NU 136 EXAM 5 FINAL STUDY GUIDE
QUESTIONS & VERIFIED ANSWERS
PASSED
Cultural consideration for Islam Women - CORRECT ANSWER Husband's presence is
required when they sign health care documents
Nursing Process: Assessment - CORRECT ANSWER Recognizing cues, data
collection, organizing, documenting, obtained from the PT, family, PCP diagnostic tests,
and information about pt from other health professionals
Nursing Process Evaluation - CORRECT ANSWER Evaluating outcomes, assessing
pts response to the nursing intervention, comparing responses with expected outcomes
whether they were achieved or not, reassessing entire care plan and making changes.
Butterbur - CORRECT ANSWER decreases frequency of migraines and may decrease
hay fever symptoms
Evening Primrose oil - CORRECT ANSWER Increase risk of bleeding.
Garlic - CORRECT ANSWER may increase bleeding, especially in patients taking
anticoagulants
Ginko Biloba - CORRECT ANSWER can increased risk for bleeding! MEMORY
Maslow's hierarchy self esteem - CORRECT ANSWER Independence, competence,
explortion, roles, motivation, learning, leisure.
Obtaining a stool sample - CORRECT ANSWER test for occlt blood, culture,
ova/parasite; sterile swab from culture tube, obtain bean size sample; use tongue blade
for ova and parasite test; use stool card for occult blood
Laboratory specimens (wound, sputum, stool, urine) - CORRECT ANSWER get these
samples into the laborator as soon as possible because it starts decomposing.
Nonpharmacological interventions for pain (Guided Imagery) - CORRECT ANSWER
Sand in your toes.
Nonpharmacological interventions (Distractions) - CORRECT ANSWER Really good
book or TV show.
, Encourage Fluids - CORRECT ANSWER What are ways we can help prevent/treat
side effects from opioid pain medication?
Deltoid Muscle - CORRECT ANSWER Site used for IM medications, 1mL or less
Sterile technique - CORRECT ANSWER What does a Trach cleaning require?
we want to encourage as much independence, we stay with the patient if they need
assistance - CORRECT ANSWER What is the nurses role if a patient requires minimal
assistance with their hygiene?
We dont do it without an order, trim straight across, if looks infected DO NOT TOUCH -
CORRECT ANSWER How do you perform foot care for diabetic patients?
Hand sanitizer - CORRECT ANSWER Use if hands are not visibly soiled
Washing hands - CORRECT ANSWER Use in contact, isolation type of rooms ( they
are resitant to hand sanitizer)
Potassium - CORRECT ANSWER 3.5-5.0 mEq/L
Hyopkalemia symptoms - CORRECT ANSWER abominal pain, gaseous, distention of
intestines, cardiac arrhythmias, muscle weakness, decreased reflexes, urinary
retention, lethargy, confusion
Hyperkalemia Symptoms - CORRECT ANSWER muscle weakness, bradycardia, fatal
arrhythmias
Apricots, avocados, cantaloupe, banana, dates, meats, orange juice, tuna, salmon,
potatoes, oranges. - CORRECT ANSWER Foods high in potassium
Calcium - CORRECT ANSWER 8.4-10.6 mg/dL
symptoms of Hypocalcemia - CORRECT ANSWER Confusion, Paresthesias around
mouth, muscle spams in hands and feet, hyperreflexia, Chvostek sign, adn Trousseau
sign.
Change in potassium- always check EKG - CORRECT ANSWER what are nursing
interventions for patients with the different electrolyte imbalances?
LVN can assist in medication administration, and the vitals - CORRECT ANSWER
What is the LVN scope of practice in acute care setting?
Defense mechanism (displacement) - CORRECT ANSWER Discharging intense
feelings for one person onto another subject or person who is less threatening , thereby
satisfying an impulse with a substitute object.
QUESTIONS & VERIFIED ANSWERS
PASSED
Cultural consideration for Islam Women - CORRECT ANSWER Husband's presence is
required when they sign health care documents
Nursing Process: Assessment - CORRECT ANSWER Recognizing cues, data
collection, organizing, documenting, obtained from the PT, family, PCP diagnostic tests,
and information about pt from other health professionals
Nursing Process Evaluation - CORRECT ANSWER Evaluating outcomes, assessing
pts response to the nursing intervention, comparing responses with expected outcomes
whether they were achieved or not, reassessing entire care plan and making changes.
Butterbur - CORRECT ANSWER decreases frequency of migraines and may decrease
hay fever symptoms
Evening Primrose oil - CORRECT ANSWER Increase risk of bleeding.
Garlic - CORRECT ANSWER may increase bleeding, especially in patients taking
anticoagulants
Ginko Biloba - CORRECT ANSWER can increased risk for bleeding! MEMORY
Maslow's hierarchy self esteem - CORRECT ANSWER Independence, competence,
explortion, roles, motivation, learning, leisure.
Obtaining a stool sample - CORRECT ANSWER test for occlt blood, culture,
ova/parasite; sterile swab from culture tube, obtain bean size sample; use tongue blade
for ova and parasite test; use stool card for occult blood
Laboratory specimens (wound, sputum, stool, urine) - CORRECT ANSWER get these
samples into the laborator as soon as possible because it starts decomposing.
Nonpharmacological interventions for pain (Guided Imagery) - CORRECT ANSWER
Sand in your toes.
Nonpharmacological interventions (Distractions) - CORRECT ANSWER Really good
book or TV show.
, Encourage Fluids - CORRECT ANSWER What are ways we can help prevent/treat
side effects from opioid pain medication?
Deltoid Muscle - CORRECT ANSWER Site used for IM medications, 1mL or less
Sterile technique - CORRECT ANSWER What does a Trach cleaning require?
we want to encourage as much independence, we stay with the patient if they need
assistance - CORRECT ANSWER What is the nurses role if a patient requires minimal
assistance with their hygiene?
We dont do it without an order, trim straight across, if looks infected DO NOT TOUCH -
CORRECT ANSWER How do you perform foot care for diabetic patients?
Hand sanitizer - CORRECT ANSWER Use if hands are not visibly soiled
Washing hands - CORRECT ANSWER Use in contact, isolation type of rooms ( they
are resitant to hand sanitizer)
Potassium - CORRECT ANSWER 3.5-5.0 mEq/L
Hyopkalemia symptoms - CORRECT ANSWER abominal pain, gaseous, distention of
intestines, cardiac arrhythmias, muscle weakness, decreased reflexes, urinary
retention, lethargy, confusion
Hyperkalemia Symptoms - CORRECT ANSWER muscle weakness, bradycardia, fatal
arrhythmias
Apricots, avocados, cantaloupe, banana, dates, meats, orange juice, tuna, salmon,
potatoes, oranges. - CORRECT ANSWER Foods high in potassium
Calcium - CORRECT ANSWER 8.4-10.6 mg/dL
symptoms of Hypocalcemia - CORRECT ANSWER Confusion, Paresthesias around
mouth, muscle spams in hands and feet, hyperreflexia, Chvostek sign, adn Trousseau
sign.
Change in potassium- always check EKG - CORRECT ANSWER what are nursing
interventions for patients with the different electrolyte imbalances?
LVN can assist in medication administration, and the vitals - CORRECT ANSWER
What is the LVN scope of practice in acute care setting?
Defense mechanism (displacement) - CORRECT ANSWER Discharging intense
feelings for one person onto another subject or person who is less threatening , thereby
satisfying an impulse with a substitute object.
