NUR2755 / NUR 2755 Final Exam (Latest 2021 / 2022): Multidimensional Care IV / MDC 4 - Rasmussen

NUR2755 / NUR 2755 Final Exam (Latest 2021 / 2022): Multidimensional Care IV / MDC 4 - RasmussenMDC4 Final Exam Why teach patient to deep breath and cough after surgery - prevent pneumonia Normal drainage for surgical site? - Clear (serous) or pale/red/watery (serosanguineous) Worrisome sign of post op patient?? - Restlessness Clearly if patient is presenting to ER with heat exhaustion, what isthe priority action of thenurse? - IV Fluids Action is patient has bee sting. . if available? - Epi Community disaster preparedness, what would be an organization to help? - *Medical Reserve Corporation* FEMA Red Cross DMAT?? - Disaster Medical Assistance TeamFederal employees License is good in ALL 50 states How many days of medical supplies should you have if needed for a disaster, just making adisaster plan? - 3 days Cimetidine for burn patients?? Why?? - Help with gastric ulcers Triage tags. . . what would we put on them to help?? - Nam eAge Inju ry (Anything to help identify)Any treatments we did Who we can contact/who has been contacted.Triage colors Gave double dose of medication, what to do first? - Assess patient What to do when patient comes back from surgery, and they're declining (rapid, shallow respirations, elevated heart rate, blood pressure dropping), what do you do?? - Call rapid response team Allergy exposure situation - more exposure to allergen the more risk to developing a reaction Patient in lithotomy position for surgery, where would their experience post op discomfort?? - Shoulders Why do we have drainage tubes/what's the purpose?? - To help prevent infection Why do we give a patient with multiple sclerosis Baclofen?? - To treat muscle spasms Patient with Parkinson's, when should you schedule their most demanding activities??? - When the drug therapy/medication peaks for them. Somebody that has a thrombotic stroke, what is important assessment item, especially in thefirst 24 hours?? - Pupil response to light/size Someone had an ischemic stroke and getting thrombolytic treatment, what are we trying to control in the first 24 hours?? - Blood pressure How to determine if patient can have tPA after stroke AFTER CT?? - Onset of symptoms within 3 hours. Long term Phenytoin therapy (seizures), what do we expect to see/a side effect, but we wouldn't stop the medication? (Expected side effect) - Excessive gum tissue growth *DO NOT STOP MEDICATION SUDDENLY* What would be a potential finding in postical phase of a generalized tonic clonic seizure whatwe would want to monitor for?? - Drowsiness Priority intervention in postical phase of tonic clonic seizure?? - Airway - assess breathing pattern Prep for an EEG?? They know they'll have one in the morning, so what prep do they need to door not do beforehand?? - Can eat NO Caffeine What do you expect to see in a patient in ictal phase of generalized tonic clonic seizure?? - Jerkin g Stiffnes s Loss of consciousness Loss of bowel/bladder What to do when someone is coming out of a coma - had head injury and they're starting towake up now after a few days what would we want to do??? - Orient them Decerebrate assessment - rigid arms, wrists/hands c shaped & flexed outwardpossible arched back Patient is getting IV heparin for a PE, what would PTT be at for therapeutic levels?? - Higher -- like if its at 25, we would want to increase the rate of heparin