NUR 185 Final Exam Term 4-with 100% verified solutions-2023-2024, Exams of Health sciences

Download NUR 185 Final Exam Term 4-with 100% verified solutions-2023-2024 and more Exams Health sciences in PDF only on Docsity! NUR 185 Final Exam Term 4-with 100% verified solutions- 2023-2024 Patient with CHF, what lab value would you pay attention to? Potassium Patient with stroke and R sided vision loss. You plan to do which of the following? Teach the patient to scan the environment Patient with bowl tumor. Which diagnostic test would confirm the malignancy? Biopsy Patient getting Antineoplastic (Chemo). What would you include in their plan of care? Consult the physicians before getting immunizations Patient has upper GI bleeding and in moderate distress. What is your first priority? Obtain and evaluate vital signs You have a patient with pulmonary edema about to be discharged. What would you tell them to manage and prevent complications? Daily weights You have given patient benedryl and then educate the patient on this medication. Which statement indicates need for further teaching? I can still take my sleeping pill with my benedryl The nurse is caring for patient with terminal cancer and close to death. What is the priority intervention for this patient? Provide emotional support for loved ones (Answer D) Patient with chronic vertigo. Teaching them about preventions of exacerbations or injury. What would you educate the patient on? Turn your head slowly to minimize vertigo. Teaching a patient how to use a walker. What statement would the nurse question? Be certain there is a 45 degree angle of flexion at the elbow to ensure adequate length of the walker You have a patient from the OR following hip replacement. Patient is in bed in high-fowlers. Skin is pale, cold, and clammy. What actions would you take at this time? Check the blood pressure. You have 4 patients in long-term care facility. Which patient would be priority? 29 year old patient with down syndrome. 1 week post op temp of 101, pulse 110, shivering. You have a patient on the coumadin 3MG a day. INR today is 1.2 (low). What order would you carry out? Give 5MG coumadin today (to offset the imbalance) Caring for diabetic patient who just took shower. HR is 70, skin is warm and dry. You take their BS and it is 42. What would you do? Go get a new glucose test and recheck. You have a patient that just vomited coffee ground emesis. 350 ML on the floor. (indicative of GI bleed) on the cardiac floor on heparin drip. What are you going to do? Stop the heparin drip, give vitals, and provide emotional support (one answer) A patient has started on a new med and developed hives and angioedema. This is their 3rd dose of medication and states "I did have some itching with the second dose". What would the nurse do now? Give the patient a dose of EPI IM stat per physician order. What are burn patients at high risk for? High risk for sepsis (that is all you need to know) 2. Answer call lights and pump alarms promptly 3. Write out the units (do not write just the "U" for unit) 4. Call for time-out before any surgical procedure (SATA)Teaching patient about plavix after heart attack. What will the nurse include in this teaching? 1. You will need to take this medication once a day 2. This medication will help keep your stint open 3. This helps prevent your blood from clotting (SATA)Nurse caring for patient with burns over 60 % of their body. Which 1. Give antibiotics per physician order 2. Pain meds per physician order 3. Notify next of kin (SATA)Patient with SOB with the following labs. BUN 95, CRT 9.2 pot of 6. You should anticipate to follow out which order? 1. Give kayexalate 2. Prepare the patient for hemodialysis cath 3. Cardiac monitor (SATA) Caring for patient on Vent. What actions would you take? 1. Me sure the patient has SCD's on. 2. Limit suction time to 30 seconds. 3. Don't put NS down NG tube What lab value would you check for a patient on Lasix? Potassium Do you apply sunscreen to children sparingly? No, lather them up! Garamycin (gentamycin) affects what parts of the body system? ototoxic (hearing), nephrotoxic(kidneys), and neurotoxic (vertigo, dizziness) What electrolytes are important for cardiac health? Potassium and Magnesium What color should a healthy stoma be? Beefy red (not pink) What kind of diet would reduce the risk of colon cancer? High fiber What does Narcan do? Makes your "high go bye!" What actions should you take if your ventilator alarm will not stop beeping? Disconnect the vent tubing and give breaths with the ambu-bag What types of medication can you delegate to a UAP? non-prescription eye drops What would an acute exacerbation of COPD do to your ABG's? Respiratory Acidosis When drawing labs for a CBC, what color tube should they go in? Lavender Patient has rigidity, bradycardia, and tremors (think Parkinson's), what meds would we anticipate? Cabidopa-levadopa What medication would a patient take to help keep stent open? Plavix What medication can be prescribed to help prevent strokes? Aspirin- which can cause bleeding and rinnitus What are the levels for Creatinine? 0.6 to 1.5 What are the levels for Hemoglobin? Males: 13 to 18 Females: 12 to 16 What are the levels for Glucose? 70 to 100 What are the levels for Magnesium? 1.5 to 2.5 What are the levels for hematocrit? Males: 42 to 52% Females: 37 to 47% What are the levels for WBC 5,ooo to 10,000 What are the levels for platelets 100,000 to 400,000