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NUR 155 Exam 2 – Questions & Accurate Solutions
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NUR 155 Exam 2 – Questions & Accurate Solutions
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NUR 155 Exam 2 – Questions & Accurate SolutionsSodium normal range ✔️Ans - 135-145 mEq/L
What is BMI? ✔️Ans - Body Mass Index; a measure of body weight
relative to height
BMI normal range ✔️Ans - 18.5-24.9
how to prevent food borne illness ✔️Ans - hygienic handling of food &
dishes
cook food thoroughly
defrost foods in refrigerator
factors effecting normal elimination ✔️Ans - psychosocial: privacy,
positioning, sufficient time
fluid/intake: increase intake=increase output
medications: may cause retention, diuretics increase output
muscle tone: good strength increase emptying appropriately
pathologic conditions: renal failure, kidney stones
surgical: swelling post procedure
Altered urine production/elimination ✔️Ans - polyuria, oliguria,
anuria, nocturia, enuresis, incontinence
polyuria (diuresis) ✔️Ans - excessive production of urine
oliguria ✔️Ans - Decreased urine output <500 mL / day
anuria ✔️Ans - absence of urine production
Frequency ✔️Ans - voiding at frequent intervals >4 to 6 x/ day
nocturia ✔️Ans - excessive urination at night >2x/night
urgency ✔️Ans - feeling the need to urinate immediately, even if there
isn't much urine
,enuresis ✔️Ans - involuntary urination in children starting around 4-
5 / bed wetting
incontinence ✔️Ans - inability to control bladder and/or bowels/
symptom not disease
nursing process of urinary elimination: ✔️Ans - assess: collect data,
obtain urines sample
diagnose: give NANDA Dx for specific urinary issue
plan: goal specific to diagnosis
implement: how will you help pt meet goal
evaluate: were the goals met? yes, discharge. No, change strategy.
assessment of urinary system ✔️Ans - history: baseline, COCA
Physical: Genitourinary system, hydration status, examine urine
relate data to results of diagnostic tests
Hypovolemia ✔️Ans - Fluid volume deficit (FVD)
Hypovolemia S/S ✔️Ans - confusion
dark/low urine output
dry mucous membranes(mouth, nose,eyes)
poor skin turgor
thirst
changes in awareness/mental state
ortho static hypotension
Hypervolemia ✔️Ans - Fluid volume excess (FVE)
Hypervolemia S/S ✔️Ans - Edema
shortness of air
increased BP
heart problems
cramping
headache
stomach bloating
Dehydration S/S ✔️Ans - vomiting
diarrhea
, fever
diaphoresis
dizziness
dry skin
lack of fluids
Over-hydration S/S ✔️Ans - clear urine
headaches
nausea
frequent urination
muscle weakness
spasm cramps
drowsiness
constant feeling of fatigue
Clinical measurements used in patients with fluid & electrolyte imbalance
✔️Ans - - daily weight (1 kg = 1 Liter of fluid)
take before breakfast & after 1st void, similar clothing, same scale
- vital signs
- intake & output
-dietary changes
Assessment Measurements: ✔️Ans - 1. subjective
2.objective
3.diagnosis
4.planning
5.outcomes
6.interventions
7.rationale
8.evaluation
labs for fluid imbalances ✔️Ans - CMP or serum electrolytes
CBC or complete blood count
Hematocrit
OS molarity
Urine Specific Gravity
Urine pH
ABGs or Arterial bloodgases ; Acid base balance
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