FINAL EXAM
What is the final step in a complete
assessment? - Ans>>>documentation
S/S of hypostatic pneumonia -
Ans>>>decreased lung expansion,
generalized respiratory muscle weakness and
secretions occur without immobility. (comes
from inflammation of the lung from stasis or
pooling of secretions. )
,s/s of respiratory acidosis - Ans>>>increased
PaCo2 and increased hydrogen ion
concentration below 7.35. This reflects the
excess carbonic acid in the blood
(hypoventilation produces R. acidosis)
what is the primary advantage of hydrogel
dressing? - Ans>>>contains a high
percentage of water for wounds that require
moisture. Maintaining a moist wound
environment needed for healing. Hydrogel
facilitates debridement by softening dead
tissue.
A pt complains of chills, dizziness and feeling
hot during a blood transfusion. What are the
nurses most appropriate actions? -
Ans>>>Stop transfusion immediately.
Remove blood component and tubing
containing and tubing contacting blood
products
,replace with new primed tubing with 0.9%
sodium chloride
Maintain patent IV line with normal saline
Stay with patient observe signs and
symptoms and monitor every 5 min.
Notify health care ream or response team
notify bank
prepare to do cpr and give emergency drugs
save blood container, tube, labels and
transfusion record
get blood and 1st urine
document transfusion reaction, description,
treatment and outcomes
The nurse is providing preoperative teaching
for a patient regarding pain control after
surgery. Which of the following statements
is/are true regarding the use of postoperative
analgesia? - Ans>>>-inform nurse as soon as
pain becomes a persistent discomfort.
-takes time for a drug to act
, -drugs rarely eliminates all discomfort.
-don't be fearful of dependency
- USE of PCA pump
which leadership skills should a nursing
student use when caring for patients? -
Ans>>>clinical decisions making
priority setting
organizational skills
use of resources
time management evaluation
team communication
delegation
a nurse wants to follow the American nurses
association's social media policy. Which
actions should the nurse take? -
Ans>>>never name a patient
never describe a patient
never post an image of pt