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Nur 176 Exam Question And Correct Answers

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NUR 176 Exam QUESTION AND CORRECT ANSWERS What are some things that you can delegate to a UAP? - ANSWER assisting patient to dining room, emptying a foley and charting the amount, administer over the counter eyedrops What are some things that you cannot delegate to a UAP? - ANSWER pulse check on foot for procedure, abdominal incision sterile dressing, medication passes, assessments, patient teaching You have a patient with severe anemia. What kinds of interventions would you put in place? - ANSWER change diet to high iron (red meats, spinach, legumes, eggs, poultry); alternate between activities; report blood in urine or stool Anemia s/s - ANSWER weakness, fatigue, pallor, dyspnea, tachycardia, chest pain, muscle pain/cramping, monitor for bleeding (bloody vomit/coffee ground emesis, bloody urine, etc), low Hgb levels Hemophilia S/S - ANSWER Bruising, pallor, prolonged bleeding; bleeding into joint space spontaneously which causes blood to build up and causes arthritic disorder; pain in joints; longer to stop bleeding after injury- may require plasma or platelets to help clot spironolactone is a - ANSWER potassium sparing diuretic; given to help retain potassium You have a patient that is complaining of itching and they have gray pigmentation on their skin, what might you suspect is going on with them? - ANSWER chronic renal failure Chronic renal failure s/s - ANSWER extreme fatigue, dark/dusky skin (could be yellow/tan), elevated BUN and creatinine, confusion

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NUR 176 FINAL
EXAM QUESTION
WITH VERIFIED
CORRECT ANSWERS
The day before your patient has present varicella blister they are? - ANSWER The
most contagious

What manifestation comes before the blisters when having a shingles flare up? -
ANSWER Fever, this is the most contagious stage on shingles

Dermaitis - ANSWER inflammation of the skin

Once the dermatitis bacteria gets under the skin it turns into? - ANSWER Cellulitis

Manifestations of Cellulitis - ANSWER Skin will be swollen, redness, fire like pain,
tenderness, could have fever or even drainage

TX Cellulitis - ANSWER Antibiotics
Keep dry and clean

Anaphylaxis Shock - ANSWER Life threatening allergic reaction
Avoid allergen
Immediate EPI pen injection in Vasatas lateralis

Impetigo - ANSWER Bacterial inflammatory skin disease characterized by vesicles,
pustules, and crusted-over lesions
Usually on mouth, hands
Caused by poor hygiene and highly contagious
Staph/strep bacteria

, Polydipsia - ANSWER Excessive thirst
Manifestation of hyperglycemia

Do you need an order for thicken liquids? - ANSWER NO
You can add thickened liquids to anyones beverage when suspected swallowing issues
You must contact and notify the doctor and suggest speech therapy consult

Shingles blisters when they have opened and draining - ANSWER They need to be
contained and covered
Run the risk of secondary infection

Shingles - ANSWER Herpes zoster
History of chickenpox
Dormant condition

Shingles blisters - ANSWER Very painful
Clusters Tracts nerves
Fluid fill and can open and drain

Anticipated effects of extreme high BP or IICP - ANSWER Vision disturbances
Nose bleeds
Dizziness
Headache
Change in level of consciousness

Tx Shingles - ANSWER Analgesics
Acyclovir (antiviral)
*anti-anxiety meds

Prevent Shingles - ANSWER Over 65 year old vaccinate (live weakened injection)
Shingrex
Zostavax

Diuretics General Knowledge - ANSWER Pulls of extra fluid from the body
Risk of pulling off too much Potassium and Sodium

Loop Diuretics - ANSWER Furosemide (Lasix)
Bumex
Pulls way too much potassium off

Thiazide diuretics - ANSWER Hydrochlorothiazide
Not as much potassium is being pulled off but still a significant amount; weak form

Potassium-sparing diuretic - ANSWER Spironolactone (Aldactone)
Spares all potassium from being pulled out of the body

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