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Nursing 240 Final Exam With Latest Updated Questions And Answers 2024

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Nursing 240 Final Exam With Latest Updated Questions And Answers 2024

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Nursing 240 Final Exam With Latest
Updated Questions And Answers 2024



Older .adult .circulation .- .correct .answer.1. .Thicker, .more .rigid .vessels
2. .Decreased .heart .stength
3. .Lower .exercise .tolerance

Regular .bowel .movements .- .correct .answer.Privacy .and .designated .time
Proper .diet .and .exercise
Seated .upright

Bowel .diversion .(colostomy) .- .correct .answer.Leaves .a .stoma; .location .determines
.consistency .of .stool




Ileostomy .- .correct .answer.Ileum .thru .opening .in .abdome
Stool .continuous .and .liquid

Stoma .care .- .correct .answer.Measure .once .a .week
Consider .psychosocial .patient .needs

Stoma .skin .care .- .correct .answer.Monitor .odor, .color, .consistency .of .stools
Keep .surrounding .skin .dry

Stoma .color .- .correct .answer.Red .and .beefy
Anything .else .is .bad
Pink .= .low .hemoglobin

Physiologic .changes .with .impaired .blood .flow .- .correct .answer.Diminished .peripheral
.pulses

Shiny, .hairless .legs
Cyanotic .skin
Poor .cap .refill
Pitting .edema
Ulcers

,Deep .Vein .Thrombus .prevention .- .correct .answer.Clot .in .veins .prevented .by .frequent
.position .changes




DVT .risk .factors .- .correct .answer.Decreased .sensation
Immobility

Anti-embolism .stockings .(TEDs) .- .correct .answer.Launder .and .check .circulation .every
.three .days

Knee .or .thigh .high

Assess .circulation .- .correct .answer.1. .Inspect .skin .color, .ulcers, .and .edema
2. .Assess .cap .refill .and .pulses

Urinary .system .- .correct .answer.Somatic .NS .(conscious .control)

Urinary .elimination .factors .- .correct .answer.1. .Personal .hygiene
2. .Hydration
3. .UTI
4. .Medication

Urinary .elimination .in .older .adults .- .correct .answer.Loss .of .bladder .elasticity .and .muscle
.tone

1. .Leads .to .urgency .and .nocturia .(wake .up .to .urinate
2. .Leads .to .incomplete .emptying

UTI .symptoms .- .correct .answer.1. .Frequency
2. .Urgency
3. .Dysuria .(pain)

UTI .urinalysis .- .correct .answer.Leukocytes, .nitrites, .protein .(+)
High .pH

Signs .UTI .has .spread .to .kidney .(systemic) .- .correct .answer.Flank .pain
Fever
N/V

BUN/Cr .levels .- .correct .answer.Shows .how .well .kidney .excretes .urine
Use .to .assess .for .UTI

Increased .BUN .indicates .- .correct .answer.Dehydration
High .protein .level
Heart .failure

Kidney .GFR .- .correct .answer.50-60mL/Hr
1000-2000mL/day

, Oliguria .- .correct .answer.Less .than .400mL .urine .in .24 .hours .produced .by .kidney

Urinalysis .- .correct .answer.Normal: .acidic .pH .(cranberry .juice, .protein)
Abnormal: .Alkaline .pH .(Dairy, .citrus, .vegetarian)

specific .gravity .(urinalysis) .- .correct .answer.Range: .1.002-1.030
The .higher .the .specific .gravity, .the .more .concentrated .the .urine .(indicates .dehydration)

Nitrites .(urinalysis) .- .correct .answer.Indicates .infection

Leukocyte .esterase .(urinalysis) .- .correct .answer.Enzyme .indicates .increased .WBCs
Indicates .infection, .nephritis, .or .tumors

Obtain .a .sterile .specimen .- .correct .answer.Use .indwelling .or .straight .catheter .and
.withdraw .10mL. .Take .from .port .and .reclamp .tube. .Wait .10-30 .minutes .and .collect

.sample




Sterile .specimen .uses .- .correct .answer.UTI .presence

24-hr .urine .sample .- .correct .answer.Discard .first .void
Start .over .interrupted

Freshly .voided .vs. .clean .catch .specimen .- .correct .answer.Freshly .voided .is .caught .in .hat
Clean .catch .is .caught .midstream .in .hat

UTI .management .- .correct .answer.1. .Pain .meds
2. .Antibiotics
3. .Hydration
4. .Wipe .front .to .back

Palpable .bladder .indicates .- .correct .answer.Urinary .retention

Urge .incontinence .- .correct .answer.Strong .urge, .overactive .bladder

Urge .incontinence .management .- .correct .answer.Anticholinergic
External .catheter

Stress .incontinence .- .correct .answer.Abdominal .pressure .leads .to .urination .caused .by
.laughing, .cough/sneeze, .pregnancy, .lifting




Stress .incontince .management .- .correct .answer.Kegel .exercise
External .catheter

Overflow .incontinence .- .correct .answer.Leaky, .distended .bladder

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