Exam 3: NUR280/ NUR 280 (Latest 2023/ 2024) Comprehensive Exam Review (Transition to RN Practice) | Complete Guide with Verified Answers| 100% Correct-
... [Show More] Galen
QUESTION
contraindications for thrombolytic alteplase?
Answer:
- active bleeding
- hx of hemorrhage stroke
- icp or trauma
- intracranial and intraspinal sx in last 2 mo
- thoratic, pelvic, abd sx in last 10 days
- hepatic or renal dx
- uncontrolled htn
- recent cpr done
- allergies
QUESTION
alteplase (tpa) monitor?
Answer:
- bleeding (occult blood)
- dysrhythmias
- allergic reactions
- vitals
- neuro
QUESTION
what levels should you monitor with alteplase?
Answer:
- aptt, pt, hct, plt and fibrinogen level
QUESTION
what precaution should the client be on alteplase?
Answer:
Bleeding precaution
- avoid injections, apply pressure 20-30min
- hadle pt with care bleeding precautions
- electric razor
- if bleeding stop med!
QUESTION
what is the antidote for thrombolitics?
Answer:
Aminocaproic acid
Fresh frozen plasma
QUESTION
pt sob and elevated d- dimer is?
Answer:
Pe
QUESTION
d-dimer test
Answer:
D-dimer is a protein that is excreted by clots of blood. The amount of d-dimer circulating in the body can be measured.
If the d-dimer is positive it does not necessarily mean there is a pe. It only means the pt must be ruled out for a pe: they must receive a ct scan.
QUESTION
pe s/s
Answer:
Sudden onset dyspnea, tachycardia, tachypnea, cough, crackles, hemoptysis, chest pain
QUESTION
pe treatment
Answer:
- rrt notified and pcp stat
- hob elevated
- 02
-iv, ekg, abg
-thrombolytic agents/ heparin
-surgery
-ivc filter
QUESTION
prevention of pe
Answer:
• passive, active rom; ambulate soon after surgery
• change position every 2 hours
• anti-embolism stockings (scd's)
• avoid tight garters, girdles, constricting clothing
• no pillows under knees
• comprehensive peripheral circulatory assessment
• elevate affected limb 20 degrees above heart
• no massaging or compressing leg muscles
• do not cross legs
• prophylactic low dose anticoagulant and antiplatelet drugs
QUESTION
body mechanics techniques
Answer:
-don't move heavy objects
-slide or push rather than lift
-directly face object to be lifted
- keep object close to body
-keep object at waist level
-don't balance on toes
- firm & broad bos
- bend at knees & hips, not waist, straight back, breathe while lifting, lift by straigthening legs, don't rotate trunk but pivot entire body, lower body to level of work
Pt dangle legs - lower the bed - w/c on strong side
QUESTION
latex allergies - risk factors
Answer:
Health care workers who wear latex gloves
People w/ allergic tendencies
People w/ food allergies (kiwi, banana, chestnuts, avocado, pineapples, papaya, potatoes)
Latex industry workers
People w/ asthma, spina bifida, or history of multiple surgical procedures or exposures to latex
QUESTION
pt with a pulse of 50 and has already a pacemaker and taking metropolol bid (lowers pulse) what would you do?
Answer:
External pace the patient
QUESTION
what is external pace the patient? [Show Less]