Acute Care Final Exam 2022/2023 with 100% correct answers

Someone w hemorrhagic stroke, discharge teaching, with pt and family, what is priority correct answerMonitor LOC, modify the environment for safety and how they should do that MED surg, cervical collar, spine XRAY tak ...

Someone w hemorrhagic stroke, discharge teaching, with pt and family, what is priority correct answerMonitor LOC, modify the environment for safety and how they should do that MED surg, cervical collar, spine XRAY taken but not read, what is our plan of action? correct answerRestrict patient to a flat position, log roll them (everything moves at same time) Admitted suspected for basilar skull fx, what gives diagnoses? correct answerRacoon eyes, periorbital edema, down at temples, battle sign Guillain Barre sharp decline, most appropriate action correct answerMechanical ventilation, intubation ED c/o extreme muscle weakness after minimal movement, myasthenia gravis, what do we give? correct answerTensilon Parkinson's w swallowing assessment for adventitious assessment, nutrition needs, what do we recommend? correct answersemi solid foods, thickened liquids Endo tube in for 3 weeks, discussing tracheostomy, why? correct answerHigh chance of infection, esophageal damage, is reversible Pt w tracheostomy, pneumothorax, chest tube, family wants to know why? correct answerChest tubes will get rid of excess air and re-inflate the lung Educating pt with procedure that requires a water seal chest drainage system afterwards, why correct answerWill remove excess air and fluid within the cavity Pt coming in after an assault, has blunt trauma to face and has a nasal fracture, what do we do? correct answerIce it and keep head of bed up Pt coming in MVA, with pleurisy (inflammation of pleura tissue), what do you expect when they cough / take a deep breath? correct answerincrease pain, and sharp pain Pt with CKD, is receiving hemodialysis, what action should be taken every shift?** Read question carefully! correct answerListen for bruit and feel for a thrill Pt is restless, excited, agitated, and has exothpalmus. What does he have? correct answerHyperthyroidism Hepatic encephalopathy, flapping of hands. What is this called? correct answerAsterixis Renal transplant unit, risk for infection down, what is imperative for nurse to do? correct answerWash hands What does a decrease in pulse pressure reflect? correct answerReduced stroke volume Skiing, accident, hypothermia and frostbite, how do we manage that? correct answerPut the extremity into warm water slightly above the body temperature What is the most common cause of shock? correct answerHypovolemia Burned pt, sx of renal failure during treatment, what physiological process can cause ARF? correct answerHemoconcentration Parkland formula correct answer% of body burned X kg X 2 ml or 4 ml First 8 hours is 50% so divide by 2 Rules of nines correct answer AFIB Strip correct answer What do we do if medications don't work for AFIB? correct answerCardioversion Failure to capture pacemaker malfunction correct answer Pt complaining of intermittent chest pain, what is the most common cause of angina? correct answerHypoxia, decrease in blood flow, coronary arterial sclerosis VFIB Strip correct answer Pt came to ER with chest pain 20 min, to minimize cardiac damage, what would we administer? correct answerMONA: Morphine, oxygen, nitroglycerin and aspirin Pt scheduled for mechanical valve replacement, education for the rest of their lives correct answeranti coagulants for the rest of their life Mitral stenosis, balloon valvuloplasty, why does the surgeon wants to repair instead of replace? correct answerrepair tends to function longer than a replaced valve Reviewing a electrocardiograph, what will cardiomyopathy look like? correct answerDilated ventricles without hypertrophy Pt with CHF, beginning on ace inhibitor, before beginning, what should we prioritize? correct answermake sure blood pres