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All courses for Western Iowa Tech
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NURSING ADN 621 8
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NURSING II ADN 235-60 4
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NURSING II ADN 235-60 Nursing/ ETHICAL Dilemma Remain Intubated or Withdraw Life Support/ Joyce Johnson, 58 years old 1
Último contenido Western Iowa Tech
Boiler Certification Exam Questions with 
complete solutions 2024- 
2025
- Examen
- • 13 páginas's •
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Western Iowa Tech•Boiler Certification
NURSING II ADN 235- 60: Ethical Dilemma: Remain Intubated or Withdraw Life Support (Joyce Johnson, 58 years old). Case Study. 
 
When a patient has a stroke, is intubated, and unable to wean off the ventilator, what can be done to ensure the patient’s autonomy when there is no living will and no family that can be contacted to guide this decision-making process of a vulnerable adult? 
I think the Doctors and ethical committee come in and take place for any decision making that needs to be mad...
- Caso
- • 7 páginas's •
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Western Iowa Tech•NURSING II ADN 235-60
Clinical Dilemma Activity: STUDENT 
Remain Intubated or Withdraw Life Support 
I. Scenario 
History of Present Problem: 
Joyce Johnson is a 58-year-old woman with a history of atrial fibrillation, COPD, and depression. A friend who had not 
heard from her for two days became concerned and went to her home. She found Joyce unresponsive on the floor of her 
living room. She had a large left middle cerebral artery (MCA) ischemic stroke. She is intubated and has remained in ICU 
since she was admitt...
- Otro
- • 6 páginas's •
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Western Iowa Tech•NURSING II ADN 235-60 Nursing/ ETHICAL Dilemma Remain Intubated or Withdraw Life Support/ Joyce Johnson, 58 years old
Remain Intubated or Withdraw Life Support 
I. Scenario 
History of Present Problem: 
Joyce Johnson is a 58-year-old woman with a history of atrial fibrillation, COPD, and depression. A friend who had not 
heard from her for two days became concerned and went to her home. She found Joyce unresponsive on the floor of her 
living room. She had a large left middle cerebral artery (MCA) ischemic stroke. She is intubated and has remained in ICU 
since she was admitted to the hospital five days ago. Sh...
- Caso
- • 7 páginas's •
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Western Iowa Tech•NURSING II ADN 235-60
NURSING II ADN 235-60 -ATI Nursing Care of Children Practice A. 
ATI Nursing Care of Children Practice A 
Strabismus- A condition in wich the eyes do not align with one another when looking at an object. 
 
Treatment of strabismus includes covering the strong eye to strengthen the muscles in the weak eye.
- Examen
- • 16 páginas's •
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Western Iowa Tech•NURSING II ADN 235-60
NURSING ADN 621 - Unit 7 Review/NURSING ADN 621 - Unit 7 Review. 
Gastric Ulcer S/S 
- Left epigastric pain, may radiate to back. 
- Occurs 30 minutes after meals & lasts 1 to 2 hours. 
Duodenal Ulcer S/S 
- Mid back & mid-epigastrium, burning/cramping pain. 
- Occurs 2 to 4 hours after meals, pain relieved with eating. 
- Complaints of pain at night.
- Examen
- • 28 páginas's •
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Western Iowa Tech•NURSING ADN 621
NURSING ADN 621- Unit 6 Review/NURSING ADN 621- Unit 6 Review. 
Postpartum Assessment BUBBLE SHE 
 
-	Breast 
 
-	Uterus 
 
-	Bladder 
 
-	Bowel 
 
-	Lochia 
 
-	Episiotomy 
 
-	Support 
 
-	Homan's 
 
-	Emotional 
 
Postpartum Assessment-Lower extremities 
 
Edema, Pulses, Homan's, Color, Tenderness 
 
Postpartum Assessment-Vital Signs
- Examen
- • 16 páginas's •
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Western Iowa Tech•NURSING ADN 621
NURSING ADN 621- Unit 6 Study Guide/NURSING ADN 621- Unit 6 Study Guide. 
INTRAPARTUM 
 
Diagnostic Testing 
 
Assessment of the Client Who Has Diagnostic Testing 
 
G/P 
 
Maternal health problems 
 
o	key element to look for history of diabetes 
 
o	maternal diabetes is an indication for diagnostic procedures to make sure fetus is ok Current obstetric problems 
 
Prior obstetric problems 
 
History of substance abuse 
 
o	including alcohol and tobacco Client knowledge of test 
o	knowledge and ...
- Examen
- • 72 páginas's •
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Western Iowa Tech•NURSING ADN 621
NURSING ADN 621- UNIT 2 Study Guide/NURSING ADN 621- UNIT 2 Study Guide. 
Arterial Blood Gases I 
 
ABG’s 
 
Done for 2 reasons 
 
	Determine oxygenation 
 
	Determine acid base balance 
 
Usual site radial artery (wrist area thumb side) 
 
	also can use brachial and femoral arteries as well after blood drawn intervention 
 
	nursing or lab tech intervention apply pressure to site for 5-15min 
 
	assess color senstion, warmth, pulse, capillary refill
- Examen
- • 76 páginas's •
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Western Iowa Tech•NURSING ADN 621
NURSING ADN 621 - Unit 1 Review/NURSING ADN 621 - Unit 1 Review. 
 
LPN TO RN / ROLE TRANSITION 
 
Use your LPN to RN textbook, it is a great reference!!! 
 
Many different guide lines. 
 
Thinking process is very different 
 
must undertand diffrences 
 
 
Three Phases / Returning to School Syndrome 
 
	Honeymoon Phase- excited confident new found purpose usually last first weeks. Material becomes more difficult or become overwhelmed with balance of school and life move into conflict phase
- Examen
- • 71 páginas's •
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Western Iowa Tech•NURSING ADN 621
NURSING ADN 621 - Unit 5 Review/NURSING ADN 621 - Unit 5 Review. 
Positive signs of Pregnancy 
 
-	Fetal heart tone 
 
-	Fetal movement by examiner 
 
-	Fetal visualization by ultrasound. 
 
Presumptive signs of pregnancy 
 
-	Amenorrhea 
 
-	Nausea & vomiting 
 
-	Fatigue 
 
-	Frequent micturition 
 
-	Nocturia
- Examen
- • 16 páginas's •
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Western Iowa Tech•NURSING ADN 621
NURSING ADN 621 – Unit 3 Study Guide/NURSING ADN 621 – Unit 3 Study Guide. 
 
What is the anatomy and physiology of the renal system? 
 
-	Maintain & regulate internal environment 
 
-	Excrete metabolic waste 
 
-	Excretes & conserves water & solutes PRN 
 
-	Regulates acid & base balance & blood pressure. 
 
Renal system endocrine function 
 
-	Produces renin & erythropoietin.
- Examen
- • 12 páginas's •
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Western Iowa Tech•NURSING ADN 621
NURSING ADN 621 - Unit 4 Final Exam Study Guide/NURSING ADN 621 - Unit 4 Final Exam Study Guide. 
 
ENDOCRINE SYSTEM / THYROID 
 
*Major endocrine organs 
 
Pituitary gland Thyroid gland 
 
Parathyroid glands Adrenal glands 
 
Pancreas 
 
Reproductive glands
- Examen
- • 89 páginas's •
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Western Iowa Tech•NURSING ADN 621
NURSING II ADN 235-60 - HESI HINTS/NURSING II ADN 235-60 - HESI HINTS. 
Pneumonia 
 
HESI Hint Fever can cause dehydration from excessive fluid loss in diaphoresis. Increased temperature also increases metabolism and the demand for oxygen. 
 
HESI Hint High Risk for Pneumonia Any person who has an altered level of consciousness, has depressed or absent gag and cough reflexes, or is susceptible to aspirating oropharyngeal secretions (including alcoholics, anesthetized individuals, those with brai...
- Examen
- • 16 páginas's •
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Western Iowa Tech•NURSING II ADN 235-60