RNSG 2539 FINAL EXAM
QUESTIONS AND ANSWERS
(LATEST)
What kind of precautions will you use for a patient with HIV? -
ANSWERS-Standard.
You do not need to use contact precautions. Touching them will not
give you HIV.
Sepsis prevention (8->2) - ANSWERS-WASH YOUR HANDS!!!
Strict infection control practices:
-Thorough hand hygiene
-Implementing programs to prevent central line infection
-Ensuring early removal of invasive devices that are no longer
necessary (e.g., indwelling urinary catheters)
-Implementing prevention programs to prevent ventilator associated
events and pneumonia
-Promoting early ambulation
-Timely débriding of wounds to remove necrotic tissue-Carrying out
standard precautions
-Adhering to infection prevention/control practices including:
-----Use of meticulous aseptic technique
,-----Properly cleaning equipment and the patient environment
Sepsis - Medical Mgmt - ANSWERS--Correct the underlying cause
---You need to ID what infectious source is causing the sepsis
---Take cultures before administering abx
-Pharm therapy
---Broad spectrum abx until pathogen is ID'd
---Fluid therapy and possibly vasopressors to improve tissue perfusion
-Nutritional therapy
---Aggressive nutritional supplementation is needed to address the pt's
hypermetabolic state.
---Enteral feedings are preferred to parenteral feedings
Sepsis - Correct the underlying cause - ANSWERS--You need to ID
what infectious source is causing the sepsis
-Take cultures before administering abx
Sepsis - Pharm therapy - ANSWERS--Broad spectrum abx until
pathogen is ID'd
-Fluid therapy and possibly vasopressors to maintain/improve tissue
perfusion
Sepsis - Nutritional therapy - ANSWERS--Aggressive nutritional
supplementation is needed to address the pt's hypermetabolic state.
-Enteral feedings are preferred to parenteral feedings
,Organ transplant Nursing Int - ANSWERS--Oliguria
-Edema
-Fever
-Increasing BP
-Weight gain
-Swelling/tenderness over transplanted kidney or graft
-If the pt is receiving cyclosporine, the only sign may be a 20%
increase in crea.
S/S of infection (5) - ANSWERS--Shaking chills
-Fever
-Rapid heartbeat (tachycardia)
-Rapid respirations (tachypnea)
-Increase or a decrease in WBCs (leukocytosis or leukopenia).
Pancreatitis Dx Labs - ANSWERS--Amylase: Elevated (Returns to
normal in 2-3 days)
-Lipase: Elevated (Returns to normal after amylase)
-WBC: Elevated
-Ca: Decreased (Hypocalcemia)
-Transient hyperglycemia and glucosuria
, Pancreatitis Dx Studies - ANSWERS--X-rays
-Ultrasound
-Contrast enhanced CT
-MRI
Pancreatitis risk factors (14) - ANSWERS--Biliary tract disease
-Alcohol use
-Increased age
-GI surgery
-Hyperlipidemia
-Hypercalcemia
-PUD
-Tobacco
-Abd trauma
-Genetic predisposition
-Corticostreroids
-Thiazide diuretics
-Oral contraceptives
-Bacterial or viral infection
Liver Failure Patho - ANSWERS-Hack said you worry about altered
protein and carb metabolism
Liver failure Tx - ANSWERS--Liver transplant
QUESTIONS AND ANSWERS
(LATEST)
What kind of precautions will you use for a patient with HIV? -
ANSWERS-Standard.
You do not need to use contact precautions. Touching them will not
give you HIV.
Sepsis prevention (8->2) - ANSWERS-WASH YOUR HANDS!!!
Strict infection control practices:
-Thorough hand hygiene
-Implementing programs to prevent central line infection
-Ensuring early removal of invasive devices that are no longer
necessary (e.g., indwelling urinary catheters)
-Implementing prevention programs to prevent ventilator associated
events and pneumonia
-Promoting early ambulation
-Timely débriding of wounds to remove necrotic tissue-Carrying out
standard precautions
-Adhering to infection prevention/control practices including:
-----Use of meticulous aseptic technique
,-----Properly cleaning equipment and the patient environment
Sepsis - Medical Mgmt - ANSWERS--Correct the underlying cause
---You need to ID what infectious source is causing the sepsis
---Take cultures before administering abx
-Pharm therapy
---Broad spectrum abx until pathogen is ID'd
---Fluid therapy and possibly vasopressors to improve tissue perfusion
-Nutritional therapy
---Aggressive nutritional supplementation is needed to address the pt's
hypermetabolic state.
---Enteral feedings are preferred to parenteral feedings
Sepsis - Correct the underlying cause - ANSWERS--You need to ID
what infectious source is causing the sepsis
-Take cultures before administering abx
Sepsis - Pharm therapy - ANSWERS--Broad spectrum abx until
pathogen is ID'd
-Fluid therapy and possibly vasopressors to maintain/improve tissue
perfusion
Sepsis - Nutritional therapy - ANSWERS--Aggressive nutritional
supplementation is needed to address the pt's hypermetabolic state.
-Enteral feedings are preferred to parenteral feedings
,Organ transplant Nursing Int - ANSWERS--Oliguria
-Edema
-Fever
-Increasing BP
-Weight gain
-Swelling/tenderness over transplanted kidney or graft
-If the pt is receiving cyclosporine, the only sign may be a 20%
increase in crea.
S/S of infection (5) - ANSWERS--Shaking chills
-Fever
-Rapid heartbeat (tachycardia)
-Rapid respirations (tachypnea)
-Increase or a decrease in WBCs (leukocytosis or leukopenia).
Pancreatitis Dx Labs - ANSWERS--Amylase: Elevated (Returns to
normal in 2-3 days)
-Lipase: Elevated (Returns to normal after amylase)
-WBC: Elevated
-Ca: Decreased (Hypocalcemia)
-Transient hyperglycemia and glucosuria
, Pancreatitis Dx Studies - ANSWERS--X-rays
-Ultrasound
-Contrast enhanced CT
-MRI
Pancreatitis risk factors (14) - ANSWERS--Biliary tract disease
-Alcohol use
-Increased age
-GI surgery
-Hyperlipidemia
-Hypercalcemia
-PUD
-Tobacco
-Abd trauma
-Genetic predisposition
-Corticostreroids
-Thiazide diuretics
-Oral contraceptives
-Bacterial or viral infection
Liver Failure Patho - ANSWERS-Hack said you worry about altered
protein and carb metabolism
Liver failure Tx - ANSWERS--Liver transplant
