NR 224 Final Exam Review
• Bulimia INervosa
• Recurrent Iepisodes Iof Ibinge Ieating I(rapid Iconsumption Iof Ia Ilarge Iamount
Ioffood I I in
... [Show More] Ia Idiscrete Iperiod Iof Itime)
• A Ifeeling Iof Ilack Iof Icontrol Iover Ieating Ibehavior Iduring Ieating Ibinges
• Recurrent Iinappropriate Icompensatory Ibehaviors Ito Iprevent Iweight Igain, Isuch
Iasself I -induced Ivomiting, Iuse Iof Ilaxatives Ior Idiuretics, Istrict I dieting Ior Ifasting,
Iorvigorous I Iexercise
• Binge Ieating Iand Iinappropriate Icompensatory Ibehaviors Ithat Iboth Ioccur,
Ionaverage, I Iat Ileast Ionce Ia Iweek Ifor I3 Imonths
• Self-evaluation Iunduly Iinfluenced Iby Ibody Ishape Iand Iweight
• To Iprevent Ihypoglycemia, Ido Inot Iabruptly Idiscontinue ITPN Ibut Itaper
Iratedown I Ito Iwithin I10% Iof Iinfusion Irate I1 Ito I2 Ihours Ibefore Istopping.
• Assess Ifor Isigns Iof Imedical Itoxicity Iin Iolder Iadult Ibecause: Ireduced Iglomerularfiltration I
• Majority Iof Iabsorption: Ismall Iintestine
• Indicate Ithe Iuse Iof Iz-track: Ilast Ishot Iturned Iskin Ito Icolors
• GI Itract
o mouth, Iesophagus, Istomach, Ismall Iintestine, Ilarge Iintestine,
Irectum,anus I o small Iintestine: Iduodenum, I jejunum, Iileum o large Iintestine: Icecum, Iascending Icolon, Itransverse Icolon,
Idescendingcolon, I Isigmoid Icolon, Iand Irectum
• Dose Iis Iincorrectly Iinterpreted: INURSE Iis Iat Ifault
• if Ipt. Irefuses Imedication: Iexplain Ipurpose/ Ieducate Iwhy Ithey Iare
Igettingit/ I Iask Iwhy Ithey Idon’t I want Ito Itake Iit
• excrete Igaseous Imedication: Icough Iand Itake Ideep Ibreaths
• expired Imedication: Icall Iphysician
• Nurse Iis Igoing Ito Iadminister Ipain Imedication Ifor Ipt Iwith Iperipheral
IIV.Notices I Ired Istreak, Iwarm Iand Itender Ito Itouch I= IPhlebitis-iv Isite Ithat Iis
Iblown/bust, Iand Ithe Ifluid I just Istarts Ito Ipuddle: IDO INOT Igive Ipain Imedication.
• Nurse Iis Ipreparing Imedication Ito Ipatients Iwith Isame Ilast Iname Iand IdidNOT I Icheck Iidentification Ibefore Iadministering I medication: I return Ito
Iroom Ito Icheck Iand Iassess Ipt.
• Pt Idid Inot Itake Idaily Iallergy Imedication Iin Ithe Imorning Ibc Ifelt
Itoodrowsy:I Ichange Itime Ito I9PM Iso Idrowsiness Ioccurs Iwhen Ipt Iis Isleeping
• Successful Igoal Iof Iconstipation: Isoft Istool
• Pt Iasks Iif Ishe Iwill Ibe Ineeding Ito Ihave Ithe Ibag I(ostomy) Ion Iat Iall Itime:
IyesbcI Iit Iby-passes Ithe Ilarge Iintestine Iand Iconstantly Ioozes Iliquid
• Concerned Iif Istoma Iis Iblue/purple/black
• REE: Iconsumed Iover I24 Ihour I period I for Ibody Ito Imaintain Iall Iof Iits internal I working
• Pain I meds. ICause Iconstipation. I3 Idays Iwithout Ibowel Imovement=constipated
• Major Isource Iof Ienergy: Icarbohydrates
• Black Istool: Iiron Iingestion-women Itake Iiron Isupps. IA Ilot
• Meet Inutritional Ineeds: Ido Inot Igain Ior Ilose Iweight I- Initrogen Ibalancenegative I Iis Imalnutrition, Ipositive-healing
• Breastfeeding Iis Inecessary Ifor Ithe Ifirst I4-6 Imonths Iof Ilife Cow’s Imilk Ican Ibe Idrank Iafter I1 Iyear
• Poor Inutrition: Ishort Iattention Ispan; Idry, Ibrittle Ihair; Idry, Irough
Iand Ipale Iskin
• Colorectal Icancer o African-americans Iare Iat Ihighest Irisk o Risk Ifactors: Ihigh Ianimal Ifats Iand Ired Imeat; Iobesity, Itype I2
Idiabetes,smoking, I Iand Iheavy Ialcohol o Causes Iof Igyno ----obesity, Ialcohol, Iliver Icirrhosis o Warning Isigns: Ichange Iin Ibowel Ihabits; Irectal Ibleeding;
IincompleteevacuationI Iand Iunexplained Iabdominal Ior Iback Ipain o Colonoscopy: Ievery I10 Iyears Iafter I50 Iyears o Sigmoidoscopy: Ievery I5 Iyears Iafter I50 o Pap Ismears: Iwomen Iget Ithis Itest Ievery Iyear
• C. Idiff: I wash Ihands Iwith Isoap Iand I water
• Infectious Iagent, Ireservoir, Iportal Iof Iexit, Imode Iof Itransmission, Iportal
Iofentry, I Isusceptible Ihost
• Measure Ifor ING Itube: Itip Iof Inose, Iearlobe, Ixiphoid Iprocess
• Administer Ieardrops
o Children: Ipull Iauricle Idown Iand Iback o Adult: Ipull Iauricle Iupward Iand Ioutward
o Cotton
o Apply Igentle Ipressure Ito Itragus Iof Iear
• Toxicity: Ikidney Ifailure
• BMI Iof I28: Ioverweight
• Opioids: Iconstipation
• Alcohol I with Iopioids Iwould Imake Ithe Ieffect Iwork
Ifaster=synergisticaffect I
• Deltoid Ineedle: I22-25 Iand I1-1 Iand Ia Ihalf Iin
• Valsalva Imaneuver: Idon’t Ihave Ia Iaging Iadult Ido Ithis
Ibecauseintracranial I I pressure
• Inserting Ia Isuppository: ILeft-side Iwith I(right) Iknee Ibent
• Feeding:
• Too Imany Imedications, Iconcerned Iwith Iclogging: I(what Idoes Inurse Ido?)
o use Iliquid Iforms Iof Imedication, Iif Ipossible o flush Itube Iwith I30 Ito I50 ImL Iof Iwater Ior Inormal Isaline Ibefore Iand
Iafter Imedication Iadministration Iand Ibefore Iand Iafter Ibolus Ifeeding o flush Iwith Iwater Ievery I4 Ihours Ifor Icontinuous Ifeeding o answer: Icall Ithe Ipharmacy Iand Iask Ithem Ito Isend Iyou Iliquid Iform Iof Imedications
• TPN Itotal Iparenteral Inutrition-through Ithe Icentral Iline
• HTN Imedication Iand Iorange Istool: Iquestion: Iwhat Imedications Ihave
Iyou Itaken Irecently
• Laxative: Ilong-term Ican Icause Iconstipation
• Older Iadult: Icalcium Iand Ivitamin ID
• Candidate Ifor Itube: Ithroat Icancer
• nurse Ineeds Ifurther Iteaching: I(always Iprepare Ithe Iregular Iinsulin Ifirst)
o Draw IRegular Iinsulin Ifirst, Ithen Ithe INPH Iin Ithe Isyringe o NPH Iis Iintermediate o insulin Igarglane I(Lantis) I- Ialways Idrawn Iin Iits Iown Isyringe I(drawn Ialone) o Regular Iinsulin Iis Ithe IONLY Iinsulin Ithat’s Igiven IIV
• IV Iis Ithe Ifastest Iabsorption
• Topical Iis Ithe Islowest
• Enteral Ifeeding: Icannot Iingest Ifood Ibut Ican Idigest Iand Iabsorb Inutrients
• Stop Iusing IET Iwhen I75% Iof Ibody Ineeds Iare Imet, Itapering I method
• Inserted Iright Iinto Ithe Idigestive Itract Ilike Ia IJ-tube, IG-tube, ING Itube o Candidates: Ifunctioning IGI
• Parenteral Ifeeding: Icannot Idigest, Iabsorb ----- problem Iwith Ithe IGI Iso
you Ihave Ito Iget Ia Icentral Iline Iclose Ito Ithe Iheart
o Candidates: I NON Ifunctioning IGI
• Side Ieffect: Iunavoidable, Ipredictable
• Idiosyncratic Ieffect: Iover/under-reaction Ior Idifferent Ireaction
Ifrom Inormal, Iunpredictable Iex: Ilike Iif ICNS Istimulator Iand Iinstead Iof
Ibecoming I restless Iand Ihave Ienergy Ithe Ipatient Ifalls Iasleep
• At Irisk: Imotorcycle Iaccident Ivictim
• Surgery: Iprimary Iintention, Iclean Iincisions, Iapproximated Iedges
• Burn: Isecondary Iintention, Iburns, Ipressure Iulcers, ISCARRING
• Tertiary Iintention: Ileft Iopen Ifor I7 Idays Iuntil Inecrotic Istuff Iis Igone, Iand Ithen
IitclosesI - Ibecause Iyou Idon’t Iwant Ito Itrap Ibacteria Iin Ithe Iwound
• Shallow Iopening: IStage III
• Nonblanchable: IStage II
• Nectrotic: IUnstageable, Ineed Ito Iremove I(debridement)
• Wound Ican’t Ibe Istaged Iuntil Iit’s Idebrided
• Classification Iof IPressure IUlcers
o Stage II: Iintact Iskin Iwith Inonblanchable Iredness o Stage III: Ipartial-thickness Iskin Iloss I(epidermis, Idermis, Ior Iboth) o Stage IIII: Ifull-thickness Itissue Iloss Iwith Ivisible Ifat o Stage IIV: Ifull-thickness Itissue Iloss Iwith Iexposed Ibone, Imuscle, Ior Itendon,EscharI
• First Isign Iof Ihypoxia: Irestlessness
• the Ilast Isign Iof Ihypoxia Iis: Icyanosis I(turning Iof Ithe Iskin Iblue)
• Administer Ianalgesic Iwithin I30 Ito I60 Iminutes o Dressing Ichange: Iprovide Ianalgesic Imeds [Show Less]