NUR 185 EXAM 1 QUESTIONS AND ANSWERS 2024/2025 A COMPLETE SOLUTION WITH 100% CORRECT VERIF, Exams of Nursing

Download NUR 185 EXAM 1 QUESTIONS AND ANSWERS 2024/2025 A COMPLETE SOLUTION WITH 100% CORRECT VERIF and more Exams Nursing in PDF only on Docsity!

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

what should you assess and monitor for when taking vancomyocin? - CORRECT ANSWERS *nephrotoxicity *ototoxicity *BUN and creatine *red man syndrome Lomotil (Atropine/Diphenoxylate) - CORRECT ANSWERS *used for diarrhea *atropine is an anti-cholinergic and can be used to "dry" things up *Diphenoxylate will decrease the spasms and slows the gut know it works when there is no diarrhea Flagyl (metronidazole) - CORRECT ANSWERS *is an antibiotic and and antifungal for skin, vaginal and GI infections Flagyl (metronidazole) side effects - CORRECT ANSWERS *Dark urine *metallic taste *GI upset *NO alcohol->GI upset *diarrhea GoLYTELY (polyethylene glycol) - CORRECT ANSWERS *used to prep the bowel for colonoscopy or surgical procedure *make icy cold-don't freeze *do NOT use straws what is hormone regulation? - CORRECT ANSWERS it is a complex physiological process with integrated responses involving various glands, hormones and the action of hormones on the target tissues

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

what is the thyroid gland? - CORRECT ANSWERS *it is butterfly shaped with one lobe lying on either side of the trachea just below the larynx *regulates the triiodothyronine (T3) and thyroxine (T4)-increases metabolism *calcitonin/bones and kidneys/lower serum calcium and phosphate what is hypothyroidism? - CORRECT ANSWERS *the most common medical disorder in the US *common in women 30- *decrease secretion of the thyroid hormones *fails to secrete enough hormones; slowing all the body's metabolic processes what causes hypothyroidism? - CORRECT ANSWERS *reduces production of thyroid hormone. Low levels of T3, T4 and FT *dietary intake (iodine and tyrosine) *radiation *autoimmune response *pituitary disorders cretinism (congenital hypothyroidism) - CORRECT ANSWERS *1 of every 4000 births *all infants in the US are screened to this at birth myexdema (hypothyroidism) - CORRECT ANSWERS *severe hypothyroidism in adults *includes edema in the face, hands, feet and periorbital what are signs and symptoms of hypothyroidism? - CORRECT ANSWERS *weight gain *myxedema ileus->intentional obstruction *thinning of the hair *enlarged facial feature->mask like appearance *cold intolerance

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

*constipation *depression *hypotension *bradycardia *paranoia *mood swings nursing management for hypothyroidism? - CORRECT ANSWERS *teach patient to take medications on a empty stomach in the morning *diet education-> low calorie, low carb, high protein due to low metabolism *exercise nursing interventions & patient teaching for hypothyroidism? - CORRECT ANSWERS *teach patient to take medication on a empty stomach in the morning *diet education -> low calorie, low carb, high protein due to low metabolism *exercise *take stool softeners *keep room at least 70 degrees What is hyperthyroidism? - CORRECT ANSWERS *also called Graves' disease *a condition in which there is goiter and thyrotoxicosis *a condition in which there is increased activity of the thyroid gland, with the overproduction of the thyroid hormones, T3 and T4, resulting in an exaggeration of metabolic processes what are the 10 care essentials for ventilator patients? - CORRECT ANSWERS *reviews communications *check ventilator settings and modes *suction appropriately *assess pain and sedation needs

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

*prevent infection *prevent hemodynamic instability *manage the airway *meet the patients nutritional needs *wean the patient from the ventilator appropriately *educate the patient an family what should you educate the patient and family on regarding the ventilator? - CORRECT ANSWERS *teach them why mechanical ventilation is needed and emphasize the positive outcomes it can provide *each time you enter the patient's room, explain what you're doing *reinforce the need and reason for multiple assessments and procedures, such as laboratory tests and X-rays *communicate desired outcomes and progression toward outcomes so the patient and family can actively participate in the plan of care Theophylline - CORRECT ANSWERS Midazolam - CORRECT ANSWERS Acetylcysteine - CORRECT ANSWERS Ipratropium - CORRECT ANSWERS Bromide/Albuterol Sulfate - CORRECT ANSWERS What is elimination? - CORRECT ANSWERS the excretion of waste from the body what is bowel elimination? - CORRECT ANSWERS the passage and dispelling of stool through the intentional tract by means of intentional smooth muscle contraction

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

what is urinary elimination? - CORRECT ANSWERS the passage of urine out of the urinary tract through the urinary sphincter and urethra what is included in a abdomen assessment? - CORRECT ANSWERS *assess first *look/inspect the abdomen *auscultate bowel sounds, take vital signs *ASSESS what is incorporated in the nursing process? - CORRECT ANSWERS *assessment *diagnosis *planning *implementation *evaluation ADPIE what does the occult blood testing look for? - CORRECT ANSWERS blood in the stool also called hemoccult and gualac occult blood testing education? - CORRECT ANSWERS *usually requires 3 stool samples *you may use a reactive paper placed in the toilet *you may have to place stool sample on a card and add a regent what can interfere with the occult blood test? - CORRECT ANSWERS *no raw turnips, radishes, broccoli or horseradish *no red meat *anticoagulants *aspirin *anti-inflammatories *vitamin C (supplements can prevent detection of blood)

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

colostomy/ascending colon manifestation - CORRECT ANSWERS liquid stool colostomy/transverse colon manifestation - CORRECT ANSWERS pasty stool colostomy/descending & sigmoid colon manifesatation - CORRECT ANSWERS semi-formed what is a colostomy? - CORRECT ANSWERS incision of a stoma on the abdominal wall to where the colon meets colostomy nursing interventions? - CORRECT ANSWERS *assess bowel sounds and abdomen in general *assess stool *assess stoma site for s/s of infection, bleeding and pain *monitor and chart I/O *teach patient about coping *cleans site daily as needed *empty pouch and irrigate pad *change pouch daily or as needed per order colostomy post-op nursing interventions? - CORRECT ANSWERS *up and ambulate after surgery *splitting incision with pillow while coughing *antibiotics *irrigating the stoma can help train the bowel dietary teachings for ostomies? - CORRECT ANSWERS *avoid cabbage, alcohol, onions, eggs *avoid corn, popcorn, seeds and nuts, especially ileostomies

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

what is a urostomy? - CORRECT ANSWERS diversion of urine away from the diseased or defective bladder through a surgical opening or stoma in the skin what does a normal stoma look like? - CORRECT ANSWERS *beefy red (NOT pale) *constant output from stoma pre-op nursing care? - CORRECT ANSWERS *explain the procedure *explain the diagnosis *explain ostomy care and the importance of turn/cough/deep breathe/IS *potential for foley and other drains *lessen patient anxiety *make sure patient understands the care post-op nursing care? - CORRECT ANSWERS *reiterate importance of turn/cough/deep breathe/IS *stoma care *dressings and tubes *irrigate stoma to train bowel *will not have bowel sounds for 48 hours nursing interventions for the patient with a stoma? - CORRECT ANSWERS *assess skin integrity *assess for allergies to powders or adhesive *provide education on changing pouch *assess peristomal areas for infection what is a ileal conduit? - CORRECT ANSWERS most common ureters are implanted into a loop of the abdominal wall the drainage bag fits over the stoma

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

ileal conduit care? - CORRECT ANSWERS *constant urine output *cleanse with water and apply the new appliance as outlined in the institutions standard of care *bag is emptied 2-3 hour intervals what is colorectal cancer? - CORRECT ANSWERS *cancer found in the sigmoid and rectal regions of the colon *second leading cause of cancer deaths colorectal cancer risk factors? - CORRECT ANSWERS *adenomatous polyps *ulcerative colitis *diverticulitis *heredity signs and symptoms of colorectal cancer? - CORRECT ANSWERS *weight loss *blood in stool/rectal bleeding *pain *loss of appetite medical management for colon cancer? - CORRECT ANSWERS *chemotherapy *radiation *surgery (remove disease portion) patient teaching for preventative measure for colon cancer? - CORRECT ANSWERS *high fiber diet.fruits and vegetables *stop smoking *low fat diet *no alcohol

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

*exercise *yearly screenings vancomyocin - CORRECT ANSWERS *antibiotic *it is a vesicant what are signs and symptoms of hyperthyroidism? - CORRECT ANSWERS *edema to the neck *exophthalmos (bulging of the eyes) *weight loss *feeling of nervous *jittery *heart palpitations *insomnia *tachycardia *hypertension *intolerance of heat *hyperactivity *clumsiness Medical management for hyperthyroid? - CORRECT ANSWERS *labs: TSH, T3 and T *radioactive iodine is the gold standard *PTU, Tapazole *surgery as last resort- thyroidectomy *subtotal thyroidectomy- surgical removal of five-sixths of the thyroid is removed Nursing interventions for hyperthyroid? - CORRECT ANSWERS *educate on diet- high protein diet

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

*vitamins *vitamin D supplements Thyroidectomy - CORRECT ANSWERS Complete removal or partial removal of the thyroid gland Post nursing care for the thyroidectomy and what to expect - CORRECT ANSWERS *post op, voice maybe hoarse for 48 hours, turn neck slowly, monitor incision site, monitor vital signs *semi-fowlers position to enhance respiratory status and decrease edema *assess for signs and symptoms of hypocalcemia (chovstks, trosseau, layngospasm, tetany, numbness, tingling in fingertips and toes *assess for hemorrhage, reps distress and thyroid storm *life long thyroid replacement Thyroid storm/crisis - CORRECT ANSWERS *a complication related to thyroidectomy *is a release of large amounts of thyroid hormones into the blood stream *occurs within the first 12 hours after surgery Signs and symptoms for thyroid storm - CORRECT ANSWERS *during the thyroid storm, all the symptoms of hyperthyroidism are exaggerated. Cardiac arrhythmias may occur, restlessness, hypertension, delirium Treatment for thyroid storm - CORRECT ANSWERS *induce a normal thyroid state *prevent cardiovascular collapse *prevent excessive hyperthermia Emergency treatments for thyroid storm - CORRECT ANSWERS *administration of IV fluids *sodium iodine *corricosteroids *antipyretics

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

*anti thyroid drugs *oxygen if needed Methimazole (Tapazole) - CORRECT ANSWERS *used for hyperthyroidism *inhibits synthesis of thyroid hormone by decreasing iodine use in manufacture of thyroglobulin and iodthyronine Methimazole (Tapazole) side effects - CORRECT ANSWERS *drowsiness *headache *enlarge thyroid *nausea *diarrhea **jaundice **hepatitis **nephritis **bone marrow suppression *thrombocytopenia Methimazole (Tapazole) nursing interventions - CORRECT ANSWERS *assess for signs and symptoms of hypothyroidism *vital signs *labs: liver functions, T3, T4, TSH, daily weight Methimazole (Tapazole) patient teachings - CORRECT ANSWERS *do not breast feed *monitor weight *vital signs *take as prescribed *do not skip or double dose

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

Prophylthiouracil (PTU) - CORRECT ANSWERS *used for hyperthyroidism, thyroid storm *block thyroid hormone replacement *PO Prophylthiouracil (PTU) side effects - CORRECT ANSWERS *drowsiness *headsche *n/v *loss of taste *agranulocytosis *leukopenia *thrombocytopenia **jaundice **hepatitis *liver failure Prophylthiouracil (PTU) black box warning - CORRECT ANSWERS Hepatoxicity Prophylthiouracil (PTU) patient teachings - CORRECT ANSWERS *do not stop abruptly *monitor weight *report signs and symptoms of liver failure *take as prescribed Prophylthiouracil (PTU) nursing interventions - CORRECT ANSWERS *vital signs *assess for weight gain *labs-liver functions *restrict seafood Levithyroxine (Synthroid) - CORRECT ANSWERS *thyroid hormone replacement

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

*synthetic hormone *IV/PO/IM Levithyroxine (Synthroid) side effects - CORRECT ANSWERS *anxiety *insomnia *tachycardia *palpitations *angina *hypertension *cardiac arrest

• n/v *weight loss *thyroid storm Levithyroxine (Synthroid) black box warning - CORRECT ANSWERS Not to be taken to reduce weight Levithyroxine (Synthroid) nursing interventions - CORRECT ANSWERS *vital signs *labs T3 and T Levithyroxine (Synthroid) teachings - CORRECT ANSWERS Teach to take on a empty stomach Liothyronine (Cytomel) - CORRECT ANSWERS *used for hypothyroidism and myxedema *PO, IV *rarely used Liotrix (Thyrolar) - CORRECT ANSWERS *used for hypothyroidism *rarely used

COMPLETE SOLUTION WITH 100% CORRECT VERIFIED

ANSWERS RATED A+ FOR SUCCESS

Thyroid (Armour Thyroid) - CORRECT ANSWERS *used for hypothyroidism *PO *rarely used