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Exam (elaborations)

NUR 165 Final Review

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NUR 165 Final Review

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NUR 165 Final Review

2 hour plasma glucose Correct Answers > or = 200 mg/dl on
oral glu tolerance test

after sx, pt should have bowel sounds w/i how long? Correct
Answers w/i 24 hrs of sx or may be at risk for paralytic ileus

Airborne precautions Correct Answers -tb, varicella (chicken
pox), rubeola (measles), severe acute resp syndrome (SARS)
-private rm, neg air pressure, door closed
-surg mask on pt w/ transport
-PPE + resp protection

Arterial blood gases
HCO3 Correct Answers 21 - 28

↑=respiratory acidosis as compensation for a primary metabolic
alkalosis
↓=respiratory alkalosis as compensation for a primary metabolic
acidosis

Arterial blood gases
PaCO2 Correct Answers 35 - 45

↑=COPD, asthma, pneumonia, anesthesia effects, opoids,
respiratory acidosis
↓=hyperventiliation, respiratory alkalosis

Arterial blood gases
PaO2 Correct Answers 80 - 100

,↑=excessive O2 admin
↓=COPD, asthma, chronic bronchitis, cancer of bronchi and
lungs, CF, respiratory distress syndrome, anemias, atelectasis,
hypoxia

Arterial blood gases
SpO2 Correct Answers 95-100%

↓=impaired ability of hemoglobin to release O2 to tissues

Arthrocentesis Correct Answers -removal of excess synovial
fluid from joint swelling
-performed at MD office or clinic w/ local anesthesia -aspirate
fluid to provide relief for the pressure

Arthrography Correct Answers -Xray after air or contrast
injected
-most common w/ knee and shoulder
-ask pt if allergic to shell fish or iodine
-joint may be swollen for several days; no strenuous activity for
24 hrs

Arthroscopy Correct Answers -direct visualization of joint w/
contrast medium of air or saline
-bone needle is inserted and joint is distended w/ saline
-cover wound w/ compression dressing to control swelling.
-monitor neurovascular fxn
-keep joint extended & elevated to reduce swelling
-give analgesics

, Aspart
acting
onset, peak, duration Correct Answers onset: 15 min
peak: 40-50 min
duration: 4-6 hr
Rapid acting

Astigmatism Correct Answers -refractive error caused by
unevenly curved surfaces on or in the eyes
-caused by uneven corneal surface, results in vision distortion

Babinski sign Correct Answers Sole of foot is stroked w/
pointed object.

Normal = negative with plantar flexion of all toes

Abnormal = positve with dorsiflexion of great toe & fanning of
other toes

Bone Scan Correct Answers -radioisotopes injected prior to
scan

-no restricted activity for pt
-encourage pt to drink fluids to flush out isotopes

Clear insulin Correct Answers Rapid & Short

Regular
Lantus
Aspart
Humalog

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