NUR 195 Final Exam Questions and
Answers
Tube feedings - ANSWER--Always check placement and residuals
-Continuous check every 4 hours
-May have to give a push to get it started
-HOB elevated at least 30, 45 is better
-Get X-rays
Glasgow coma scale - ANSWER-Neuro check
Checks LOC of patient
-Eye response
-Motor response
-Verbal response
Lower the score the worse it is
sentinel event - ANSWER--Includes death
-Prolonged hospital stay
-Problems with body that never returned to normal
-ICU
Medication administration - ANSWER-Give in timely manner
Healthcare - ANSWER--Timely
-Affordable
-Equitable
5 rights of delegation - ANSWER-right task
right circumstance
right PERSON
right direction/communication
right supervision/evaluation
Restraints - ANSWER--Quick release
-Orders right away
-2 fingers under restraints
-Remove every 2 hours
-Offer water, food, bathroom every hour
-Immovable part of bed
UAP documents low vital signs, what do you do? - ANSWER-Go and assess PT,
retake
Leadership - ANSWER--Don't get on social media with patient
-SMALL gifts are okay
-Don't date patients
, HIPPA - ANSWER-Created to avoid new employer from knowing health conditions
that could prevent them from getting health insurance
Cirrhosis - ANSWER-#1 cause is alcohol
-Don't give Tylenol
-Lactulose to lower ammonia
-AA
-Ascites/edema
-High protein, low sodium diet
-May need low protein w/ acute issues due to
Cirrhosis complications - ANSWER--Bruises
-Spider angioma
-Ascites
-Jaundice
-Ammonia level
SPICES - ANSWER-Helps us remember problems that elderly may have
Tools for nursing - ANSWER--Morris fall scale- fall risk
-Nursing process
-Braden scale- skin breakdown
-Epworth sleep scale
-SPICES- Remember problems elderly have
-Clinical judgement- way nurses think and come up with solutions to pt problem
Nonpharmacologic interventions - ANSWER--Back rubs
-Music
-Dim lights
-Photo therapy
Hypocalcemia S/S - ANSWER--Chovastek
-Trousseaus
-Seizures
-Tetany
What does hospital do in sentinel events/leap frog group - ANSWER--Talk to family
that was affected and apologies
-Record to designated agencies- joint commission
-Reports that need filled out including Root-cause analysis
-PT is not charged
Asthma - ANSWER--Peak-flow meter
-Theophylline
-Maintenance medication
-Rescue inhaler
-Steroids could be needed to decrease inflammation
Post abdominal surgery - ANSWER--Pain and low grade temp expected
Answers
Tube feedings - ANSWER--Always check placement and residuals
-Continuous check every 4 hours
-May have to give a push to get it started
-HOB elevated at least 30, 45 is better
-Get X-rays
Glasgow coma scale - ANSWER-Neuro check
Checks LOC of patient
-Eye response
-Motor response
-Verbal response
Lower the score the worse it is
sentinel event - ANSWER--Includes death
-Prolonged hospital stay
-Problems with body that never returned to normal
-ICU
Medication administration - ANSWER-Give in timely manner
Healthcare - ANSWER--Timely
-Affordable
-Equitable
5 rights of delegation - ANSWER-right task
right circumstance
right PERSON
right direction/communication
right supervision/evaluation
Restraints - ANSWER--Quick release
-Orders right away
-2 fingers under restraints
-Remove every 2 hours
-Offer water, food, bathroom every hour
-Immovable part of bed
UAP documents low vital signs, what do you do? - ANSWER-Go and assess PT,
retake
Leadership - ANSWER--Don't get on social media with patient
-SMALL gifts are okay
-Don't date patients
, HIPPA - ANSWER-Created to avoid new employer from knowing health conditions
that could prevent them from getting health insurance
Cirrhosis - ANSWER-#1 cause is alcohol
-Don't give Tylenol
-Lactulose to lower ammonia
-AA
-Ascites/edema
-High protein, low sodium diet
-May need low protein w/ acute issues due to
Cirrhosis complications - ANSWER--Bruises
-Spider angioma
-Ascites
-Jaundice
-Ammonia level
SPICES - ANSWER-Helps us remember problems that elderly may have
Tools for nursing - ANSWER--Morris fall scale- fall risk
-Nursing process
-Braden scale- skin breakdown
-Epworth sleep scale
-SPICES- Remember problems elderly have
-Clinical judgement- way nurses think and come up with solutions to pt problem
Nonpharmacologic interventions - ANSWER--Back rubs
-Music
-Dim lights
-Photo therapy
Hypocalcemia S/S - ANSWER--Chovastek
-Trousseaus
-Seizures
-Tetany
What does hospital do in sentinel events/leap frog group - ANSWER--Talk to family
that was affected and apologies
-Record to designated agencies- joint commission
-Reports that need filled out including Root-cause analysis
-PT is not charged
Asthma - ANSWER--Peak-flow meter
-Theophylline
-Maintenance medication
-Rescue inhaler
-Steroids could be needed to decrease inflammation
Post abdominal surgery - ANSWER--Pain and low grade temp expected
