NUR 172 FINAL EXAM LATEST 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS ND CORRECT DETAILE, Exams of Nursing

Download NUR 172 FINAL EXAM LATEST 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS ND CORRECT DETAILE and more Exams Nursing in PDF only on Docsity! NUR 172 FINAL EXAM LATEST 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS ND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) What is thrombocytopenia? - correct answer low platelet count What are granulocytes? - correct answer neutrophils, eosinophils, basophils ( Big takeway is that they are WBC's) Teaching for Iron supplements - correct answer -Take on an empty stomach - Take 1-2 hours before meal - Can turn front teeth red Cancer - patient teaching regarding social interaction and precautions - correct answer - Wash hands - Wear a mask - Limit interaction too less than 30 minutes Difference between chemotherapy and radiation - correct answer - Chemotherapy spreads throughout the whole body and kills everything - Radiation is localized. What stage is HIV declared AIDS? - correct answer Stage 3 Normal vs AIDS CD4 Levels - correct answer When the CD4 count drops below 200, a person is diagnosed with AIDS. A normal range for CD4 cells is about 700-1,000 Define acquired immunity - correct answer An immunity that develops before birth and throughout the lifetime of the individual Digoxin (Lanoxin) - teaching, levels, and OD symptoms - correct answer - contact health care professional before taking medication if pulse rate is <60 or >100. - Watch levels normal 0.8-2.0 - Toxicity symptoms include nausea, vomiting, abdominal pain What is MCV? - correct answer mean corpuscular volume. There are three main types of corpuscles (blood cells) in your blood-red blood cells, white blood cells, and platelets. Normal MCV range - correct answer 80-100 MCV > 100 means what? - correct answer Macrocytic anemia. Common causes include; B12 deficiency, Folic acid deficiency, EtOH abuse, or liver disease What lab is tested to determine anemia? What are the normal M/F levels for anemia? - correct answer Hemoglobin Male <13 NUR 172 FINAL EXAM LATEST 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS ND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) Female <12 MCV is between 80-100, what is your next step? If this test is greater than 1.3 what are you thinking? - correct answer Check creatinine. If creatinine > 1.3 you need a renal consult for CKD MCV is < 80 what is your next step? What do you do if these two tests come back low? - correct answer Iron studies: Ferritin (is a protein that contains iron and is the primary form of iron stored inside of cells) <15 ng/ml TSTAT ( you get this by dividing the serum iron level by the total iron-binding capacity. The total iron-binding capacity correlates with circulating transferrin, which is the major iron-binding protein in plasma.) < 20% LOW - * Give iron supplements (IV or PO) * Consider EPO is surgery anticipated * Treat cause if iron deficiency anemia is confirmed. Examples; GI blood loss, menorrhagia, pregnancy, insufficient intake. MCV > 100 what is your next step? - correct answer Assess for; B12 deficiency Folate dificiency EtoH abuse Liver disease Hypothyroidism MCV is 85 and the creatinine is 1.2. What is your next thought as a nurse? - correct answer is the reticulocyte (baby RBC without a nucleus) normal? MCV is 85, creatinine is 1.2, and the reticulocyte count is normal between 0.5-1.5%. What is your next thought as the nurse? What do you need too rule out? - correct answer Rule out blood loss Rule out hemolysis Iron Consider EPO NUR 172 FINAL EXAM LATEST 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS ND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) What type of dressing is used for bone marrow biopsy? - correct answer Pressure dressing Post bone marrow biopsy how is the patient positioned? - correct answer On the affected side How would you pick up on bleeding post biopsy? (No outward signs) - correct answer - low BP - Tachycardia Teaching for chemo - correct answer Systemic throughout the whole body. signs of infection bleeding precautions hand hygiene nutritional requirements Teaching for radiation - correct answer - localized Never Let Monkeys Eat Bananas - correct answer neutrophils, lymphocytes, monocytes, eosinophils, basophils Elevated monocytes indicate - correct answer bacterial infection neutrophils elevated - correct answer bacterial infection Too many bands means? - correct answer Bad infection. WBC's are not maturing. What does a shift to the left mean? - correct answer Presence of bands Immature WBCs) or stabs (immature neutrophils) indicates serious infection What are the common side effects of chemo and radiation? - correct answer - Hair loss - Nausea - Vomiting - Fatigue Neutropenic precautions - correct answer Isolation procedures to protect an immunocompromised patient from infections ANC means - correct answer Absolute Neutrophil count What do you wear for neutropenic precautions? - correct answer - WASH YO HANDS ****** - mask -gloves NUR 172 FINAL EXAM LATEST 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS ND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) -gown IF IT ASKS WHAT IS MOST IMPORTANT YOU WASH YO HANDS ANC below 500 - correct answer Neutropenic precautions Passive immunity - correct answer Immunity conferred by transferring antibodies from an individual who is immune to a pathogen to another individual. Mom to babay active immunity - correct answer Developed by the persons own body after exposure to an antigen. Precautions with the HIV patient - correct answer Standard precautions How is HIV spread? - correct answer sex, sharing needles with infected people, contaminated blood, mother to fetus Is AIDS your biggest concern from a needle stick? - correct answer Nope. Hepatitis is a bitch. How long does it take for AIDS to show up? - correct answer 2-3 weeks bone marrow biopsy - other teaching - correct answer explain procedure too patient. Expect some swelling. Patient does not need an IV. Ebola signs and symptoms - correct answer within a few days, high fever, headache, muscle pain, fatigue, diarrhea What symptoms would you expect at stage 0 of HIV? - correct answer negative or indeterminate HIV test results near the time of diagnosis. Fever, fatigue, nausea, headache, lymph node. FLU LIKE SYMPTOMS Give the ranges for the following electrolytes; K+ Mag Na INR - correct answer K+ 3.5-5.0 Mag 1.4-2.1 Na 135-145 INR: NUR 172 FINAL EXAM LATEST 2024-2025 ACTUAL EXAM TEST BANK 100 QUESTIONS ND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) normal <1.1 On warfarin 2.0-3.0 Your patient is undergoing a bone biopsy and exhibits evidence of decreased pain tolerance. What can you do to decrease the patients discomfort? - correct answer add more lidocane Make sure you know PRN pain med options (like morphine) Emergent - correct answer Performed immediately to save a clients life, limb or organ Required - correct answer Surgery which needs to be done in order to retain quality of life. Can wait weeks. Example; thyroid disorder, cataracts Urget - correct answer Can wait 24 hours. Elective surgery - correct answer surgery that is recommended but can be omitted or delayed without catastrophe. Vagina repair optional surgery - correct answer Surgery that is not critical to survival or function. What medications need to be held 7-10 days prior to surgery? - correct answer - Anticoagulants -Antiparticles - Herbal supplements What type of food allergy indicates latex allergy? (there are 4) - correct answer - Banana - Kiwi - Avocado - Nuts (ALEXIS :P) Why is a person NPO prior to surgery? - correct answer Aspiration Do you give BP medications before surgery? - correct answer Yes in the AM with a sip of water When is the pre-operative checklist started? - correct answer During pre-admission testing (phone call) What perioperative complications will the physician worry about if someone has a BMI of 28? - correct answer Healthy 18.5- >25 Increased infection risk Wound separation (dehiscence)