Treatment

Question 1

Atelectasis

Answer 1

Turning
Ambulation
Breathing and coughing
ICOUGH
CPT, postural drainage
Thoracentesis
Intubation and ventilation
O2 therapy

Question 2

Influenza prevention

Answer 2

Quit smoking
Stay home
Vaccines: LSIV and TIV
Hand washing
Don’t touch face
Avoid close contact with infected person

Question 3

PNA

Answer 3

Prompt abx
O2, analgesics, antipyretics
Rest and activity
Humidifier, hydration

Question 4

Cor pulmonale

Answer 4

BP meds
Diuretics
O2

Question 5

COPD exacerbation

Answer 5

Short acting bronchodilators
Oral systemic steroids
Abx
O2

Question 6

Goal of O2 therapy for COPD

Answer 6

Keep sat above 90
PaO2 over 60
Improves activity, cognition, sleep

Question 7

COPD non pharm tx

Answer 7

Respiratory and physical therapy- pursed lip, diaphragmatic
Effective coughing
CPT
Flutter and Acapella
Positive expiratory pressure tx (PEEP)

Question 8

COPD surgical options

Answer 8

Lung volume reduction surgery
Bronchoscopic lung volume reduction surgery
Bullectomy
Lung transplant

Question 9

COPD nursing (edu on activity)

Answer 9

15-20 minute exercise 2-3 times per week
Sleep

Question 10

NSCLC surgeries

Answer 10

Pneumonectomy
Lobectomy
Segmental resection
VATS

Question 11

SBRT procedure

Answer 11

High dose radiation to small area
Over 1-3 days

Question 12

Palliative care for lung cancer

Answer 12

Radiation
Stent
Pain management

Question 13

Obesity lifestyle modifications

Answer 13

Decrease calories 500 to 1000
Exercise 75 to 150 minutes/week
Whole foods
Journal
Healthy sleep habits

Question 14

Obesity non surgical procedures

Answer 14

Vagal blocking
Intragastric balloon
Endovascular bariatric embolization

Question 15

Nursing for obesity respiratory and CV complications

Answer 15

Low Fowler for chest expansion
Pulse ox
O2
Resp assessments
Big cuff
Monitor for DVT and pressure injuries

Question 16

Bariatric surgical procedures

Answer 16

RYGB (bypass)
Gastric banding
Sleeve gastrectomy
Biliopancreatic diversion with duodenal switch

Question 17

Sleeve gastrectomy

Answer 17

Restrictive
Smaller stomach

Question 18

Bariatric surgery complications

Answer 18

Infection
Leakage
Change in bowel pattern
Hemorrhage
VTE
Bile reflux
Dumping
Hypoglycemia
Dysphagia
Obstruction

Question 19

Pre bariatric surgery diet

Answer 19

Clear liquid 24-48 hours
NPO midnight
Maybe restrictive diet 6 months

Question 20

Post bariatric surgery diet (recovering post op)

Answer 20

Clear liquid 48 hours
Slowly progress to solid foods by week 8

Question 21

Signs of anastomic leakage from bariatric surgery

Answer 21

Fever
Abdominal pain
Tachycardia
Leukocytosis

Question 22

Post op nursing for bariatric surgery

Answer 22

Pain
Fluid volume balance
Nutrition status
Anxiety
Body image changes

Question 23

Post bariatric surgery diet (in regular life)

Answer 23

Small frequent
High protein high fiber low simple carb
Water, no calorie drink, not during eat
Semi Fowler
High nutrient foods- PB, cheese, chicken, fish, beans
Eat slow and chew a lot
Monthly B12 and iron shots

Question 24

Hep A and E prevention

Answer 24

Hand washing and hygiene

Question 25

Cataract surgery

Answer 25

ECCE to suck out old lens IOL lens implant

Question 26

Nursing for cataract surgery

Answer 26

Dilating eye drops Edu to call if vision changes, flashing lights, inflammation, unrelieved pain, increased / changed drainage

Question 27

Surg for detached retina

Answer 27

Sclera buckle Vitrectomy with gas bubble, silicone oil

Question 28

Edu for retina detachment surg

Answer 28

Outpatient Ss high IOP and infection Prone position for gas bubble

Question 29

Cerumen removal

Answer 29

Soften with glycerin, mineral oil, 1/2 strength hydrogen peroxide Irrigation with low pressure

Question 30

Acute otitis media

Answer 30

Abx Myringotomy aka tympanotomy

Question 31

Chronic otitis media

Answer 31

Tympanoplasty Ossiculoplasty Mastoidectomy

Question 32

Tympanoplasty

Answer 32

Tympanic membrane reconstruction

Question 33

Ossiculoplasty

Answer 33

Reconstruction of middle ear bones

Question 34

Mastoidectomy

Answer 34

Removal of diseased bone or cholesteatoma

Question 35

Nursing for mastoid surgery

Answer 35

Anxiety, analgesics Antiemetic, anti vertigo Help ambulate Prevent infection Prevent water getting in there

Question 36

Pt education for mastoid surgery

Answer 36

Constant throbbing is infection Hearing may be reduced for several weeks No lifting over 10 pounds No straining (stool softener?) No nose blowing 3 weeks Open mouth sneeze and cough

Question 37

Ménière’s disease

Answer 37

Low sodium diet 1000 to 1500 Meclizine (Antivert) Tranquilizers (Valium) Antiemetics (promethazine) Diuretics Surg: endolymphatic sac decompression, middle and inner ear profusion, vestibular nerve sectioning

Question 38

Cirrhosis nursing

Answer 38

Rest, nutrition, skin, reduce injury IO Small frequent High calorie Low sodium Vitamins Prevent complications: hemorrhage, encephalopathy, FVE

Question 39

Liver CA nonsurg

Answer 39

Radiation Chemo Percutaneous biliary drainage

Question 40

Liver CA surg

Answer 40

Lobectomy Cryosurgery Liver transplant

Question 41

Ascites

Answer 41

Low sodium diet / salt subs Diuretics - spironolactone, furosemide Bed rest but not upright Paracentesis 5-6 L Give albumin TIPS shunt between portal/hepatic vessels

Question 42

Ascites nursing monitoring

Answer 42

IO Weight Girth Resp Labs for ammonia, creatinine, lytes

Question 43

Varices

Answer 43

Shock tx, O2, IVF and lytes, volume expanders, blood products Vasopressin Somatostatin Octreotide Nitro Propranolol and nadolol Balloon tamponade Banding ligation

Question 44

Varices nursing

Answer 44

Safe environment to prevent injury Deep breathe and position change

Question 45

Hepatic encephalopathy

Answer 45

Eliminate cause Lyte imbalances Lactulose to reduce ammonium IV glucose to minimize protein breakdown Reduce ammonia via suction, enema, abx Stop downers