Neurology & Burns
Your patient has been diagnosed with an ischemic CVA. What is the name of the medication that you anticipate the doctor will order next?
TPA
I am the type of dressing that has highly hemostatic properties
calcium alginate
F.L., age 60 years old, presents to the Emergency Room with difficulty breathing. He is diagnosed with COPD exacerbation and is prescribed Ventolin 100 mcg 4 inhalations stat. The medication seems to have helped him, but the doctor decided to keep him under observation. 45 minutes later, you return to evaluate F.L. and he complains of palpitations. He feels anxious and is worried that he is having a heart attack.
What do you think is happening?
His medication causes unwanted side effects like palpitations.
A patient with bilateral lower lobe pneumonia is diagnosed to have respiratory acidosis based on arterial blood gas results. What is this patient’s likely cause of respiratory acidosis?
a. Underelimination of carbon dioxide from the lungs
b. Underelimination of bicarbonate by the kidneys
c. Overelimination of carbon dioxide from the lungs
d. Overelimination of bicarbonate by the kidneys
A. Under-elimination of carbon dioxide from the lungs
You are ready to proceed with a blood transfusion for one of your patients, but you feel resistance when flushing the PICC line. What do you do next?
Have the patient cough and deep breath
Mrs. Waldo is diagnosed with loss of peripheral vision in the left eye. What is a nursing directive that you would give to Mrs. Waldo's given this new diagnosis?
Teach husband to approach his wife from the right side
I am the type of product/dressing to use best on diabetic ulcer.
Antibiotic ointment- idosorb
F.L., 60 years old, diagnosed with COPD exacerbation, is being observed in the Emergency Room for COPD exacerbation. You notice that he is showing some intercostal retractions and tugging, as he returns from the bathroom. He confirms that he normally has trouble breathing after effort.
What recommendation would you give F.L.? Select ONE (1) answer.
A-Take small resting periods when doing an activity, like walking.
B-Breath into a paper bag whenever you feel short of breath.
C- Avoid any irritants, which could cause bronchoconstriction.
D-Take deep breaths and cough up secretions before ambulating.
E- Avoid any activity for now, until your COPD has been resolved.
A-Take small resting periods when doing an activity, like walking.
Which patient is most likely to have respiratory acidosis?
a. Patient who is anxious and breathing rapidly
b. Patient with multiple rib fractures
c. Patient with IV normal saline bolus
d. Patient with increased urinary output
b. Patient with multiple rib fractures
You have to give a PRBC to your patient. Your colleague told you they helped out by prepping a Y blood tubing. You notice that the Y tubing is primed with D5W. How do you proceed?
You must discard the tubing as the D5W are incompatible with the PRBC and will cause crystalized precipites.
What is the main complication of the rehabilitative phase of burns?
Contractures
Which of the following is the most appropriate nursing intervention to help an HIV-infected patient adhere to the treatment regimen?
A- Provide a brochure with adequate information to view and read at home.
B- Inform patient that adverse reactions to treatment are bad but will go away.
C- Modify management according to the patient’s lifestyle and adherence cues.
D- Equip the patient with knowledge and information only once he feels ready
E- Encourage patient to involve as many family members as possible for support.
C- Modify management according to the patient’s lifestyle and adherence cues.
Name the worst two complications of AAA?
rupture and acute arterial ischemia
A patient has taken antacids for the past 3 days to relieve “heartburn.” What alteration in acid- base balance will the nurse likely find in this patient?
metabolic alkalosis
Mrs. J is diagnosed with Diabetes insipidus during her hospitalization. She states " I don't get it, I've never been a sweet tooth! How do I have diabetes?!" What do you respond to her?
Diabetes insipidus is too much urine output related to low ADH. Polyuria is a similar symptom of diabetes mellitus, which is why they share the name. Diabetes insipidus has nothing to do with sugar levels.
Name 5 clinical manifestations of someone with a smoke inhalation injury (Upper airway)
upper: Burns around the face, neck, chest
◦Edema
Hoarseness
Difficulty swallowing
Copious secretions
Stridor
Substernal and intercostal retractions
Which of the following recommendations would you provide as teaching to prevent Lyme disease?
A- Wear dark coloured clothes when in a wooden area.
B- Pull the embedded tic upward, in a twisting fashion.
C- Shower thoroughly one hour before an outside activity.
D-Consult a doctor as soon as you are bitten by a tick.
E- Tuck your shirt in your pants, and pants into your socks.
E- Tuck your shirt in your pants, and pants into your socks.
_________ _________ (2 words) is a lower limb ischemic pain that appears during exercise and resolves after 10 minutes of rest
intermittent claudication
Identify the expected manifestations of hyponatremia and fluid volume deficit.
Hemoconcentration
Weight loss
Postural hypotension
Dry mucous membranes
oliguria
tachycardia
What is the main difference between HHS and DKA?
You produce NO insulin in DKA, while you still have some insulin in HHS, which is why there is also no presence of ketone bodies in HHS.
Name 5 clinical manifestations of someone with a smoke inhalation injury (lower airway)
Patient trapped in fire/enclosed space or clothes caught fire
Facial burns
◦Signed nose hair
◦Dyspnea
◦Wheezing
◦Hoarseness
◦Altered mental status
Name two non-modifiable risk factors for PAD
Male, older age of 60 and over, family Hx of PAD, diabetes, HTA, atherosclerosis, high lipids