Nursing Study Guide Block 4 Final
Study Guide for the Final Exam
Here are the rules: please do not call me or email me questions about the study guide. I will answer questions about the study guide during the brief review before the exam itself. You cannot memorize the answers to the questions and do well on the exam- the questions are meant to stimulate thinking, not to be answers. Please remember to review the chapters on shock and MODS as there are questions on this content.
1. There are several ABG questions; remember these also include oxygen numbers so be prepared to determine oxygenation in addition to acid base
PH: 7.35- 7.45
PCO2: 35-45 HCO3: 22-26
O2: 94-100
2. Review the care of the patient with pneumonia, including applicable nursing diagnoses and measureable outcomes Restrictive respiratory disorder: decreased lung expansion- low PaO2, decreased lung compliance, normal to low P/Q ration, shunt, respiratory alkalosis (blowing off co2, more bicarbonate) increased RR, TV smaller. SOB/cough, dyspnea=how many words can they say in one breath chest pain, fatigue, wt. loss, lung crackles, care: HOB 30deg, fluids to clear secretions, tidal volume--normal breathing 500mL
Nursing dx: impaired gas exchange, ineffective breathing pattern, acute pain
Outcomes: maintains adequate alveolar oxygen-carbon dioxide exchange, clears lungs of fluids and exudates. Demonstrates effective RR, rhythm, and depth of respirations. Reports control of pain following relief measures.
3. Review the treatment for TB (look in Lewis), including medications, length of treatment, evaluation of treatment plan, who is most likely to get TB infection, and side effects of the medications Medications: aggressive TB treatment: four drugs for 6 months, (INH, rifampin [Rifadin], pyrazinamide [PZA], and ethambutol) Newer: rifamycins, rifubin, rifapentine, first line for special situations Length of
Here are the rules: please do not call me or email me questions about the study guide. I will answer questions about the study guide during the brief review before the exam itself. You cannot memorize the answers to the questions and do well on the exam- the questions are meant to stimulate thinking, not to be answers. Please remember to review the chapters on shock and MODS as there are questions on this content.
1. There are several ABG questions; remember these also include oxygen numbers so be prepared to determine oxygenation in addition to acid base
PH: 7.35- 7.45
PCO2: 35-45 HCO3: 22-26
O2: 94-100
2. Review the care of the patient with pneumonia, including applicable nursing diagnoses and measureable outcomes Restrictive respiratory disorder: decreased lung expansion- low PaO2, decreased lung compliance, normal to low P/Q ration, shunt, respiratory alkalosis (blowing off co2, more bicarbonate) increased RR, TV smaller. SOB/cough, dyspnea=how many words can they say in one breath chest pain, fatigue, wt. loss, lung crackles, care: HOB 30deg, fluids to clear secretions, tidal volume--normal breathing 500mL
Nursing dx: impaired gas exchange, ineffective breathing pattern, acute pain
Outcomes: maintains adequate alveolar oxygen-carbon dioxide exchange, clears lungs of fluids and exudates. Demonstrates effective RR, rhythm, and depth of respirations. Reports control of pain following relief measures.
3. Review the treatment for TB (look in Lewis), including medications, length of treatment, evaluation of treatment plan, who is most likely to get TB infection, and side effects of the medications Medications: aggressive TB treatment: four drugs for 6 months, (INH, rifampin [Rifadin], pyrazinamide [PZA], and ethambutol) Newer: rifamycins, rifubin, rifapentine, first line for special situations Length of