NUR155 LATEST EXAM 2
Calcium - ANSWER milk, mild product, tofu, soy products, green leafy vegetables
Education for pt. with cane - ANSWER Cane should be at the level of hip, and arm should be
bent, don't look at the ground
Enteral feeding tubes are used for working or not working GI? - ANSWER Working GI
Example of primary prevention - ANSWER Immunization, health/sex ed, quit smoking
drinking or poor diet.
Example of secondary prevention - ANSWER Screening, blood work, diagnostic testing
Example of tertiary prevention - ANSWER Chemo, medication, rehab
Examples of social determinants of health? - ANSWER Age, gender, genetics and inherited
traits, lifestyle, environment, attitudes and emotions, quality of education, and access to food
Factors that affect bowel movement? - ANSWER Activity, fiber, and fluid, psychosocial
factor, food and fluid, medication
How to administer enema? - ANSWER tell the patient to take deep breathe in, lay them in
left sims positions, hold the enema in as long as possible
How to detect fluid imbalance? - ANSWER Daily weight
Intervention for patient with diarrhea? - ANSWER bland food, drink fluid, tepid liquid
Iron - ANSWER green leafy vegetables and animal meat
Normal level of chloride - ANSWER 98-106
Normal level of magnesium - ANSWER 1.5-2.5 mEq/L
Normal level of phosphorus - ANSWER 3-4.5
Normal levels of calcium - ANSWER 9-10.5 mEq/L
Normal levels of potassium - ANSWER 3.5-5.0 mEq/L
Normal levels of Sodium - ANSWER 135-145 mEq/L
Normal urine output - ANSWER 30-80 mL/hr
Phosphorus - ANSWER dairy beans and meats
Potassium - ANSWER bananas, avocado, sweet potatoes, white beans
Proteins - ANSWER Lean meats, eggs, dairy, seeds and nuts, beans, and legumes and soy
S/S of fluid volume deficit - ANSWER low BP, less output, dry mucous membrane, brittle
hair and nails, dehydration
S/S of fluid volume excess - ANSWER edema, fluids in the lungs, high BP, High pulse
S/S of Hypercalcemia - ANSWER lethargy, stupor, coma, depressed deep muscle
strength/tone, dysrhythmias, anorexia, N/V, constipation, pathological fractures, kidney stones
, NUR155 LATEST EXAM 2
S/S of Hyperkalemia - ANSWER anxiety, irritability, confusion, muscle weakness, flaccid
paralysis, paresthesia, GI hyperactivity, diarrhea, abdominal cramping, cardiac dysrhythmias, cardiac
arrest, bradycardia/heart block, irregular pulses
S/S of hypermagnesemia - ANSWER warm, flushed appearance, peripheral vasodilation,
N/V, drowsiness, lethargy, generalized weakness, decreased deep tendon reflexes, hypotension,
dysrhythmias, respiratory depression. arrest
S/S of hypernatremia - ANSWER Thirst, dry sticky mucous membranes, weakness, elevated
temp., osmolality >290
S/S of hypocalcemia - ANSWER confusion, anxiety, hyperactive reflexes, cardiac
dysrhythmias, muscle cramps that progress to tetany (muscle spasms), seizures, numbness/ tingling
of extremities and around the mouth, positive trousseau's and ckvostek's signs
S/S of hypokalemia - ANSWER weak, irregular pulse, fatigue, lethargy, anorexia, nausea,
vomiting, muscle weakness/cramping, decreased peristalsis, hypoactive bowel sounds, paresthesia,
cardiac dysrhythmias
S/S of hypomagnesemia - ANSWER irritable nerves/ muscle disorientation, hyperactive
deep tendon reflexes, seizures, dysrhythmias, EKG changes, elevated BP, LOC changes, mood swings,
delusions, hallucinations, positive trousseau's and ckvostek signs, dysphagia, N/V
S/S of hyponatremia - ANSWER confusion, lethargy, weakness, muscle cramping, seizures,
anorexia, nausea, vomiting, serum osmolality <290
S/S of infatuated IV - ANSWER Cold, redness, pain
Total parenteral nutrition is used for working or not working GI? - ANSWER Not working Gi
Treatment of hypercalcemia - ANSWER monitor HR/ rhythm, cardiac monitor, increase
fluids, increase activity/ROM, restrict Ca foods
Treatment of hyperkalemia - ANSWER Monitor vitals, HR/rhythm, lab, cardiac monitor, limit
K foods, kayexalate, glucose &insulin moves K back into cell, dialysis
Treatment of hypermagnesemia - ANSWER Assess vitals, HR/rhythm, cardiac monitor,
assess mental status, assess neuromuscular, encourage inc. oral intake/ IV fluid, dialysis, admin loop
diuretics as ordered, respiratory support as needed, low Mg diet
Treatment of hypernatremia - ANSWER Monitor vitals, LOC, labs, increase water intake, Na
restricted diet, admin hypotonic IV solutions as ordered
Treatment of hypocalcemia - ANSWER monitor HR/ rhythm, cardiac monitor, fall/seizure
precautions, give calcium and vitals d as ordered, eat foods rich in calcium
Treatment of hypokalemia - ANSWER Monitor vitals, HR/rhythm, labs, admin K
supplements, IV fluids with K as ordered (Never Bolus or IV push K), eat foods rich in K, if on diuretics
make sure they spare K
Calcium - ANSWER milk, mild product, tofu, soy products, green leafy vegetables
Education for pt. with cane - ANSWER Cane should be at the level of hip, and arm should be
bent, don't look at the ground
Enteral feeding tubes are used for working or not working GI? - ANSWER Working GI
Example of primary prevention - ANSWER Immunization, health/sex ed, quit smoking
drinking or poor diet.
Example of secondary prevention - ANSWER Screening, blood work, diagnostic testing
Example of tertiary prevention - ANSWER Chemo, medication, rehab
Examples of social determinants of health? - ANSWER Age, gender, genetics and inherited
traits, lifestyle, environment, attitudes and emotions, quality of education, and access to food
Factors that affect bowel movement? - ANSWER Activity, fiber, and fluid, psychosocial
factor, food and fluid, medication
How to administer enema? - ANSWER tell the patient to take deep breathe in, lay them in
left sims positions, hold the enema in as long as possible
How to detect fluid imbalance? - ANSWER Daily weight
Intervention for patient with diarrhea? - ANSWER bland food, drink fluid, tepid liquid
Iron - ANSWER green leafy vegetables and animal meat
Normal level of chloride - ANSWER 98-106
Normal level of magnesium - ANSWER 1.5-2.5 mEq/L
Normal level of phosphorus - ANSWER 3-4.5
Normal levels of calcium - ANSWER 9-10.5 mEq/L
Normal levels of potassium - ANSWER 3.5-5.0 mEq/L
Normal levels of Sodium - ANSWER 135-145 mEq/L
Normal urine output - ANSWER 30-80 mL/hr
Phosphorus - ANSWER dairy beans and meats
Potassium - ANSWER bananas, avocado, sweet potatoes, white beans
Proteins - ANSWER Lean meats, eggs, dairy, seeds and nuts, beans, and legumes and soy
S/S of fluid volume deficit - ANSWER low BP, less output, dry mucous membrane, brittle
hair and nails, dehydration
S/S of fluid volume excess - ANSWER edema, fluids in the lungs, high BP, High pulse
S/S of Hypercalcemia - ANSWER lethargy, stupor, coma, depressed deep muscle
strength/tone, dysrhythmias, anorexia, N/V, constipation, pathological fractures, kidney stones
, NUR155 LATEST EXAM 2
S/S of Hyperkalemia - ANSWER anxiety, irritability, confusion, muscle weakness, flaccid
paralysis, paresthesia, GI hyperactivity, diarrhea, abdominal cramping, cardiac dysrhythmias, cardiac
arrest, bradycardia/heart block, irregular pulses
S/S of hypermagnesemia - ANSWER warm, flushed appearance, peripheral vasodilation,
N/V, drowsiness, lethargy, generalized weakness, decreased deep tendon reflexes, hypotension,
dysrhythmias, respiratory depression. arrest
S/S of hypernatremia - ANSWER Thirst, dry sticky mucous membranes, weakness, elevated
temp., osmolality >290
S/S of hypocalcemia - ANSWER confusion, anxiety, hyperactive reflexes, cardiac
dysrhythmias, muscle cramps that progress to tetany (muscle spasms), seizures, numbness/ tingling
of extremities and around the mouth, positive trousseau's and ckvostek's signs
S/S of hypokalemia - ANSWER weak, irregular pulse, fatigue, lethargy, anorexia, nausea,
vomiting, muscle weakness/cramping, decreased peristalsis, hypoactive bowel sounds, paresthesia,
cardiac dysrhythmias
S/S of hypomagnesemia - ANSWER irritable nerves/ muscle disorientation, hyperactive
deep tendon reflexes, seizures, dysrhythmias, EKG changes, elevated BP, LOC changes, mood swings,
delusions, hallucinations, positive trousseau's and ckvostek signs, dysphagia, N/V
S/S of hyponatremia - ANSWER confusion, lethargy, weakness, muscle cramping, seizures,
anorexia, nausea, vomiting, serum osmolality <290
S/S of infatuated IV - ANSWER Cold, redness, pain
Total parenteral nutrition is used for working or not working GI? - ANSWER Not working Gi
Treatment of hypercalcemia - ANSWER monitor HR/ rhythm, cardiac monitor, increase
fluids, increase activity/ROM, restrict Ca foods
Treatment of hyperkalemia - ANSWER Monitor vitals, HR/rhythm, lab, cardiac monitor, limit
K foods, kayexalate, glucose &insulin moves K back into cell, dialysis
Treatment of hypermagnesemia - ANSWER Assess vitals, HR/rhythm, cardiac monitor,
assess mental status, assess neuromuscular, encourage inc. oral intake/ IV fluid, dialysis, admin loop
diuretics as ordered, respiratory support as needed, low Mg diet
Treatment of hypernatremia - ANSWER Monitor vitals, LOC, labs, increase water intake, Na
restricted diet, admin hypotonic IV solutions as ordered
Treatment of hypocalcemia - ANSWER monitor HR/ rhythm, cardiac monitor, fall/seizure
precautions, give calcium and vitals d as ordered, eat foods rich in calcium
Treatment of hypokalemia - ANSWER Monitor vitals, HR/rhythm, labs, admin K
supplements, IV fluids with K as ordered (Never Bolus or IV push K), eat foods rich in K, if on diuretics
make sure they spare K
