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NUR 3029- EXAM 3 questions with correct answers
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NUR 3029- EXAM 3 questions with correct answers
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NUR 3029- EXAM 3 questions with correct answersClonus Correct Answer-involuntary muscle contraction/relaxation, often
rhythmic
DTR Correct Answer-deep tendon reflex
graded: 0-4
2 is normal
Babinski reflex Correct Answer-Reflex in which a newborn fans out the
toes when the sole of the foot is stroked with relfex hammer
-normal for adults NOT to experience this (- result)
-abnormal: adult foot shows fanning= sign of meningitis(+ result)
Case Study: Mary Correct Answer--old lady drank a lot of pool water
-S/S: lethargic, very thirsty,
-labs: very low serum Na, Cl is slightly low, K and Hgb are also low
-other Dx tests: BUN (low), urinalysis (sodium osmolarity and specific
gravity are high)
-Dx: 1. disturbed thought processes related to electrolyte and fluid
imbalances. 2. Noncompliance with medication (she hasnt been taking
her antipsychotic drugs). 3. Excess fluid volume deficit
,-Tx: furosemide (lasix), monitor potassium and sodium intake, NPO to
limit fluid intake, replace sodium, daily weight, frequent reorient paitent,
fall risk, rails up on bed, frequent rounding, I&O, frequent neuro
assessment, lung sounds bc of congestion that may occur
Furosemide (Lasix) Correct Answer-diuretic
hemodilution Correct Answer-blood is diluted
-causes Hgb to be low
Sodium and Chloride function Correct Answer-nerve impulse and
muscle contraction
normal K level Correct Answer-3.5-5 mEq/L
Normal Hgb women Correct Answer-12-15 g/dL
normal Hgb men Correct Answer-14-16.5 g/dL
normal sodium Correct Answer-135-145 mEq/L
normal calcium Correct Answer-8.5-10.5 mg/dL
, specific gravity Correct Answer-concentration level
normal range: 1.005-1.030
Normal BUN range Correct Answer-10-20 mg/dL
normal urine osmolarity Correct Answer-500-800 mOsm/kg
H/H Correct Answer-hemoglobin and hematocrit
hypertonic saline Correct Answer-used when Na is VERY low. makes
the water shift outside of the cell
complication: fluid overload
hypercalcemia S/S Correct Answer-- moans and groans
-bone related conditions
-increased HR at first but then decreased
- bounding pulse
-renal calculi
-decreased GI motility
-ineffective respirations
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