NUR 215 Final Exam Questions with Verified Solutions

NUR 215 Final Exam Questions with Verified Solutions What does pruitis mean? itching What is angioedema? swelling of the face due to fluid build up A nurse is teaching how to decrease the risk of developing breast cancer at a community health event, what should be included in their teaching ? Also out of the "3 Types of Prevention" which one is this ? - Smoking cessation - Self exams of breasts - No tanning beds What is the worse type of shock ? Anaphalactic Shock - Due to narrowing of the airway and inability to get an ETT tube in a patient, leading to a trach as last resort. A patient arrives in the ER and states they have fallen off a ladder, the nurse assesses the patient's neurological function with the GCS (Glascoma Scale) and notes clear nasal drainage. The nurse should expect to test the fluid for what to confirm a spinal leak ? Glucose A nurse has a patient that experiences a fall, later throughout the shift the nurse expects to make multiple neurological and memory assessments. T or F ? True A nurse has orders to place an oral tube in their patient but is unable to do so, the nurse should expect to replace the oral tube with ? NG tube with low intermittent suction setting A nurse has 4 different patients with all different acuities is contemplating which one to see first. A good rule of thumb is.... The patient who is most difficult to arouse is the patient you should see first A patient is tested for an STI, the nurse will instruct the patient to return for retesting in ___ months 3-6 months On assessment of a patient a nurse pushes down one finger on the UPPER LEFT of the abdomen and notes rebound tenderness and pain of the abdomen that shoots to the other side. The nurse should expect this to be signs of ? Acute Pancreatitis A patient with cirrhosis and high amonia levels is placed on a low cholesterol and low protein diet. The nurse expects this in the plan of care because ? Aids in preventing malnutrition and prevents hepatic encephalopathy A nurse is looking at a patient's chart and notices that the patient has gained weight rapidly within the past 72 hours. This leads the nurse to indicate the patient is becoming _________volimic hypervolemic A patient comes in stating they took "a lot of Tylenol pills" the nurse expects to give the patient __________? Activated Charcoal (No more than 1 hr after ingestion) Upon assessment a patient complains of RUQ (Right Upper Quadrant) pain when the nurse pushes down in that area. The nurse knows this as a sign of _________? Gall Stones Symptoms of Cushing's Triad - Indicative of ICP (Intercrainial Pressure) - Bradycardia - Irregular RR - Widened Pulse Pressure Treatment for Cushings Triad - IV Mannitol - Elevating HOB - Hyperventilation Risk factors for Breast Cancer