NUR 185
NUR 185 - Final Exam Questions and
Answers
What does the LPN do before suctioning a vent patient?
- Set up sterile field
- Hyperoxygenate
What should the LPN do if the alarm on the vent keeps ringing?
- Check pump
- Check for kinks
- Disconnect
- Ambu bag on patient
Vent care
- SCDs
- Suction for 10 seconds
- Suction at bedside
- No NS into endo tube or trach
- No peroxide
- Hyperoxygenate before suction
- HOB 30-40 degrees
- Mouth care
- Apply suction pulling out
- VS frequently
Prevention of VAP
- HOB 30-45 degrees
- Oral care
- Peptic ulcer prophylaxis (decrease bacterial growth) using Pepcid, Zantac, Protonix
Respiratory acidosis
- COPD
- Asthma
- Emphysema
- Chronic bronchitis
NUR 185
,NUR 185
- Apply O2
- S/S anxious, SOB, cyanotic, increased respirations
Respiratory alkalosis
Hyperventilation
Metabolic acidosis
- Diarrhea
- DKA
Metabolic alkalosis
- Vomiting
- NG tube
Metabolic syndrome
- Quit smoking
- Lose weight
- Carb control, no fatty food
- Take statins (Lipitor)
- Check BS if diabetic
Interventions for a patient w/ burns on 80% of body
- Fluids
- Reverse isolation
- Antibiotics
- Pain meds
- Foley to monitor I&O's
- Tetanus toxoid injection
Emergent stage of burns
- 1st 48 hrs
- Hypovolemic shock
- Acute RF
- Hyperkalemia
- Insert IV
- LR
NUR 185
, NUR 185
- Antibiotics
- Indwelling foley cath
- Pain meds
Acute/diuretic phase of burns
- 72 hrs - 10 days
- Circulatory overload
- Hypokalemia
- Will have high urine output
Rehabilitation phase of burns
Goal to prevent infection
Interventions for 3rd degree burns
- Reverse isolation
- Pain control
- Escharotomy
- Skin graft
1st degree burn appearance
- Superficial
- Sunburn
- Red
- Dry
- No vesicles
- Blanches
2nd degree burn appearance
- Partial thickness
- Blisters
- Large, moist vesicles
- Very painful
- Caused by hot liquids, direct flame, chemicals
3rd degree burn appearance
NUR 185
NUR 185 - Final Exam Questions and
Answers
What does the LPN do before suctioning a vent patient?
- Set up sterile field
- Hyperoxygenate
What should the LPN do if the alarm on the vent keeps ringing?
- Check pump
- Check for kinks
- Disconnect
- Ambu bag on patient
Vent care
- SCDs
- Suction for 10 seconds
- Suction at bedside
- No NS into endo tube or trach
- No peroxide
- Hyperoxygenate before suction
- HOB 30-40 degrees
- Mouth care
- Apply suction pulling out
- VS frequently
Prevention of VAP
- HOB 30-45 degrees
- Oral care
- Peptic ulcer prophylaxis (decrease bacterial growth) using Pepcid, Zantac, Protonix
Respiratory acidosis
- COPD
- Asthma
- Emphysema
- Chronic bronchitis
NUR 185
,NUR 185
- Apply O2
- S/S anxious, SOB, cyanotic, increased respirations
Respiratory alkalosis
Hyperventilation
Metabolic acidosis
- Diarrhea
- DKA
Metabolic alkalosis
- Vomiting
- NG tube
Metabolic syndrome
- Quit smoking
- Lose weight
- Carb control, no fatty food
- Take statins (Lipitor)
- Check BS if diabetic
Interventions for a patient w/ burns on 80% of body
- Fluids
- Reverse isolation
- Antibiotics
- Pain meds
- Foley to monitor I&O's
- Tetanus toxoid injection
Emergent stage of burns
- 1st 48 hrs
- Hypovolemic shock
- Acute RF
- Hyperkalemia
- Insert IV
- LR
NUR 185
, NUR 185
- Antibiotics
- Indwelling foley cath
- Pain meds
Acute/diuretic phase of burns
- 72 hrs - 10 days
- Circulatory overload
- Hypokalemia
- Will have high urine output
Rehabilitation phase of burns
Goal to prevent infection
Interventions for 3rd degree burns
- Reverse isolation
- Pain control
- Escharotomy
- Skin graft
1st degree burn appearance
- Superficial
- Sunburn
- Red
- Dry
- No vesicles
- Blanches
2nd degree burn appearance
- Partial thickness
- Blisters
- Large, moist vesicles
- Very painful
- Caused by hot liquids, direct flame, chemicals
3rd degree burn appearance
NUR 185
