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NUR 280 Cram Exam Study Guide with Complete Solutions

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NUR 280 Cram Exam Study Guide with Complete Solutions Sodium - Answer-135-145 mEq/L Potassium - Answer-3.5-5.5 mEq/L Calcium - Answer-8.5-10.9 mg/L Chloride - Answer-95-105 m Eq/L Magnesium - Answer-1.5-2.5 mEq/L Phosphorus - Answer-2.5-4.5 mg/dL RBC - Answer-4.5-5.0 million WBC - Answer-5...

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FIRST PUBLISH SEPTEMBER 2024

NUR 280 Cram Exam Study Guide with
Complete Solutions

Sodium - Answer✔✔-135-145 mEq/L

Potassium - Answer✔✔-3.5-5.5 mEq/L

Calcium - Answer✔✔-8.5-10.9 mg/L

Chloride - Answer✔✔-95-105 m Eq/L

Magnesium - Answer✔✔-1.5-2.5 mEq/L

Phosphorus - Answer✔✔-2.5-4.5 mg/dL

RBC - Answer✔✔-4.5-5.0 million

WBC - Answer✔✔-5,000-10,000

Plt. - Answer✔✔-200,000-400,000

Hgb - Answer✔✔-12-16 gms women; 14-18 gms men

HCO3 - Answer✔✔-24-26 mEq/L

CO2 - Answer✔✔-35-45 mEq/L

PaO2 - Answer✔✔-80%-100%

SaO2 - Answer✔✔-> 95%

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Glucose - Answer✔✔-70-110 mg/dL

Specific gravity - Answer✔✔-1.010-1.030

BUN - Answer✔✔-7-22 mg/dL

Serum creatinine - Answer✔✔-0.6-1.35 mg/dL (< 2 in older adults)

LDH - Answer✔✔-100-190 U/L

CPK - Answer✔✔-21-232 U/L

Uric acid - Answer✔✔-3.5-7.5 mg/dL

Triglyceride - Answer✔✔-<150 mg/dL

Total cholesterol - Answer✔✔-130-200 mg/dL

Bilirubin - Answer✔✔-< 1.0 mg/dL

Protein - Answer✔✔-6.2-8.1 g/dL

Albumin - Answer✔✔-3.4-5.0 g/dL

Digoxin - Answer✔✔-0.5-2.0 ng/ml

Lithium - Answer✔✔-0.8-1.5 mEq/L

Dilantin - Answer✔✔-10-20 mcg/dL

Theophylline - Answer✔✔-10-20 mcg/dL

FHR - Answer✔✔-120-160 BPM.

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Variability - Answer✔✔-6-10 BPM.

Contractions - Answer✔✔-normal frequency 2-5 minutes apart; normal duration < 90 sec.; intensity <

100 mm/hg.

Amniotic fluid - Answer✔✔-500-1200 ml (nitrozine urine-litmus paper green/amniotic fluid-litmus paper

blue).

Apgar scoring - Answer✔✔-A = appearance, P = pulses, G = grimace, A = activity, R = reflexes (Done at 1

and 5 minutes with a score of 0 for absent, 1 for decreased, and 2 for strongly positive.)

Umbilical cord blood supply - Answer✔✔-The umbilical cord has two arteries and one vein. (Arteries

carry deoxygenated blood. The vein carries oxygenated blood.)

Early decelerations - Answer✔✔-Begin prior to the peak of the contraction and end by the end of the

contraction. They are caused by head compression. There is no need for intervention if the variability is

within normal range (that is, there is a rapid return to the baseline fetal heart rate) and the fetal heart

rate is within normal range.

Variable decelerations - Answer✔✔-Are noted as V-shaped on the monitoring strip. Variable

decelerations can occur anytime during monitoring of the fetus. They are caused by cord compression.

The intervention is to change the mother's position; if pitocin is infusing, stop the infusion; apply oxygen;

and increase the rate of IV fluids. Contact the doctor if the problem persists.

Late decelerations - Answer✔✔-Occur after the peak of the contraction and mirror the contraction in

length and intensity. These are caused by uteroplacental insuffiency. The intervention is to change the

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mother's position; if pitocin is infusing, stop the infusion; apply oxygen;, and increase the rate of IV

fluids. Contact the doctor if the problem persists.

TORCHS syndrome in the neonate - Answer✔✔-This is a combination of diseases. These include

toxoplasmosis, rubella (German measles), cytomegalovirus, herpes, and syphyllis. Pregnant nurses

should not be assigned to care for the client with toxoplasmosis or cytomegalovirus.

Treatment for maternal hypotension after an epidural anesthesia - Answer✔✔-1. Stop pitocin if infusing.

2. Turn the client on the left side. 3. Administer oxygen. 4. If hypovolemia is present, push IV fluids.

Anticoagulant therapy and monitoring- Coumadin (sodium warfarin) PT - Answer✔✔-10-12 sec.

(control).

Coumadin Antidote - Answer✔✔-The antidote for Coumadin is vitamin K.

Anticoagulant therapy and monitoring- Heparin/Lovenox/Dalteparin PTT - Answer✔✔-30-45 sec.

(control).

Heparin Antidote - Answer✔✔-The antidote for Heparin is protamine sulfate.

Anticoagulant therapy and monitoring- Therapeutic level - Answer✔✔-It is important to maintain a

bleeding time that is slightly prolonged so that clotting will not occur; therefore, the bleeding time with

medication should be 1 1/2-2 times the control

Rule of nines for calculating TBSA for burns - Answer✔✔-Head = 9% Arms = 18% (9% each Back = 18%

Legs = 36% (18% each) Genitalia = 1%

Arab American cultural attributes - Answer✔✔-Females avoid eye contact with males; touch is accepted

if done by same-sex healthcare providers; most decisions are made by males; Muslims (Sunni), refuse

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