NUR 112 FINAL EXAM WITH DETAILED
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ANSWERS
Fluid |Volume |DEFICIT |- |correct |answersTenting |(thigh |or |belly)
Orthostastic |vitals
BP |(low)
HR |(high)
Pulse |(weak |& |thready)
Sunken |fontanels/eyes
Sodium |(high)
H |& |H |(high)
Urine |output |(low)
Tearing |(low)
1.035 |urine |sp. |gravity |(high)
Dry |mucous |membranes
Fluid |volume |EXCESS |- |correct |answersEdema
Pulse |(bounding/strong)
Shiny/taut |skin
BP |(high)
HR |(high)
Lung |sounds |(crackling)
SOB/Dyspnea/Orthopnea
1.003 |sp. |gravity |(low)
H |& |H |(low)
, Na |(low)
JVD
When |caring |for |an |adult |client |with |hyponatremia, |what |would |you |restrict? |- |correct |
answersFluids
You |have |an |elder |patient |who |is |complaining |of |fever, |n&v |for |the |last |2 |days, |denied |thirst, |
sp. |gravity |of |1.037, |what |does |this |patient |present |with? |- |correct |answersDehydration
What |client |is |at |most |risk |for |dehydration? |- |correct |answers18-month |old |with |tachnypea
Your |patient |has |crackles |and |JVD, |what |do |you |expect |the |client |is |experiencing? |- |correct |
answersFluid |volume |EXCESS
If |a |patient |is |restlessness, |tremors, |muscle |weakness, |dry |swollen |tongue, |body |temp |slightly |
elevated, |what |serum |sodium |would |you |expect? |- |correct |answersHigh |sodium |(155)
With |a |patient |who |has |potassium |issues, |what |are |you |as |the |nurse |most |concerned |about? |
What |tests |should |be |done? |- |correct |answersHeart |& |EKG
What |are |some |medications |for |hyperkalemia? |- |correct |answersKayexalate |(excretes |K+ |
through |BM), |insulin/dextrose, |diuretics |(K+ |wasting/loop |- |Lasix), |calcium |gluconate |(cardio |
protective/corrective)
What |do |you |expect |to |see |in |a |patient |with |calcium |imbalances? |- |correct |
answersNeuromuscular |issues
Value: |pH |- |correct |answers7.35-7.45
| | | | | |
ANSWERS
Fluid |Volume |DEFICIT |- |correct |answersTenting |(thigh |or |belly)
Orthostastic |vitals
BP |(low)
HR |(high)
Pulse |(weak |& |thready)
Sunken |fontanels/eyes
Sodium |(high)
H |& |H |(high)
Urine |output |(low)
Tearing |(low)
1.035 |urine |sp. |gravity |(high)
Dry |mucous |membranes
Fluid |volume |EXCESS |- |correct |answersEdema
Pulse |(bounding/strong)
Shiny/taut |skin
BP |(high)
HR |(high)
Lung |sounds |(crackling)
SOB/Dyspnea/Orthopnea
1.003 |sp. |gravity |(low)
H |& |H |(low)
, Na |(low)
JVD
When |caring |for |an |adult |client |with |hyponatremia, |what |would |you |restrict? |- |correct |
answersFluids
You |have |an |elder |patient |who |is |complaining |of |fever, |n&v |for |the |last |2 |days, |denied |thirst, |
sp. |gravity |of |1.037, |what |does |this |patient |present |with? |- |correct |answersDehydration
What |client |is |at |most |risk |for |dehydration? |- |correct |answers18-month |old |with |tachnypea
Your |patient |has |crackles |and |JVD, |what |do |you |expect |the |client |is |experiencing? |- |correct |
answersFluid |volume |EXCESS
If |a |patient |is |restlessness, |tremors, |muscle |weakness, |dry |swollen |tongue, |body |temp |slightly |
elevated, |what |serum |sodium |would |you |expect? |- |correct |answersHigh |sodium |(155)
With |a |patient |who |has |potassium |issues, |what |are |you |as |the |nurse |most |concerned |about? |
What |tests |should |be |done? |- |correct |answersHeart |& |EKG
What |are |some |medications |for |hyperkalemia? |- |correct |answersKayexalate |(excretes |K+ |
through |BM), |insulin/dextrose, |diuretics |(K+ |wasting/loop |- |Lasix), |calcium |gluconate |(cardio |
protective/corrective)
What |do |you |expect |to |see |in |a |patient |with |calcium |imbalances? |- |correct |
answersNeuromuscular |issues
Value: |pH |- |correct |answers7.35-7.45
