NURS 341 FINAL REVISED EXAM 2025

NURS 341 FINAL REVISED EXAM 2025 Interventions for hypothermia Warm IV fluid room 80degrees bear hugger cover pts head Complications of hypothermia Myocardial dysfunction =decreased contractility (give milrinone) Dysrthymias Hypercoagulability what pts? hypothermic pts pregnant pt pts on estrogen vessel wall damage from what? Surgery/trauma pt central lines pa catheters venous stasis immobility atrial fib Normal serum osmolality 285-295 what's the most important electrolyte when talking about Osmo? Sodium low serum osmolality s/s fluid volume excess delusional hyponatremia Siadh NURS 341 NURS 341 high serum osmolality s/s fluid deficit dehydrated DI DKA airway trauma bleeding vomiting turn pt on side suction Breathing (trauma) examine chest wall movement assess rest rate AVPU Alert Verbal Painful Stimuli Unresponsive Complications of trauma (compartment syndrome) 4 p's neurovascular assessment first measure abdominal girth Intra-abdominal pressure measurement Rhabdomyolysis affects who? Crush injury from a fall marathon runners statin drugs cause myalhia Rhabdomyolysis treatment iv fluids at a rate to keep urine output between 100-200 ml Burn treatment NURS 341 NURS 341 LR first choice start internal feeding first 24 hours monitor what in burn pt Hyperkalemia cardiac monitor for speaker T waves How to measure ICP EVD inline with tragus catheter in brain aseptic technique Status epeilepticus Concern- anoxia to the brian diazepam/lorazepam iv to stop seizure phenytoin to prevent seizure basilar skull fracture Raccoon eyes (periorbital ecchymosis) and Battle's sign (mastoid ecchymosis). concern- meningitis DONT put anything in this pts ear or nose DI thiazide diuretic to help recognize ADH Biggest concern is hypovolemic shock Labs you'd see with DI high serum osmo high sodium low urine gravity SIADH concern hyponatremia altered LOC edema seizure/death/coma SIADH treatment NURS 341 NURS 341 Fluid restriction frequent mouth care frequent ROM HOB 0-10 degrees may give furosemide if NA is greater than 125 Tx for DKA and HHS 1st- fluids to prevent hypovolemic shock Insulin to correct BG-monitor hypokalemia Cerebral autoregulation Allows for vessel dilation or constriction to maintain cerebral perfusion Respiratory acidosis with hypoxia Recommendation to treat → Intubation Increase RR/TV and oxygen CUSHING'S TRIAD BP 200/55, HR 45, RR irregular Things that cause increase ICP Fever, seizures, hypoxia, hip flexion, coughing Client with EVD has elevated WBC, redness around catheter insertion, and cloudy cerebrospinal fluid EVD infection Bloody drainage from the nose Halo test Proper method to stop the insulin infusion on a DKA patient Basal insulin 2 hours before stopping insulin infus