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NSG-430: Comprehensive Final Exam Study & Review Pack., Exams of Nursing

NSG-430: Comprehensive Final Exam Study & Review Pack.

Typology: Exams

2024/2025

Available from 07/02/2025

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NSG-430: Comprehensive Final Exam
Study & Review Pack.
HOW TO TREAT MODS - <<<CORRECT ANSWERS >>>
-DECOMPENSATE QUICKLY, INTUBATE
-VASOPRESSORS
-MECHANICAL VENTILATION
-PRONE POSITIONING
S/S OF NEUROGENIC SHOCK - <<<CORRECT ANSWERS >>>
-WARM PINK SKIN
-BRADYCARDIA
-HYPOTENSION
STAGES OF SHOCK - <<<CORRECT ANSWERS >>>
-INITIAL
-COMPENSATORY
-PROGRESSIVE
-IRREVERSIBLE
TREATMENT FOR CELLULITIS - <<<CORRECT ANSWERS >>>
-TOPICAL: MOIST HEAT, IMMOBILIZATION, ELEVATION
-SYSTEMIC: ANTIBX
TREATMENT FOR IMPETIGO - <<<CORRECT ANSWERS >>>
-TOPICAL: WOUND CARE WITH WARM SALINE OR ALUMINUM ACETATE SOAKS
FOLLOWED BY SOAP-AND-WATER OF CRUSTS, ANTIBX CREAM (MUPIROCIN,
RETAPAMULIN)
-SYSTEMIC: CEPHALEXIN, DOXYCYLINE, DICLOXACILLIN, AND CLINDAMYCIN
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NSG-430: Comprehensive Final Exam

Study & Review Pack.

HOW TO TREAT MODS - <<>>

-DECOMPENSATE QUICKLY, INTUBATE

-VASOPRESSORS

-MECHANICAL VENTILATION

-PRONE POSITIONING

S/S OF NEUROGENIC SHOCK - <<>>

-WARM PINK SKIN

-BRADYCARDIA

-HYPOTENSION

STAGES OF SHOCK - <<>>

-INITIAL

-COMPENSATORY

-PROGRESSIVE

-IRREVERSIBLE

TREATMENT FOR CELLULITIS - <<>>

-TOPICAL: MOIST HEAT, IMMOBILIZATION, ELEVATION

-SYSTEMIC: ANTIBX

TREATMENT FOR IMPETIGO - <<>>

-TOPICAL: WOUND CARE WITH WARM SALINE OR ALUMINUM ACETATE SOAKS

FOLLOWED BY SOAP-AND-WATER OF CRUSTS, ANTIBX CREAM (MUPIROCIN,

RETAPAMULIN)

-SYSTEMIC: CEPHALEXIN, DOXYCYLINE, DICLOXACILLIN, AND CLINDAMYCIN

TREATMENT FOR SJ SYNDROME - <<>>

-PHOTOTHERAPY

-TREAT LIKE THEY ARE A BURN PT.

-STAY WARM AND INFECTION FREE

-IMMUNE WILL GET MORE COMPROMISED W STEROIDS, MUST KEEP ANTISEPTIC

-STOP MEDS 3-4 WEEKS PRIOR, SILVER BASED BIOLOGICAL DRESSINGS, FLUID

RESUSCITATION, EN/PN NUTIRITON, OATMEAL TOPICAL PRODUCT, WET COMPRESS, BATH

SOAKS 15 MIN/DAY, CUT FINGEERNAILS, INJECTABLE CORTICOSTEROIDS, PREVENT

SECONDARY INFECTION (SCRATCHING IT)

PHASES OF BURNS - <<>>EMERGENT (RESUSCITATIVE), ACUTE

(WOUND HEALING), AND REHABILITATIVE (RESTORATIVE)

EMERGENT PHASE OF BURNS - <<>>

-HEALTH CARE TEAM PRIORITIZES LIFE-THREATENING PROBLEMS

- UP TO 72 HOURS

-PRIORITY NURSING CONCERNS: FLUID AND ELECTROLYTE SHIFTS; GAS EXCHANGE

ACUTE PHASE OF BURNS - <<>>

-BEGINS WITH MOBILIZATION OF INTERSTITIAL FLUID AND SUBSEQUENT DIURESIS

-CONTINUES UNTIL WOUNDS ARE NEARLY HEALED

-MAY TAKE WEEKS OR MONTHS

REHABILITATIVE PHASE OF BURNS - <<>>

-WOUNDS HAVE NEARLY HEALED

-PATIENT IS ENGAGING IN SOME LEVEL OF SELF-CARE

SEVERITY OF INJURY IS DETERMINED BY - <<>>DEPTH OF

BURN, EXTEND OF BURN IN & OF TBSA, LOCATION OF THE BURN, PRE-EXISTING HEALTH,

AND ASSOCIATED INJURIES

-POSSIBLE MUSCLE, TENDON, AND BONE INVOLVEMENT

WHAT CAUSES DYSRHYTHMIAS - <<>>LACK OF O

S/S OF MI - <<>>

-DISCOMFORT

-WEAKNESS

-NAUSEA

-INDIGESTION

-SOB

TREATMENT FOR MITRAL VALVES - <<>>BETA BLOCKERS AND

AVOID CAFFEINE

KNOW THE PRESSORS - <<>>ANTIHYPOTENSIVE AGENT,

VASOPRESSIN, PHENYLEPHRINE, EPINEPHRINE, NOREPIENPHRINE, DOPAMINE, AND

ANGIOTENSIN 2

S/S OF UTI - <<>>

-DYSURIA

-FREQUENCY

-BLOOD

-CLOUDY URINE

-FEVER

-CHILLS

-FLANK PAIN

-FATIGUE OR ANOREXIA

HOW TO TREAT RENAL CALCULI - <<>>LITHOTRIPSY

WHEN TO CALL A RAPID - <<>>DECOMPENSATING (DESATS),

PRESSORS AND FLUIDS BUT GOING DOWN, DONT CALL ICU

S/S OF CIRRHOSIS - <<>>

-JAUNDICE

-PORTAL HTN

-ASCITES

-ESOPHAGEAL VARICES

-HEPATIC ENCEPHALOPATHY

WHAT DO YOU MONITOR WHILE ON LOVENOX - <<>>INR,

APTT, AND THROMBOCYTES (150-450)

WHAT DO WE USE LOVENOX FOR - <<>>PROPHYLAXIS OF

ACUTE MI, THROMBOSIS, UA, PE, AND DVT

HOW TO ADMINISTER LOVENOX - <<>>SQ EVERY 12 HOURS

ANTIDOTE FOR LOVENOX - <<>>PROTAMINE SULFATE

SIDE EFFECT OF LOVENOX - <<>>ELEVATED LIVER ENZYMES

HOW TO TREAT SEPSIS - <<>>CULTURE FROM TWO SITES

PRIOR TO STARTING ANTIBIOTICS AND FLUIDS

NI FOR SEPSIS - <<>>-ANTIBIOTICS--> START BROAD SPECTRUM

AND THEN GET CULTURES FROM TWO SITES

-FILL TANK (FLUIDS); ISOTONIC, LR, NS

- IF STILL HYPOTENSIVE: NOREPINEPHRINE, VASOPRESSORS, PHENYLEPHRINE, AND BIG

DADDY EPI)

NI FOR SHOCK - <<>>-FLUIDS (0.9%NS AND 5% DEXTROSE/

D5W)

-HIGH DOSE HYDROCORTISONE REPLACEMENT

RESPIRATORY NURSING DIAGNOSIS - <<>>IMPAIRED GAS

EXCHANGE

LABS FOR SIADH - <<>>

-LOW UO AND INCREASED BODY WEIGHT (THEY ARE SOAKED INSIDE)

-AT FIRST, INCREASED THIRST, DYSPNEA, AND FATIGUE

-HYPONATREMIC (LESS THAN 135)

-LOW SERUM OSMOLALITY (LESS THAN 280)

- HIGH URINE SPECIFIC GRAVITY (MORE THAN 1.030) (LOW UO= MORE CONCENTRATED)

HGA1C IS IDEAL IF IT IS LESS THAN WHAT NUMBER - <<>>7,

WANT TO SEE AROUND 6 FOR DIABETIC

BALOON TAMPONADE CARE - <<>>

-DO NOT FULLY DEFLATE BALLOON ALL AT ONE

-CHECK O2 SATS

WHAT COULD HAPPEN IF WE DEFLATE THE BALOON TAMPONADE TOO FAST -

<<>>BALLOON CAN MIGRATE AND BE RIGHTS AT OPENING (O

WOULD DROP)

TIPS PROCEDURE - <<>>

-USED TO TREAT ASCITES THAT DOES NOT RESPOND TO DIURETICS

- SHUNTS BLOOD FROM PORTAL VEIN AND HEPATIC VEIN TO DECREASE PORTAL HTN

LABS FOR PANCREATITIS - <<>>

-HIGH GLUCOSE

-AMYLASE

-LIPASE

S/S OF PANCREATITIS - <<>>LOSS OF INFLAMMATION, LUQ

PAIN (EPIGASTRIC PAIN), FEVER

S/S OF LIVER CANCER - <<>>EARLY: HEPATOMEGALY,

SPLENOMEGALY, FATIGUE, PERIPHERAL EDEMA, ASITES, AND OTHER COMPLICATIONS

FROM PORTAL HTN)

LATE: FEVER/CHILLS, JAUNDICE, ANOREXIA, WL, PALPABLE MASS, AND RUQ PAIN

S/S OF PANCREATIC CANCER - <<>>DULL ACHING ABDOMINAL

PAIN, ANOREXIA, RAPID WL, NAUSEA, JAUNDICE, PAIN CAN RADIATE TO BACK

LABS FOR CIRRHOSIS - <<>>HIGH ALT, AST, APTT, BLIRUBIN,

LOW ALBUMIN

QUESTRAN IS USED FOR - <<>>LIVER

MOA OFR QUESTRAN - <<>>CONTROLD DIARRHEA FOR BILE

REFLEX GASTRITIS AFTER GASTRIC SURGERY. BINDS WITH THE BILE SALTS THAT ARE THE

SOURCE OF GASTRIC IRRITATION

WHEN TO TAKE QUESTRAN - <<>>BEFORE OR AFTER MEALS

NI FOR LIVER FAILURE - <<>>

-MONITOR FOR JAUNDICE

-MONITOR AMMONIA LEVELS (NORMAL: 10-80)

-THE BLEEDING TIME IS INCREASED SO MONITOR FOR INJURY

-SUPPORTIVE THERAPY

-EFFECTS KIDNEY

-FEVER

-WL

-JOINT PAIN

-RING-SHAPED LESIONS

-BUTTERFLY RASH

-ALOPECIA

-SWAN NECK DEFORMITY

-MILD PROTEINURIA D/T GLOMERULONEPHRITIS--> SCARRING LEADS TO ESRD

FRACTURE ASSESSMENTS - <<>>PAIN, PALLOR, PARESTHESIA,

PULSE, PRESSURE, PARALYSIS

PRIMARY SURVEY - <<>>

A- AIRWAY

B- BREATHING

C- CIRCULATION

D- DISABILITY (GCS: 15 NORMAL 8= INTUBATE)

SECONDARY SURVEY - <<>>HEAD TO TOE ASSESSMENT

SECONDARY SURVEY: MIST - <<>>

M- MECHANISM OF INJURY

I- INJURIES SUSTAINED

S- S/S BEFORE ARRIVAL

T- TREATMENT B/4 ARRIVAL

SECONDARY SURVEY: SAMPLE - <<>>

S- SYMPTOMS

A- ALLERGIES

M- MED HX

P- PMH

L- LAST MEAL INTAKE

E- EVENTS OR ENVIRONMENTAL FACTORS

HOW TO CARE FOR A DOG BITE - <<>>

-ASSESS WOUND

-CLEAN

-SERILE SALINE IRRIGATE

-CONSIDER RABIES, TETANUS, AND ANTIBX PROPHYLAXIS

-SPLINT WOUNDS OVER JOINT

ESI: EMERGENCY SEVERITY INDEX (LEVEL 1) - <<>>

-MI

-OVERDOSE WITH BRADYPNEA

-INTUBATED

-RESP. DISTRESS

-ANAPHYLACTIC SHOCK

-HYPOGLYCEMIA WITH NEURO CHANGE

ESI: EMERGENCY SEVERITY INDEX (LEVEL 2) - <<>>

-CHEST PAIN FROM ISCHEMIA

-MULTIPLE TRAUMA (UNLESS UNRESPONSIVE)

-SUICIDAL PT.

-ACUTE STROKE

-IMMUNOCOMPROMISED PT. WITH FEVER

ESI: EMERGENCY SEVERITY INDEX (LEVEL 3) - <<>>

NI FOR ANAPHYLACTIC REACTION - <<>>EPINEPHRINE

NI FOR CIRCULATORY OVERLOAD - <<>>

- SLOW INFUSION 4 HOURS MAX

-WAIT 2 HOURS BETWEEN INFUSIONS

- HOB ELEVATED

-OXYEGN

-PUSH DIURETICS (FUROSEMIDE)

-END ALL IV FLUIDS

TREATMENT FOR THROMBOCYTOPENIA - <<>>FFP

NEUTROPENIC DIET - <<>>-NO FRESH FRUIT OR VEGGIES

-COOKED OR PROCESSED ONLY

S/S OF ESOPHAGEAL CANCER - <<>>

-DYSPHAGIA

-COUGHING/ CHOKING

-HOARSE VOICE

-FEELING THAT FOOD IS NOT PASSING

-PAIN MAY RADIATE TO JAW OR NECK

S/S OF GASTRITIS - <<>>

-ANOREXIA

-N/V

-EPIGASTRIC TENDERNESS

-FEELING OF FULLNESS

WHAT CAUSES GASTRITIS - <<>>

-ASPIRIN

-BIPHOSPHONATES

-CORTICOSTEROIDS

-DIGOXIN

-IRON

-NSAIDS

-ALCOHOL

-SPICY FOODS

-H. PYLORI

WHEN TO GIVE PRESSORS - <<>>

-HYPOVOLEMIC SHOCK AFTER FLUIDS HAVE BEEN GIVEN

- HEART ATTACK

-HF

-BLOOD TRANSFUSIONS

-SEPSIS

-DRUG REACTION

-SNAKEBITE