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NUR 250 Final Study Guide | Excelsior University

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 7 pages. Originally published on StudyMerit.

Pages
7
Academic year
2025/2026
Language
English

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250 final study guides 72-hr following CVA/action- elevate HOB 25-30 degrees, neutral midline position ABC’s/head injury at work/priority- immobilize cervical spine Acute alcohol with drawal/med- lorazepam Acute pulm edema/ rx for furosemide /adm meds by- undiluted over 2 minutes Alcohol/detoxification/ rx for acamprosate - cause episodes of diarrhea Alcohol use disorder/lower ext.fracture/develops restlessness & tremors/ant meds- chlordiazepoxide Alcohol use disorder/undergoing detox- admin substitution therapy meds Alcohol withdrawal/meds- benzodiazepines (diazepam & chlordiazepoxide), carbamazepine, valproic acid, thiamine Alcohol withdrawal/ administered lorazepam - give w/increased BP Alcohol withdrawal/expected finding- headache, insomnia Alcohol withdrawal/maintenance med- Disulfiram Alcohol withdrawal/severe findings- hallucinations Anaphylactic shock- bronchospasms, wheezing, SOB, severe hypotension, resp or cardiac arrest Antibiotic/intermittent IV infusion/reports SOB, wheezing- O2, Rapid response team Blood transfusion/ IV solution- NaCL or NS Child/head injury/clear drainage from nose- test for glucose Clopidogrel /findings in med hx- recent myocardial infarction Closed head injury/ mannitol/ ICP/therapeutic effect- serum osmolarity is 310, increased urine output Closed head injury/priority/neurological status- LOC Closed traumatic brain injury/ICP- ridged skull containing cranial contents COPD & malnourished- high calorie foods first

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250 final study guides COPD & pneumonia/acid-base imbalances- Respiratory acidosis COPD & SOB/action- upright position COPD/findings- pallor, barrel chest, clubbing fingers, productive cough, rapid shallow breathing COPD/ improve nutritional intake- add grated cheese to sauces & veggies COPD/ tiotropium/AE - mouth feels dry all the time Cushing’s triad/ICP- widened pulse pressure, bradycardia, irregular breathing DI/indications for desmopressin - decrease urine output, stimulate vasopressin receptors DI/ desmopressin /AE- headache DI/interventions- monitor for neurological changes, agitation/restlessness, thirst, dehydration DI/manifestations- increased serum osmolality, decreased urine osmolality & urinary sodium, hypernatremia DKA/expected findings- tachycardia & hypotension, Kussmaul respirations, decreased LOC, N&V, abdominal pain, fruity breath, blurred vision, headache, fatigue, tachypnea DKA/ blood glucose greater than 250, acidosis pH less than 7.3, polyuria, ketosis- metabolic acidosis DKA/interventions- assess hypokalemia, cardiac dysrhythmias, VS frequently, education, treat w/insulin Emphysema & chronic resp acidosis/monitor for- hyperkalemia Encephalitis/West Nile virus- VS q 2 hr, assess neurological status q 4hr, dark room Extravasation- swelling, darkening or redness of skin, pain at iv site Fluid overload- SOB, increased BP HR RR, crackles in lungs, edema, neck vein distention Fluid overload w/SIADH /manifestations- low sodium level, decreased urine output, mental status, headaches Fluid overload/cont IV infusion 200mL/hr- reduce IV fluid rate

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250 final study guides HHS/complication- thromboembolic disease HHS/does not occur- Ketoacidosis, BS level greater than 600, serum osmolality greater than 320 Hyponatremia ass. w/SIADH /manifestations- headaches, muscle cramps, confusion Hypovolemic shock/indication- tachycardia ICP/interventions- elevate HOB 30 degrees, calm environment, monitor fluid volume, pain mgmt., diuretics, bP support, patent airway, maintain ventriculostomy @ level of tragus ICP/treatment- mannitol, hypertonic saline, benzodiazepines, fosphenytoin, valproic acid, levetiracetam, propofol Increased ICP/ on mech vent/rx propofol/ AE- hypotension Increased ICP manifestations- restlessness, decreasing GCS & LOC, pupil changes, posturing (decorticate/decerebrate) Infant/ at risk for ICP/complication developing- high pitched cry IV mannitol /lab results- BUN Lactaid ringers /treats- acidosis Left side heart failure/expect- crackles in lungs, pink frothy sputum, S3 heart sounds (gallop), dyspnea, fatigue, pulm congestion, altered mental status, decreased urine output Mass casualty event/head injury/fixed dilated pupils- Black tag Met acidosis-↓ pH, HCO3, PaCO2 within range: pH 7.25, HCO3 18, PaCO240 Met alkalosis- ↑ pH & HCO3, PaCO2 within range: pH 7.49, HCO3 32, PaCO2 40 Myocardial Infarction/complication from- dysrhythmia Moderate traumatic brain injury/further teaching- can participate on soccer team Older client/stroke/ after ABC’s/priority- LOC Post op hip arthroplasty/hx COPD/O2 delivery method- nasal cannula

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