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Nursing 246 Final with answers
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Nursing 246 Final with answersWhat might a patient need if their hemoglobin and hematocrit are low?
- .......🔷ANSWERS🔶......✔✔ Blood transfusion
Name 4 out of 6 factors that are assessed using the Braden scale - .......🔷ANSWERS🔶......✔✔
Sensory perception, moisture, activity, mobility, nutrition, friction and shear
6 rights of medication administration - .......🔷ANSWERS🔶......✔✔ 1. Patient
2. Drug
3.Dose
4. Route
5. Time
6. Documentation
Peripheral vs Central IV - .......🔷ANSWERS🔶......✔✔ Peripheral: Inserted into a peripheral vein;
temporary access
Central: Terminates near the right atrium; more stable, strong meds, multiple meds, frequent blood
draws
High, low, and normal blood glucose levels - .......🔷ANSWERS🔶......✔✔ normal range: 70-110
High: Diabetes, stress, steroids
Low: Newborns, insulin shock, adrenal insufficiency
Sensory overload vs Sensory deprivation - .......🔷ANSWERS🔶......✔✔ Overload: Occurs when a
person receives multiple sensory stimuli and cannot disregard or ignore some of the stimuli
Deprivation: Reduced sensory input, elimination of patterns or meaning from input, or restrictive
environments
,Neuro assessments include - .......🔷ANSWERS🔶......✔✔ A&O x 4, pupils, hand grasps, feet pushes
What to do for patients who are experiencing a seizure - .......🔷ANSWERS🔶......✔✔ Padded bed
rails, oxygen and suction at bedside, nothing in mouth, record time, turn patient to side etc.,.
Venous edema vs Arterial edema - .......🔷ANSWERS🔶......✔✔ Venous: normal color, normal pulse,
normal temperature
Arterial: pale, cool, decreased pulse, minimal edema, thin, shiny skin, decreased hair
Stress incontinence vs Urge incontinence - .......🔷ANSWERS🔶......✔✔ Stress: weakness or injury to
the urinary sphincter; happens after birthing; can occur with sneezing or coughing
Urge: involuntary passage of urine associated with strong sense of urgency; involuntary contractions
of the bladder, or overactive bladder
Signs and symptoms- urgency. frequency, nocturia, leakage
What to check for an IV site - .......🔷ANSWERS🔶......✔✔ Edema, pain, redness, warmth, coolness
Signs of bowel obstruction - .......🔷ANSWERS🔶......✔✔ Nausea and vomiting; pain; no bowel
movements; no bowel sounds; distention
Purpose of PCA pump - .......🔷ANSWERS🔶......✔✔ Allows the patient to self-administer pain meds
with minimal risk of overdose
What are thesigns a patient might need their trach suctioned? - .......🔷ANSWERS🔶......✔✔
Crackles, cough, drooling, restlessness, decreased 02 sat, increased HR, increased RR
What are the three different types of isolation? What PPE is required for each? What type of patient
would require each? - .......🔷ANSWERS🔶......✔✔ Contact: Gastrointestinal illness (diarrhea)
Droplet: Influenza, and other respiratory illnesses such as corona virus
Airborne: TB, measles, chickenpox
, Routes for enteral vs parenteral feedings - .......🔷ANSWERS🔶......✔✔ Enteral: to the stomach
Parenteral: Through a vein
What do you assess for when a patient urinates? - .......🔷ANSWERS🔶......✔✔ Color, clarity, and
odor of urine
What does the RACE acronym stand for? - .......🔷ANSWERS🔶......✔✔ -Rescue The Patient
-Activate Alarm
-Confine
-Extinguish
What does PASS stand for? - .......🔷ANSWERS🔶......✔✔ Pull, Aim, Squeeze, Sweep
Methods of DVT prevention - .......🔷ANSWERS🔶......✔✔ SCD's, IS, turn frequently, lovenox
(anticoagulant), Ted HOSE, special mattress, ROM, high calorie/high protein diet, adequate fluid
intake and outtake, etc.,.
Where can you put a nitroglycerin patch on patients - .......🔷ANSWERS🔶......✔✔ Chest, back,
flank, upper arm. No elbows or below knees. Intact, non-irritated skin.
Different means of good communication - .......🔷ANSWERS🔶......✔✔ Active listening,
paraphrasing, clarifying, sharing empathy, validation, etc.,.
Which of the following are included in the assessment of a peripheral artery?
- .......🔷ANSWERS🔶......✔✔ -Strength
-The elasticity of the vessel wall
-Bilateral equality
-Pulse
A client is on strict bed rest following a total hip replacement. The nurse suspects the client has
developed a Deep Vein Thrombosis when she asses which of the following in the right lower
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