Nur 160 Exam With Verified Solution
Step of inserting Foley catheter in female
1) Clean directly from meatus from front to back .
2) inflate baloon with correct amount of sterial water
3) once baloon is inflate pull back gently
Doing an I and o and it says
1) measure perspiration or sweat .
2) fluid volume of respiration that are lost during a vigorous workout
Which is most accurate way of detrimining water balance in the body
I and O
Weight the same scale, same time
Population most at risk for Fluid / electrolytes imbalance.
Elderly and infant
What does the chevostek and the trousseau sign testing?
Hypocalcemia
What does it mean when a patient has dry mucus membrane, poor skin turger and
tenting of the skin? What do they have?
Fluid volume dificit
Someone that has fluid volume deficit ( a fluid recessive patient) how do we increase
their fluid?
Promote and maintain fluid and electrolytes
What to do with a patient suffering from over hydration?
1. ambulate patient to bathroom
2. always record I and O
, Someone who show up to the ER with change in mental status poor skin turgor and dry
mucus membrane and flat neck vein are suffering from?
Dehydration or fluid volume deficiency
Sign and symptom of potassium level of 2.3 sign
Cardiac disrhythimia
Skeletal muscle weakness
Patient comes in with a 3 month history of diarrhea, what electrolytes imbalance would
you expect them to be?
Metabolic acidosis
Someone who has been vomiting for several hours are
Metebolic alkalosis
General characteristics of malignant tumor
1) irregular
2) painful
3) immobile
Working with a patient that thad chemo and radiation and they are asking the nurse
about having diarrhea?
Chemo and radiation does irritate the lining of GI tract and cause diarrhea
What intervention does neuropenic precaution include
Vital sign and s/s of infection
Safety watch --Oxygen safety
-store upright away from flames
Nosmoking picture in the door
Patient with high prioritizing for pulse odometer
A pneumonia patient
A COPD patient, who receiving oxygen therapy as getting too much oxygen show S/S of?
Decreased rate and depth of respiration
Step of inserting Foley catheter in female
1) Clean directly from meatus from front to back .
2) inflate baloon with correct amount of sterial water
3) once baloon is inflate pull back gently
Doing an I and o and it says
1) measure perspiration or sweat .
2) fluid volume of respiration that are lost during a vigorous workout
Which is most accurate way of detrimining water balance in the body
I and O
Weight the same scale, same time
Population most at risk for Fluid / electrolytes imbalance.
Elderly and infant
What does the chevostek and the trousseau sign testing?
Hypocalcemia
What does it mean when a patient has dry mucus membrane, poor skin turger and
tenting of the skin? What do they have?
Fluid volume dificit
Someone that has fluid volume deficit ( a fluid recessive patient) how do we increase
their fluid?
Promote and maintain fluid and electrolytes
What to do with a patient suffering from over hydration?
1. ambulate patient to bathroom
2. always record I and O
, Someone who show up to the ER with change in mental status poor skin turgor and dry
mucus membrane and flat neck vein are suffering from?
Dehydration or fluid volume deficiency
Sign and symptom of potassium level of 2.3 sign
Cardiac disrhythimia
Skeletal muscle weakness
Patient comes in with a 3 month history of diarrhea, what electrolytes imbalance would
you expect them to be?
Metabolic acidosis
Someone who has been vomiting for several hours are
Metebolic alkalosis
General characteristics of malignant tumor
1) irregular
2) painful
3) immobile
Working with a patient that thad chemo and radiation and they are asking the nurse
about having diarrhea?
Chemo and radiation does irritate the lining of GI tract and cause diarrhea
What intervention does neuropenic precaution include
Vital sign and s/s of infection
Safety watch --Oxygen safety
-store upright away from flames
Nosmoking picture in the door
Patient with high prioritizing for pulse odometer
A pneumonia patient
A COPD patient, who receiving oxygen therapy as getting too much oxygen show S/S of?
Decreased rate and depth of respiration
