exam 4 new

Question 1

6 liver functions

Answer 1

bile
bilirubin
ammonia->urea
coagulation
detox
albumin

Question 2

earliest signs of aws

Answer 2

tachycardia, htn, fever

Question 3

if 12:00 when should nurse expect aws to start and peak

Answer 3

6 hours then peak 12 next day

Question 4

fluids low in aws

Answer 4

Mg, K, Phosp

Question 5

when does DT appear

Answer 5

48 hours

Question 6

wernickes encephalopathy s/s

Answer 6

confusion, nystagmus , abnormal gait

Question 7

med for wernickes encep

Answer 7

thiamine for 3 days

Question 8

6 labs for acetaminophen overdose

Answer 8

ABGS for ph<7.3
creatinine
PT/INR
increased bilirubin
acetaminophen blood levels within 4 hours
AST/ALT >1000 is toxicity

Question 9

4 tx with time frames for poisoning acetamin overdose

Answer 9

n acetylcyst 8-12 hours
lavage within 2-4
charcoal within 1
catharsis meds within 4 hours

Question 10

7 labs for ascites

Answer 10

CBC
clotting
LFT
bilirubin
electrolytes
BUN
creatinine

Question 11

2 tx meds for esophageal varices

Answer 11

somatostatin
prophylaxis abx 7 days

Question 12

who should not have TIPS

Answer 12

someone with confusion

Question 13

tx for bleeding

Answer 13

keep MAP >65
airway
endoscopy

Question 14

endoscopy preop

Answer 14

NPO
no glasses, dentures
informed consent
NG

Question 15

main risk factor for bleeding

Answer 15

previous bleeding

Question 16

hepatic enceph due to

Answer 16

ammonia >45

Question 17

4 assessments , 2 meds and 1 education in hepatic enchep

Answer 17

neuro
airway
safety
lactulose
rifaxamin
temp protein restriction

Question 18

superficial 2nd

Answer 18

blisters

Question 19

deep 2nd

Answer 19

white waxy moist dec pain

Question 20

3rd

Answer 20

skin grafting

Question 21

4 risk factors for burns complications

Answer 21

location
elderly
comorbidities
inhalation

Question 22

4 CV changes in burns

Answer 22

dec cap refill
hypovolemic shock
peripheral vascular compromise
dysrhythmais

Question 23

burn area percents

Question 24

8 assesments for ascites

Answer 24

For shifting dullness in the abdomen with percussion

For peripheral edema (often pitting in the legs and feet)

Daily weight and I&O

For difficulty breathing and lung sounds

Abdominal discomfort and pain

For skin breakdown and jaundice

Orthostatic vital signs

Question 25

5 tx of ascites

Answer 25

alcohol abstinence

Sodium restriction of 2000 mg/day

Diuretic therapy

Fluid restriction

Paracentesis