NUR 176 (NUR176)

What to monitor for with appendicitis? Monitoring for s/s of peritonitis WBC count, RLQ pain, fever, swelling, urinating frequency and urgency What client statement would require immediate nursing intervention with appendicitis? The pain seems to be gone(this means the appendix has burst, sepsis can occur) Management of appendicitis prior to official diagnosis of it Pain relief meds(NSAIDs), fasting to minimize stomach contents, and close monitoring of symptoms What is the point/place of p...

Pt complains of the following symptoms associated with urinating; hesitancy, intermittent stream, frequency, urgency and nocturia what do you suspect is wrong? BPH Interventions after TURP bladder irrigation to prevent clots, blood in urine is normal, pain management for bladder spasms How do you prevent Cystitis(UTI)? wipe front to back, showers instead of baths, urinate after intercourse, increase fluids, no perfume or scented toilet paper, wear cotton underwear, cranberry juice Pt state...

What three components does the glasgow coma scale measure? -Correct Answer eye response verbal response motor response Earliest sign of ICP? -Correct Answer Change in LOC headache do you perform a lumbar puncture on a patient with increased icp? -Correct Answer No What is decorticate posturing? -Correct Answer Abnormal flexion: Hands pulled to chest and hyper-extended. Internal rotation and adduction of the arms with flexion of the elbows, wrists & fingers. "flexor - toward...

You have a patient that comes to the ER blood sugar 602, breathing deeply, ketos in their urine. What would you think the next test be? -Correct Answer Blood Gases you want to see if they have DKA Your giving insulin. Can you mix Novolin R and Novolin N? -Correct Answer No, they have to go into separate syringes, one is long and one is short When your drawling up insulin what do you have to do first? -Correct Answer Put air in the cloudy first You're working in a long term care facil...

Ways to stop the chain of infection stop transmission, don't give it a reservoir reasons infectious agent can cause infection get in through break in skin, pt is immunocompromised what is true about Herpes Simplex Virus there are 2 types HSV1-cold sores and HSV 2-genital, there is no cure it lays dormant Tx for HSV-1 (meds) acyclovir, valacyclovir nursing interventions for HSV-2 treat symptoms, prevent spread, keep lesions clean and dry Herpes Zoster(shingles) occurs in pt with hx o...

Patient with RA shows need for further teaching when? -Correct Answer They state they must avoid ALL alcohol Patient has a butterfly rash, numbness in arms (Lupus) which labs would the LPN expect? -Correct Answer ANA, CRP 30 yr old with DM type 2, glucose of 280 BEFORE breakfast. Which symptom would the LPN see? -Correct Answer Polyuria Patient with HIV, LPN would report what finding to the RN? -Correct Answer Open lesions Patient states they were stung by a bee, their neighbor was s...

A client has been admitted to the clinic with primary syphilis. Which sign or symptom should the nurse expect to see with this diagnosis? -Correct Answer A painless genital ulcer that appeared about 3 weeks after unprotected sex Which statement made by a client with a chlamydial infection indicates understating of the potential complications -Correct Answer "I need to treat this infection so it doesn't spread into my pelvis because I want to have children someday." A client is re...

What is the first thing to check for an head injury? Neuro assessment/CT scan What position do you want to have a.n stroke passage? sit them up ICP symptoms blurred vision LOC change headache What test do you not want to do for ICP? lumbar puncture What are the late signs of ICP? Cushing's triad what are the risk factors for stroke patients? smoking obesity red meat What major vital sign do you want to watch for associated with stroke? blood pressure What question do you wan...

NUR 176 Hondros College School Of Nursing -NUR 176 Exam 2 (Hondros) Questions With Complete Solutions

Aldactone - Potassium sparing diuretic Tx for edema, hypertension & heart failure Anemia s/s - SOB Dyspnea Fatigue Pale skin & mucous membrane Decreased RBC Decreased Hct Decreased Hgb AV fistula precautions - Vitals on the opposite side Bariatric surgery patients will need what? - B12 for the rest of their life Bladder training - Routine toileting schedule Kegels BP meds - Digoxin (Lanoxin) Misoprostol (Cytotec) BUN lab value - 10-20 mg/dL CAD education -