Nur390 Exam 1 2024/ Questions With Correct Detailed /verified

What is Respiratory Acidosis? {Ans: Cause: 1. COPD, resp depression (think opioids/narcotics), inadequate chest expansion (penumothorax, atelectasis), PE, brain injury S/S: Lethargy, confusion, headache, dizziness, coma, hypotension, ventricular fibrillation related to hyperkalemia, warm, flushed skin, and seizures}C - Circulation {Ans: Circulation- -ECG monitoring: rate and rhythm -BP: noninvasive or arterial line -Hemodynamic pressure readings (if applicable) -temperature -Cap refill -Color, temp, moisture of skin -Apical and peripheral pulses}Potential complications for fluid volume excess {Ans: Pulmonary edema, ascites, heart failure}D- Disability {Ans: Disability- neurological -LOC -orientation -sensory and motor status -pupil size and reaction}Dawn Phenomenon {Ans: hyperglycemia on awakening due to GH and cortisol excreted in early morning. Tx: increase insulin levels.}Collaborative action for laryngeal stridor s/p subtotal thyroidectomy {Ans: Laryngeal stridor/post thyroidectomy: Partial obstruction of the larynx or trachea. High pitch upon inspiration and expiration. Oxygen >Suction equipment > tracheostomy tray > IV Calcium salts (if tetany due to parathyroid).}