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Questions and Answers
Which component of the SBAR method represents the patient's current status?
Which component of the SBAR method represents the patient's current status?
What is a key factor that may increase a patient's risk for falls?
What is a key factor that may increase a patient's risk for falls?
Which of the following is considered an essential nursing intervention for a patient who is dying?
Which of the following is considered an essential nursing intervention for a patient who is dying?
What best describes a patient who is demonstrating readiness to learn?
What best describes a patient who is demonstrating readiness to learn?
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Identifying barriers to learning does NOT include which of the following factors?
Identifying barriers to learning does NOT include which of the following factors?
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Which method is NOT typically used to evaluate the teaching-learning process?
Which method is NOT typically used to evaluate the teaching-learning process?
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Which level of prevention focuses on preventing the onset of disease?
Which level of prevention focuses on preventing the onset of disease?
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Which behavior is NOT an example of health promotion?
Which behavior is NOT an example of health promotion?
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What is the primary focus of tertiary prevention in healthcare?
What is the primary focus of tertiary prevention in healthcare?
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Which of the following is an example of secondary prevention?
Which of the following is an example of secondary prevention?
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What immediate action should be taken when managing anaphylaxis?
What immediate action should be taken when managing anaphylaxis?
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Which symptom is NOT typically associated with an allergic reaction?
Which symptom is NOT typically associated with an allergic reaction?
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When caring for a postoperative patient, what should the nurse primarily assess for at the surgical site?
When caring for a postoperative patient, what should the nurse primarily assess for at the surgical site?
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What is a typical non-pharmacologic measure to alleviate pain in postoperative patients?
What is a typical non-pharmacologic measure to alleviate pain in postoperative patients?
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What is a key indicator that an allergic reaction might be worsening?
What is a key indicator that an allergic reaction might be worsening?
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What should be included in patient education to prevent allergic reactions?
What should be included in patient education to prevent allergic reactions?
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What initial action should be taken before assessing a patient with suction devices in use?
What initial action should be taken before assessing a patient with suction devices in use?
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What is a characteristic feature observed in a sinus rhythm?
What is a characteristic feature observed in a sinus rhythm?
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Which medication is appropriate for treating symptomatic sinus bradycardia?
Which medication is appropriate for treating symptomatic sinus bradycardia?
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What should be the main concern when managing a patient with ventricular fibrillation?
What should be the main concern when managing a patient with ventricular fibrillation?
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In the case of ventricular tachycardia with a pulse present, what is a recommended intervention?
In the case of ventricular tachycardia with a pulse present, what is a recommended intervention?
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What defines atrial fibrillation on an ECG rhythm strip?
What defines atrial fibrillation on an ECG rhythm strip?
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Which of the following is NOT a treatment for ventricular tachycardia?
Which of the following is NOT a treatment for ventricular tachycardia?
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The mnemonic 'unstable gets the CABLE' is associated with which cardiac condition?
The mnemonic 'unstable gets the CABLE' is associated with which cardiac condition?
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What precautions should be taken for a patient experiencing dysphagia?
What precautions should be taken for a patient experiencing dysphagia?
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What potential side effect should a nurse monitor for in a patient taking Verapamil?
What potential side effect should a nurse monitor for in a patient taking Verapamil?
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What is a primary nursing responsibility before a bronchoscopy procedure?
What is a primary nursing responsibility before a bronchoscopy procedure?
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What is a common complication to monitor for during the recovery phase after bronchoscopy?
What is a common complication to monitor for during the recovery phase after bronchoscopy?
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What is the correct procedure for collecting a sputum culture?
What is the correct procedure for collecting a sputum culture?
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Which demographic is particularly at risk for respiratory illnesses due to changes in chest wall compliance?
Which demographic is particularly at risk for respiratory illnesses due to changes in chest wall compliance?
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What does sputum analysis primarily check for?
What does sputum analysis primarily check for?
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What should patients limit to manage hypertension effectively?
What should patients limit to manage hypertension effectively?
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Which of the following is NOT a recommended aspiration precaution for patients with dysphagia?
Which of the following is NOT a recommended aspiration precaution for patients with dysphagia?
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Which symptom is NOT commonly associated with a myocardial infarction (MI)?
Which symptom is NOT commonly associated with a myocardial infarction (MI)?
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What is a primary rationale for cardiac catheterization?
What is a primary rationale for cardiac catheterization?
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What does Percutaneous Transluminal Coronary Angioplasty (PTCA) involve?
What does Percutaneous Transluminal Coronary Angioplasty (PTCA) involve?
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Which of these is considered a modifiable risk factor for coronary artery disease (CAD)?
Which of these is considered a modifiable risk factor for coronary artery disease (CAD)?
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What medication class is commonly prescribed post-myocardial infarction to decrease cardiac workload?
What medication class is commonly prescribed post-myocardial infarction to decrease cardiac workload?
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What should be monitored post-cardiac catheterization to prevent complications?
What should be monitored post-cardiac catheterization to prevent complications?
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Which is NOT a recommendation for lifestyle changes to manage hypertension?
Which is NOT a recommendation for lifestyle changes to manage hypertension?
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What is the most appropriate action to take immediately after a specimen is collected to prevent microorganism growth?
What is the most appropriate action to take immediately after a specimen is collected to prevent microorganism growth?
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Which sputum characteristics indicate a possible lung infection?
Which sputum characteristics indicate a possible lung infection?
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Which of the following is considered a high flow oxygen delivery device?
Which of the following is considered a high flow oxygen delivery device?
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What is a significant risk factor for hospital-acquired pneumonia?
What is a significant risk factor for hospital-acquired pneumonia?
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In the treatment of pneumonia, what is the purpose of increasing fluid intake?
In the treatment of pneumonia, what is the purpose of increasing fluid intake?
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What is the main goal of inserting a chest tube?
What is the main goal of inserting a chest tube?
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Which of the following is a symptom that may indicate hyperkalemia?
Which of the following is a symptom that may indicate hyperkalemia?
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What could be a potential risk if hypokalemia is corrected too quickly?
What could be a potential risk if hypokalemia is corrected too quickly?
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Study Notes
NUR 351 Final Exam Study Guide
- Test Questions Blueprint: 100 questions total, broken down into Psych/Mental Health (18), Pediatrics (9), and Medical-Surgical (73).
Week 3-4: Foundations of Medical-Surgical Nursing & Health Promotion/Teaching/Learning
- SBAR Communication: Components include Situation, Background, Assessment, and Recommendation. An example would detail the patient's current status, relevant medical history, assessment findings, and a suggested plan of action.
- Patient Risk Factors: Identify factors like impaired mobility or orthostatic hypotension that increase the risk of falls and infections in patients.
- Dying Patient Interventions: Prioritize pain management, symptom control, creating a calm environment, and maintaining patient comfort.
- Patient Readiness to Learn: Assess for barriers like cognitive abilities, emotional state, and motivation. Consider cultural and religious beliefs influencing treatment consent. Evaluate teaching-learning through observation, demonstration, and the teach-back method.
Week 5: Immunity & Perioperative Nursing
- Signs of Infection: Malaise, fatigue, warm skin, fever, elevated white blood cell (WBC) count, tachycardia, and purulent drainage.
- Anaphylaxis Management: Key symptoms include wheezing (potentially stridor), pruritus, urticaria. Administer epinephrine (IM) ASAP.
- Infection: Treat non-specific issues with supportive care, pain management, fever management.
Week 6: Dysrhythmias & Hypertension
- Sinus Rhythms: Assess heart rate (HR) – bradycardia (below 60 bpm), tachycardia(above 100 bpm). The normal sinus rhythm (NSR) is between 60-100 bpm. Treat underlying causes if needed.
- Atrial Rhythms: Specific rhythms requiring particular management.
- Ventricular Rhythms: Dangerous rhythms. Immediate intervention is necessary, such as CPR and defibrillation.
Week 7: Myocardial Infarction
- Presenting Symptoms: Chest pain, neck/jaw pain, fatigue, shortness of breath, abdominal pain. Women may display vague symptoms.
Week 8: Neuro/Stroke
- Cranial Nerve Deficits: (IX, X, XI, XII): Assess for swallowing difficulties (dysphagia), risk of aspiration.
- Cerebellar Damage Considerations: Assess for risk of falls.
- Stroke Patient Care: Assess for aphasia, ataxia, and dysphagia and incorporate measures to manage each.
Week 10: Adult Respiratory System
- Risk Factors for Respiratory Illness: Smoking and osteoporosis-related chest wall compliance issues.
- Bronchoscopy Care: Pre-procedure (NPO), post-procedure (monitor for hypoxia, bleeding, gag reflex).
- Sputum Culture: Collect samples to identify microorganisms.
- Respiratory issues: Assess oxygen requirements. Use appropriate oxygen delivery devices (e.g., nasal cannula, face masks)
Week 12: Fluid & Electrolyte Balance, Acid-Base, and Acute Renal Failure
- Electrolyte Imbalances: Monitor electrolytes for critically ill patients. Risks associated with hyperkalemia (K+ > 5.3) and hypokalemia (K+ < 3.5).
- Dehydration: Look for tachycardia, dry mucous membranes, decreased urine output, and weight loss in assessing patients.
- Fluid Overload: Look for edema, weight gain, crackles in lungs, and tachycardia in assessing patients.
- Treatment for Acute Kidney Injury (AKI): Awareness of the stages that include initiating, oliguric, and diuretic phases, and their management.
Week 13: Acute Pancreatitis, Peptic Ulcer Disease, and Upper GI Bleed
- Peptic Ulcer Disease (PUD): Primary symptom is pain. Other symptoms can include nausea, vomiting, hiccups, and/or abdominal distention.
- Treatment: Administer H2 antagonists to reduce acid production or antibiotics if PUD is caused by the infection of Helicobacter Pylori.
Week 14: Sepsis and Shock, DIC
- Sepsis Bundle: Interventions should be initiated within 1 hour, including fluid resuscitation and antibiotic administration.
- Disseminated Intravascular Coagulation (DIC): A complication of sepsis.
Week 15, 16, and 17 (Other potential topics/requirements)
- Mental Status Exam/MSE: Review the components and relevant terminology
- Mood Disorders (Depression/Bipolar): Relevant characteristics and interventions for patients with these disorders
- Suicide Risk Assessment: Identify risk factors, safety planning.
- Substance Use Disorders: Understand appropriate assessment and treatment for individuals with substance use disorders.
- Eating Disorders: Understand the key components for anorexia and bulimia.
Week 16 and 17 (Potential topics/requirements)
- Pharmacology Review: Match medications to their drug class, including side effects and clinical considerations. Focus on understanding the pharmacology related to specific conditions covered in respective weeks of the course.
Other Critical Topics
- Patient safety across all topics.
- Priority Setting, identifying what needs to be addressed immediately versus what can be addressed later.
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Description
Prepare for your NUR 351 final exam with this comprehensive study guide. It covers essential topics such as SBAR communication, patient risk factors, interventions for dying patients, and assessing patient readiness to learn. Use this resource to reinforce your knowledge and excel in your nursing studies.
