Download Study Questions for Final Examination

Study Questions for 1341 Final Exam
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Define the different types of pain and use each in an example.
What factors influence the perception of pain?
What is the peak of action for common narcotics given intramuscularly?
What is the most dangerous side effects of narcotics?
What is the most common and reliable way to assess pain? How do you use a pain
scale? What kind of patients do we use a pain scale with?
What is the relationship of pain, narcotic administration and addiction?
What do you do if your patient continues to have pain after you give him meds?
What is phantom pain and how would you teach a patient about it?
What information can you give a patient or family about pain medication and
addiction?
What are the manifestations of acute vs chronic pain?
When would heat be contraindicated for the management of pain?
How do alternative measures for pain work (in general)?
What is the difference between breakthrough pain, neuropathic pain, somatic
pain, referred pain?
How do you assess for pain?
What is the importance of patient’s perception of pain in pain management?
Nursing interventions for pain patches.
What is the goal of pain management in chronic vs acute pain?
What are the legal responsibilities of a nurse when discussing surgical risks for a
procedure? What are the elements of informed consent?
What is the order of preparation of the patient in relationship to preoperative
medications?
What would be done prior to emergency surgery for a patient with a low hemoglobin?
What is the reason for using anticholinergics as a preoperative medication?
What are the normal lab values for blood glucose, potassium, hemoglobin, and
sodium?
Which types of meds are given to prevent DVT in a postsurgical patient?
How do you prevent other postop complications?
What teaching should be done with patients to prevent post-op complications?
Indication of urinary retention in post op patient.
Adequate urinary output to determine safe kidney function in post op patient.
Signs and symptoms of pulmonary embolism.
Purpose of cough, turn and deep breathing in postop patient?
How can you protect confidentiality and safe ongoing care in the chronically
confused?
How do you modify teaching in the elderly?
What pattern of vital signs in post op patient requires immediate action?
Patient has oxygen sat less than 90. What three actions would you take
immediately and in what order?
What patient’s are at high risk for postop thrombophlebitis?
What is the most likely cause of temperature on first post op day?
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What does a normal wound bed look like? How about an infected one? When are we
most likely to see signs of infection?
How do you prevent symptoms of GERD?
What is Barrett’s esophagus?
What is a vagotomy and why is it done?
What causes a gastric ulcer?
What is Prilosec and how does it work?
What symptom distinguished a gastric ulcer from a duodenal ulcer?
What medications can contribute to peptic ulcers?
What causes the pain in a hiatal hernia? What position is most uncomfortable?
Surgery for a hiatal hernia? Indication? Abdominal? Thoracic?
Diet for nausea? How do you progress the diet?
Priority of actions in severe, prolonged nausea and vomiting
Signs and symptoms of perforated ulcer.
For an acute abdomen of unknown etiology, what is the surgical procedure that is
performed?
What is the most likely cause of a small bowel obstruction?
What are the symptoms of an anal fissure?
What surgical procedure is performed for complicated diverticulitis?
What medications are used to treat diverticulitis?
What are the symptoms of diverticulitis vs diverticulosis?
What is a pilonidal cyst and where is it usually located?
What guidelines for self care would you give after anorectal surgery?
How do you manage fecal incontinence in the cognitively impaired elderly?
What are the complications after a colonoscopy?
Risk factors for hemorrhoids?
Treatment for strangulated inguinal hernia?
Treatment for edematous scrotum?
Guidelines for sunscreen? Types of sunscreen?
Prevention of skin cancer?
Recognition of types of skin cancer?
Oral candidiasis: recognition? Causes?
Use of antiviral drugs?
What patient education should you give about methaxsalin plus UVA for psoriasis?
What are the nursing responsibilities for administration of oral Nystatin?
Describe management of pruritis.
How do you prevent post herpatic neuralgia in herpes zoster?
Describe the lesions of shingles.
How do you provide therapeutic baths?
What is glucogon?
What are the three primary symptoms of diabetes?
What is the diagnostic criteria for diabetes?
What are Kussmaul’s respirations and when would you as the nurse see them?
Look over your vocabulary list for diabetes and be able to define all of the words.
In what ways is regular insulin different than the other types? Name at least two
ways. Peak and onset of action for all insulins.
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What blood glucose levels would you expect to see in a patient with hypoglycemia?
Hyperglycemia?
What kinds of treatments would you expect for someone in mild hypoglycemia?
What are the causes of type 1 and type 2 diabetes?
In what site do you see the most consistent absorptions of insulin?
Know the onset, duration, and peak of action of various types of insulin.
What is glycosylated hemoglobin? How is it used in diabetic management
What is the advantage of the insulin pump in diabetic control?
What is intensive insulin therapy?
What is the management of prediabetes? What glucose value indicates
prediabetes?
Can a diabetic eat ‘whatever” as long as they cover themselves with insulin?
Discuss the problem of noncompliance in HTN.
Review the HTN medication classifications.
What evaluation data would you collect for a patient being treated with
antihypertensive drugs?
Recognizing target organ damage?
What is increased systemic vascular resistance in relationship to HTN?
Populations at risk for HTN?
How do you achieve a mild to moderate sodium restriction
Symptoms reported for essential or primary hypertension?
How do you prevent or manage first dose reactions to antihypertensives?
Hypertensive crisis? Hypertensive emergency? Management?
Name three elements that affect blood pressure? P.981
What are common symptoms of sleep apnea?
What are common symptoms of laryngeal obstruction?
What is overflow incontinence
Recognize the classic signs of acute bacterial pneumonia (also called pneumococcal
pneumonia and Streptococcus pneumoniae).
What are the risk factors for aspiration pneumonia?
What is the difference in the S&S of viral pneumonia and pneumococcal pneumonia?
Which one do you think is sometimes called walking pneumonia?
Why would Alupent be ordered for the patient with pneumonia? Guaifenesin?
Hydrocodone?
How often are pneumonia vaccines administered? What populations would get one
more often
List the nursing care for Ineffective Breathing Pattern, Impaired Gas Exchange, and
Ineffective Airway Clearance.
What is the health teaching for managing acute bronchitis?
What is the drug of choice for MRSA pneumonia?
What teaching is needed post sinus surgery?
What teaching is needed for decongestants, antihistamines?
What teaching is needed for sleep apnea?
How would a patient with an endotracheal tube get pneumonia?
Etiology of primary hypertension? Silent killer? Risk factors (modifiable and non
modifiable)?
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What are the BP readings for the stages of HTN? Table 33-2
What is the DASH diet?
Which HTN agent in coronary artery disease? Diabetes? Isolated systolic HTN in
elderly? Contraindicated in asthma?
What are the interventions for Ineffective Health Maintenance and Noncompliance?
Describe the behaviors in the three stages of Alzheimer’s. Give the focus of treatment
for each stage.
How do you counsel families with members with Alzheimer’s or possible
Alzheimer’s? How do you help with caregiver role strain?
What can a family expect from Alzheimer’s medication?
Review the terms in the vocabulary list for Alzheimer’s. I have added the four A’s of
Alzheimer’s to the case study. Look at these. Ataxia, aphasia, apraxia,
What is the difference in dementia and delirium?
How to manage (non pharmaceutical) disturbed thought processes in
Alzheimer’s? Restless and agitation?
Differentiate mild, moderate and severe alzheimer’s by signs and symptoms?
How is alzheimer’s diagnosed?
Teaching about the benefits of alzheimer’s medications?
Diagnosing seizures?
Goal of antiepileptic therapy?
Migraine? Cluster? Tension headaches?
How do you manage status epilepticus? Medication?
Determination of best dose of seizure medications?
Toxic effects of seizure medications?
Complications of noncomplicance with seizure medications?
Nursing care during a tonic-clonic seizure? Postictal signs and symptoms?
What do you teach family about managing a seizure?
How do you identify a seizure and manage a seizure? What are the top two priorities?
What is a seizure? Tonic-clonic? Absence? Jacksonian?
What are the complications of Percutaneous nephrostomy?
What is the nursing care for a patient who is passing a urinary stone?
Differentiate the symptoms of various types of urinary stones.
What is Allopurinol used for? Mechanism of action?
Healing by Primary intention, secondary intention, tertiary intention
Purpose of irrigation of chronic wound
How to recognize Dehiscence, evisceration, hemorrhage, maceration in a wound.
Action to take
Least justifiable purpose of catherization
Patients at risk for urinary retention
How to use a coude tip catheter
Complications of tracheostomy? Which is most common? Why?
What are the complications of frequent suctioning of a trach?
What is the difference between a gram stain and a culture
Signs and symptoms of sleep apnea
What do you assess for before giving flu shots?
What do the lungs sound like in pneumonia?
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What is often present in the history of an elderly person with community
acquired pneumonia?
Is blood in urine expected after lithotripsy?
Signs and symptoms of stone passing through the ureter?
Meaning of elevated BUN; creatinine
Normal urinalysis
Cause of UTI in hospitalized patients
Management of burning on urination after foley removed