NSG 308 Exam Study Guide - Exam #2

What are the normal parameters for temperature, pulse, respirations, BP, and pulse ox for an adult patient?

• Pulse: 2+, 60-100 bpm; RR: 12-20; SBP: 130-90; DBP: 90-50; SpO2: 90-100%; Temp: 36.1-37.7°C (97-99.9°F)

• Pulse: 3+, 40-60 bpm; RR: 8-16; SBP: 100-60; DBP: 60-30; SpO2: 80-90%; Temp: 35.0-36.0°C (95-96.8°F)

• Pulse: 1+, 100-120 bpm; RR: 20-30; SBP: 150-110; DBP: 100-70; SpO2: 85-95%; Temp: 38.0-39.0°C (100.4-102.2°F)

• Pulse: 2+, 50-70 bpm; RR: 10-18; SBP: 120-80; DBP: 80-40; SpO2: 88-98%; Temp: 37.8-39.0°C (100-102.2°F)

What would be the priority assessments and nursing actions if a patient's vital signs are abnormal?

• ABCs; Determine etiology if possible; Notify provider; Check MAR for adverse effects of medications

• Increase the patient's fluid intake immediately; Ignore abnormal readings; Wait for the next scheduled assessment

• Document the abnormal vital signs only; Do not inform anyone; Continue routine care

• Administer pain medication regardless of the cause; Reassure the patient; Delay further assessment

Tags

NGSS.HS-LS1-3

The problem in the body that causes Parkinson’s disease is:

• Loss of dopamine-producing neurons in the brain

• Excess production of insulin

• Deficiency of thyroid hormones

• Overactive immune response

The type of meds used to treat Parkinson’s and how these meds work in the body to treat this condition is:

• Dopaminergic medications that increase dopamine levels in the brain

• Antibiotics that fight bacterial infections in the brain

• Beta-blockers that reduce heart rate and blood pressure

• Antihistamines that reduce allergic reactions

Which of the following is a COMT inhibitor used in the treatment of Parkinsonism?

• Amantadine

• Bromocriptine

• Entacapone

• Selegiline

Selegiline and Rasagiline are examples of which class of drugs used in Parkinsonism?

• MAO-B inhibitors

• Dopamine agonists

• COMT inhibitors

• Anticholinergics

Which drug increases the half-life of dopamine by inhibiting metabolism of L-dopa in the periphery?

• Entacapone

• Selegiline

• Bromocriptine

• Amantadine

MAO-B inhibitors may reduce the OFF phenomenon in Parkinsonism.

• True

• False

Which of the following is NOT an anticholinergic used in Parkinsonism?

• Trihexyphenidyl

• Benztropine

• Entacapone

• Artane

Fill in the blank: Anticholinergics block the effects of ____ in the brain, decreasing symptoms and evening out imbalance of ____ and dopamine.

• Acetylcholine, Acetylcholine

• GABA, GABA

• Serotonin, Serotonin

• Norepinephrine, Norepinephrine