Nursing 113 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
What do you do for a patient recovering from surgery or procedures like an EGD? - CORRECT
ANSWER Monitor for aspiration
Monitor vital signs
Assess for respiratory distress
Assess swallowing
Assess range of motion
Assess level of consciousness
How do you take care of an infant with GERD? - CORRECT ANSWER Elevate head while
feeding
Keep baby sitting up
Do not occlude airway
Tummy time
What complications could develop from GERD in an adult? - CORRECT ANSWER Barrett's
esophagus
Dyspepsia (indigestion)
Regurgitation (may lead to aspiration or bronchitis)
Water brash (hypersalivation)
Dental caries (severe cases)
Dysphagia
Odynopagia (painful swallowing)
Globus (feeling of something in back of throat)
Pharyngitis
Coughing, hoarseness, or wheezing at night
Chest pain
Pyrosis (heart burn)
Epigastric pain
,Generalized abdominal pain
Belching
Flatulence
Nausea
Thiazide diuretics - CORRECT ANSWER Decrease potassium and magnesium, absorb
calcium
Hydrochlorothiazide
Loop Diuretics - CORRECT ANSWER Non potassium-sparing
Think Lasix "L" for Loop= non-potassium sparing
Furosemide, bumetanide, torsemide
Osmotic dieuretics - CORRECT ANSWER Filtered at glomerulus; increasing the osmolarity of
the glomerular filtrate thereby attenuating the tubular reabsorption of water; effects the entire tubule
must be administered as an i.v. infusion; does not cross the GI tract or BBB
Mannitol
Urea
Glycerin
Isosorbide
How do you measure the effectiveness of diuretics? - CORRECT ANSWER Check renal
function
Daily weights
What is insensible water loss? - CORRECT ANSWER Water loss that cannot be measured
, Skin, lungs, stool
What is the Chovstek sign and Trousseau sign? Who is at risk for them? - CORRECT ANSWER
1) Chvostek sign --> Tapping on facial nerve elicits twitching of nose and lips
2) Trousseau sign --> Inflation of blood pressure cuff leads to carpal spams
3) Alcoholics are at risk due to low potassium and magnesium
How do you prevent CAUTI? - CORRECT ANSWER Bag below bladder
No dependent loops/kinks
Don't allow bag to touch floor
Don't break closed system
Perform peri/cath care daily
What reasons do you usually put an indwelling catheter in? - CORRECT ANSWER Urine
retention
Surgery
Immobilization
How soon do you remove an indwelling catheter? - CORRECT ANSWER As soon as possible
Advocate for removal
How do you collect urine specimen with an indwelling catheter? - CORRECT ANSWER
Clamp tubing
Clean port with alcohol or CHG prep
Use needle and 10 cc syringe to draw specimen
Label that it came from port
How do you collect a voided specimen? - CORRECT ANSWER Mid-stream or "clean catch"
What type of order for culture or antibiotic would you see for CAUTI? - CORRECT ANSWER
Lactic acid before antibiotics
QUESTIONS AND CORRECT ANSWERS
What do you do for a patient recovering from surgery or procedures like an EGD? - CORRECT
ANSWER Monitor for aspiration
Monitor vital signs
Assess for respiratory distress
Assess swallowing
Assess range of motion
Assess level of consciousness
How do you take care of an infant with GERD? - CORRECT ANSWER Elevate head while
feeding
Keep baby sitting up
Do not occlude airway
Tummy time
What complications could develop from GERD in an adult? - CORRECT ANSWER Barrett's
esophagus
Dyspepsia (indigestion)
Regurgitation (may lead to aspiration or bronchitis)
Water brash (hypersalivation)
Dental caries (severe cases)
Dysphagia
Odynopagia (painful swallowing)
Globus (feeling of something in back of throat)
Pharyngitis
Coughing, hoarseness, or wheezing at night
Chest pain
Pyrosis (heart burn)
Epigastric pain
,Generalized abdominal pain
Belching
Flatulence
Nausea
Thiazide diuretics - CORRECT ANSWER Decrease potassium and magnesium, absorb
calcium
Hydrochlorothiazide
Loop Diuretics - CORRECT ANSWER Non potassium-sparing
Think Lasix "L" for Loop= non-potassium sparing
Furosemide, bumetanide, torsemide
Osmotic dieuretics - CORRECT ANSWER Filtered at glomerulus; increasing the osmolarity of
the glomerular filtrate thereby attenuating the tubular reabsorption of water; effects the entire tubule
must be administered as an i.v. infusion; does not cross the GI tract or BBB
Mannitol
Urea
Glycerin
Isosorbide
How do you measure the effectiveness of diuretics? - CORRECT ANSWER Check renal
function
Daily weights
What is insensible water loss? - CORRECT ANSWER Water loss that cannot be measured
, Skin, lungs, stool
What is the Chovstek sign and Trousseau sign? Who is at risk for them? - CORRECT ANSWER
1) Chvostek sign --> Tapping on facial nerve elicits twitching of nose and lips
2) Trousseau sign --> Inflation of blood pressure cuff leads to carpal spams
3) Alcoholics are at risk due to low potassium and magnesium
How do you prevent CAUTI? - CORRECT ANSWER Bag below bladder
No dependent loops/kinks
Don't allow bag to touch floor
Don't break closed system
Perform peri/cath care daily
What reasons do you usually put an indwelling catheter in? - CORRECT ANSWER Urine
retention
Surgery
Immobilization
How soon do you remove an indwelling catheter? - CORRECT ANSWER As soon as possible
Advocate for removal
How do you collect urine specimen with an indwelling catheter? - CORRECT ANSWER
Clamp tubing
Clean port with alcohol or CHG prep
Use needle and 10 cc syringe to draw specimen
Label that it came from port
How do you collect a voided specimen? - CORRECT ANSWER Mid-stream or "clean catch"
What type of order for culture or antibiotic would you see for CAUTI? - CORRECT ANSWER
Lactic acid before antibiotics
