NUR2790: Professional Nursing III / PN3 Final Exam
Review
1. Symptoms of hypovolemic shock
• tachycardia, tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor
circulation, decreased kidney function less than 10ml/hour. if not corrected, can lead to
change in LOC
2. Care for client in cardiogenic shock with hypotension
• Place in trendelenburg if systolic less than 80. Monitor VS including I&O
3. S/SX of anaphylactic reactions
• Shortness of breath, coughing, chest tightness, hypotension, dizziness, tightening of
throat, itching/hives, bronchoconstriction, swelling, tachycardia, cyanosis, death
4. At risk clients for anaphylactic shock
• Clients with penicillin allergies, insect sting reactions, infants and children that cannot
have cow’s milk or eggs, and adults that cannot have seafood
5. Drug of choice for anaphylactic reactions
• Epinephrine
6. s/sx of fluid volume excess d/t CHF
• swelling of tissue directly under skin, stretched/shiny skin, skin that retains a dimple,
increased abdominal size.
7. Indicator of change in neurological status
• Glasgow coma scale
• LOC
8. What to do when there is a change in the GCS score
• Notify physician immediately.
9. Assessment of mental status
, • Expression, posture, behavior, hygiene, appearance, gestures
10. Be able to identify coma, decerebrate, & decorticate
• Coma=a state of deep unconsciousness that lasts for a prolonged or indefinite period,
caused especially by severe injury or illness.
• Decerebrate= arms and legs being held straight out, the toes being pointed downward,
and the head and neck being arched backward.
• Decorticate= person is stiff with bent arms, clenched fists, and legs held out straight. The
arms are bent in toward the body and the wrists and fingers are bent and held on the
chest.
11. Nursing interventions for Parkinson’s clients
• Encourage independence
• Teach methods to increase ability for self-care
• High fiber foods and 2000 mL liquid/day
• Monitor choking d/t dysphagia
12. Monitoring of client with meningitis
• Acute
o Signs of increased ICP, change in LOC, Neurological status, seizures
• Comfort
o Tepid baths, conscientious oral hygiene, analgesics for headaches, quiet
environment
13. Patient education for stroke prevention
Review
1. Symptoms of hypovolemic shock
• tachycardia, tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor
circulation, decreased kidney function less than 10ml/hour. if not corrected, can lead to
change in LOC
2. Care for client in cardiogenic shock with hypotension
• Place in trendelenburg if systolic less than 80. Monitor VS including I&O
3. S/SX of anaphylactic reactions
• Shortness of breath, coughing, chest tightness, hypotension, dizziness, tightening of
throat, itching/hives, bronchoconstriction, swelling, tachycardia, cyanosis, death
4. At risk clients for anaphylactic shock
• Clients with penicillin allergies, insect sting reactions, infants and children that cannot
have cow’s milk or eggs, and adults that cannot have seafood
5. Drug of choice for anaphylactic reactions
• Epinephrine
6. s/sx of fluid volume excess d/t CHF
• swelling of tissue directly under skin, stretched/shiny skin, skin that retains a dimple,
increased abdominal size.
7. Indicator of change in neurological status
• Glasgow coma scale
• LOC
8. What to do when there is a change in the GCS score
• Notify physician immediately.
9. Assessment of mental status
, • Expression, posture, behavior, hygiene, appearance, gestures
10. Be able to identify coma, decerebrate, & decorticate
• Coma=a state of deep unconsciousness that lasts for a prolonged or indefinite period,
caused especially by severe injury or illness.
• Decerebrate= arms and legs being held straight out, the toes being pointed downward,
and the head and neck being arched backward.
• Decorticate= person is stiff with bent arms, clenched fists, and legs held out straight. The
arms are bent in toward the body and the wrists and fingers are bent and held on the
chest.
11. Nursing interventions for Parkinson’s clients
• Encourage independence
• Teach methods to increase ability for self-care
• High fiber foods and 2000 mL liquid/day
• Monitor choking d/t dysphagia
12. Monitoring of client with meningitis
• Acute
o Signs of increased ICP, change in LOC, Neurological status, seizures
• Comfort
o Tepid baths, conscientious oral hygiene, analgesics for headaches, quiet
environment
13. Patient education for stroke prevention
