Download NUR 125 Final Exam Questions with Answers-Guaranteed Answers and more Exams Nursing in PDF only on Docsity! NUR 125 Final Exam Questions with Answers-Guaranteed Answers 1. When should you flush an IV with normal saline? - Correct Answer Every 8 hours to ensure patency 2. IV Insertion location - Correct Answer Non dominant hand, start low and work your way up, not below current infusion, avoid antecubital area 3. Fluid overload S/S - Correct Answer Edema, hypertension, bounding pulse, crackles, weight gain 4. Phlebitis S/S - Correct Answer inflammation of a vein —redness, swelling, warmth 5. Infiltration S/S - Correct Answer Leakage of fluid 6. —cool, pallor, swelling, pain, burning 7. Isotonic fluids - Correct Answer Concentration is the same as body fluids, D5W sodium, Ringer, Lactated Ringer, 0.9% sodium chloride. Fluid loss resulting from diarrhea & vomiting, waiting for blood products, and fluid loss during surgery 8. Hypertonic fluids - Correct Answer Concentration is higher than 300 mEq/L, concentrated in dextrose in water 20%, 30%, 40%, 50%, 70%- sodium chloride solution 3%, 5%, lower cerebral edema 9. Hypotonic fluids - Correct Answer Concentration is less than 280 mEq/L, 0.45% sodium chloride- use to replace hypotonic fluid losses, maintenance solution 10.TNM - Correct Answer tumor-node-metastasis 11.Risk factors for cellular regulation - Correct Answer Advancing age, smoking, multiple sex partners, sun exposure, high fat and low fiber diet, increased alcohol intake 12.What is the main sign of colon cancer? - Correct Answer Blood in stool 13.complications of leukemia - Correct Answer Infection, bleeding, anemia —patient should be on neutropenic precautions 14.Breast cancer S/S - Correct Answer Dimpling of the skin of the breast, discharge from the nipple, thickening of breast tissue, dry rash in the areola 15.Lymphedema interventions - Correct Answer Elevate arm & encourage exercises and ADLs with affected arm 16.Alzheimer's - Correct Answer Deficiency of acetylcholine, neurofibrillary tangles, amyloid deposits in the brain *nutrition should include small frequent meals with finger foods high in protein and carbohydrates 17.Dementia - Correct Answer Minor vs. Major tranquilizers- major (to manage anxiety, hostility, agitation, and paranoia) minor (to manage anxiety and agitation) *should promote involvement in ADLs with simple directions 18.Parkinson's - Correct Answer Combination drug therapy to increase the effectiveness includes carbidopa and levodopa. S/S— muscle tremors, posture and equilibrium alternations, slow body movements & bradykinesia Deficiency of dopamine 19.Delirium - Correct Answer Anyone dealing with a delirium patient should be calm, warm, and reassuring. Frequent orientation to the surroundings and situation is important as well. *inpatient room settings: private room with continual supervision, quiet and uncluttered, lighting should be soft and diffuse to avoid shadows. 20.DKA (diabetic ketoacidosis) - Correct Answer Glucose 300-600 mg/dL, breakdown of fat protein producing acidosis, dangerously low pH, Kussmaul RR: rapid and deep 21.HHNS (hyperglycemic hyperosmolar nonketotic syndrome) - Correct Answer Diagnosed with a glucose level greater than 600 mg/dL 22.GERD (gastroesophageal reflux disease) - Correct Answer Histamine 2 receptor and proton pump inhibitors decrease gastric secretions, antacids neutralize gastric pH (take 1 hour before to 2 hours after meals) 23.N/V - Correct Answer Serotonin antagonist (Zofran) is best to treat chemotherapy N/V Types of N/V chemotherapy- acute, delayed, anticipatory, chemotherapy induced, radiation induced 24.BPH (benign prostatic hyperplasia) - Correct Answer OTC antihistamines can aggravate the urinary symptoms -patient education: urinating when you feel the urge to go, spacing fluid consumption, not drinking fluids 2 hours before bedtime, notifying doctor if you are unable to void