!| !!| !!| !!|
- !!| Fluids
- !!| Reverse isolation !!|
- !!| Antibiotics
- !!| Pain meds!!|
, - Foley to monitor I&O's
!!| !!| !!| !!|
- Tetanus toxoid injection
!!| !!| !!|
Emergent stage of burns !!| !!| !!|
- 1st 48 hrs
!!| !!| !!|
- Hypovolemic shock
!!| !!|
- Acute RF
!!| !!|
- Hyperkalemia
!!|
- Insert IV
!!| !!|
- LR!!|
- Antibiotics
!!|
- Indwelling foley cath
!!| !!| !!|
- Pain meds
!!| !!|
Acute/diuretic phase of burns !!| !!| !!|
- 72 hrs - 10 days
!!| !!| !!| !!| !!|
- Circulatory overload
!!| !!|
- Hypokalemia
!!|
- Will have high urine output
!!| !!| !!| !!| !!|
Rehabilitation phase of burns !!| !!| !!|
Goal to prevent infection
!!| !!| !!|
Interventions for 3rd degree burns !!| !!| !!| !!|
- !!| Reverse isolation !!|
- !!| Pain control !!|
- !!| Escharotomy
- !!| Skin graft !!|
1st degree burn appearance
!!| !!| !!|
!!| !! !!| !!| !!| !!| !!|
detailed solutions !!|
What does the LPN do before suctioning a vent patient?
!!| !!| !!| !!| !!| !!| !!| !!| !!|
- Set up sterile field
!!| !!| !!| !!|
- Hyperoxygenate
!!|
What should the LPN do if the alarm on the vent keeps
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
ringing?
- !!| Check pump !!|
- !!| Check for kinks !!| !!|
- !!| Disconnect
- !!| Ambu bag on patient !!| !!| !!|
Vent care !!|
- !!| SCDs
- !!| Suction for 10 seconds !!| !!| !!|
- !!| Suction at bedside !!| !!|
- !!| No NS into endo tube or trach
!!| !!| !!| !!| !!| !!|
- !!| No peroxide
!!|
- !!| Hyperoxygenate before suction !!| !!|
- !!| HOB 30-40 degrees
!!| !!|
- !!| Mouth care !!|
- !!| Apply suction pulling out
!!| !!| !!|
- !!| VS frequently
!!|
Prevention of VAP !!| !!|
- HOB 30-45 degrees
!!| !!| !!|
- Oral care
!!| !!|
,- Peptic ulcer prophylaxis (decrease bacterial growth) using
!!| !!| !!| !!| !!| !!| !!| !!|
Pepcid, Zantac, Protonix !!| !!|
Respiratory acidosis !!|
- !!| COPD
- !!| Asthma
- !!| Emphysema
- !!| Chronic bronchitis !!|
- !!| Apply O2 !!|
- !!| S/S anxious, SOB, cyanotic, increased respirations
!!| !!| !!| !!| !!|
Respiratory alkalosis !!|
Hyperventilation
Metabolic acidosis !!|
- Diarrhea
!!|
- DKA
!!|
Metabolic alkalosis !!|
- Vomiting
!!|
- NG tube
!!| !!|
Metabolic syndrome !!|
- !!| Quit smoking
!!|
- !!| Lose weight
!!|
- !!| Carb control, no fatty food
!!| !!| !!| !!|
- !!| Take statins (Lipitor)
!!| !!|
- !!| Check BS if diabetic !!| !!| !!|
Interventions for a patient w/ burns on 80% of body !!| !!| !!| !!| !!| !!| !!| !!| !!|
- !!| Fluids
- !!| Reverse isolation !!|
- !!| Antibiotics
- !!| Pain meds!!|
, - Foley to monitor I&O's
!!| !!| !!| !!|
- Tetanus toxoid injection
!!| !!| !!|
Emergent stage of burns !!| !!| !!|
- 1st 48 hrs
!!| !!| !!|
- Hypovolemic shock
!!| !!|
- Acute RF
!!| !!|
- Hyperkalemia
!!|
- Insert IV
!!| !!|
- LR!!|
- Antibiotics
!!|
- Indwelling foley cath
!!| !!| !!|
- Pain meds
!!| !!|
Acute/diuretic phase of burns !!| !!| !!|
- 72 hrs - 10 days
!!| !!| !!| !!| !!|
- Circulatory overload
!!| !!|
- Hypokalemia
!!|
- Will have high urine output
!!| !!| !!| !!| !!|
Rehabilitation phase of burns !!| !!| !!|
Goal to prevent infection
!!| !!| !!|
Interventions for 3rd degree burns !!| !!| !!| !!|
- !!| Reverse isolation !!|
- !!| Pain control !!|
- !!| Escharotomy
- !!| Skin graft !!|
1st degree burn appearance
!!| !!| !!|
