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NURS 3310 MIDTERM BLUEPRINT
EXAM QUESTIONS WITH ACCURATE
SOLUTIONS
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
- |Closed |door
- |Particulate |respirator |(fitted |N95 |HEPA |filter) .not |requires |for |measles/varicella |if |staff |is |immune/ |gown |can |be |added |if |client |is |coughing |or | sneezing. -Client |wears |surgical |mask |when |out |of |room. -Measles |(rubeola) -chicken |pox |(varicella) -TB |(tuberculosis) Others: |SARS, |generalized |herpes |zoster Contact |precautions |- |VERIFIED |ANSWER✔✔--always |use |glove |and |gown |sometimes |mask -private |room -door |can |be |open Cover |the |wound |for |transportion Skin: |MRSA, |VRSA, |VRE, |CRE, |Impetigo, |Suppurated |cellulitis, |furuncles, |secreting |ulcers, |Herpes |zoster |and |herpes |simple, |viral |conjunctivitis, |scabies, |pediculosis Enteral: |C.diff, |rotavirus, |norovirus |salmonella, |shigella, |cholera, |Hepatitis |A. RSV= |bronchiolitis
Review |Emergent |category |criteria. | Which |patient |do |you |see |first |- |VERIFIED |ANSWER✔✔-Chest |pain, |respiratory |distress Category | 1 |(RED) |- |VERIFIED |ANSWER✔✔-- |SEE |IMMEDIATELY |
- |LIFE |THREATENING | Cardiopulmonary |arrest, |anaphylaxis, |active |seizures Category | 2 |(Orange) |- |VERIFIED |ANSWER✔✔-- |seen |within | 10 |min |
- |imminently |life |threatening |time |sensitive |treatment |needed |, |or |severe |pain | Cardiac |chest |pain, |fever |in |immunocompromised |patient, |respiratory |distress Category | 3 |(Green) |- |VERIFIED |ANSWER✔✔-- |seen |within | 30 |min
- |potentially |life |threatening |situational |urgency |or |sever |pain | Abdominal |pain, |fractures, |dehydration Category | 4 |(Blue) |- |VERIFIED |ANSWER✔✔--Seen |within | 60 |min
- |potentially |serious |condition |situational |urgency |or |complex |case | Urinary |tract |infection; |ankle |sprain; |laceration, |simple |(requiring |sutures) Category | 5 |(White) |- |VERIFIED |ANSWER✔✔--seen |within | 120 |min | -less |urgent |or |clinical |administrative |problems |
-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
- |bathing, |grooming |etc -feeding |and |assisting |with |fluid |and |nutritional |intake -mobility |assistance Clostridium |difficile |infection. |Risk |factor. |Infection |control |precaution |- |VERIFIED |ANSWER✔✔-Long | term |use |of |antibiotics |is |high |risk |of |clostridium Most |common |site |of |cancer |in |adult |women? |- |VERIFIED |ANSWER✔✔-breast |cancer Most |common |site |of |cancer |in |adult |men? |- |VERIFIED |ANSWER✔✔-prostate |cancer AIDS. |Defining |criteria |- |VERIFIED |ANSWER✔✔-CD |count |less |than | 200 Unlicensed |assistive |personnel |(UAP) |Scope |of |skill |- |VERIFIED |ANSWER✔✔-Ø |ADL's |activities Ø |feeding |not |for |PT |with |dysphagia Ø |VS Ø |urinary |output Ø |recording |I&O |(IMPUT |AND |OUTPUT) Ø |ambulation |of |stable |PT Ø |skin |barrier |and |tap |water |enemas |(no |flip |enema |bc |it |contains |med) Ø |CPR
-reducing |sun |exposure |can |help |reduce |risk
- |it |is |most |common |on |the |face, |lips, |ears, |back |of |hands, |forearms, |scalp, |and |neck Melanoma: |aka |malignant |melanoma |- |VERIFIED |ANSWER✔✔--most |serious |type |of |skin |cancer -Melanoma |occurs |when |the |pigment-producing |cells |that |give |color |to |the |skin |become |cancerous. | They |can |occur |anywhere |in |the |body Treatment: |surgery, |radiation, |meds, |chemo. Burns. |Diet |for |fast |healing |process |- |VERIFIED |ANSWER✔✔--Beef -chicken | -pork -eggs -beans -nuts -milk -yogurt | -cheese -fruits |and |vegetables. Skin |lesion. |Diagnostic |test |- |VERIFIED |ANSWER✔✔-biopsy Drowning. |Clinical |manifestation |sign |and |symptoms |- |VERIFIED |ANSWER✔✔-Blue |skin, |pulmonary | edema, |crackles |in |the |lungs Inflammation. |Clinical |manifestations |- |VERIFIED |ANSWER✔✔-Redness, |swelling, |loss |of |function IV |chemotherapy |medication. |PPE |- |VERIFIED |ANSWER✔✔-Goggles, |gloves, |gown
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.
- |Background: |Provide |clear, |relevant |background |information |on |the |patient.
