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NSG123 Exam 1 Review
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Asthma symptoms usually worsen with age. True or False
False; usually improve with age
Which medication may be given prophylactically to a person living with someone with active TB?
INH (isoniazid)
Rifampin caused urine to turn orange. True or False
True, this is expected. Inform patient this is OK.
What medications are part of the 4-drug regimen for TB treatment?
INH, Rifampin, Pyrazinamide (PZA), Ethambutol
What do you do if your patient has an abdominal evisceration?
call for help (stay with patient), notify provider, sterile towels/gauze, sterile gloves, cover contents with moist sterile towels/gauzents
The CRNA's role includes administering anesthesia and intubation.
True
Describe the semi-restricted surgical zone.
Scrub clothes and caps required
When using percussion on a patient with pneumonia, you would expect the sound to be ___.
Dull
List 3 symptoms of TB.
Fever, fatigue, cough, hemoptysis, night sweats, loss of appetite, weight loss
List 4 risk factors for contracting TB.
Close contact; immunocompromised, travel to high prevalence areas, inadequate healthcare, overcrowded housing, healthcare worker, living in an institiution
Quantiferon Gold is used to diagnose active TB. True or False?
False; It is a screening tool to see if past exposure
Your patient is diagnosed with pneumonia on CXR. What treatment is likely to be ordered?
broad spectrum antibiotic (if no drug resistance history)
You are caring for a patient with severe COPD. Their O2 sat is 90%. What should you do?
Nothing- this is ok for severe COPD. Need to avoid CO2 retention.
Long term oral corticosteroids are recommended for treatment of COPD and Asthma. True or False
False
How long does a patient need to hold their breath after inhaling from inhaler?
5-10 seconds
Wheezing that disappears during status asthmaticus is a sign that the patient is improving. True or False
False- As obstruction worsens, so does wheezing. Sign of respiratory failure. May need to be intubated.
How often should patients with moderate or severe asthma monitor their peak flow measurements?
Daily
How can a client prevent an asthma attack?
Medication compliance, symptom knowledge, avoiding triggers
What are signs of malignant hyperthermia?
Muscle Rigidity, Fever, Tachycardia, Hypotension, Increased RR
What is the role of the circulating nurse?
Overall coordination, updating family, report off to PACU, verify site marking and patient ID, monitoring surgical procedure
You are assessing a patient's capillary refill. What is a normal capillary refill?
< 3 seconds (can be higher with advanced COPD)
Chronic bronchitis and emphysema can be caused by COPD?. True or False
False- they are forms of COPD
Your patient has been diagnosed with pneumonia. This patient comes to the clinic 2x/week for dialysis. What classification of pneumonia does this patient have?
Health Care Associated
What is the best way to prevent pneumonia?
Vaccination (and don't smoke)
What are the 2 most common tests to diagnose pneumonia?
CXR and Sputum Culture
An FEV1 of 93% is expected in a patient with Grade 2 COPD. True or False?
False; 50-80% predicted


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