Nr 340 Evolve Specialty Exam (Ese) Study Guide

NR 340 Evolve Specialty Exam (ESE) Study Guide Instructions: The contents on this guide are intended to help you organize your preparation for the Evolve Specialty Exam (ESE) for NR340. This is not intended to serve as a direct reflection of the exact questions that will be presented in the exam. As you review the topics listed below, be sure that you can 1.understand the pathophysiology; 2.identify the appropriate assessment skills; 3.interpret the appropriate lab or other diagnostic findings; 4.develop a safe and competent plan of care with rationale; 5.associate the nursing implications with the appropriate medications or other treatments; 6.teach the rationale for all the above; and 7.prioritize especially r/t interventions and use of the nursing process. Medication Calculations r/t IV (mg/min to ml/hour; mcg/ml, etc.) 1Cardiovascular AnginaMI (with rationale) oAssessment oDiagnostics oInterventions with rationale, including the effect of the Valsalva maneuver oTeaching with rationale oCritical medications: Vasopressin, TNG, Dopamine, Thrombolytics, MSO4 (positive effects with AMI? Rationale -NCLEX question!) oRationale for increasing perfusion as a priority for AMI Heart failure oCommon cause(s) oDistinguish right from left failure oDiagnostics oInterventions with rationale Hypertensive crisis oAssessment 2oInterventions with rationale oIV medications and implications: Rationale and cautions for medications below Thiazide diuretic