NUR 390
NUR 390 Exam 2 PREP | Nursing Care of
Adult I | Questions & Answers| Grade A |
100% Correct | (NEW 2025/ 2026)
1. TB Medications: Potential Complication: Isoniazid: Liver tox, v/d
Rifampin: Turns bodily fluids orange (normal), non-viral hepatitis, liver
tox, thrombocytopenia, Upset stomach, heartburn, nausea
Ethambutol: ocular toxicity (Ethan is blind)
2. Prevention of aspiration pneumonia: Suctioning, teach patient how
to cough and spit out saliva
(occurs when food, secretions, liquids, or other material enter lungs and
cause inflammation and a chemical pneumonitis)
-For patients with decreased LOC: avoid oral feeding and oral drugs and
elevate head of bed >30
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-Patients with dysphagia- diets with specialized textures that reduce
aspiration risk -Speech pathologist train for strategies to reduce risk (chin
tuck, etc)
-Good oral hygiene
3. Patient prioritization following change of shift report: In order:
ABC
Sx site (dressings, drains)
Genitourinary (I&Os)
GI (n/v)
Pain
Pt safety (fall risk, position)
1. Life-threatening conditions
2. Potentially life-threatening conditions
3. Activities Essential to Safety
4. Comfort, Healing, Teaching
4. Nursing Management: Applying patient data to ABG: For resp
patients, they are unable to oxygenate leading to ‘CO2
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Following ABC's of breathing, typically respiratory acidosis-need oxygen
asap
Hyperventilating/ Kussmal's Resp?: Respiratory alkalosis
5. Nursing Process: Teaching plan for management of symptoms
of acute bronchitis: - Encourage coughing, ambulation, deep
breathing - Fluids
- Rest
- High protein diet
- Take full course of abx
-lozenges
- Humidifier
- Bronchodilators
6. Action to support ventilation: Oxygen therapy
Nebulizer Treatment
Suction secretions to avoid ventilator pneumonia
7. Asthma: Understanding and Intervening for Peak Flow Rates:
Green Zone (80-100%): No symptoms, you good
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