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A concise review of key concepts for a nursing midterm, focusing on patient assessment, medication administration, infection control, and emergency care. It includes verified answers to potential exam questions, covering topics such as neuropathy, opioid administration, pca pumps, and various precautions for infection control. The material is presented in a question-and-answer format, making it useful for quick review and exam preparation. It also covers topics such as fluid and electrolyte imbalances, acid-base imbalances, and postoperative complications, offering a comprehensive overview of essential nursing concepts. Designed to help nursing students prepare for their exams by providing clear and concise answers to potential questions, enhancing their understanding of critical nursing concepts and procedures.
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Neuropathy |pain |what |is |the |Clinical |manifestation |and |Treatment? |- |VERIFIED |ANSWER✔✔-Give | Gabapentin Complication |of |opioid/benzodiazepine |administration. |Nursing |priority |- |VERIFIED |ANSWER✔✔- Prioritize |RR, |responsiveness. |Opioids |can |cause |respiratory |depression PCA |pomp |(analgesia). |Pain |control |is |inadequate. |Nursing |assessment/action The |patient |is |not |having |the |pain |control. |What |do |you |do |first |- |VERIFIED |ANSWER✔✔-Assess |the | pain |level, |location, |and |quality Nursing |action |when |managing |patient |on |pain |and |patient |fall |asleep. |- |VERIFIED |ANSWER✔✔-Wake | the |patient |up PCA |pomp |(analgesia). |Nursing |assessment |as |priority Which |pt |you're |going |to |be |prioritizing? |- |VERIFIED |ANSWER✔✔-The |pt |that |has |been |having |a | change |in |rr |(respiratory |depression) PCA |pomp |(analgesia). |Nursing |education |about |the |appropriate |direction |while |managing |the |device. |- |VERIFIED | ANSWER✔✔-Only |the |pt |can |activate |the |PCA |pomp Opiod |overdose |
4.what |is |the |Opiod |antagonist |- |VERIFIED |ANSWER✔✔-Naloxone Opiod |. |Which |factors |should |be |considered |cautiously |prior |or |while |the |medication |administration? |- | VERIFIED |ANSWER✔✔-Ask |med |history |or |any |upper |respiratory/ |chronic |conditions, |follow |up |with | age. Fentanyl |patch- |Nursing |education |- |VERIFIED |ANSWER✔✔-Make |sure |the |old |patch |is |removes | before |applying |the |new |one, |the |area |has |to |be |shaved, |NEVER |apply |the |new |one |before |removing | the |old |one. |Stay |away |from |hot |water |because |it |will |cause |to |release |rapid |med |to |the |body |and | the |pt |can |have |an |overdose |to |med Opiod. |Side |effect |- |VERIFIED |ANSWER✔✔--Respiratory |depression -constipation -sedation -urinary |retention -slow |gi |tract Neuropathic |pain. | Clinical |manifestation |- |VERIFIED |ANSWER✔✔--Burning |sensation -sensitive |to |touch Post-operative |care. |(post |anesthesia) |. | Nursing |assessment |as |priority |- |VERIFIED |ANSWER✔✔-Airway |and |ventilation
Droplet |precautions |- |VERIFIED |ANSWER✔✔--Regular |surgical |mask |(3 |ft) |gown |added |if |pt |coughs |or | sneezes -client |wears |surgical |mask |when |out |of |isolation |room. -Private |room -Door |can |be |open: |Meningitis |(bacterial), |Pneumonia |(pneumonia |by |MRSA |requires |droplet | precautions), |Influenza, |common |cold, |diphtheria, |epiglottis, |strep |throat, |scarlet |fever, |mumps, | rubella, |whooping |cough. Airborne |Precautions |- |VERIFIED |ANSWER✔✔-- |Single |room |with |negative |pressure
Review |Emergent |category |criteria. | Which |patient |do |you |see |first |- |VERIFIED |ANSWER✔✔-Chest |pain, |respiratory |distress Category | 1 |(RED) |- |VERIFIED |ANSWER✔✔-- |SEE |IMMEDIATELY |
-respiratory An |unresponsive |patient. |Nursing |assessment |as |priority |- |VERIFIED |ANSWER✔✔-Check |VS, |specifically |pulse Review |the |different |Tag |category |criteria |upon |a |casualty |event |. |Who |do |you |see |first |- |VERIFIED | ANSWER✔✔- Fluid |and |electrolyte |imbalances.which |pt |may |be |at |risk |Hyponatremia.? |- |VERIFIED |ANSWER✔✔- Normal |levels: | 136 |to | 145 |mmo/L Assessment: |Recognize |cues -excitable |cellular |activity -cerebral, |neuromuscular, |intestinal, |cardiovascular |changes Interventions: |take |action -drug |therapy, |nutrition |therapy Fluid |and |electrolyte |imbalances. |Hypercalcemia. |Nursing |action |- |VERIFIED |ANSWER✔✔-Monitor | cardiac |rhythm. |The |pt |will |have |cardiac |dysrythmia |and |can |have |lethal |cardiac |changes Assessment: |cardiovascular |changes, |severe |muscle |weakness, |decreased |DTR, |decreased |peristalsis Intervention: |reduce |calcium |levels, |drug |therapy, |rehydration, |possibly |dialysis, |cardiac |monitoring Acid-base |imbalance. |Metabolic |acidosis. |Sign |and |symptom |of |compensatory |mechanisms? |- | VERIFIED |ANSWER✔✔-Hyperventilation. |Increase |rate |and |depth |of |ventilation. Acid-base |imbalance. |Complication |of |Diuretic |- |VERIFIED |ANSWER✔✔-Metabolic |alkalosis
Acute |pancreatitis. |Clinical |manifestation |of |Acid-base |imbalance. |- |VERIFIED |ANSWER✔✔-Acute | pancreatitis |aka |inflammation |of |the |pancreas, |causes |sudden |onset |of |severe |upper |abdominal |pain | often |radiating |to |the |back. Metabolic |acidosis |can |occur |in |acute |pancreatitis |for |multiple |reasons |that |include |lactic |acidosis | resulting |from |shock, |renal |failure. Acid |base |imbalance. |Review |the |labs |and |risk |factor |that |led |to |respiratory |alkalosis. |- |VERIFIED | ANSWER✔✔-Respiratory |Alkalosis: |Excessive |loss |of |CO2 |through |hyperventilation Hallmark= |ABG |result |with |an |elevated |pH |coupled |with |a |low |carbon |dioxide |level Assessment: |Recognize |Cues -Hypocalcemia |and |hypokalemia -CNS, |neuromuscular, |cardiovascular, |respiratory |signs |and |symptoms Arterial |blood |pH |above |7.45, |decrease |in |free |hydrogen |ion |level |of |the |blood, |excess |bases, | especially |biocarbonate Skin. |Review |different |pressure |ulcers |(classification |and |defining |characteristic) STAGE | 1 |- |VERIFIED |ANSWER✔✔-skin |is |unbroken |but |inflamed Skin. |Review |different |pressure |ulcers |(classification |and |defining |characteristic) STAGE | 2 |- |VERIFIED |ANSWER✔✔-skin |is |broken |to |epidermis |or |dermis Skin. |Review |different |pressure |ulcers |(classification |and |defining |characteristic) STAGE | 3 |- |VERIFIED |ANSWER✔✔-ulcer |extends |to |subcutaneous |fat |layer
Face |shields HIV. |Prevention |of |drug |resistance |- |VERIFIED |ANSWER✔✔-Poor |adherence, |compliance Type |I |Hypersensitivity |reaction. |Nursing |action |- |VERIFIED |ANSWER✔✔-Anaphylactic |reaction. |How |to |identify |and |what |to |do |with |the |pt. Hormone |therapy. |Complication. |Clinical |manifestation |- |VERIFIED |ANSWER✔✔-Thromboembolism, | DVT, |warmth, |pressure, |swollen |and |red Superior |Vena |Cava |Syndrome. |Nursing |action | what |are |you |going |to |be |assessing |? |- |VERIFIED |ANSWER✔✔-Life |threatening |condition. Level |of |consciousness, |RR, |VS. Ecchymosis: |- |VERIFIED |ANSWER✔✔-blood |or |bleeding |under |the |skin |due |to |trauma |of |any |kind. | (aka |bruise) Actinic |lentigo |aka |solar |lentigo |- |VERIFIED |ANSWER✔✔-flat |tan, |brown, |or |black |spots |on |the |skin | common |with |age. -older |adults, |people |with |fair |skin, |and |people |who've |spent |lots |of |time |in |the |sun |are |most |prone | to |liver |spots. -the |main |symptom |is |a |dark |spot |on |the |skin. Petechia |- |VERIFIED |ANSWER✔✔-tiny |round |brown |purple |spots |due |to |bleeding |under |the |skin, |may | be |in |a |small |area |due |to |minor |trauma |or |widespread |due |to |blood-clotting |disorder. Senile |Angiomas |- |VERIFIED |ANSWER✔✔-red |moles |or |cherry |angiomas, |are |common |skin |growths | that |can |develop |on |most |areas |of |your |body. |They |are |found |on |people |aged | 30 |or |older. | Noncancerous
Nursing |assessment/action |for |a |non-healing |pressure |injury |(right |ankle) What |kind |of |action? |- |VERIFIED |ANSWER✔✔-Assess |pain, |circulation. |Check |if |circulation |is |going |in | that |area. Scabies. |Clinical |manifestation. |Treatment |- |VERIFIED |ANSWER✔✔-Permethrin |cream Assistive |personnel |(AP) |Scope |of |skill. |- |VERIFIED |ANSWER✔✔-Obtaining |and |documenting |VS, | including |temp, |pulse, |respirations, |BP |and |pain |level
-reducing |sun |exposure |can |help |reduce |risk
Assistive |personnel |(AP) |Scope |of |skill |- |VERIFIED |ANSWER✔✔-Pt |with |thrombocytopenia |will |be |a | very |high |risk |of |bleeding, |pt |will |have |prolonged |bleeding |due |to |skin |breakdown, |blood |in |urine Which |could |be |some |actions |delegated |to |AP Which |factors |must |be |present |to |transmit |infection? |- |VERIFIED |ANSWER✔✔-Pathogenic |agent, | reservoir, |portal |of |exit, |transmission, |portal |of |entry, |host |susceptibility Nursing |education |for |a |patient |with |an |internal |radiation |implant |- |VERIFIED |ANSWER✔✔-Avoid | people |that |are |pregnant |visiting |the |pt. |Stay | 6 |ft |apart |from |pt |or |bedside Intravenous |vesicant |Complication. |Nursing |action |- |VERIFIED |ANSWER✔✔-The |injection |should |be | stopped |immediately |and |the |IV |tubing |disconnected. |Avoid |applying |pressure |to |the |site, |and |do |not |flush |the |line. |Leave |the |original |catheter |in |place, |and |attempt |to |aspirate |as |much |of |the |infiltrated |drug |as |possible. Correct |sequence |for |putting |on |PPE |- |VERIFIED |ANSWER✔✔-1-gown | 2-mask |or |respirator | 3-goggles |or |face |shield 4-gloves Correct |sequence |for |REMOVING |PPE |- |VERIFIED |ANSWER✔✔-1-gloves | 2-goggles |or |face |shield 3-gown | 4-mask |or |respirator | 5-wash |hands |or |use |any |alcohol |based |hand |sanitizer |immediately |after |removing |all |PPE Situation-Background-Assessment-Recommendation |(SBAR) |format |- |VERIFIED |ANSWER✔✔-- | Situation: |Clearly |and |briefly |describe |the |current |situation.