Comp 283 final exam_ NUR283 TRANSITIONS ALL COMPS_Answered Correct Questions with Answers Graded A+ 100% updated 2024

Deligation to UAP - CORRECT ANSWER-Transfer a duty. they can get V/S, after RN has gotten initial set. ambulate as long as pt has been cleared for weight bearing status. re-ENFORCE education that RN has taught assist with ADL's CPR document I&O's glucose check, finger stick, per facility protocol 12 lead EKG, per facility protocol turn & reposition Delegation to LPN - CORRECT ANSWER-med administration, enteral feedings, urinary Cath insertion, suctioning, tracheostomy care, reinforcement of pt education RN job duties remember neumonic - CORRECT ANSWER-ADPIE A-assessment D-diagnosis P-planning I-implementation E-evaluation NG tube placement - CORRECT ANSWER-pH paper. xray is GOLD STANDARD to confirm proper placement, monitor NG output (color and amt), monitor nasal skin around tube, monitor tubing for kinks & "plugs", continue to assess BS's and abdominal girth, pain, **aspirate contents & irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp NG assessment - CORRECT ANSWER-1st turn OFF suction verify placement can irrigate with sterile saline SCD's on (high risk for clots and pneumonia) turn & reposition Peptic Ulcer Disease - CORRECT ANSWER-A break or ulceration in the protective mucosal lining of the lower esophagus, stomach, or duodenum coffee ground emesis (old blood) NPO, NG tube triple therapy 2 antibiotics and 1 PPI could have an active bleed H. pylori early stage cirrhosis - CORRECT ANSWER-enlarged liver jaundice GI disturbances weight loss increase protein late stage cirrhosis - CORRECT ANSWER-liver becomes smaller and nodular splenomegaly ascites, distended abdominal veins, increased pressure in portal system bleeding tendancies, decreased vitamin K and prothrombin, anemia esophageal varices, internal hemorrhoids dyspenia (from ascites and anemia) pruritis from dry skin clay colored stools; no bile in stool tea colored urine; bile in urine End stage cirrhosis - CORRECT ANSWER-hepatic encephalopathy/coma portal hypertension - CORRECT ANSWER-A potential complication of chronic alcoholism resulting in liver damage and obstruction of venous blood flow through the liver. The rising blood pressure in the veins between the gastrointestinal tract and liver causes engorgement of veins around the umbilicus (navel). The characteristic radiating pattern of veins is called a "caput medusae" (head of Medusa). Medusa was the "snake-haired lady" in Greek mythology. end-stage cirrhosis self breast exam - CORRECT ANSWER-Monitor for any change in size, contour, dimpling. Perform exam every month, 7 days after your period. Use finger pads of the three middle fingers.; lay down arm up, or stand in front of mirror postmenopausal (or MEN) - pick same day every month self testicular exam - CORRECT ANSWER-Looking for lumps that may be the first sign of cancer common in men ages 15-35 perform in shower, roll 'ball' between fingers Addison's disease - CORRECT ANSWER-A rare, chronic endocrine disorder in which the adrenal glands do not produce sufficient steroid hormones. s/s fatigue, weakness, hypotension, crave salty food (hyponatremia) need life long cortisol replacement Monitor for addisonian crisis Addisonian crisis - CORRECT ANSWER-N/V confusion, abdominal pain, extreme weakness, hypoglycemia, dehydration, EXTREME decreased BP triggered by stress or infection MEDICAL EMERGENCY Cushing's syndrome - CORRECT ANSWER-caused by prolonged exposure to high levels of cortisol Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue, muscle weakness, depression/anxiety, hypertension, hypernatremia (polydipsia), hypokalemia, hyperglycemia Nutritional needs for infant - CORRECT ANSWER-breast or bottle MAIN source of nutrition for first year no juice no honey (not even pacifier dip) no water no sugar Warfarin - CORRECT ANSWER-Coumadin Anticoagulant used in A-fib and DVT Vit K is the antidote for OD INR therapeutic range 2-3 PT 1.5-2X the normal Inerdisciplinary team (rounds) - CORRECT ANSWER-late stage Parkinson's cystic fibrosis MS dialysis pts who DO NEED; multidemeantional needs, do they have 2 or more of the needs in the hierarchy triangle PT NEEDS REHABILITATION Car seat safety - CORRECT ANSWER-Use rear-facing car seat in back seat, preferably the middle until age 2 or until the child reaches max height and weight anchored in the car!!!! emergent - CORRECT ANSWER-require immediate treatment to survive ABC issues trach deviation loss of life or limb airway obstruction cardiac arrest shock urgent - CORRECT ANSWER-mild issue stable v/s stable for the moment Non-urgent - CORRECT ANSWER-Lowest priority; minor conditions which are not time-sensitive and care is not needed immediately