NUR 160 Exam 2, HONDROS New Questions and
Answers 100% Solved
evisceration - ✔✔when an organ is sticking up out of a wound that has opened
Dehiscense - ✔✔When a wound has opened up, most often d/t force (cough)
What to do for dehiscense - ✔✔put pillow on abdomen when coughing, semi-high fowler's,
cover with sterile, moist dressing and notify MD
Pain meds - ✔✔start low, go slow
Physiological signs of pain - ✔✔Red, sweating,crying, irritated, fetal position
How to help with pt pain - ✔✔try non- pharmacological interventions first, when nothing
worksask someone else, go through chain of command
at risk for urinary retention - ✔✔post-surgical, men with large prostates, TBI, stroke,
paralyzed
Nursing interventions for urinary retention - ✔✔i&o, push fluids, run water, stick hands in
warm
, water, bladder scan-see how much is in there (if at or more than 200, call someone), pt will
need
straight cath at that point, when straight cathed, if you get to 1000, clamp it off and go back
later.
DVT signs and symptoms - ✔✔unilateral swelling, redness, hot, painful, pulseless, cannot
move
toes or very little, pale below where clot is
Prevention of DVT - ✔✔early and frequent ambulation, TED hose
Safety with DVT - ✔✔immobilize, call MD, you do not move the pt,
Bowel Obstruction - ✔✔bloating, abdominal pain, nausea, vomiting, constipation
Nursing Interventions for Bowel Obstruction - ✔✔auscultate bowel sounds (5min/quadrant),
look, listen, feel, get pt moving, coughing and deep breathing, ZERO bowel sound sis an
emergency, notify MD
Prednisone - ✔✔decreases inflammation
Causes of Respiratory Alkalosis - ✔✔Hyperventilation, Obesity, Anxiety
Answers 100% Solved
evisceration - ✔✔when an organ is sticking up out of a wound that has opened
Dehiscense - ✔✔When a wound has opened up, most often d/t force (cough)
What to do for dehiscense - ✔✔put pillow on abdomen when coughing, semi-high fowler's,
cover with sterile, moist dressing and notify MD
Pain meds - ✔✔start low, go slow
Physiological signs of pain - ✔✔Red, sweating,crying, irritated, fetal position
How to help with pt pain - ✔✔try non- pharmacological interventions first, when nothing
worksask someone else, go through chain of command
at risk for urinary retention - ✔✔post-surgical, men with large prostates, TBI, stroke,
paralyzed
Nursing interventions for urinary retention - ✔✔i&o, push fluids, run water, stick hands in
warm
, water, bladder scan-see how much is in there (if at or more than 200, call someone), pt will
need
straight cath at that point, when straight cathed, if you get to 1000, clamp it off and go back
later.
DVT signs and symptoms - ✔✔unilateral swelling, redness, hot, painful, pulseless, cannot
move
toes or very little, pale below where clot is
Prevention of DVT - ✔✔early and frequent ambulation, TED hose
Safety with DVT - ✔✔immobilize, call MD, you do not move the pt,
Bowel Obstruction - ✔✔bloating, abdominal pain, nausea, vomiting, constipation
Nursing Interventions for Bowel Obstruction - ✔✔auscultate bowel sounds (5min/quadrant),
look, listen, feel, get pt moving, coughing and deep breathing, ZERO bowel sound sis an
emergency, notify MD
Prednisone - ✔✔decreases inflammation
Causes of Respiratory Alkalosis - ✔✔Hyperventilation, Obesity, Anxiety
