NUR 265 Exam 1 Latest Update - Exam Questions and 100% Verified Correct Answers Guaranteed A+
AFIB - CORRECT ANSWER:
After thrombolytic are administered, what needs to be watched? - CORRECT
ANSWER: Watch for signs of bleeding
ASYSTOLE - CORRECT ANSWER:
Describe a CABG - CORRECT ANSWER: A Vein is taken out of the leg or artery out of an arm. It is attached at the root of the aorta, and beyond the blockage to have blood flow to the heart
Describe a paracentesis. - CORRECT ANSWER: -A procedure that is needed to get rid of the fluid in the abdomen -Have the pt. void before the procedure (ensures the bladder is out of the way and wont get punctured) -Patient is positioned in fowlers position in bed
Describe a post op CABG - CORRECT ANSWER: -rewarm slowly: if too quick- vasodilatation will occur and BP will drop -q15 min urinary output for 24 hrs -patient must be sitting up!!-maintain blood pressure and vitals -Monitor hemodynamics
-Monitor for drainage!: *If more than 150 mL/hour call rapid!!!!*
Describe acute pancreatitis. - CORRECT ANSWER: A serious and at times life
threatening inflammation of the pancreas. It is caused by premature ativation of excessive pancreatic enzymes that destroy tissues and pancreatic cells (basically the pancreas starts digesting itself)
Describe an MI S/S of a female - CORRECT ANSWER: indigestion, chronic fatigue,
inability to "catch their breath", aching, choking, strangling
Describe bleeding precautions - CORRECT ANSWER: -Soft toothbrush
-Electric razor -Fall precautions
Describe chronic pancreatitis. - CORRECT ANSWER: Progressive,destructive disease of the pancreas that has remissions and exacerbation. Pain is not described as "boring" pain 1 / 2
Describe contraindications for thrombolytic therapy - CORRECT ANSWER: Absolute
-Any prior intracranial hemorrhage -Cerebral vascular lesion -Known malignant intracranial neoplasm -Ischemic stroke within 3 months -Suspected aortic dissection -Active bleeding -Closed head or facial trauma with in 3 months
Relative -Hx of poorly controlled HTN -BP greater than 180/110 -Pregnancy -Dementia, or other intracranial pathology -CPR (10 minutes+) or major surgery within 3 wks -Recent internal bleeding (2-4 weeks) -Noncompressible vascular punctures -Streptokinase 5 days ago or allergy to them -Active peptic ulcer
-Anticoag use: Higher INR, higher bleeding risk
Describe dialysis disequilibrium syndrome - CORRECT ANSWER: -Life threatening!
(occurs if fluid is pulled off too fast)
-S/S: restless, headache, decreased LOC, seizures, coma
-Call a rapid immediately -Give barbiturates and anticonvulsants
Describe dilated cardiomyopathy - CORRECT ANSWER: The walls are very thin and
everything is dilated
Describe hemodialysis - CORRECT ANSWER: -3x a week- 4-5 hours
-At risk for bleeding do to heparin -Extremely fatigued post.-Vitals and weight before and after -Slight fever post is normal. Monitor.
Describe hypertrophic cardiomyopathy - CORRECT ANSWER: the thickening of the
heart muscle
Describe Intrarenal AKI. Give examples. - CORRECT ANSWER: Tissue damage to the
actual kidneys.
-Glomerulonephritis or inflammation of the glomeruli -Sepsis -Intrarenal bleeding
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