9월 1일 강의free

1.The nurse is taking care of an elderly client with left sided heart failure.

Which of the following are the MOST appropriate nursing interventions to reduce the workload of the heart and to promote comfort and rest? selection all that apply

①Asist the client on short walks at least two times per shift to increase circulation#

②Provide a comfortable armchair or raise the head of the bed to increase the reserve ot the heart and to decrease the work  of breathing#

③Allow the client to lie flat to sleep.

④Help the client walk to the bathroom  rather than using a bedside commode.

2.The nurse is instructing a male client on the proper use of crutches for an ankle injury. He will be required to be non weight bearing for 4~6 weeks. W	hich of the following crutch gaits should the nurse teach this client for safe ambulation?

①The two point gait

②The three point gait#

③The four point gait

④None there is no special gait for crutch trainning

3.The nurse is working in an extended care facility when a nursing assistant reports that an elderly cleint is crying in pain. The nurse finds  the client in the bathroom complaining of severe constipation.What would be the appropriate order of nursing interventions to asist this client with his immediate elimination  needs? selection all that apply 4-3-2-1

①Offer oral fluids to case the constipation.

②Notify the physician

③Offer PRN medications orally .if ordered.

④Use a gloved hand with lubricant to  manually assess for recal impaction and to stimulate the rectal wall to loosen the fecal matter.9/1

1.olmesaltan 금기?

①heart failure

②MI  ③angina

④heart block

##pregnant or nursing women, individuals with hepatic or renal impairment, geriatric patients heart failure, or kidney or liver disease

2.(Lt,) HF일 때 중재 & 약물 문제

chest x-ray

antianxiety 먹을 거야

ECG monitoring

~sartan

Olmesartan can be used to manage heart failure (HF) by lowering blood pressure, which reduces the strain on the heart and helps improve blood flow and oxygen supply to the heart

3.약물 clarify?

hepatitis.niacin apply

vit B12 apply . pernicious anemia .

pantoprazole

PUD apply

⓸Acetaminophen 650mg을 evry 4시간마다 준다. (이 보기는 정확해요.)

4. 약물 짝지워 진것중 틀린것?

cardiogenic shock b-blocker(~ lol)

PSVT CCB(~deltiazem)

HTN  b-blocker(~lol)

varstatin –liver cirrhosis

##Adenosine and Diltiazem (120mg)- both are highly efficient agents in reversing stable PSVT

##Cardiogenic shock is a major, and frequently fatal, complication of a variety of acute ... Myocardial depressant drugs (eg, beta-blockers, calcium channel blockers

5.질병과 약이 잘못 짝지어진거는??

ACE inhibitor – MI

calcium channel blocker – heart failure

고혈압-베타블로커

신경계염-myambutol

6. 다음 약물중  clarify 해야할 것은

⓵ isosorbid mononitrate with angina

② methyldopa with hypertension

③ ranitidine with GERD

④ enalapril with angioedema

#ACE inhibitors may cause cough and angioedema through a cascade of effects that begins with the accumulation of kinins

Methyldopa (L-α-Methyl-3,4-dihydroxyphenylalanine; Aldomet, Aldoril, Dopamet, Dopegyt, etc.) is an alpha-adrenergic agonist (selective for α2-adrenergic receptors) psychoactive drug used as a sympatholytic or antihypertensive

7.손목에 줄그은 청소년 ngn - s3심음 들리고 불안해보이고 울고 불고 해서 이알에 옴. 근데 ekg정상임vs도 괜찮음

정신 ngn/ 10대 소년 팔에 상처나서 삼출액 나오고 있고 이마에 열상 있고 엉엉엉 울고 있음.er에 실려옴. 정확히는 기억 안나는데 가정사가 있는듯.

잘 봐여하는거

우울

자살

패닉 어택

8. 중재해야 할 것은? Sata

팔 상처

이마 열상

눈물로 젖은 얼굴

Lab results

9. 우선중재?

팔 상처 처치,

자살 계획 물어보기

10. 널스 노트에 추가된 사항 보고 간호중재? correct/incorrect 표 이중택일

저 지금 죽고싶어요~ incorrect

가족한테 전화힌지 마세요 ~incorrect

부모님이 날 집 밖에 못나가게 할거다 -incorrect

11.NGN 남편사별한 여성, Depression, DM2

NGN Rh- 엄마, Rh+애기

.NGN 남편 잃은 아내 디프레션 심함+hba1c 높고 혈당은 160 뭐진단하고 어떤거 해줄래?

진단명?

DI

NIDDM

cushing disease

SIADH