Nursing 1600 Exam 1 Latest Update -

Nursing 1600 Exam 1 Latest Update - Actual Exam 200 Questions with 100% Verified Correct Answers Guaranteed A+ Verified by Professor

• Elevated Temperature - CORRECT ANSWER: Caused by: dehydration, infection,

stress and trauma, prolonged hypotension, transfusion rx, respiratory congestion, thrombophlebitis

S/S: 99.5` F temp, diaphoresis, fluids, high pulse and respiration

NURSING INTERVENTIONS: Antipyretics, cool compress, fluids

• Nausea and Vomiting - CORRECT ANSWER: S/S: GI upset with first 24 hours,

usually with abdominal surgery and opioids usage, reduced Peristalsis, decreased bowel sounds, dry heaves, eructation( burping)

NURSING INTERVENTIONS:

Zofran, Antivert, Compazine, side lying before raising HOB, slow movement, NG tube

Prevention: Pre medicate with Antiemetic or H2 Receptor Antagonist, maintain NPO status preop

• Constipation - CORRECT ANSWER: NURSING INTERVENTIONS:

Increase fluids, monitor I and O, increase dietary fiber, use laxatives or enemas

Prevention: Early ambulation, fiber, roughage, hydration

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2 Fracture Classifications - CORRECT ANSWER: 1.Complete/ Open/ Compound

• Incomplete/ Closed/ Simple

• Types of Impaired Healing - CORRECT ANSWER: 1. Dehiscence- Splitting of surgical

site, where the wound was previously joined, the wound opens but the integrity of internal cavity remains. Dehiscence is often a complication of infection or when there is too much pressure on the wound edges.

• Evisceration- Protrusion of organs through the wound, the wound opens.

2. Wound Infection - CORRECT ANSWER: Due to altered skin, etc.

Caused by: Diabetes, uremia, obesity, malnutrition, steroids

S/S: fever, foul smell, drainage, redness, edema.

NURSING INTERVENTIONS:

Wound culture and sensitivity, optimal nutrition, antibiotics, aseptic technique worth wound care.

3 Anesthesia Methods - CORRECT ANSWER: 1. General

• Local or Regional
• Moderate sedation

• categories of pain: - CORRECT ANSWER: Acute, chronic and cancer

3 Perioperative Phases - CORRECT ANSWER: Pre-operative, Intra- operative, Post-

operative

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• Phases of Normal Wound Healing - CORRECT ANSWER: 1. Inflammatory phase:

local edema at the wound site, erythema, warmth, pain

• Proliferation phase: Collagen builds along with scar and granulation tissue 1 to 6

weeks.

3. Maturation phase: Scar tissue peels to a full recovery 6 weeks to 2 years

3.

3 Types of Healing - CORRECT ANSWER: 1. Primary

• Secondary
• Tertiary

3. Urinary Retention - CORRECT ANSWER: Anesthesia can depress nervous system

and bladder. Should have .5mg per kg of urine an hour.

S/S: scant urine output, palpable distended bladder, restlessness and discomfort.

NURSING INTERVENTIONS:

Ambulation to toilet may help, Assess: amount, color, output, sit patient upright, run water, catheterization

Prevention: hydration and early ambulation

**Renal Ischemia- no urine output 3 / 4

• Classifications of Procedure - CORRECT ANSWER: R: Reason

U: Urgency

D: Degree

E: Extent

4 ways to wash hands in preoperative environment - CORRECT ANSWER: 1. Visibly

solid wash

• Hand hygiene worth alcohol based products
• Surgical hand scrubs
• Surgical hand scrubs using alcohol based surgical ha and scrub product

• Pneumonia - CORRECT ANSWER: Sequel to Atelactasis from aspiration. Higher risk

post thoracic and abdominal surgery. Microorganisms grow in trapped secretions.

S/S: Elevated temp, chills, productive cough, wheezes, dyspnea, chest pain, tachypnea, Increased respiratory secretions.

NURSING INTERVENTIONS:

Positioning, oxygenation, antibiotics, expectorants, analgesics, chest physiotherapy

Prevention: Turning, coughing, deep breathing, incentive spirometer, position changes, early ambulation

• Cardinal Signs of inflammation - CORRECT ANSWER: 1. Redness: vasodilation
• Pain

3. Heat: fever

• Edema
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