NBRC EXAM NEWEST WITH ACTUAL QUESTIONS
AND CORRECT VERIFIED ANSWERS|100%
GUARANTEED TO PASS CONCEPTS|ALREADY
GRADED A+
Normal Urine Output - (answers)40mL/hr (approximatley 1 Liter a day)
Intake exceeds output - (answers)-weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
Central Venous Pressure (CVP) - (answers)can indicate changes in fluid balance
Normal CVP - (answers)2-6mmHg or 4-12cmH20
-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
Stuporous, confused , sleepy - (answers)consider sleep apnea or excessive O2
therapy (COPD patient)
Semicomatose - (answers)responds only to painful stimuli
Obtunded - (answers)drowsy state, may have decreased cough or gag reflux
(protect airway)
Coma - (answers)does not respond to painful stimuli
, 2
Electrolyte Imbalance Traits - (answers)anger, combative, irritable
Drug Overdose Traits - (answers)Euphoria-intense feelings of emotions (joy)
Panic Traits - (answers)severe hypoxemia, tension pnemothorax, status
asthmaticus, or possibly AAA (abdominal aortic anerysm)
Activites of Daily Living (ADL) Scoring - (answers)Katz Scoring System
0-dependent
6-independent
Orthopnea - (answers)difficulty breathing except in the upright position (CHF)
Genreal malaise - (answers)run down feeling, nausea, weakness, fatique,
headache (consider electrolyte imbalance)
COPD diet - (answers)high fats, low carbs (carbs causes higher CO2)
Edema - (answers)caused by CHF and renal failure
occurs primarily in arms and ankles
Ascites - (answers)accumulation of fluid in the abdomen generally caused by
liver failure
Clubbing of fingers - (answers)caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
, 3
Venous distension or Jugular venous distension (JVD) - (answers)occurs with
CHF
seen during exhalation in patients with obstructive lung disease
Capillary refill - (answers)indication of peripheral circulation
color should return within 3 seconds
Diaphoresis - (answers)heart failure (recommend diuretics, positive inotropic
agents)
fever, infection (recommend antibiotics)
anxiety, nervousness (recommend sedatives)
tuberculosis/night sweats (recommend antitubercular drugs)
Cheyne-Stokes Breathing - (answers)gradually increasing then decreasing rate
and depth in a cycle lasting from 30-180 seconds, with periods of apnea lasting
up to 60 seconds
Cause: Increased intracranial pressure, brainstem inury, drug overdose
Biot's Breathing - (answers)increased respiratory rate and depth with irregular
periods of apnea. Each breath has the same depth
Cause: CNS problem
Kussmaul's breathing - (answers)increased respiratory rate (usually over 20
breaths/min), increased depth, irregular rhythm, breathing sounds labored
Cause: metabolic acidosis, renal failure, diabetic ketoacidosis
Dry or nonproductive cough may indicate - (answers)a tumor in the lungs