Exam 2

Question 1

what is the pathophysiology of GERD?

Question 2

clinical manifestations of GERD

Question 3

nursing management for GERD

Question 4

what are some complications associated with GERD?

Question 5

WHAT KIND OF PATIENTS ARE AT RISK FOR DEVELOPING DVT?

Answer 5

IMMOBILE, POST OP SURGERY OF BIG BONES (HIP, FEMUR), BIRTH CONTROL, SMOKING, BMI GREATER THAN 21

Question 6

WHAT KIND OF INSTRUCTIONS WOULD YOU GIVE A PATIENT THAT HAS COPD AND YOU ARE SENDING THEM HOME, AND THEY ARE CONCERNED ABOUT BEING SHORT OF BREATH WHEN THEY ARE EATING?

Answer 6

EAT SMALL FREQUENT MEALS, REST BETWEEN MEALS, HIGH PROTEIN DIET

Question 7

YOU HAVE A PATIENT THAT HAVE KCL ORDER 20 ML EQUIVALENT, HOW DO YOU TELL THEM TO TAKE THEIR 20 ML EQUIVALENCE OF POTASSIUM?

Answer 7

TAKE WITH A FULL GLASS OF WATER, and don’t break the pill in half, take the whole pill

Question 8

NURSING INTERVENTIONS FOR HYPERNATREMIA

Answer 8

RESTRICT SODIUM
ADMINISTER DIURETICS
MONITOR DAILY WEIGHT
TOO MUCH SODIUM CAUSE SWELLING IN THE BRAIN AND CAN LEAD TO SEIZURES
SEIZURE PRECAUTIONS

Question 9

HIGHEST PRIORITY FOR A PATIENT THAT IS EXHIBITING ACUTE ASTHMA EXACERBATION?

Answer 9

give albuterol

Question 10

HOW WOULD WE PREVENT VENTILATOR ASSOCIATED PNEUMONIA OR COMPLICATIONS?

Answer 10

RAISE HEAD OF BED 30 DEGREES, ORAL CARE, HAND HYGIENE, MAKE SURE THEY ARE ON PROTONIX OR PROTOPROSOME (TAKEN TO PREVENT GERD)

Question 11

WHAT LAB VALUES TO MONITOR WITH A PATIENT WITH HEART FAILURE

Answer 11

BNP, POTASSIUM, TROPONIN

Question 12

WHAT IS THE ANTIDOTE FOR DIGOXIN?

Answer 12

DIGOXIN IMMUNE FAB

Question 13

SIGNS AND SYMPTOMS OF RIGHT SIDED HEART FAILURE

Answer 13

EDEMA, ACISITES, ENLARGED LIVER, JVD, INCREASED HR