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NUR 155 Exam 2 Questions & Verified Answers | Sodium & Electrolytes, BMI, Foodborne Illness Prevention, Urinary Elimination, Polyuria, Oliguria, Anuria, Nocturia, Enuresis, Incontinence, Hypovolemia, Hypervolemia, Dehydration, Fluid Balance & Nursing Proc

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This NUR 155 Exam 2 study guide covers high-yield questions and verified answers on fluid and electrolyte balance, nutrition-related assessment, food safety, urinary elimination, and the nursing process. Topics include normal sodium levels, Body Mass Index and normal BMI range, prevention of foodborne illness, factors affecting urinary elimination, altered urine production, polyuria, oliguria, anuria, frequency, urgency, nocturia, enuresis, and urinary incontinence. The material also reviews hypovolemia and hypervolemia, fluid volume deficit and excess, dehydration and over-hydration manifestations, daily weight and intake-and-output monitoring, vital signs, hydration assessment, and clinical measurements used to identify fluid and electrolyte imbalances. It also reinforces the nursing assessment and care-planning sequence, including subjective and objective data, diagnosis, planning, outcomes, interventions, rationale, and evaluation.

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Galen College of Nursing-Louisville NUR 155

NUR 155 2 EXAM Questions and Verified Answers

,Sodium normal range


135-145 mEq/L


What is BMI?


Body Mass Index; a measure of body weight relative to height


BMI normal range


18.5-24.9




how to prevent food borne illness


hygienic handling of food & dishes
cook food thoroughly
defrost foods in refrigerator


factors effecting normal elimination


psychosocial: privacy, positioning, sufficient time
fluid/intake: increase intake=increase output
medications: may cause retention, diuretics increase output
muscle tone: good strength increase emptying appropriately
pathologic conditions: renal failure, kidney stones
surgical: swelling post procedure

,Altered urine production/elimination


polyuria, oliguria, anuria, nocturia, enuresis, incontinence


polyuria (diuresis)


excessive production of urine


oliguria


Decreased urine output <500 mL / day


anuria


absence of urine production


Frequency


voiding at frequent intervals >4 to 6 x/ day


nocturia


excessive urination at night >2x/night


urgency


feeling the need to urinate immediately, even if there isn't much urine

, enuresis


involuntary urination in children starting around 4-5 / bed wetting


incontinence


inability to control bladder and/or bowels/ symptom not disease


nursing process of urinary elimination:


assess: collect data, obtain urines sample
diagnose: give NANDA Dx for specific urinary issue
plan: goal specific to diagnosis
implement: how will you help pt meet goal
evaluate: were the goals met? yes, discharge. No, change strategy.


assessment of urinary system


history: baseline, COCA
Physical: Genitourinary system, hydration status, examine urine
relate data to results of diagnostic tests


Hypovolemia


Fluid volume deficit (FVD)


Hypovolemia S/S


confusion
dark/low urine output
dry mucous membranes(mouth, nose,eyes)
poor skin turgor
thirst
changes in awareness/mental state
ortho static hypotension

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