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NU 136 Exam 4 Review Paper Questions and answers 2025.pdf, Exams of Nursing

NU 136 Exam 4 Review Paper Questions and answers 2025.pdf

Typology: Exams

2024/2025

Available from 03/08/2025

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NU 136 Exam 4 Questions and answers
2025
If .an .order .is .not .clear .what .do .you .do? .- .ANS✓✓-Clarify .with .a .Doctor.
Controlled .substances .- .ANS✓✓-Must .have .another .nurse .wound .with .you .(
.incoming .and .outgoing .nurse) .and .discrepancies- .need .to .be .investigated.
3 .factors .of .Drug .Therapy .- .ANS✓✓-Distribution, .Metabolism, .Excretion
3 .Differences .of .Absorpton? .- .ANS✓✓-Slow .( .skin .oral .and .SubQ),Quick .(
.Sublingual- .(mucus .membrane), .and .respiratory(Most .Rapid .(IV)
High .alert .Medication .- .ANS✓✓-Insulin .(2 .nurse .check)
Medication .Error .- .ANS✓✓-Report .immediately
Purpose .of .Report? .- .ANS✓✓-So .the .same .mistake .wont .happen .again.
Non-adherence .- .ANS✓✓-Dont .use ."non .complaint" ."must .use" .teach .the
.patient .why .they .need .to .do .XYZ
What .do .you .do .if .the .patient .is .still .not .adherent? .- .ANS✓✓-Compare .the .med
.to .the .order .and .if .pt-still .non .adherent .then .document .it.
What .are .the .6 .rights? .- .ANS✓✓-Drug, .Dosage, .Document, .Route, .Interval,
.Patient
Routine .Meds .- .ANS✓✓-Meds .that .are .continued .every .day .until .cancelled
PRN .Meds .- .ANS✓✓-As .needed
Stat .- .ANS✓✓-Immediately .(emergency)
Single .Dose .- .ANS✓✓-One .Time .Dose .Non .Emergency
Unit .Dose .System .- .ANS✓✓-Most .common .system .in .hospital .pre .labeled, .per
.measured, .convenient
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NU 136 Exam 4 Questions and answers

If .an .order .is .not .clear .what .do .you .do? .- .ANS✓✓-Clarify .with .a .Doctor. Controlled .substances .- .ANS✓✓-Must .have .another .nurse .wound .with .you .( .incoming .and .outgoing .nurse) .and .discrepancies- .need .to .be .investigated. 3 .factors .of .Drug .Therapy .- .ANS✓✓-Distribution, .Metabolism, .Excretion 3 .Differences .of .Absorpton? .- .ANS✓✓-Slow .( .skin .oral .and .SubQ),Quick .( .Sublingual- .(mucus .membrane), .and .respiratory(Most .Rapid .(IV) High .alert .Medication .- .ANS✓✓-Insulin .(2 .nurse .check) Medication .Error .- .ANS✓✓-Report .immediately Purpose .of .Report? .- .ANS✓✓-So .the .same .mistake .wont .happen .again. Non-adherence .- .ANS✓✓-Dont .use ."non .complaint" ."must .use" .teach .the .patient .why .they .need .to .do .XYZ What .do .you .do .if .the .patient .is .still .not .adherent? .- .ANS✓✓-Compare .the .med .to .the .order .and .if .pt-still .non .adherent .then .document .it. What .are .the. 6 .rights? .- .ANS✓✓-Drug, .Dosage, .Document, .Route, .Interval, .Patient Routine .Meds .- .ANS✓✓-Meds .that .are .continued .every .day .until .cancelled PRN .Meds .- .ANS✓✓-As .needed Stat .- .ANS✓✓-Immediately .(emergency) Single .Dose .- .ANS✓✓-One .Time .Dose .Non .Emergency Unit .Dose .System .- .ANS✓✓-Most .common .system .in .hospital .pre .labeled, .per .measured, .convenient

Patches .- .ANS✓✓-pre .measured .patch .must .fold .in .haf .and .dont .discard .in .trash Ophthalmic .- .ANS✓✓-Eye .meds .(sterile) .If. 2 .meds .for .eye .must .allow. 5 .min .in .between .the .meds Oral-slowest .route .- .ANS✓✓-Pour .medicine .cup .at .eye .level .on .table Inhalers .- .ANS✓✓-Quick .absorption .closed .mouth- .has .spacer .(best .technique) .open .mouth- .no .spacer-. 1 .to. 2 .inches .away .and .spray Rectal .Meds .- .ANS✓✓-Position .pt .left .sim-technique .(towards .the .wal .of .the .rectum) Feeding .Tube .- .ANS✓✓-crush .and .dissolve .in .water, .if .med .comes .in .liquid .form .request .that .form. .DO .NOT .mix .meds .with .the .formula .and .use .diferent .cups .for .each .med. Intradermal .(ID) .- .ANS✓✓-smallest .needle .(TB .test, .Allergy .Test) SUBQ-Insulin .- .ANS✓✓-(high .alert .med) .angle. 45 - 90 .degrees, .normal .route .abd Intramuscular .(IM) .- .ANS✓✓-no .more .than. 1 .ML .(deltoid) .if .more .than .1ML .use .bigger .muscle Z-Track .- .ANS✓✓-to .lock .med .in .the .tissue .(Iron) Aiirlock .Injection .- .ANS✓✓-the .med .has .air .in .the .syringe .and .that .is .ok Ampule .- .ANS✓✓-use .filter .needle .because .of .the .glass .fragments Preventing .needle .sticks .- .ANS✓✓-Make .sure .you .use .safety .but .if .not .safety .do .not .repcap, .throw .in .sharts .container- .if .needle .stick .report .immediately Assessment .and .diagnostic .testing .- .ANS✓✓-Can .not .be .delegated .to .CNA Consent .Form .- .ANS✓✓-need .for .all .invasive .procedures .or .stress .test .for .safety .and .need .if .sedation .or .a .need .for .iodine .(check .for .allergies .ot .iodine .or .shellfish) Blood .work .(heatology) .- .ANS✓✓-WBC, .Hemoglobin, .Hematocrit WBC .- .ANS✓✓- 5000 - 10000 .above. 10000 .infection .below. 5000 .immunocompromised Hemoglobin .- .ANS✓✓-Oxygen .to .and .from .lungs. 12 - 18

Nociceptive .pain .- .ANS✓✓-skin .and .muscle .pain .(skin .tear) Pain .is .subjective .- .ANS✓✓-Only .the .pt .can .tell .you .what .they .are .feeling Pain .Assessement .- .ANS✓✓-PQRST P .(PQRST) .- .ANS✓✓-Precipitating .event .(what .were .you .doing .when .it .happened?) Q .(PQRST) .- .ANS✓✓-Quality .what .type .of .pain R .(PQRST) .- .ANS✓✓-Radiation .is .it .traveling .to .other .areas S .(PQRST) .- .ANS✓✓-Severity .(0-10) T .(PQRST) .- .ANS✓✓-timing .how .long .does .it .last Guided .imagery .- .ANS✓✓-Patient .doing .this .on .their .own .(visualizing .a .place .they .want .to .be .at .to .distract .them) Hypnosis .- .ANS✓✓-Using .the .therapist .words .to .guide .them NSAIDS .- .ANS✓✓-Non .steroidal .(OTC .meds) .tylenol, .ibuprofen-blocks .the .pain .at .the .peripheral .level Opioids .- .ANS✓✓-block .the .pain .at .the .central .nervous .system .level- .monitor .breathing .because .it .decreases .respiratory .rate. Cox. 2 .Inhibitor .- .ANS✓✓-For .arthritis PCA .pump .- .ANS✓✓-Regulated .by .the .PT .benefit .decreases .anxiety .because .they .do .not .have .to .worry .about .waiting .for .you, .if .PT .is .clicking .for .more .meds .more .often .it .is .not .working .and .you .must .call .the .dr .to .revise .the .plan REM .- .ANS✓✓-Rapid .Eye .Movement .PT .is .dreaming .brain .is .owrking .like .they .are .away .vs .will .be .the .same Non .REM .- .ANS✓✓-(non .rapid .eye .movement) .pt .is .non .dreaming .in .active .sleep .pt .vs .will .decrese. Amount .of .sleep .for .a .Newborn .- .ANS✓✓- 20 .hours Amount .of .sleep .for .School .age .children .- .ANS✓✓- 10 - 11 .hours Amount .of .sleep .for .Adolescents .- .ANS✓✓- 9 - 10 .hours

Amount .of .sleep .for .Adults .- .ANS✓✓- 7 - 8 .hours Factors .that .effect .sleep .- .ANS✓✓-Exercise, .Caffeine, .Noise Insmonia .- .ANS✓✓-Use .bed .time .rituals Admission .- .ANS✓✓-all .personal .belongings .give .to .fammily .if .can .and .if .not .put .in .bag .and .floow .facility .protocol. Medication .Reconcilliation .Form .- .ANS✓✓-If .PT .comes .in .with .meds .add .to .this .form .and .send .meds .home AMA .Form .- .ANS✓✓-must .have .PT .sign .form .if .they .refuse .document .that .they .refused. Avenues .of .losses- .how .you .lose .fluid .from .the .body .- .ANS✓✓-Diarrhea, .Vomiting, .Sweating, .Hyperventilation .(expired .air) How .much .water .should .you .be .drinking .a .day? .- .ANS✓✓-2500Ml .(2 .1/2 .liters) .pick .closest .to .these .numbers Normal .Range .for .Sodium .- .ANS✓✓- 135 - 145 .meq/L Normal .ranges .Potassium .- .ANS✓✓-3.5-5.0 .meq/L Normal .range .calcium .- .ANS✓✓-8.4-10.6 .mg/dL Normal .Range .for .Magnesium .- .ANS✓✓-1.3-2.1 .mg/dL Normal .Range .for .Phosphate .- .ANS✓✓-3.0-4.5 .mg/dL Normal .Range .for .Chloride .- .ANS✓✓- 96 - 106 .mEq/L Normal .range .for .Bicarbonate .- .ANS✓✓- 22 - 26 .mEq/L Signs .and .Symptoms .for .Fluid .Volume .Deficit .- .ANS✓✓-BP .low/ .heart .rate .up .older .adults .see .confusion .and .dizziness Fluid .Volume .Deficit .- .ANS✓✓-Dehydration, .Hypovolemia Fluid .Volume .Excess .- .ANS✓✓-BP .high, .Renal .pt .monitor .weight .frist .thing .in .the .AM .same .time, .same .clothes, .same .scale Sodium .- .ANS✓✓-What .does .water .follow .in .the .body? Osmosis .- .ANS✓✓-Water .passes .freely .across .cell .membrane