NUR 2243 Final Certification Exam Questions with most appropriate Answers 2023/2024

NUR 2243 Final Certification Exam Questions with most appropriate Answers 2023/2024 Complication of a diuretic - Answer metabolic alkalosis Know the causes of Acid Base imbalances - Answer Metabolic Acidosis Metabolic Alkalosis Respiratory Acidosis Respiratory Alkalosis cause of metabolic alkalosis - Answer vomiting gastric suction too many tums sxs of metabolic alkalosis - Answer Weakness, muscle cramps, hyperactive reflexes, tetany, slow and shallow respirations *fall prevention* Urine Output 30 ml/hr - Answer -avoid potassium -may cause hyperkalemia Excess ADH - Answer -dilutes body fluids -hyponatremia risk Hypernatremia - Answer -decreases LOC -can be caused by tube feedings Oliguric renal disease - Answer -low U.O. -decrease foods in magnesium and other electrolytes Hypokalemia - Answer -arrhythmias -postural hypotension -weakness *Fall precautions* Hyperkalemia - Answer cardiac monitor Protein in the urine - Answer NEVER normal- indicates decreased renal function S/S DKA - Answer -rapid/ deep breathing -polydipsia -polyuria -polyphagia antidote for DKA - Answer insulin Antidote for HHS - Answer -fluid replacement -increased level of consciousness= therapeutic effect - ^ measured with GCS Hold medication prior to CT - Answer metformin Liver Cirrhosis - Answer - low sodium diet to reduce ascites -watch protein levels Complication paracentesis - Answer urine output less than 30 mL may indicate that they punctured the bladder Esophageal Varices priority - Answer airway Vasopressin SE - Answer - chest pain -MI PSE- Systemic Encephalopathy - Answer Typically can happen from high ammonia levels What can help PSE - Answer -Diet low in protein -Lactulose- teach increased bowel movements and diarrhea ( how body rids ammonia) Contracting Hep A - Answer -Close personal contact, shellfish Contracting Hep B - Answer Blood transfusions Contracting Hep C - Answer -Cant be spread via casual contact -Going overseas don't have fresh fruit veggies bc washed in contaminated water cant cause this - causes Hep A -spread via blood and bodily fluids Ribovarin - Answer takes forever to work : people need to make sure take religiously- *teach ab pill organizer* Transplant Rejection - Answer o Symptoms had previously return o Fevero o Contact hcp asap