NURS 3651 Exam 2 Blueprint 2024 PDF

**NURS 3651 Holistic Nursing: Care of Adults & Older Adults** Course Coordinator: Prof. Arline **Exam \#2 Blueprint** **Modules 3 and 4** This exam will consist of 73 multiple choice questions with 2 math questions. **TOTAL exam = 75 questions.** **Arrive in the CSHP Atrium [no later than 1230...

**NURS 3651 Holistic Nursing: Care of Adults & Older Adults** Course Coordinator: Prof. Arline **Exam \#2 Blueprint** **Modules 3 and 4** This exam will consist of 73 multiple choice questions with 2 math questions. **TOTAL exam = 75 questions.** **Arrive in the CSHP Atrium [no later than 1230 for check-in] and prompt 1300 exam start.** **Module 3:** Endocrine Assessment pp. 1265; read through Table 52. Diabetes Mellitus, Goiter, Hypo & Hyper THYROIDISM; Hypo & Hyper PARATHYROIDISM, Cushing Syndrome, Addison's Disease, Bacterial & Viral Meningitis, Stroke, Headaches, Seizures, Restless Leg Syndrome, Multiple Sclerosis, Parkinson's disease, Delirium Dementia (Alzheimer's), Musculoskeletal assessment pages (1622-1627), Fractures, Fracture Complications, Amputation, Osteomyelitis, Osteoporosis, Arthritis -- Osteo / Rheumatoid / Gout, Psoriatic Arthritis, Systemic Lupus Erythematosus, Fibromyalgia **Module 4:** Acid-Base Balance (ABGs), Lab Values, Influenza, Tracheostomy **Care** (only); Bronchitis, Pneumonia, Tuberculosis, Asthma, COPD **Diabetes Mellitus (4)** - **What test gives the provider data over several months to decide if Type 2 diabetes treatment is working or not?** - **What are the classic symptoms a patient will report when being evaluated for a diagnosis of type 1 diabetes mellitus?** - **How can risk factors in a newly diagnosed Type 2 DM be changed to control blood glucose levels?** - **Know the drugs---lispro(Humalog), glargine(Lantus), detemir(Levemir) and NPH(Humulin N). How is each used to control blood glucose levels?** - **Differentiate high or low finger stick glucose levels, based on time of day, when patients are eating (Not NPO). What should they be?** - **What is the relationship between Type 2 diabetes and annual eye examinations?** **Hyper/Hypo Thyroidism (1)** - **What is the after effect of radioactive iodine treatments? Is it given for hypo or hyperthyroidism?** **Hyper/Hypo Parathyroidism (1)** - **How is hypoparathyroidism treated? What is the reason for this treatment regimen?** **Cushing 's syndrome (1)** - **What are the classic, physical characteristics of a patient with Cushing's syndrome?** **Addison 's disease (1)** - **Know how the drug---hydrocortisone works, to help patients with Addison's disease. How could a patient taking hydrocortisone end up in Addisonian crisis?** **Bacterial/Viral Meningitis (3)** - **What patient signs and symptoms will the nurse know to confirm a diagnosis of bacterial meningitis?** - **Know the [steps] to take---1^st^ step, 2^nd^ step, etc., for treating a new case of bacterial meningitis.** - **What diagnostic procedures are used to confirm bacterial and viral meningitis?** **Stroke (4)** - **What diagnostic exams are used to identify strokes?** - **There are 2 types of "aphasia" in stroke patients. What are they? How do they differ?** - **What are all the risk factors to teach patients to [prevent] stroke?** - **What are the patients' experiences that lead to a specific type of stroke? For example... Hemorrhagic? Thrombotic?** **Headaches (3)** - **What are the [characteristic] symptoms that patients report for [each type] of the 3 types of headaches?** - **Know the most recommended treatment for each headache type -- Tension, Migraine, Cluster** - **Know the drug -- sumatriptan (Imitrex). What is the important patient information to know when taking this drug?** **Seizures (3)** - **What are the key nursing actions in managing a patient having a tonic-clonic seizure?** - **Know the drug -- carbamazepine (Tegretol) and important med administration facts about it.** - **Know how Absence seizures are diagnosed.** **Restless Leg Syndrome (2)** - **Know the list of medications to avoid when a patient has (RLS)** **Multiple Sclerosis (MS) (2)** - **What are the triggers that patients experience that lead to the MS diagnosis?** - **Know the drug - beta 1a-interferon (Avonex). What patient experiences must be monitored when taking this drug?** **Parkinson's (3)** - **What are a patient's physiologic changes that lead to self-care challenges was this condition (Parkinson's) advances? Know all listed in your book.** - **Based on these physiologic changes, what are goals of care (nursing interventions)?** - **Know the drug -- carbidopa/levodopa (Sinemet). What is the patient teaching, especially at home, to those who take this drug?** **Delirium & Alzheimer's Dementia (4)** - **Know the differences in care needs of patients with Mild, Moderate and Severe dementia.** - **What are "protective" nursing actions when caring for patients with mild/moderate/severe dementia?** - **Know the drugs -- donazepil (Aricept) and sertraline (Zoloft). How are they used in the care of Alzheimer's patients?** - **What are the best nursing actions to keep patients at risk for delirium safe?** - **Know nursing assessment tools for delirium/dementia Mini Mental State exam, Clock Test, CAM tool, etc. (Use Index [in book] if it's hard to find these).** - **What are the best (and evidence-based) methods to treat delirium [in hospital settings]?** **Fractures (3)** - **Brainstorm various ways to teach elderly patients how to prevent fractures.** - **ORIF is the surgical procedure to fix a fractured bone. What is the first step in nursing care, during the post-operative period?** - **Know the importance of pre-op teaching to patients who will have fractures fixed and how it can prevent fear of surgery.** - **What is [compartment syndrome]? How does the nurse manage it? When must care be escalated to the surgeon? What are the patients' experiences that lead to a nursing identification of compartment syndrome and what are next steps? What is the ultimate risk of untreated compartment syndrome?** **Amputation (2)** - **What are the do's and don'ts of care of the [above the knee] amputation?** - **What are the classic signs and symptoms that patients experience [after] an amputation?** **Osteomyelitis (2)** - **What are the signs and symptoms that identify osteomyelitis?** - **Know the drug [classification] used to treat osteomyelitis --fluoroquinolones. Ciprofloxacin is from this drug class. What [must] the nurse know is a serious side effect, and ensure the patient knows?** **Osteoporosis (3)** - **What modifiable risk factors contribute most to development of osteoporosis?** - **What are the most common physical characteristics of patients with osteoporosis?** - **Know the drug -- alendronate (Fosamax). What are nursing implications for administering this drug, and patient instructions when taking it at home?** **Rheumatoid Arthritis (RA) (1)** - **Know the drug -- prednisone. Why is it given to patients with RA? What does it do for them? What laboratory tests will the nurse monitor to know if it is working, or not?** - **Joints of patients with RA change shape. To document the shapes that your patient's hands or feet may have, what are these shapes called?** **Osteoarthritis (2)** - **What are the characteristic signs and symptoms experienced by a patient who has osteoarthritis?** - **Know the drug -- celecoxib (Celebrex). What does it do for patients with OA? What are side effects? What are adverse side effects?** **Gout / Psoriatic Arthritis (3)** - **What are the signs and symptoms (patient experiences) of gout? Certain foods lead to gout attacks. Which ones (classification)? Which specific foods should be avoided?** **SLE (Systemic Lupus Erythematosus) (3)** - **Know the characteristic risks and cautions that patients with SLE (lupus) must take in everyday life.** - **What infection are patients with SLE at [greatest risk] for contracting?** - **Describe body image concerns patients with SLE have. How can the nurse help?** **Fibromyalgia (2)** - **How is fibromyalgia diagnosed? What are the specific, defining characteristics that confirm the diagnosis?** - **What must the nurse teach the patient about the role diet (foods to eat/avoid) plains in controlling fibromyalgia pain?** - **Know the drug---pregabalin (Lyrica). How does it work? What is the important patient teaching associated with taking this drug?** **Arterial Blood Gas / Acid-Base Balance: (2)** - Practice ABG interpretation using R-O-M-E acronym. Practice often (Various online ABG "games" - Know what makes Acidosis/Alkalosis either [respiratory] or [metabolic]. **Influenza: (2)** - What infection control precautions are ordered for a patient with influenza - What is the most common treatment for influenza. - How can it be prevented and how is it treated - Differentiate the care involved, based on viral or bacterial sources. **Tracheostomy Care (1)** - **Watch video!** Know the nursing actions needed to maintain the inside of the tracheostomy **sterile.** Know safe cleaning practices to prevent dislodgment. - Know the emergency steps to take if it does become dislodged. **Bronchitis: (2)** - What assessment findings confirm bronchitis - Know the length of time for symptom control, [before] more aggressive medical care is prescribed - Differentiate between the nursing/medical management of chronic versus acute bronchitis **Pneumonia: (2)** - What assessment findings confirm pneumonia - How does it differ from bronchitis - What is the patient experience with pneumonia - What are the risks and manifestations of pneumonia in the elderly - Differentiate between viral and bacterial pneumonia and the treatments **Tuberculosis: (4)** - Know how TB is contracted and it's long term effects - Know the associated testing terminology: Mantoux test, Quantiferon gold, BCG - Know the correct mask required to care for a TB patient and why - Describe the diagnostic test to confirm TB, and how often it is repeated - Describe management of care of the TB patient in the hospital **Asthma: (5)** - How is peak flow/spirometry used in care of asthma patients - How does the nurse prepare the patient for peak flow measurement/spirometry - What directions are given regarding medications, to properly prepare for spirometry - What are the common triggers to an asthma attack - Define the processes of airway reactions, inflammation and the role of steroid use - Know use of steroids, and most common bronchodilators in asthma control **COPD: (2)** - Know the differences between COPD and Asthma - What are the risk factors leading to COPD - What is the most common hospital treatments for COPD and at-home treatments for COPD. - How is COPD different and how it is similar to asthma - What is the nursing care recommended to patients with COPD and how does it differ from asthma **Math: (2 questions)** - Drop factor, IVPB