100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NUR 414 FINAL EXAM REAL EXAM QUESTIONS 2023/2024 EXPERT ANSWERS WITH RATIONALES R205,52   Add to cart
Quickly navigate to
Preview
  2.  
  3. Nur 414
  4.  
  5. Nur 414

Exam (elaborations)

NUR 414 FINAL EXAM REAL EXAM QUESTIONS 2023/2024 EXPERT ANSWERS WITH RATIONALES

2 reviews
 24 views  1 purchase
  • Course
  • Nur 414
  • Institution
  • Nur 414

NUR 414 FINAL EXAM REAL EXAM QUESTIONS 2023/2024 EXPERT ANSWERS WITH RATIONALES

Preview 3 out of 17  pages

Document information

  • May 16, 2024
  • 17
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nur 414 final exam real exam questions
  • nur 414 final exam real exam
  • nur 414 final exam questions and answers
  • nur 414 final exam study guide

Written for

  • Nur 414
  • Nur 414

2  reviews

review-writer-avatar

By: RegisteredNurse • 3 months ago

Informative, was helpful with exact questions and answers, I passed.

review-writer-avatar

By: RegisteredNurse • 6 months ago

The content here is top notch, I passed and it is worth every penny

Seller

avatar-seller
DrBellaPhD

Reviews received

Content preview

NUR 414 FINAL EXAM REAL EXAM QUESTIONS 2023/2024 EXPERT ANSWERS WITH RATIONALES The physician orders Lactulose 30 mL by mouth per day for a client with cirrhosis. What finding below demonstrates the medication is working effectively? A. Improvement in level of consciousness B. Presence of asterixis C. Decreased albumin levels D. Absence of fruity breath A. Improvement in level of consciousness A patient with cirrhosis may experience a complication called hepatic encephalopathy. This will cause the patient to become confused (they may enter into a coma), have pu ngent, musty smelling breath (fetor hepaticus), asterixis (involuntary flapping of the hands). This is due to the buildup of ammonia in the blood, which affects the brain. Lactulose can be prescribed to help decrease the ammonia levels. Therefore, if the m edication is working properly to decrease the level of ammonia the patient would have improving mental status, decreased ammonia blood level, decreasing or absence of asterixis, and decreased ammonia blood level. Fruity breath is associated with DKA not he patic encephalopathy. During the morning assessment of a client with cirrhosis, you note the client is disoriented to person and place. In addition, while assessing the upper extremities, the client's hands demonstrate a flapping motion. What lab result wo uld explain these abnormal assessment findings? A. Ammonia level of 68 µ/dL B. Creatinine level of 2.9 mg/dL C. Potassium level of 3.7 mmol/L D. Calcium level of 10.9 mg/dL A. Ammonia level of 68 µ/dL Based on the assessment findings and the fact the clie nt has cirrhosis, the client is experiencing hepatic encephalopathy. This is due to the buildup of toxins in the blood, specifically ammonia. The flapping motion of the hands is called "asterixis". Therefore, an increased ammonia level would confirm these abnormal assessment findings (Normal ammonia: 10 -80) A patient diagnosed with hepatitis develops splenomegaly. When reviewing the laboratory report, which of the following results will the healthcare provider anticipate? A. Polycythemia B. Leukocytosis C. Thrombocytopenia D. Neutrophilia C. Thrombocytopenia The spleen acts as a reservoir for platelets. When the spleen is enlarged, as with splenomegaly, up to 90 percent of a person's thrombocytes can be sequestered within the enlarged spleen. A client diagn osed with viral hepatitis develops liver failure and hepatic encephalopathy. Which of these measures should the healthcare provider include in this client's plan of care? A. Provide high -protein feedings B. Monitor the blood glucose C. Institute droplet precautions D. Weigh once a week B. Monitor the blood glucose Interventions for this patient include blood glucose monitoring (because of decreased glycogen synthesis and storage), monitoring PT and INR (because of decreased clotting fac tors), checking reflexes (because of the neurological effects of increased ammonia), providing diet/feedings that are low in protein (to decrease ammonia levels), and following standard precautions. The client should be weighed every day. A client with cir rhosis of the liver develops ascites, and the health care provider prescribes spironolactone. What should the nurse monitor the client for? A. Hyperkalemia B. Tachycardia C. Hypoglycemia D. Ecchymosis A. Hyperkalemia Spironolactone (Aldactone) is a potass ium-sparing diuretic that is used to treat clients with ascites; therefore, the nurse should monitor the client for signs and symptoms of hyperkalemia. Bruising and purpura are associated with cirrhosis, not with the administration of spironolactone. Spiro nolactone does not cause tachycardia. Spironolactone does not cause hypoglycemia. A health care provider schedules a paracentesis for a client with ascites. What should the nurse include in the client's teaching plan? A. Consume a diet low in fat for three days before the procedure. B.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying this summary from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller DrBellaPhD. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy this summary for R205,52. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67474 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy summaries for 14 years now

Start selling
R205,52  1x  sold
  • (2)
  Buy now