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NUR 215 Exam 5 Questions and Answers with Complete Solutions UPDATED!!!.

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NUR 215 Exam 5 Questions and Answers with Complete Solutions UPDATED!!!.

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Don't give
NUR 215 Exam 5up now!
Questions andTrust
Answers the process.
with Complete Solutions UPDATED!!!


Your time: 1 min

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171
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Your answers


1 of 171

Term



How do you obtain a sterile urine specimen?



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from a catheter first thing in the morning




up to 1000 ml if needed, only 500 ml
in a container that is sterile
comfortably


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2 of 171

,Term



FVD S/S?


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clean outer ear beforehand, pull ear UP and BACK for adults, DOWN and BACK for
children, press on tragus after administration




- vascular: hypothermia, hyperthermia, tachycardia, thready pulse,
hypotension, orthostatic hypotension, hypoxia
- neuromuscular: dizziness, syncope, confusion, weakness, fatigue, seizures
- GI: thirst, dry mucous membranes, furrowed and dry tongue, n/v, acute
weight loss
- cardiac: slow cap refill, pallor, diaphoresis, sunken eyes, flattened veins,
absence of tears, decreased skin turgor




- vascular system: tachycardia, bounding pulse, HTN, tachypnea, high central
veinous pressure
- NM: confusion, muscle weakness, vision change, seizures
- GI: weight gain, ascites
- Resp: dyspnea, orthopnea, crackles
-CV: JVD, pitting edema, skin, pallor, cool to touch




- chronic: long term with little resolution, unable to join normal life
- masked grief: other behaviors like a couple who lost a child starting to argue with
each other
- delayed grief: put off until later such as if you experience loss right before a big
event, you may chose to think about it at a later time after the event


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, 3 of 171

Term



What is an advanced directive?



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Written statement of a patient's
intent regarding medical Legal document outlining the
treatment if they should distribution of assets after death
become incapacitated




Written statement of a rps intent
Medical order to withhold all life-
regarding medical treatment if they
sustaining treatments immediately
should become incapacitated


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4 of 171

Term



How is the INTEGUMENTARY system affected approaching death?



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skin becomes thick and leathery with skin turns bright red and feels warm
increased elasticity to the touch

, skin becomes hot and dry with
skin feels cold and clammy
increased perspiration


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5 of 171

Term



hyponatremia s/s?



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catheter associated urinary tract infection
- use of indwelling catheter, increased dwell time, opening the closed urinary
drainage system, routine changes of foley, irrigation of foley




retention of more h2o than electrolytes
- water replacement without electrolyte replacement usually from excessive
exercise, excessive administration of hypotonic solutions




BP lowers, yellowish pallor, extreme pallor of extremities, temp fluctuations,
diaphoresis, RR increase, sleep apnea, congestion can cause rattling sound or
nonproductive cough




hypothermia, tachycardia, thready pulse, hypotension, headache, altered LOC,
lethargy, muscle weakness, decreased deep tendon reflexes, seizures, coma,
hyperactive bowel sounds, increased gastric motility, abdominal cramp, n/v,
anorexia

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