NR 341 FINAL EXAM REVIEW
● Burns -- give morphine prior to wound care - side effects -
respirations - Zofran for nausea - prochlorperazine
○ Nausea med before morphine
● Bloody Diarrhea - Stool Culture
● Who to see first - A B C s
● Dry mucous membranes - Dehydration
● Vomit Blood Loss - Lactated Ringers
● Trauma - peritoneal lavage - irrigating the abdomen - brown fecal
drainage return
- perforated bowel - take to OR STAT
● How to Prevent Constipation - Fluid and Fiber - Exercise - Stool
Softeners -
● Bowel Movement after Breakfast - YES
● OTC meds cause constipation - YES
● Paracentesis - Ascites - nursing intervention prior - empty the bladder
● Esophageal varices with balloon tamponade - Impaired airway -
● Grave’s Disease - Hyperthyroidism - first treat with PTU - antithyroid
medications take several months for full effect
○ Surgery - Hyperparathyroidism -
● Steroid Therapy - DO not discontinue abruptly - monitor glucose and
weight and infection
● Green Drainage out NG or JVD - JVD more concerning - Fluid Overload -
● Shock diagnosis - Administer O2 - to do no more harm - make sure
they are perfusing O2
● Burns -- give morphine prior to wound care - side effects -
respirations - Zofran for nausea - prochlorperazine
○ Nausea med before morphine
● Bloody Diarrhea - Stool Culture
● Who to see first - A B C s
● Dry mucous membranes - Dehydration
● Vomit Blood Loss - Lactated Ringers
● Trauma - peritoneal lavage - irrigating the abdomen - brown fecal
drainage return
- perforated bowel - take to OR STAT
● How to Prevent Constipation - Fluid and Fiber - Exercise - Stool
Softeners -
● Bowel Movement after Breakfast - YES
● OTC meds cause constipation - YES
● Paracentesis - Ascites - nursing intervention prior - empty the bladder
● Esophageal varices with balloon tamponade - Impaired airway -
● Grave’s Disease - Hyperthyroidism - first treat with PTU - antithyroid
medications take several months for full effect
○ Surgery - Hyperparathyroidism -
● Steroid Therapy - DO not discontinue abruptly - monitor glucose and
weight and infection
● Green Drainage out NG or JVD - JVD more concerning - Fluid Overload -
● Shock diagnosis - Administer O2 - to do no more harm - make sure
they are perfusing O2
