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UAB NUR 326 Cumulative Final Exam

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UAB NUR 326 Cumulative Final Exam

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UAB NUR 326 Cumulative Final Exam

Acute Infections Correct Answers Flu, Pneumonia

Acute Pain Correct Answers Happens immediately - i.e.
surgery, trauma, burns, etc., short duration, heals quickly

Acute, Angle-Closure Treatment Correct Answers OCULAR
EMERGENCY; oral/IV hyperosmotic: Isosorbide
solution/mannitol (going to lower IOP) & surgical iridectomy:
drilling hole in iris allowing flow (semi-fowler's position)

Addiction Correct Answers Chronic, relapsing, treatable
neurological disease

Adjuvant/CoAnalgesic Agents Correct Answers local
anesthetics (lidocaine patch or injection), anticonvulsants,
antidepressants, ketamine

Alpha Correct Answers Glucagon (raise BG)

Ambulatory Aide Correct Answers 1

Amsler Grid Test Correct Answers Used at home, way to
assess progression of loss of vision. These people may see wavy
lines or an area with no spots, may look different sizes or dark
areas. You test both eyes, separately.

Anemia Correct Answers HGB low/fewer than normal RBC &
Decrease O2 delivery

,Anemia S/S Correct Answers Very tired, cold, SOB,
tachycardia, reduced energy → need CBC

Anemia Sources Correct Answers Blood loss, hemolytic
anemia (increase RBC destruction), decrease RBC production
(hypoproliferative anemia), deficiency of necessary components

Angina Pectoris Correct Answers Stable (pressure, choking,
numbness, weakness in arms, extreme pain), atypical S/S
(indigestion, N, palpitations, numbness); unstable (increase in
severity and frequency); overtime can cause irreversible damage

Angina Pectoris Diagnosis Correct Answers 12 lead ECG,
troponin, stress test, echo, nuclear scan

Angina Pectoris Treatment Correct Answers Angine (stop, sit,
rest, NTG, O2), reduce anxiety, prevention of pain, antiplatelet
therapy (ASA, clopidogrel), cardiac rehabilitation, self care
(diet, medications, stop smoking, maintain normal BP & BG,
avoid diet pills, caffeine drinks, come cold medication, be sure
too come to follow up appointments)

Aspiration Correct Answers Aspirated gastric contents

At Risk of Infection Correct Answers Elderly or infant;
uninsured or don't seek preventive measures; geographic
location (epidemic or pandemic), immunocompromised (HIV),
chronic disease (HTN, DM), environmental (unsafe sanitary;
prison, dorms, no access to clean water or food)

,Bacterial versus Viral Pneumonia Correct Answers Decides
treatment; Bacterial - abx, bronchodilators to help breath better;
Viral - S/S management (IV fluids, Tylenol for fever, cough
meds, antihistamines and decongestants)

Beta Correct Answers Insulin (lower BG)

Blood Transfusion Correct Answers 1

Bowel Obstruction Diagnostics Correct Answers Through
H&P, Imaging, WBC elevated, electrolytes imbalances,
increased HR, BP, may have fever. UOP less.

Bowel Obstruction Treatment Correct Answers
Decompression, NPO, surgery (may require temporary ostomy),
F&E replacement
Enemas are CI in patients with bowel injury/obstruction due to
risk of bowel perforation

Breakthrough Pain Correct Answers Example cancer pts -
continuous pain but exacerbates and "breaks through" or pts
who had abdominal surgery. On morphine and well-controlled,
but then in the middle of the night, the pain breaks through. This
is when you can use breakthrough pain med

C. Diff Complications Correct Answers Dehydration, acid-base
imbalances, electrolyte disturbance, lead to colitis and intestinal
perforation, metabolic acidosis

C. Diff Hospital Requirements Correct Answers WASH
HANDS WITH SOAP AND WATER, isolation precautions

, C. Diff Risk Factors Correct Answers Antibiotic therapy,
chemotherapy, immunosuppressants, prolonged hospitalizations,
ulcer prophylaxis

C. Diff S/S Correct Answers Large, watery stools, abx
cramping, periumbilical pain, fever, bloody diarrhea, anorexia
and nausea

C. Diff Treatment Correct Answers Flagyl (first line to mild to
moderate), Vancomycin (more aggressive, used for more severe
infection that does not respond to flagyl therapy in 5-7 days)

CAD Prevention Correct Answers Control cholesterol: LDL
<130, Total cholesterol <200; physical activity, cessation of
tobacco use, obesity, medications (LDL is the target of therapy),
manage HTN, control DM

CAD Risk Factors Correct Answers Elevated LDL, metabolic
syndrome, C-reactive protein, gender: events occur on an
average 10 years later than men

Cancer Correct Answers 2

Cardio/Pulm S/S Correct Answers Pleurisy, pericarditis,
dysrhythmias, accelerated CAD

Cataract Correct Answers Excessive epithelial growth to cell
layers of eye lens; protein fibers degenerate clump together,
clouding small areas of the lens; progression, clouding becomes
denser and expands

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