Final Exam Review Topics Summary
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Final Exam Review Topics Summary

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Questions and Answers

What is a crucial position to assume during a thoracentesis to avoid complications?

  • Lying flat on the back
  • Supine with legs elevated
  • Sitting upright and leaning forward (correct)
  • Reclined at a 45-degree angle
  • What symptom is indicative of laryngeal cancer?

  • Persistent hoarseness (correct)
  • Loss of appetite
  • Chronic cough
  • Frequent throat clearing
  • Which action is essential in the prevention of atelectasis?

  • Administering bronchial dilators
  • Promoting increased physical activity
  • Providing systemic corticosteroids
  • Encouraging deep breathing exercises (correct)
  • What is a primary clinical manifestation of obstructive sleep apnea?

    <p>Loud snoring</p> Signup and view all the answers

    What is the main purpose of using CPAP in patients with obstructive sleep apnea?

    <p>To improve oxygenation during sleep</p> Signup and view all the answers

    What key personal protective equipment (PPE) requirement is necessary when managing tuberculosis?

    <p>N95 respirators</p> Signup and view all the answers

    What is the primary focus of post-procedure care following a bronchoscopy?

    <p>Monitoring respiratory status</p> Signup and view all the answers

    What should a patient experiencing asthma be treated with during an acute attack?

    <p>Short-acting beta-agonist like albuterol</p> Signup and view all the answers

    Which of the following strategies is essential for effective trachostomy care?

    <p>Assessing for tube patency</p> Signup and view all the answers

    What should be monitored closely after thoracentesis to prevent complications?

    <p>Respiratory distress signs</p> Signup and view all the answers

    What clinical manifestation is primarily associated with hyperkalemia?

    <p>Leg cramping</p> Signup and view all the answers

    In patients with fluid volume excess, which of the following findings would most likely be present?

    <p>Edema</p> Signup and view all the answers

    Which treatment is preferred for managing fluid volume deficit before considering IV fluids?

    <p>Oral intake</p> Signup and view all the answers

    What laboratory change is indicative of acute renal failure?

    <p>Increased creatinine</p> Signup and view all the answers

    What is a common clinical manifestation of post-strep glomerular nephritis?

    <p>Hematuria</p> Signup and view all the answers

    Which type of IV fluid would be inappropriate for someone experiencing cerebral edema?

    <p>Hypotonic</p> Signup and view all the answers

    Which of the following is NOT a recommended prevention method for urinary tract infections (UTIs)?

    <p>Taking frequent baths</p> Signup and view all the answers

    What condition can result from inadequate foreskin hygiene in males?

    <p>Phimosis</p> Signup and view all the answers

    Which PDE5 inhibitor side effect would require immediate cessation of the medication?

    <p>Hypotension with nitrates</p> Signup and view all the answers

    What distinguishes Type 1 diabetes from Type 2 diabetes in terms of pathophysiology?

    <p>Autoimmune destruction of beta cells</p> Signup and view all the answers

    Study Notes

    Final Exam Overview

    • Exam will cover material from first two exams; content from exam three will be included after analysis.
    • Recent exam performance received generally positive feedback.

    Chapter 10: Electrolytes and Fluid Management

    • Electrolytes: Focus on sodium (Na) and potassium (K).
      • Potassium: EKG changes, leg cramps, muscle weakness, paresthesia.
      • Sodium: Neurological issues, altered mental status, seizures.
    • IV Fluids:
      • Types: Isotonic, hypotonic, hypertonic.
      • Important considerations for usage, particularly in cases of cerebral edema.
    • Fluid Volume Deficit:
      • Manifestations: Skin tinting, dry mucous membranes, hypotension, tachycardia.
      • Treatment: Prioritize oral hydration, IV fluids if needed.
    • Fluid Volume Excess:
      • Manifestations: Edema, pulmonary crackles, jugular venous distention (JVD), hypertension.
      • Treatment: Diuretics.

    Chapter 48: Glomerular Nephritis and Acute Renal Failure

    • Glomerular Nephritis: Typically post-strep.
      • Clinical manifestations include proteinuria, edema, risk of renal failure.
    • Acute Renal Failure:
      • Lab findings: Decreased glomerular filtration rate (GFR), elevated blood urea nitrogen (BUN) and creatinine.

    Chapter 47: Urinary System

    • Abnormal Urine: Analyze urine characteristics through patient scenarios.
    • Aging Effects: Decreased GFR and impaired urine concentration.

    Chapter 49: Renal Calculi and UTI

    • Renal Calculi:
      • Symptoms include costovertebral angle tenderness, groin pain, hematuria.
    • Urinary Tract Infection (UTI):
      • Symptoms include delirium, burning sensation, foul-smelling urine, urgency, hesitancy.
      • Prevention strategies: Adequate hydration, wearing cotton underwear, avoiding baths.

    Chapter 53: Male Reproductive Disorders

    • Phimosis: Awareness of clinical symptoms and care for foreskin hygiene.
    • PDE5 Inhibitors: Educate on proper use and contraindications with nitrates.

    Chapter 46: Diabetes

    • Type 1 vs. Type 2: Contrast pathophysiology and clinical manifestations.
    • Hypoglycemia: Recognize symptoms and treatment options.
    • Diabetic Ketoacidosis (DKA): Understand clinical signs and treatment approaches.

    Chapter 17: Respiratory Procedures

    • Thoracentesis: Proper positioning and awareness of potential complications like pneumothorax.
    • Bronchoscopy: Critical focus on post-procedure care.

    Chapter 18: Upper Respiratory Tract

    • URI Management: Symptomatic care includes hydration and adequate rest.
    • Laryngeal Cancer: Persistent hoarseness is a significant symptom indicating potential cancer.

    Chapter 19: Tuberculosis and Respiratory Conditions

    • Tuberculosis: Key symptoms and personal protective equipment (PPE) requirements.
    • Atelectasis Prevention: Utilize deep breathing, coughing techniques, and incentive spirometry.

    Chapter 20: Obstructive Sleep Apnea and COPD

    • Obstructive Sleep Apnea: Recognize symptoms and the role of Continuous Positive Airway Pressure (CPAP).
    • COPD: Understand symptoms and special considerations for activities of daily living (ADLs).

    Trachostomy and Asthma

    • Trachostomy Care: Importance of suctioning and effective communication strategies.
    • Asthma: Recognize symptoms and standard treatment with albuterol.

    Action Items

    • Prepare interactive quizzes for comprehensive exam review.
    • Analyze concepts for study guide inclusion from the third exam.
    • Schedule subsequent meetings for further exam preparation discussions.

    Follow-up Points

    • Next meeting tentatively set for Friday evening or Saturday morning.
    • Ensure participant access to recorded session for review purposes.

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    Description

    This summary covers key topics discussed in the final exam review meeting, focusing on the overview of the exam content and performance feedback. It also highlights specific subjects including Chapter 10 on Electrolytes and Fluid Management. Participants are encouraged to understand these topics thoroughly before the exam.

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