Nur 250 Exam 1 Questions And Answers With Verified
Study Solutions
What is expected at the start of simulation ANS ◦ Knock and wash your hands
◦ introduce yourself to the patient and family
◦ Put on gloves
◦ Check lines, tubes, and drains
What do we do upon admitting a patient and why? ANS Check for skin tears or pressure ulcers because
Medicare and Medicaid don’t pay for it if they were acquired in the hospital
When is discharge planning done? ANS ◦ It starts when you begin the admission assessment
◦ While obtaining the patient information you determine what the patient will need before discharge
How we know we are giving best care in our nursing practice ANS evidence based practice
Why do we follow EBP? ANS ◦ It is measurable
◦ A systematic process that uses current evidence in making decisions about the care of patients
It includes:
◦ evaluation about the quality and applicability of existing research
◦ Patient's preferences
◦ Costs
◦ Clinical expertise
◦ Clinical setting
What is medication reconciliation? ANS A procedure to maintain an accurate and up-to-date list of
medications for all patients between all phases of health care delivery.
Med Reconciliation: Nursing Responsibilities ANS The patient must be instructed on:
◦ medications that they were used to taking that are now discontinued
, ◦ New medications they will be going home on, including action, dose, time to take, side effects, lab
requirements, safety issues, dietary restrictions, etc.
◦ Medications to be continued that they had previously taken to include side effects, safety precautions, etc.
Purpose of IV therapy ANS ◦ Maintain or replace body stores of water, electrolytes, vitamins, proteins,
fats, and calories in the patient who cannot maintain an adequate intake by mouth.
◦ Restore acid-base balance
◦ Restore the volume of blood components.
◦ Administer safe and effective infusions of medications by using the appropriate vascular access device.
◦ Provide nutrition while resting the GI tract
Examples of Isotonic Solutions ANS ◦ 0.9% NaCl
◦ Lactated Ringers
◦ D5W
◦ Albumin 5%
Define Hypotonic solutions ANS ◦ A solution that exerts less osmotic pressure than that of blood plasma
◦ Cells expand or swell
Examples of hypotonic solutions ANS ◦ 0.45% NaCl
◦ 0.33% NaCl
Define Hypertonic Solutions ANS ◦ A solution that exerts a higher osmotic pressure than that of blood
plasma.
◦ causes cells to shrink
Examples of Hypertonic solutions ANS ◦ D5 0.9NaCl
◦ Dextrose 10% & 20% in water
◦ Hyper alimentation solutions
◦ Albumin 25%
Slightly hypertonic: D5 0.45NaCl, D5LR
Study Solutions
What is expected at the start of simulation ANS ◦ Knock and wash your hands
◦ introduce yourself to the patient and family
◦ Put on gloves
◦ Check lines, tubes, and drains
What do we do upon admitting a patient and why? ANS Check for skin tears or pressure ulcers because
Medicare and Medicaid don’t pay for it if they were acquired in the hospital
When is discharge planning done? ANS ◦ It starts when you begin the admission assessment
◦ While obtaining the patient information you determine what the patient will need before discharge
How we know we are giving best care in our nursing practice ANS evidence based practice
Why do we follow EBP? ANS ◦ It is measurable
◦ A systematic process that uses current evidence in making decisions about the care of patients
It includes:
◦ evaluation about the quality and applicability of existing research
◦ Patient's preferences
◦ Costs
◦ Clinical expertise
◦ Clinical setting
What is medication reconciliation? ANS A procedure to maintain an accurate and up-to-date list of
medications for all patients between all phases of health care delivery.
Med Reconciliation: Nursing Responsibilities ANS The patient must be instructed on:
◦ medications that they were used to taking that are now discontinued
, ◦ New medications they will be going home on, including action, dose, time to take, side effects, lab
requirements, safety issues, dietary restrictions, etc.
◦ Medications to be continued that they had previously taken to include side effects, safety precautions, etc.
Purpose of IV therapy ANS ◦ Maintain or replace body stores of water, electrolytes, vitamins, proteins,
fats, and calories in the patient who cannot maintain an adequate intake by mouth.
◦ Restore acid-base balance
◦ Restore the volume of blood components.
◦ Administer safe and effective infusions of medications by using the appropriate vascular access device.
◦ Provide nutrition while resting the GI tract
Examples of Isotonic Solutions ANS ◦ 0.9% NaCl
◦ Lactated Ringers
◦ D5W
◦ Albumin 5%
Define Hypotonic solutions ANS ◦ A solution that exerts less osmotic pressure than that of blood plasma
◦ Cells expand or swell
Examples of hypotonic solutions ANS ◦ 0.45% NaCl
◦ 0.33% NaCl
Define Hypertonic Solutions ANS ◦ A solution that exerts a higher osmotic pressure than that of blood
plasma.
◦ causes cells to shrink
Examples of Hypertonic solutions ANS ◦ D5 0.9NaCl
◦ Dextrose 10% & 20% in water
◦ Hyper alimentation solutions
◦ Albumin 25%
Slightly hypertonic: D5 0.45NaCl, D5LR
