NUR 198 FINAL EXAM EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
Post-Op teaching should include
Teaching about leg exercises, IS, Deep Breathing, TED hose,
ambulation
Best nutrient to promote wound healing post-operatively
protein
Appropriate med for low-moderate pain
Nonpharm methods and/or nonopioids
Major side effect of opioids
respiratory depression
Pain medication modalities during the post-op phase
PCA, nerve blocks
Pain Scales
FACES, number, non-verbal cues
Electrolyte that should be monitored when a patient is
having vomiting and severe diarrhea
,potassium
Which 3 assessment findings that are most significant?
□Temperature 101.4 F (38.5 C)
□Pulse 98
□BP 140/72
□Pulse oximetry 85%
□Poor appetite
□ABG pCO2 51
□Productive cough of purulent sputum
□ABG HCO3 28
Fever, Oxygenation, and Productive cough
For each finding, click to specify if the finding is associated
OR not associated with COPD
associated: occupation, pulse oximeter at 87%, 50-pack
smoking history, productive cough, clubbing in fingers, ABG
CO2 of 51
Whats the top priority with our patient?
-reduce temperature
-improve CO2
-evaluate nutritional status/ food intake
-treat the pneumonia
-assess readiness to stop smoking
-address vaccination status
,1. treat the pneumonia
For each finding, click to specify if the finding is associated
OR not associated with COPD
associated: iv methylprednisolone, administer po
acetaminophen for fever, encourage flutter valve or acapella
use, encourage pursed lip breathing, monitor wbc.
An older adult comes in with new onset of confusion. What
should you do first?
Rule out physiological possibilities then test for delirium
Chronic Condition
Diseases that can be treated but not cured, prolonged and
progressive
Safety risks for visually impaired older adults
Physiological changes in Older Adults
Which medication do you administer for a potassium of 5.8?
Sodium polystyrene
Acid/Base imbalance that causes flu-like symptoms with
hyperactive reflexes and a new onset of confusion
Metabolic alkalosis
Complications of potassium imbalance
Arrhthymias
, First symptom of acidosis
hyperventilation
How to prevent edema in extremities post-op
elevation
Role of the circulating nurse
Document and time out
What should the nurse teach the client before discharge
about the treatment plan? Select all that apply.
-Continue to increase fluid intake.
-If feeling better (no SOB or fever), can stop taking the
prednisone.
-Can continue flutter valve or acapella at least 3-4 times
daily.
-Increase oxygen level to 5-6 L/minute whenever short of
breath.
-Obtain pneumococcal and flu vaccine at next provider visit.
-Eat smaller, more frequent high-calorie, high-protein meals.
-Avoid all exercise for at least 3 months.
-Consider strategies to stop smoking.
- continue to increase fluid intake
-can continue flutter valve or acapella at least 3-4 times
daily
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
Post-Op teaching should include
Teaching about leg exercises, IS, Deep Breathing, TED hose,
ambulation
Best nutrient to promote wound healing post-operatively
protein
Appropriate med for low-moderate pain
Nonpharm methods and/or nonopioids
Major side effect of opioids
respiratory depression
Pain medication modalities during the post-op phase
PCA, nerve blocks
Pain Scales
FACES, number, non-verbal cues
Electrolyte that should be monitored when a patient is
having vomiting and severe diarrhea
,potassium
Which 3 assessment findings that are most significant?
□Temperature 101.4 F (38.5 C)
□Pulse 98
□BP 140/72
□Pulse oximetry 85%
□Poor appetite
□ABG pCO2 51
□Productive cough of purulent sputum
□ABG HCO3 28
Fever, Oxygenation, and Productive cough
For each finding, click to specify if the finding is associated
OR not associated with COPD
associated: occupation, pulse oximeter at 87%, 50-pack
smoking history, productive cough, clubbing in fingers, ABG
CO2 of 51
Whats the top priority with our patient?
-reduce temperature
-improve CO2
-evaluate nutritional status/ food intake
-treat the pneumonia
-assess readiness to stop smoking
-address vaccination status
,1. treat the pneumonia
For each finding, click to specify if the finding is associated
OR not associated with COPD
associated: iv methylprednisolone, administer po
acetaminophen for fever, encourage flutter valve or acapella
use, encourage pursed lip breathing, monitor wbc.
An older adult comes in with new onset of confusion. What
should you do first?
Rule out physiological possibilities then test for delirium
Chronic Condition
Diseases that can be treated but not cured, prolonged and
progressive
Safety risks for visually impaired older adults
Physiological changes in Older Adults
Which medication do you administer for a potassium of 5.8?
Sodium polystyrene
Acid/Base imbalance that causes flu-like symptoms with
hyperactive reflexes and a new onset of confusion
Metabolic alkalosis
Complications of potassium imbalance
Arrhthymias
, First symptom of acidosis
hyperventilation
How to prevent edema in extremities post-op
elevation
Role of the circulating nurse
Document and time out
What should the nurse teach the client before discharge
about the treatment plan? Select all that apply.
-Continue to increase fluid intake.
-If feeling better (no SOB or fever), can stop taking the
prednisone.
-Can continue flutter valve or acapella at least 3-4 times
daily.
-Increase oxygen level to 5-6 L/minute whenever short of
breath.
-Obtain pneumococcal and flu vaccine at next provider visit.
-Eat smaller, more frequent high-calorie, high-protein meals.
-Avoid all exercise for at least 3 months.
-Consider strategies to stop smoking.
- continue to increase fluid intake
-can continue flutter valve or acapella at least 3-4 times
daily
