NUR 185 Final Exam Term 4 - Questions With Fully
Explained Solutions
Save
Terms in this set (129)
Patient with Congestive Heart Failure Potassium (K+ normal value 3.5-5)
(CHF), what lab value would you pay
attention to?
Ventilator Care - Care Coordination For mechanically ventilated patients, care providers
may include... may include primary care physicians, pulmonary
specialists, hospitalists, respiratory therapists, and
nurses
Patient with stroke and right sided Teach the patient to scan the environment
vision loss. You plan to do which of
the following?
Patient with bowel tumor. Which Biopsy
diagnostic test would confirm the
malignancy?
Patient getting Antineoplastic , chemo Consult the physicians before getting immunizations
therapy. What would you include in
their plan of care?
Patient has upper GI bleeding and is in Obtain and evaluate vital signs
moderate distress. What is your first
priority?
You have a patient with pulmonary Daily weights
edema about to be discharged. What
would you tell them to manage and
prevent complications?
,You have given a patient I can still take my sleeping pill with my Benadryl
diphenhydramine Benadryl and then
educate the patient on this
medication. Which statement indicates
a need for further teaching?
The nurse is caring for patient with Provide emotional support for loved ones
terminal cancer and close to death.
What is the priority intervention for
this patient?
Patient with chronic vertigo. Teaching Turn your head slowly to minimize vertigo.
them about preventions of
exacerbations or injury. What would
you educate the patient on?
Teaching a patient how to use a Be certain there is a 45 degree angle of flexion at the
walker. What statement would the elbow to ensure adequate length of the walker
nurse question?
You have a patient from the OR Check the blood pressure.
following hip replacement. Patient is in
bed in high-fowlers. Skin is pale, cold,
and clammy. What actions would you
take at this time?
You have 4 patients in long-term care 29 year old patient with down syndrome. 1 week post
facility. Which patient would be op temperature of 101, pulse of 110, and shivering.
priority?
You have a patient on the coumadin Give 5MG coumadin today ....to offset the imbalance.
3MG a day. INR today is 1.2 (low). What
order would you carry out?
Caring for diabetic patient who just Go get a new glucose test and recheck.
took shower. HR is 70, skin is warm
and dry. You take their Blood Sugar
and it is 42. What would you do?
, You have a patient that just vomited Stop the heparin drip, give vitals, and provide
coffee ground emesis. 350 ML on the emotional support (one answer)
floor, indicative of GI bleed, on the
cardiac floor on heparin drip. What
are you going to do?
A patient has started on a new med Give the patient a dose of Epinephrine (epi)
and developed hives and Intramuscular shot stat per physician order.
angioedema. This is their 3rd dose of
medication and states "I did have
some itching with the second dose".
What would the nurse do now?
What are burn patients at high risk High risk for sepsis / infection, fluid volume deficit
for?
Anytime you are at risk for infections Tetanus is good for up to 10 years
You have a patient getting gentamicin, Creatinine of 5.1
also know as geromycin, via IV. What
lab from this morning are you going to
be concerned about? (ototoxic,
nephrotoxic, and neurotoxic)
What acronym would you use for a PASS: Pull, AIM, Squeeze, Sweep
fire extinguisher?
You are giving med to a G-tube Purulent drainage
patient. What would concern you the
most?
Nurse notices a trashcan with papers Grab an ABC fire extinguisher and aim at the base of
caught on fire. You will do what action the fire.
first?
Patient admitted to ED with chest pain. EKG within 10 minutes and give chewable aspirin if
They have several coronary artery risk they are not allergic.
factors. What will you implement?
Explained Solutions
Save
Terms in this set (129)
Patient with Congestive Heart Failure Potassium (K+ normal value 3.5-5)
(CHF), what lab value would you pay
attention to?
Ventilator Care - Care Coordination For mechanically ventilated patients, care providers
may include... may include primary care physicians, pulmonary
specialists, hospitalists, respiratory therapists, and
nurses
Patient with stroke and right sided Teach the patient to scan the environment
vision loss. You plan to do which of
the following?
Patient with bowel tumor. Which Biopsy
diagnostic test would confirm the
malignancy?
Patient getting Antineoplastic , chemo Consult the physicians before getting immunizations
therapy. What would you include in
their plan of care?
Patient has upper GI bleeding and is in Obtain and evaluate vital signs
moderate distress. What is your first
priority?
You have a patient with pulmonary Daily weights
edema about to be discharged. What
would you tell them to manage and
prevent complications?
,You have given a patient I can still take my sleeping pill with my Benadryl
diphenhydramine Benadryl and then
educate the patient on this
medication. Which statement indicates
a need for further teaching?
The nurse is caring for patient with Provide emotional support for loved ones
terminal cancer and close to death.
What is the priority intervention for
this patient?
Patient with chronic vertigo. Teaching Turn your head slowly to minimize vertigo.
them about preventions of
exacerbations or injury. What would
you educate the patient on?
Teaching a patient how to use a Be certain there is a 45 degree angle of flexion at the
walker. What statement would the elbow to ensure adequate length of the walker
nurse question?
You have a patient from the OR Check the blood pressure.
following hip replacement. Patient is in
bed in high-fowlers. Skin is pale, cold,
and clammy. What actions would you
take at this time?
You have 4 patients in long-term care 29 year old patient with down syndrome. 1 week post
facility. Which patient would be op temperature of 101, pulse of 110, and shivering.
priority?
You have a patient on the coumadin Give 5MG coumadin today ....to offset the imbalance.
3MG a day. INR today is 1.2 (low). What
order would you carry out?
Caring for diabetic patient who just Go get a new glucose test and recheck.
took shower. HR is 70, skin is warm
and dry. You take their Blood Sugar
and it is 42. What would you do?
, You have a patient that just vomited Stop the heparin drip, give vitals, and provide
coffee ground emesis. 350 ML on the emotional support (one answer)
floor, indicative of GI bleed, on the
cardiac floor on heparin drip. What
are you going to do?
A patient has started on a new med Give the patient a dose of Epinephrine (epi)
and developed hives and Intramuscular shot stat per physician order.
angioedema. This is their 3rd dose of
medication and states "I did have
some itching with the second dose".
What would the nurse do now?
What are burn patients at high risk High risk for sepsis / infection, fluid volume deficit
for?
Anytime you are at risk for infections Tetanus is good for up to 10 years
You have a patient getting gentamicin, Creatinine of 5.1
also know as geromycin, via IV. What
lab from this morning are you going to
be concerned about? (ototoxic,
nephrotoxic, and neurotoxic)
What acronym would you use for a PASS: Pull, AIM, Squeeze, Sweep
fire extinguisher?
You are giving med to a G-tube Purulent drainage
patient. What would concern you the
most?
Nurse notices a trashcan with papers Grab an ABC fire extinguisher and aim at the base of
caught on fire. You will do what action the fire.
first?
Patient admitted to ED with chest pain. EKG within 10 minutes and give chewable aspirin if
They have several coronary artery risk they are not allergic.
factors. What will you implement?
