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NURS 366-Exam 1 with complete solutions

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DRGs (diagnosis-related groups) refers to reimbursement for health care services based on a predetermined fixed price-per-case or diagnosis; it categorizes patients to better control hospital costs; there is a time-table for how long someone with a DRG can be in the hospital on government funds, w...

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  • August 22, 2024
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  • 2024/2025
  • Exam (elaborations)
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NURS 366-Exam 1 with complete solutions




DRGs (diagnosis-related groups) - ANSWER-refers to reimbursement for health care
services based on a predetermined fixed price-per-case or diagnosis; it categorizes
patients to better control hospital costs; there is a time-table for how long someone with
a DRG can be in the hospital on government funds, which is a barrier to proper
healthcare.

gastric secretion pH (checking NG tube) - ANSWER-less than 5.5

Hyponatremia - ANSWER-Stupor/coma
Apprehension, headache confusion, depression convulsion, n/v
Lethargy
Tendon reflexes decreased

Limp muscles (weakness)
Orthostatic hypotension
Seizures/headache
Stomach cramping

Hypernatremia - ANSWER-F - Fever (low grade), flushed skin
R - Restless (irritable)
I - Increased fluid retention and increased BP
E - Edema (peripheral and pitting)
D - Decreased urinary output, dry mouth

S = Skin flushed
A = Agitation
L = Low-grade fever
T = Thirst

Hypocalcemia - ANSWER-Convulsions
Arrythmias
Tetany

, Spasms and stridor

Hypercalcemia - ANSWER-"BACKME"

Bone pain
Arrhythmias
Cardiac arrest
Kidney stones
Muscle weakness
Excessive urination

Hyperkalemia - ANSWER-M - Muscle weakness
U - Urine, oliguria, anuria
R- Respiratory distress
D - Decreased cardiac contractility
E - ECG changes
R - Reflexes, hyperreflexia, or areflexia (flaccid)

Hypokalemia - ANSWER-Alkalosis

Shallow respiration
Irritability
Confusion and drowsiness

Weakness and fatigue
Arrhythmias- irregular heart rate, tachycardia
Lethargy
Thready pulse

Hypoglycemia - ANSWER-nausea, anxiety, shaking, diaphoresis, hunger, tachycardia,
impaired vision, weakness/fatigue, headache, irritability

Hyperglycemia S/S - ANSWER-frequent urination, dry skin, hunger, extreme thirst,
nausea, drowsiness, blurred vision, deep rapid labored respirations

Sodium - ANSWER-135-145 mEq/L

Potassium - ANSWER-3.5-5mEq/L (adult)
3.4-4.7 mEq/L (child)

Chloride - ANSWER-98-106 mEq/L (adult)

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