NURS 5355
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What is informatics? 
Accounts for developing, designing, adopting, and applying technologies in health care to improve delivery of service and improve quality and safety of care. 
What is the role of informatics in healthcare? 
To improve delivery, quality, and safety of services 
How effective are EHRs? 
EHRs are a standard part of nursing and medical care. 
There are pros and unintended consequences of EHR use in health care: Dramatic savings, shared knowledge, patient participation, the impe...
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What is the proper technique for scrubbing? 
Scrub each side of each finger, between the fingers, and the back and front of the hand for two minutes. 
Proceed to scrub the arms, keeping the hand higher than the arm at all times. This prevents bacteria-laden soap and water from contaminating the hand. 
What are the indications to perform a lumbar puncture? 
Suspicion of meningitis or other CNS infections, susp. SAH in a pt with negative CT. 
Non-emergent -- to evaluate for syphilis, hydrocephalus...
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Indications for CT Brain 
Headache 
Acute stroke 
Chronic headaches 
Seizures 
ICH suspicion 
Mass 
Trauma 
AMS 
Hydrocephalus 
CT before MRI: indications 
Acute stroke 
Acute headache 
If unable to complete MRI in all other indications 
Brain window 
Used to evaluate densities that are close to the density of the brain tissue 
Provides limited information on bone structures 
Bone window 
Assesses densities that are close to the same as bone density 
Axial plane 
Flat, looking through skull from...
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Does conventional x-ray assess for intracranial abnormalities? 
No. Conventional x-ray does not have a significant role in assessing for intracranial abnormalities 
What does contrast do? 
Emphasizes certain structures by blocking x-rays. Appears white on imaging. 
What are indications for a CT Brain? 
Acute stroke/CVA or acute and severe headache with suspicion of ICH or head trauma. Order non-contrasted CT Brain. 
What can appear white on a non-contrasted CT Brain? 
Bone, blood, or metallic fo...
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determine difficult intubation with? 
LEMONS 
size of tongue to oral cavity? 
Mallampati Classification Score 
absolute CI in endotracheal intubation? 
total upper airway obstruction or loss of oropharyngeal landmarks from trauma or burns 
pressure on cricoid cartilage to compress esophagus to prevent regurg during intubation? 
Sellick's Maneuver 
insert blade with ? hand on ? of the mouth? 
left hand & on right side of the mouth to displace tongue to the left 
aligns the oral, pharyngeal, an...
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NURS 5355 FINAL EXAM QUESTIONS WITH COMPLETE ANSWERS. Buy Quality Materials! 
 
 
Seldinger technique 
A medical procedure performed during central line placement to obtain access to blood vessels and other hollow organs. Example for inserting a catheter: a needle is used to puncture the structure and a guide wire is threaded through the needle; when the needle is withdrawn, a catheter is threaded over the wire; the wire is then withdrawn, leaving the catheter in place. 
Modified Seldinger Techn...
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How much fluid can be removed during a Thorocentesis? What is a complication if more than 1500ml is removed? 
-1500 ml, re-expansion pulmonary edema 
Would you give antibiotics after a plural effusion? 
-no 
What is a possible complication when placing a chest tube on the right side? 
-liver laceration 
M4: What are the Indications for a CVC? 
1. Hemodialysis 
2. Emergency resuscitation 
3. Pulmonary artery cathete...
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Brain window 
used to assess for densities that are close to the average density of brain soft tissue. 
Bone window 
used to assess for densitiesthat are close to bone density 
CT brain anatomy 
Hemorrhagic CVA 
Increased attenuation, hyperdensity. Following an acute hemorrhagic CVA, the hyperdensity will be easily visible on a non-contrasted CT due to the hemoglobin component within blood 
Planes 
One the far left, axia...
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