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PN EXIT - EXAM 1, PN EXIT - EXAM 1 | ACTUAL EXAM WITH COMPLETE QUESTIONS AND ANSWERS | LATEST UPDATED | 100% RATED CORRECT GRADED A+

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PN EXIT - EXAM 1, PN EXIT - EXAM 1 | ACTUAL EXAM WITH COMPLETE QUESTIONS AND ANSWERS | LATEST UPDATED | 100% RATED CORRECT GRADED A+

Institution
PN EXIT -
Course
PN EXIT -

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PN EXIT - EXAM 1, PN EXIT - EXAM 1 | ACTUAL EXAM WITH

COMPLETE QUESTIONS AND ANSWERS | 2024-2025 LATEST

UPDATED | 100% RATED CORRECT GRADED A+

Fluid balance - (ANSWER)Proper levels of water and electrolytes being in the various body
compartments according to their needs.



Orally, IV - (ANSWER)How we take in fluids


Sweating, defecation, urination, vomiting - (ANSWER)How you excrete fluids



1/2 to 2/3 - (ANSWER)Water makes up this much of a persons weight



Water intake - (ANSWER)What must balance water loss


1 1/2 to 2 quarts - (ANSWER)How much a person should drink a day



Dehydration - (ANSWER)Body loses more water than it takes in



Vasopressin (ADH) - (ANSWER)Stimulates kidneys to conserve water and excrete less urine



Thirst, Pituitary gland - (ANSWER)Mechanisms that maintain water balance


Vasopressin - (ANSWER)When the body is low in water, the pituitary gland secretes this
hormone into the blood stream


Osmosis - (ANSWER)Water flows passively from one compartment of the body to another by
this

,Isotonic - (ANSWER)Concentration of dissolved particles or tonicity equal to that of
intracellular fluid. (same pressure inside and outside of the cell wont shrink nor swell)



D5W (isotonic) - (ANSWER)Used for fluid loss, dehydration, and hypernatremia-- DO NOT use
for resuscitation, as it can cause hyperglycemia, use cautiously in renal or cardiac disease pt.



NS (isotonic) - (ANSWER)Used for shock, hyponatremia, blood transfusion, resuscitation, fluid
challenges, metabolic alkalosis, hypercalcemia, DKA fluid replacement-- DO NOT use in
patients with heart failure, edema, or hypernatremia as it can cause fluid overload.


LR (isotonic) - (ANSWER)Used for dehydration, burns, lower GI tract fluid loss, acute blood
loss, hypovolemia, milk metabolic acidosis, salicylate overdose. This solution contains
potassium-- DO NOT use in patients with renal failure, liver disease, and do not use if pt pH is
greater than 7.5



D5 1/2 NS (hypertonic) - (ANSWER)Used for DKA after initial treatment with NS and 1/2 NS
prevents hypoglycemia and cerebral edema --ONLY use in pt with DKA when glucose falls
below 250


Hypertonic - (ANSWER)Tonicity greater than intracellular fluid, osmotic pressure is unequal
inside and outside the cells



D5NS (hypertonic) - (ANSWER)Used in hypotonic dehydration, temporary treatment of
circulatory insufficiency and shock if plasma expanders aren't available, Addisons disease-- DO
NOT use in pt with cardiac or renal disease because of the danger of heart failure and pulmonary
edema.



D10 (hypertonic) - (ANSWER)Used for water replacement and conditions in which some
nutrition with glucose is required. Monitor glucose levels closely

,Hypotonic - (ANSWER)Tonicity less than that of intracellular fluid, so osmotic pressure draws
water into the cells from the extracellular fluid.



1/2 NS (hypertonic) - (ANSWER)Used for water replacement, DKA after initial NS and before
dextrose infusion, hypertonic dehydration, sodium and chloride depletion, gastric fluid loss from
NG tube suctioning vomiting use cautiously can cause cardiovascular collapse or increased
intracranial pressure-- DO NOT use in pt with liver disease, trauma or burns.


Personal Identity - (ANSWER)A sense of oneself that is influenced by characteristics, norms,
and values of the nursing discipline, resulting in an individual thinking, acting and feeling like a
nurse.


Professional identity - (ANSWER)Developed in many ways, through real and stimulated
experiences and reflection and role modeling by professional colleagues.


Erikson's Theory - (ANSWER)Theory of psychosocial development



Piaget's Theory - (ANSWER)Theory of cognitive development



Kohlberg's theory - (ANSWER)Theory of development


Interventions for building a professional identity - (ANSWER)Hearing expectations clearly

Value debriefing and feedback from role models

Engage in reflection

Actively adopt a professional identity

Understand your own responsibilities for learning and be accountable for them

Build relationships with those around you

Develop personal self care habits

Embrace any opportunity or experiences with patients

, Professional Identity Interrelated Concepts - (ANSWER)Clinical judgement

Leadership

Ethics
Communication



Examples of integrity - (ANSWER)Follow through with pain med

Call physician if pt asks you to

Check the Code chart

Give meds within 30 min window



Health Care Quality - (ANSWER)The degree to which health services for individuals and
populations increase the likelihood of desired health outcomes and are consistent with current
professional knowledge



Components of quality - (ANSWER)Patient care outcomes
Patient satisfaction

Evidence based care delivery

Delivery of safe care

Patient centered care

Resource efficient



Major attributes of Health Care Quality - (ANSWER)Safe

Effective
Timely

Patient-Centered

Efficient

Equitable

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