NURS 213 Proctored Exam 2 2024

If you suspect a patient is having an MI, what is the first thing a nurse should do - apply oxygen what normally causes an MI - thrombus what are the vitals like during septic shock - hypotensive and tachycardia what happens when your patient had v-fib on previous shift when you get report - that patient takes priority over other patients cardiac catherization - incision in groin, assess site for bleeding, if bleeding find out where bleeding is coming from what to do if patient who had a cardiac catherization is bleeding from groin area - apply direct pressure and stay with patient. call for help what is a patient with cardiomyopathy at risk for developing - congestive heart failure, poor prognosis what will doctor do for a newborn with a small ventral septal defect - may wait to see if it closes on its own nursing diagnosis for ARDS - impaired gas exchange phases of disaster planning - mitigation, preparedness, response, recovery what occurs during disaster preparation - drills, planning committees what occurs during response phase - occurs during emergency phase, assessment and treatment what occurs during mitigation phase - reduce effects of disaster, sandbags for flood bioterrorism - small pox, anthrax. refer to CDC fact sheet for info what to do for autonomic dysreflexia - find the cause if patient has a foley and experiences autonomic dysreflexia, what should the nurse do first - check the foley for kinks burns, what to assess first - ABC's, then assess fluids and electrolytes how should a nurse demonstrate integrity - do what you say, admit errors, honesty signs and symptoms of PTSD - anxiety, intense fear, flashbacks, irritability, difficulty concentrating, sleep disturbances what puts a patient at risk for developing septic shock - open wounds, hospitalization, foley, infection how does a nurse know what is ok to delegate to a UAP - scope of practice what can UAP's do - bathing and ADL's who would need increased supervision for delegation - someone coming from another unit to help out what should the nurse do if they question whether someone can perform a delegated task - verify that they are capable, the nurse is still responsible for delegated task high potassium foods - baked potato, melons, bananas, strawberries quality improvement programs for nurses - infection rates, fall rates, medication errors if a quality improvement program is put in place, how do you know if the goal has been met - comparing before and after data diagnosis for a family experiencing family stress - ineffective coping what is a balloon tamponade - balloon that inflates in esophagus to stop bleeding in esophageal varices, applies pressure risk factors for developing hepatitis B - blood and body fluids, IV drug users, people in medical field if a patient is having a paracentesis, what is the first thing the nurse should do - have patient empty bladder what two conditions place a patient at risk for developing chronic renal disease - hypertension, and diabetes what labs will be increased in a patient with hepatic encephalopathy - ammonia what are people with liver disorders at risk for - bleeding what lab results would you look at for a patient having an MI - Cardiac markers: CK, CK-MB, troponins, CPK cardiac enzymes, myoglobin why would someone experiencing an MI need oxygen - to increase tissue perfusion to the heart muscle what is TPA - fibrinolytic therapy are drugs that dissolve or break up blood clots. need to be given within 6 hours of onset how is TPA administered - IV