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NUR160_Exam_2 Questions and Answers 2023
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NUR160 Exam 2Corenna Smith
What is the most accurate way to determine water balance in the body?
- Daily weights (weighing the patient at the same time using the same scale)
Individuals at risk for fluid and electrolyte imbalance:
- Infants and geriatrics (elderly)
If a patient exhibits positive Chvostek and/or Trousseau signs, that is an indictor of
what?
- Hypocalcemia
- The lab value that will be drawn is the BMP
How do you measure a NG tube?
- From the tip of the nose, to the ear lobe, to the xiphoid process
What is a diagnostic procedure used to ver9ify nasogastric tube placement?
- Abdominal/thorax chest x-ray
Dry mucous membranes, poor skin turgor, and tinting of the skin are indicators of fluid
volume deficit.
A patient may refuse to ambulate after they saw their roommate fall last week due to
fear the same thing will happen to them.
If a patient has emphysema and is having difficulty breathing, administer Albuterol
(generic name) or Proventil (trade name).
If a patient with a NG tube has an order for metoprolol 25mg extended release
capsules, call the physician because extended release capsules cannot be broken
up.
- An order for crushable metoprolol is needed. Metoprolol is a beta blocker BP
medication
Vitamin D is necessary for the body to absorb calcium.
Nurses begin discharge instructions during the preoperative stage.
The UAP states “I will keep an extra cylinder of oxygen in the corner of the room near
the heater”
- Indicates the UAP needs further teaching about oxygen safety
If a patient has had a bowel resection and they have a midline incision with sutures:
- Place the patient in the Semi-Fowler’s position with the knees slightly
flexed to prevent potential complications of dehiscence and evisceration.
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, NUR160 Exam 2
Corenna Smith
The carotid pulses are not to be palpated at the same time
Forceful coughing causes dehiscence:
- If a patient is coughing forcefully, educate them to splint their incision
and/or place a pillow on their incision when coughing.
Crackles in the lungs bilaterally and on inspiration, a cough that doesn’t clear Is caused:
- By fluid in the lungs
A contributor to metabolic acidosis is:
- Having diarrhea for a long period of time which will decrease HCO3
(bicarbonate) in the bile.
The statement “I will wipe away the first drop of blood” from a patient with diabetes
mellitus indicates:
- Teaching was effective.
Risk factors for cardiovascular disease:
- Family history of cardiovascular disease
- Age
- A sedentary lifestyle
- Smoking
If a patient is on Coumadin to treat a cardiac arrhythmia (atrial fibrillation):
- Educate the patient to eliminate or decrease Vitamin K in their diet by
avoiding green leafy veggies.
What is the purpose of Furosemide (generic name) or Lasix (brand name)?
- Reduce edema and pull fluid off the body by depleting potassium
If a patient with COPD experiences an episode of increased dyspnea:
- Place them on the side of the bed leaning on the bedside table to maximize
effectiveness of respirations.
When attempting to insert a foley catheter in a male patient with benign prostatic
hyperplasia (BPH) without success:
- Obtain an order for a coude catheter
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