NURS3130 Exam 3 (Adult Health 1)
2025/2026 Exam Questions and Verified
Answers | Already Graded A+
Post-op care for esophagogastroduodenoscopy (EGD) - 🧠 ANSWER ✔✔- Post op:
Keep patient NPO until gag reflex returns. Gently tickle back of throat to
determine reflex. Use warm saline gargles for relief of sore throat. Check
temperature q15-30 min for 1-2 hr (sudden temperature spike is sign of
perforation). Asses for pain which may be a sign of perforation
- Diet: return to reg diet unless doctor tells you not to
- Pain management: no NSAIDS
- What to monitor: monitor ulcer healing, monitor for gag reflex to return
- C. Keep the patient NPO until the gag reflex returns.
Bone marrow aspiration procedure. Post-op cares/priorities - 🧠 ANSWER ✔✔-
Post op/Priorities: monitor for infection if pt is neutropenic. Hemorrhage may
occur in pt with severe thrombocytopenia. Assess for excessive drainage or
,bleeding. If bleeding have pt lie supine for 30-60min to remove pressure from site.
Give analgesics for postop pain. Sore for 3-4 days is normal.
NEED CONSENT
Administering analgesics as neccessaryc. Instructing on the need to lie still with a
sterile pressure dressing intact
Diuretics - 🧠 ANSWER ✔✔Hyperkalemia -> Hold spironolactone
Thiazide/loop -> Hold for low potassium
- When thiazide diuretics are taken with digoxin, patients are at risk of digoxin
toxicity because thiazides can cause hypokalemia.
- Gout: thiazides block uric acd secreation and elevated levels can contribute to
gout.
thiazides: monitor for hypo, supp K+, sodium restriction
Heparin-induced thrombocytopenia (HIT) s/s, intervention, priorities - 🧠 ANSWER
✔✔- S/S: Platelet count decreases by more than 50% or is less than 150,000.
Occurs 5014 days after heparin therapy. BLEEDING, usually mucosal or
cutaneous. Nose bleeding and gingival bleeding. petechiae, purpura, or bruising.
Petechiae are small, flat, red or reddish brown microhemorrhages.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
, - platelet counts are under 50,000/μL (50 × 109/L).1 When the count is under
20,000/μL (20 × 109/L), spontaneous, life-threatening bleeding
- Interventions: percutaneous coronary interventions
- Priorities: D/C heprin therapy is platlets drop bellow 110,000
- Which laboratory result will the nurse expect to show a decreased value if a
patient
develops heparin-induced thrombocytopenia (HIT)? - 🧠 ANSWER ✔✔Activated
partial thromboplastin time. - Platelet aggregation in HIT causes neutralization of
heparin, so the activated partial thromboplastin time will be shorter, and more
heparin will be needed to maintain therapeutic levels. The other data will not be
affected by HIT
Neutropenia - 🧠 ANSWER ✔✔- Pathophysiology: Normally, neutrophils range
from 2500 to 8000 cells/μL. Neutropenia is defined as ANC less than 1000
cells/μL Severe neutropenia is an ANC less than 500 cells
- s/s: low grade fever (>100.4), neutrophil count <500 medical emergency, fatigue,
malaise
- patient priorities: nutrition, hand hygiene, prevent infection, give antibiotics and
hematopoietic growth factors, check temp q4 for signs of infection
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
2025/2026 Exam Questions and Verified
Answers | Already Graded A+
Post-op care for esophagogastroduodenoscopy (EGD) - 🧠 ANSWER ✔✔- Post op:
Keep patient NPO until gag reflex returns. Gently tickle back of throat to
determine reflex. Use warm saline gargles for relief of sore throat. Check
temperature q15-30 min for 1-2 hr (sudden temperature spike is sign of
perforation). Asses for pain which may be a sign of perforation
- Diet: return to reg diet unless doctor tells you not to
- Pain management: no NSAIDS
- What to monitor: monitor ulcer healing, monitor for gag reflex to return
- C. Keep the patient NPO until the gag reflex returns.
Bone marrow aspiration procedure. Post-op cares/priorities - 🧠 ANSWER ✔✔-
Post op/Priorities: monitor for infection if pt is neutropenic. Hemorrhage may
occur in pt with severe thrombocytopenia. Assess for excessive drainage or
,bleeding. If bleeding have pt lie supine for 30-60min to remove pressure from site.
Give analgesics for postop pain. Sore for 3-4 days is normal.
NEED CONSENT
Administering analgesics as neccessaryc. Instructing on the need to lie still with a
sterile pressure dressing intact
Diuretics - 🧠 ANSWER ✔✔Hyperkalemia -> Hold spironolactone
Thiazide/loop -> Hold for low potassium
- When thiazide diuretics are taken with digoxin, patients are at risk of digoxin
toxicity because thiazides can cause hypokalemia.
- Gout: thiazides block uric acd secreation and elevated levels can contribute to
gout.
thiazides: monitor for hypo, supp K+, sodium restriction
Heparin-induced thrombocytopenia (HIT) s/s, intervention, priorities - 🧠 ANSWER
✔✔- S/S: Platelet count decreases by more than 50% or is less than 150,000.
Occurs 5014 days after heparin therapy. BLEEDING, usually mucosal or
cutaneous. Nose bleeding and gingival bleeding. petechiae, purpura, or bruising.
Petechiae are small, flat, red or reddish brown microhemorrhages.
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, - platelet counts are under 50,000/μL (50 × 109/L).1 When the count is under
20,000/μL (20 × 109/L), spontaneous, life-threatening bleeding
- Interventions: percutaneous coronary interventions
- Priorities: D/C heprin therapy is platlets drop bellow 110,000
- Which laboratory result will the nurse expect to show a decreased value if a
patient
develops heparin-induced thrombocytopenia (HIT)? - 🧠 ANSWER ✔✔Activated
partial thromboplastin time. - Platelet aggregation in HIT causes neutralization of
heparin, so the activated partial thromboplastin time will be shorter, and more
heparin will be needed to maintain therapeutic levels. The other data will not be
affected by HIT
Neutropenia - 🧠 ANSWER ✔✔- Pathophysiology: Normally, neutrophils range
from 2500 to 8000 cells/μL. Neutropenia is defined as ANC less than 1000
cells/μL Severe neutropenia is an ANC less than 500 cells
- s/s: low grade fever (>100.4), neutrophil count <500 medical emergency, fatigue,
malaise
- patient priorities: nutrition, hand hygiene, prevent infection, give antibiotics and
hematopoietic growth factors, check temp q4 for signs of infection
COPYRIGHT©BLAIRALISTERNEWTON 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
3
PRIVACY STATEMENT. ALL RIGHTS RESERVED
