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Nursing 2 Final Exam 1. Upper GI Tract Dysphagia – Difficulty swallowing. Major concern for older adult & victims of stroke. Has trouble swallowing liquids or solids, coughs after eating or drink in g, speech difficulty (dysphonia)  Barium Swallow – Swallows radioactive dye that shows areas of dysfunction.  Endoscopic Evaluation TX = Thickened liquids/foods. Elevate HOB 30-45 degrees. 2. Lower GI Tract Obstruction – Poop can’t go forward . ABG: HCO3 up, pH up = metabolic alkalos...

2018 HESI EXIT V3 1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most a ppropriate intervention by the nurse? A) Explain to the client that the dentures must come out as they may get lost or broken in the operating room B) Ask the client if there are second thoughts about having the procedure C) Notify the anesthesia department and the surgeon of the client's refusal ...

Cardiac Normal cardiac output- Normal cardiac output is 60-100 beats per minute. If below 60 is brady cardia and the patient is at risk for poor perfusion. Cardiac output is defined as the amount of b lood pumped from the left ventricle each minute. Remember that arrhythmia is a deviation from a normal rhythm and a dysrhythmia is a disturbance in the normal rhythm. Medications for: contractility, maintaining normal blood pressure, various tachycardias, bradycardias, different degrees of AV block...

Nursing III Final Chapters Chapter 35 For the client who is at risk for stroke, the most important guideline the nurse should teach is to: monitor blood pressure The family of a client diagnose d with a stroke asks the nurse if this health problem is very common. The nurse should respond that in the United States a person has a stroke every: 40 seconds A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between ...

Nursing III Final Chapters Chapter 35 For the client who is at risk for stroke, the most important guideline the nurse should teach is to: monitor blood pressure The family of a client diagnose d with a stroke asks the nurse if this health problem is very common. The nurse should respond that in the United States a person has a stroke every: 40 seconds A client is being evaluated for a stroke. The nurse knows that one of the easiest and most common diagnostic tests used to differentiate between ...

1 Pharmacology Midterm 1. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child’s cooperation? a. Offer the child a choice of taking the medication with juice or water b. Tell the child it is candy c. Hide the medications in a large dish of ice cream d. Tell the child he will have a shot instead 2. A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteri...

Pharmacology Final Review 1. Calcium supplement for osteoporosis--why would they have flank pain 2. A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client sta tes, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream? a. Glucose b. Ammonia i. Rationale: Lactulose, a disaccharide, is a sugar that wor...

CONCEPT FLUIDS AND ELECTROLYTES Exemplar Acute Kidney Injury Learning Outcomes • Describe the pathophysiology, etiology, clinical manifestations, and direct and indirect causes of acute kidne y inju ry (AKI). • Identify risk factors associated with AKI. • Utilize the nursing process in providing competent nursing care to the patient with AKI. • Identify therapies used in the collaborative care of individuals with AK

RNSG 1137 Exam 2 Blueprint Spring 2019 (Student) Objective Question NCLEX-RN Client Need Category Integrative Process Bloom’s Taxonomy Reference 1 Concept: Evidence Based Practice Exemplar: Best Pra ctice and Standards Focus: Prioritization 1. Maslow’s Heirarchy of Needs 1. Physiologic Needs 2. Safety and Security 3. Sense of belonging and affection 4. Esteem and self-respect 5. Self-Actualization Ask a clinical question. Collect the most relevant and best evidence. Critically appraise the e...