Nur 265 Exam 4 (2023/2024) Questions With Answers Actual Exam

Acute graft rejection: Kidneys {Ans: -creatnine is elevated and may or may not be producing urine -notify surgeon if HYPOTENSION occurs or excessive diuresis}head and neck cancer: interventions {Ans: -maintain airway -surgical removal of cancer; radical neck disection, facial reconstruction -chemo -external radiation}Acute graft rejection: Liver {Ans: -elevated liver enzymes -monitor temp frequently -RUQ pain -report increased abdominal pain -distention, and rigidity}YELLOW: can wait a short time {Ans: -open fracture with distal pulses -large wounds -require hospitalization}urgent {Ans: new onset pneumonia}Complication: spinal chord compression {Ans: tumor presses on and compresses the spinal chord, or vertebrae collapse due to bone loss associated with bone cancer}Lupus: Hallmark sign {Ans: butterfly rash on face}Fibromyalgia: Interventions {Ans: NSAIDS Nuerontin (gabapentin) Lyrica (pregabalin) SNRI and tricyclic antidepressants (amitriptyline) promote sleep and low impact exercise (stretching, walking, swimming, rowing, water exercise)}Epinephrine Auto-injector teaching {Ans: always carry 2 devices inject by "stabbing" into top of thigh with pants on (AVOID pockets) call 911 immediately--patient still needs to be monitored keep epi in cool dark place.}positive influenza {Ans: not respiratory distress--non urgent respiratory distress--urgent respiratory failure--emergent urgent/nonurgent and flu postive give mask and have them wait in waiting