Final Exam Review

Question 1

what should be used to confirm placement of a chest tube?

Answer 1

chest x-ray

Question 1

What are the top 3 priority actions of the sepsis 1 hr bundle?

Answer 1

1. blood culture (know what it is)
2. begin antibiotic (this starts treatment of sepsis)
3. admin IV fluids (depending on BP)

Question 2

What are some s/s of sepsis?

Answer 2

decreased BP, increased HR, organ dysfunction (decreased urine output), high/low temp, and confusion

Question 3

what controls suction in a wet suction chest tube drainage system?

Answer 3

the level of water in the suction control chamber

Question 4

what controls suction in a dry suction chest tube drainage management system?

Answer 4

a dial

Question 5

what dietary teaching should be included for a patient with hyperthyroidism?

Answer 5

increase protein, calories, and fat (increased metabolism and weight loss)

Question 6

Following a thyroidectomy, a patient develops stridor, what action should the nurse take first?

Answer 6

notify the provider immediately

Question 7

What sick day education should be provided to diabetic clients?

Answer 7

• take insulin and oral antidiabetics as prescribed
• blood glucose at least every 2 hr (more often than usual)
• do not withhold food

Question 8

what would be some signs and symptoms of hypoglycemia?

Answer 8

sweating, anxious, tachycardia, hunger

Question 9

What assessment findings may be present in a patient with hyperglycemia?

Answer 9

rapid respirations, changes in mental status, warm skin