NU 136 exam 5 Final study Guide and
All Actual Answers
Cultural consideration for Islam Women - Answer Husband's presence is required when they
sign health care documents
Nursing Process: Assessment - Answer Recognizing cues, data collection, organizing,
documenting, obtained from the PT, family, PCP dianostic tests, and information about pt from
other health professionals
Nursing Process Evaluation - 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 - Answer decreases frequency of migraines and may decrease hay fever symptoms
Evening Primrose oil - Answer Increase risk of bleeding.
Garlic - Answer may increase bleeding, especially in patients taking anticoagulants
Ginko Biloba - Answer can increased risk for bleeding! MEMORY
Maslow's hierarchy self esteem - Answer Independence, competence, explortion, roles,
motivation, learning, leisure.
Obtaining a stool sample - 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) - Answer get these samples into the
laborator as soon as possible because it starts decomposing.
Nonpharmacological interventions for pain (Guided Imagery) - Answer Sand in your toes.
Nonpharmacological interventions (Distractions) - Answer Really good book or TV show.
Encourage Fluids - Answer What are ways we can help prevent/treat side effects from opioid
pain medication?
, Deltoid Muscle - Answer Site used for IM medications, 1mL or less
Sterile technique - Answer What does a Trach cleaning require?
we want to encourage as much independence, we stay with the patient if they need assistance -
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 - Answer
How do you perform foot care for diabetic patients?
Hand sanitizer - Answer Use if hands are not visibly soiled
Washing hands - Answer Use in contact, isolation type of rooms ( they are resitant to hand
sanitizer)
Potassium - Answer 3.5-5.0 mEq/L
Hyopkalemia symptoms - Answer abominal pain, gaseous, distention of intestines, cardiac
arrhythmias, muscle weakness, decreased reflexes, urinary retention, lethargy, confusion
Hyperkalemia Symptoms - Answer muscle weakness, bradycardia, fatal arrhythmias
Apricots, avocados, cantaloupe, banana, dates, meats, orange juice, tuna, salmon, potatoes,
oranges. - Answer Foods high in potassium
Calcium - Answer 8.4-10.6 mg/dL
symptoms of Hypocalcemia - Answer Confusion, Paresthesias around mouth, muscle spams
in hands and feet, hyperreflexia, Chvostek sign, adn Trousseau sign.
Change in potassium- always check EKG - Answer what are nursing interventions for patients
with the different electrolyte imbalances?
LVN can assist in medication administration, and the vitals - Answer What is the LVN scope of
practice in acute care setting?
All Actual Answers
Cultural consideration for Islam Women - Answer Husband's presence is required when they
sign health care documents
Nursing Process: Assessment - Answer Recognizing cues, data collection, organizing,
documenting, obtained from the PT, family, PCP dianostic tests, and information about pt from
other health professionals
Nursing Process Evaluation - 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 - Answer decreases frequency of migraines and may decrease hay fever symptoms
Evening Primrose oil - Answer Increase risk of bleeding.
Garlic - Answer may increase bleeding, especially in patients taking anticoagulants
Ginko Biloba - Answer can increased risk for bleeding! MEMORY
Maslow's hierarchy self esteem - Answer Independence, competence, explortion, roles,
motivation, learning, leisure.
Obtaining a stool sample - 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) - Answer get these samples into the
laborator as soon as possible because it starts decomposing.
Nonpharmacological interventions for pain (Guided Imagery) - Answer Sand in your toes.
Nonpharmacological interventions (Distractions) - Answer Really good book or TV show.
Encourage Fluids - Answer What are ways we can help prevent/treat side effects from opioid
pain medication?
, Deltoid Muscle - Answer Site used for IM medications, 1mL or less
Sterile technique - Answer What does a Trach cleaning require?
we want to encourage as much independence, we stay with the patient if they need assistance -
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 - Answer
How do you perform foot care for diabetic patients?
Hand sanitizer - Answer Use if hands are not visibly soiled
Washing hands - Answer Use in contact, isolation type of rooms ( they are resitant to hand
sanitizer)
Potassium - Answer 3.5-5.0 mEq/L
Hyopkalemia symptoms - Answer abominal pain, gaseous, distention of intestines, cardiac
arrhythmias, muscle weakness, decreased reflexes, urinary retention, lethargy, confusion
Hyperkalemia Symptoms - Answer muscle weakness, bradycardia, fatal arrhythmias
Apricots, avocados, cantaloupe, banana, dates, meats, orange juice, tuna, salmon, potatoes,
oranges. - Answer Foods high in potassium
Calcium - Answer 8.4-10.6 mg/dL
symptoms of Hypocalcemia - Answer Confusion, Paresthesias around mouth, muscle spams
in hands and feet, hyperreflexia, Chvostek sign, adn Trousseau sign.
Change in potassium- always check EKG - Answer what are nursing interventions for patients
with the different electrolyte imbalances?
LVN can assist in medication administration, and the vitals - Answer What is the LVN scope of
practice in acute care setting?
