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2024 NURSING 104 FINAL EXAM WITH CORRECT ANSWERS
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2024 NURSING 104 FINAL EXAM WITH CORRECT ANSWERS
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2024 NURSING 104 FINAL EXAMWITH CORRECT ANSWERS
causes of pressure injuries - CORRECT-ANSWERSbedridden, incontinence,
poor nutrition, diabetes
total incontinence - CORRECT-ANSWERScontinuous, unpredictable loss of
urine
relex incontinence - CORRECT-ANSWERSurine is lost at predictable intervals
when the bladder is full
UTI assessment findings - CORRECT-ANSWERSdysuria, frequency, wbc,
temperature, neuro changes, urine characteristics
UTI interventions - CORRECT-ANSWERSassess urine, i & o, monitor vitals,
increase fluids, toilet scheduling
Potassium range - CORRECT-ANSWERS3.5-5.0
Potassium functions - CORRECT-ANSWERS• priority
• pumps heart and muscles
Hyperkalemia (over 5.0) - CORRECT-ANSWERSheart = st elevation and
peaked t waves
gi = diarrhea and hyperactive bowel sounds
neuro = paralysis in extremities, increased DTR, muscle weakness
hypokalemia below 3.5 symptoms - CORRECT-ANSWERSheart= flat t waves,
st depression, prominent u waves
muscular= muscle cramping, decreased DTR
Gi= decreased mobility, hypoactive bowel sounds, constipation
clean catch specimen - CORRECT-ANSWERSa urine specimen that does not
include the first and last urine that is voided; also called mid-stream
sterile specimen - CORRECT-ANSWERScatheterizing patient or taking urine
from indwelling catheter already present
24 hour urine specimen - CORRECT-ANSWERSa urine specimen consisting of
all urine voided in a 24-hour period
Primary intention wound healing - CORRECT-ANSWERSwounds that heal
under conditions of minimal tissue loss
, Secondary intention healing - CORRECT-ANSWERSOccurs in a wound that is
extensive, and edges cannot be approximated
tertiary healing - CORRECT-ANSWERSWounds intentially left open for 3-5
days to allow edema or/and infection to resolve or drain & are then closed w/
sutures or staples (aka delayed primary healing)
Braden Scale - CORRECT-ANSWERSA tool for predicting pressure injury risk
Hemostasis - CORRECT-ANSWERSto stop or control bleeding
inflammation - CORRECT-ANSWERSbegins 24hr after wards last 2-3 days.
pain, redness, swelling, mild fever
sodium ranges - CORRECT-ANSWERS135-145 mEq/L
Sodium functions - CORRECT-ANSWERS•swells the body
• maintains blood pressure, blood volume, ph balance
Hypernatermia over 145 - CORRECT-ANSWERSskin = flushed ( think Santa ),
edema, low grade fever
excessive thirst
late serious signs= dry tongue, nausea and vomiting, increased muscle tone
Hyponatremia (below 135) - CORRECT-ANSWERSneuro= seizure
heart= tachycardia, weak thready pulse
Magnesium range - CORRECT-ANSWERS1.5-2.5
Magnesium functions - CORRECT-ANSWERSmuscles
Hypermagnesemia over 2.5 - CORRECT-ANSWERSeverything calm and quiet
cardiac = prolonged or intervals, bradycardia, hypotension
decreased deep tendon reflexes
shallow respiration
hypoactive bowel sounds
Hypomagnesemia below 1.5 - CORRECT-ANSWERSheart= st depression, t
wave inversion, torsades de pointes, tachycardia
increased deep tendon reflexes
abnormal eye movements
diarrhea
Calcium range - CORRECT-ANSWERS8.5-10.5
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