NUR 195 Exam 2 With Complete Solutions
Kidney stone diet- ANSWER Increase fluid intake and protein
AVOID chocolate and calcium, nuts, shellfish, wheat products, carbonated beverages
Care coordination tier 1- ANSWER Frail, elderly, terminal illness, dying, children w/
disabilities
Care coordination tier 2- ANSWER Mental health
Care coordination tier 3- ANSWER Everyone else
medication reconciliation - ANSWER -NPSG
-Every time a patient has a procedure/surgery, moves facility, unit or goes up the doctor
will review current medications
lasix, spironolactone - ANSWER -Diuretics
-Lowers blood pressure
Which client would most benefit from care coordination - ANSWER 87 year old who just
had a CV resulting in dysphasia and right sided weakness
right sided heart failure - ANSWER -Jugular vein distention
-edema (starts in feet can radiate to sacrum)
-Ascites
-Nausea and vomiting
-Abdominal distention
, -Enlarged liver
-Low appetite
Left sided heart failure - ANSWER -Dyspnea, SOB
-Crackles
-PINK FROTHY SPUTUM
-Pulse OX is dropping
-hypertrophy
-restless
-Cool/pale skin
-Restless
-Low urine output (oliguria)
Ramopril - ANSWER Ace inhibitor
-Hypertension
-Low dose-cardiac effect
Amiodarone (Cordarone) - ANSWER -Tachycardia, ventricular fibrillation
-Can damage the heart
-Can cause blue/grey color to the skin
Common side effect: Hypotension
National patient safety goals - ANSWER -Suicide prevention
-Pass meds safely
-Prevent infection
Preferred skin cleanser - ANSWER -Chloraprep
Kidney stone diet- ANSWER Increase fluid intake and protein
AVOID chocolate and calcium, nuts, shellfish, wheat products, carbonated beverages
Care coordination tier 1- ANSWER Frail, elderly, terminal illness, dying, children w/
disabilities
Care coordination tier 2- ANSWER Mental health
Care coordination tier 3- ANSWER Everyone else
medication reconciliation - ANSWER -NPSG
-Every time a patient has a procedure/surgery, moves facility, unit or goes up the doctor
will review current medications
lasix, spironolactone - ANSWER -Diuretics
-Lowers blood pressure
Which client would most benefit from care coordination - ANSWER 87 year old who just
had a CV resulting in dysphasia and right sided weakness
right sided heart failure - ANSWER -Jugular vein distention
-edema (starts in feet can radiate to sacrum)
-Ascites
-Nausea and vomiting
-Abdominal distention
, -Enlarged liver
-Low appetite
Left sided heart failure - ANSWER -Dyspnea, SOB
-Crackles
-PINK FROTHY SPUTUM
-Pulse OX is dropping
-hypertrophy
-restless
-Cool/pale skin
-Restless
-Low urine output (oliguria)
Ramopril - ANSWER Ace inhibitor
-Hypertension
-Low dose-cardiac effect
Amiodarone (Cordarone) - ANSWER -Tachycardia, ventricular fibrillation
-Can damage the heart
-Can cause blue/grey color to the skin
Common side effect: Hypotension
National patient safety goals - ANSWER -Suicide prevention
-Pass meds safely
-Prevent infection
Preferred skin cleanser - ANSWER -Chloraprep
