NUR176 / NUR 176 Final Exam Study Guide (Latest 2025 / 2026 Update): Concepts of Adult Health Nursing for the Practical Nurse I |Questions and Answers (Verified Solutions) 100% Correct – Hondros.

NUR176 / NUR 176 Final Exam Study Guide (Latest 2025 / 2026 Update): Concepts of Adult Health Nursing for the Practical Nurse I |Questions and Answers (Verified Solutions) 100% Correct – Hondros. Question: The day before your patient has present varicella blister they are? Answer: The most contagious Question: What manifestation comes before the blisters when having a shingles flare up? Answer: Fever, this is the most contagious stage on shingles Question: Dermaitis Answer: inflammation of the skin Question: Once the dermatitis bacteria gets under the skin it turns into? Answer: Cellulitis Question: Manifestations of Cellulitis Answer: Skin will be swollen, redness, fire like pain, tenderness, could have fever or even drainage Question: TX Cellulitis Answer: Antibiotics Keep dry and clean Question: Anaphylaxis Shock Answer: Life threatening allergic reaction Avoid allergen Immediate EPI pen injection in Vasatas lateralis Question: Impetigo Answer: Bacterial inflammatory skin disease characterized by vesicles, pustules, and crusted-over lesions Usually on mouth, hands Caused by poor hygiene and highly contagious Staph/strep bacteria Question: Polydipsia Answer: Excessive thirst Manifestation of hyperglycemia Question: Do you need an order for thicken liquids? Answer: NO You can add thickened liquids to anyones beverage when suspected swallowing issues You must contact and notify the doctor and suggest speech therapy consult Question: Shingles blisters when they have opened and draining Answer: They need to be contained and covered Run the risk of secondary infection Question: Shingles Answer: Herpes zoster History of chickenpox Dormant condition Question: Shingles blisters Answer: Very painful Clusters Tracts nerves Fluid fill and can open and drain Question: Anticipated effects of extreme high BP or IICP Answer: Vision disturbances Nose bleeds Dizziness Headache Change in level of consciousness Question: Tx Shingles Answer: Analgesics Acyclovir (antiviral) *anti-anxiety meds Question: Prevent Shingles Answer: Over 65 year old vaccinate (live weakened injection) Shingrex Zostavax Question: Diuretics General Knowledge Answer: Pulls of extra fluid from the body Risk of pulling off too much Potassium and Sodium Question: Loop Diuretics Answer: Furosemide (Lasix) Bumex Pulls way too much potassium off Question: Thiazide diuretics Answer: Hydrochlorothiazide Not as much potassium is being pulled off but still a significant amount; weak form Question: Potassium-sparing diuretic Answer: Spironolactone (Aldactone) Spares all potassium from being pulled out of the body Be aware of potassium lab levels (given when low) Question: STD Teaching Answer: Safe sex practices Frequent testing Proper hygiene Educate on vaccines for risk or cervical cancers and other problems Report S/S Question: Risk of toughing Nitro Answer: Extreme headache Question: Hemophilia Answer: A hereditary disease where blood does not coagulate to stop bleeding No clotting factors Question: M O N A Answer: Morphine (lowers demand of o2 to heart) Oxygen Nitro (vasodilator) Aspirin (anti platelet) Question: Pacemaker cannot Answer: No MRI Question: Test to determine blood on the stool? Answer: Occult Question: Lopressor, Beta blocker, ACE inhibitor working together during cardiac rehab do what? Answer: Reduce the risk of a secondary MI Question: Cardiac Rehab Answer: A medically supervised program to help heart patients recover quickly and improve their overall physical and mental functioning Builds up activity tolerance in a safe setting Meds also include Lopressor, bet blocker, ACE inhibitor Question: Vaccinations Answer: Acquired immunity Question: HIV/AIDS diet Answer: High Calorie High Protein High Carb High Fat Question: AV Shunt Answer: Never to BP or needle stick in that arm Palpate for thrill Auscultate for Bruie Question: DVT assessment Answer: Redness, swelling, hot to the touch, painful in lower extremities Doppler Ultrasound Measure leg Question: Osteoarthritis Answer: inflammation of the bone and joint/degenerative disease Low bone density Calcium strip off the bone Risk for older white women Question: TX/interventions with osteoarthritis Answer: Reduce stress Reduce weight Anti-inflammatories Practice weight baring exercises Question: Athletes Foot/Jock Itch Answer: Fungal infection Treat with niastatine cream or powder Keep cry and clean Question: Post Stroke considerations Answer: No straws Need assistance/assessment when eating Thickened liquids Question: Rheumatoid Arthritis RA Answer: Autoimmune disorder Familial/Heritary More likely in females Question: Manifestations of RA Answer: -Aching (in morning the most), pain in hands wrist feet, stiffness, instability, swelling, muscle atrophy -Fatigue, anorexia, weight loss, low grade fever, low physical functioning (ADLS) Question: TX/Interventions with RA Answer: Biologic drugs NSAIDS Control stressors Dietary NSAIDS Question: Lupus Answer: Body destroys own Tcells Autoimmune disorder Can result in organ failure Question: Manifestations of Lupus Answer: Anemia Joint pain Chronic fatigue Sensitivity to sunlight Butterfly rash Pitciae on chest Question: Diagnostics of Lupus and RA (autoimmune) Answer: RF factor ANA *** Sed rate CRP xray Question: CD4 count Answer: Shows number of Tcells in the body How well your immune system is working Question: CD4 count under 200 Answer: Indicates AIDS Question: Chronic pain can lead to? Answer: Depression Question: Colitis Answer: Autoimmune disorder Goes through 1st layer of mucosal in the intestines Question: Manifestation of Colitis Answer: Stool has mucous, blood, and diarrhea, frequent stools Mild to severe pain Question: Chrons Disease Answer: Autoimmune disorder chronic inflammation of the intestinal tract All three layers of intestinal lining Surgery to remove sections leads to colostomy bag Question: Manifestations of Chrons Answer: Severe abd pain Stools have mucous, blood and freq to no stool Question: HIV S/S Answer: fatigue Diarrhea weight loss muscle or joint pain painful or swollen glands night sweats fever Question: HIV sores in the mouth Answer: Carposa Have patient use straw to help with pain and burning Question: HIV meds Answer: highly active antiretroviral therapy is a combination of antiretroviral drugs and is the preferred method of avoiding development of viral resistance to drugs (drug cocktail) Question: Common herpes zoster, HIV, or STD medication Answer: Acyclovir Question: Causes of HIV Answer: STDS Blood transfusions unchecked Blood contact (sharing needles) Question: HIV / AIDS patient precautions Answer: Neutropenic precautions Reverse isolation We protect the patient from our germs Question: Early signs of ICP Answer: Change in LOC Restless Headache Vision changes Question: Meningitis Answer: Inflammation of the MENIGES of the brain and spinal cord Caused by a bacterial or viral infection Contagious Question: Meningitis symptoms Answer: headache, fever, stiff neck Question: Meningitis nuring considerations Answer: Keep patient in droplet and contact precautions Until the root infection is diagnosed you want to use all precautions because they could have ether type of infection Question: Encephalitis Answer: inflammation of the BRAIN caused by a virus from mosquito borne diseases, tick borne disesases, Herpes zoster, or trauma Question: prevent encephalitis Answer: Take precautions against likely causes Vaccinations Question: S/S of encephalitis Answer: Flu like symptoms Headache Confusion/Change in consciousness Problems with senses and movement Seizures Question: Delirum Answer: A temporary state of confusion Caused by trauma, infection or anesthesia Treat by treating the root cause Question: Digoxin (Lanoxin) Answer: Increases the contractility of the heart Lowers HR Question: Digoxin patient teaching Answer: Do not take of heart rate is under 60 Be aware of toxicity s/s to report to the doctor Question: Dig Toxicity Answer: Seeing halos Check lab values (0.8-2) Question: General Anemia Answer: Low iron levels due to loss of blood by: Menstrual cycle GI bleeds from ulcers, hemorrhoids, mastoids etc. Hematuria Or by dietary deficits Question: Treat General Anemia Answer: Dietary supplements Dietary management by encouraging iron rich foods like leafy greens, red meat etc IV ferritin Even blood transfusion Question: How to test for any type of anemia ? Answer: Hematocrit and Hemoglobin Question: Sickle Cell anemia Answer: Genetic disorder that causes abnormal hemoglobin, resulting in some red blood cells assuming an abnormal sickle shape Black females are more at risk Question: Sickle Cell anemia exacerbation Answer: Due to stress, extreme temp change, dehydration, infection Symptoms include extreme pain, swelling of joints High risk for blood clots Question: Treat Sickle Cell anemia Answer: Push a lot of fluids (PO or IV) Blood thinners Analgesics O2 Remove environmental stress cause Cure is bone marrow transplant Question: Pernicious anemia Answer: Lack of intrinstric factors/B12 from trauma to the stomach, gastric bypass, or a congenital defect Question: Treat Pernicious Anemia Answer: B12 injections/sublingual therapy for life Question: Scabies Answer: contagious skin disease transmitted by the itch mite (skin to skin transmission) Brown crusty lines/ barrow holes in the skin Question: Treat Scabies Answer: Permethrin (cream/lotion) Question: SE of premethrin Answer: severe ABD pain Question: Child under the age of 2 and permethrin Answer: Cannot use, will harm Question: Bedbugs Answer: blood-sucking arthropod whose bite causes pain, red skin, and severe itching Question: Treat bedbugs Answer: Extreme heat treatment Diaton powder Get rid of infected furniture etc. Question: Skin Cancer Answer: Harmful, malignant growth on the skin; basal cell carcinoma, melanoma. Nevi moles (bloody red, dark, black, irregular in shape) Question: Chlamydia Answer: A bacterial infection that affects the reproductive organs of both males and females Can cause serious damage to the reproductive organs Spread by sexual intercourse (oral, vaginal, anal) Question: Serious risks of STD for women Answer: Damage to reproductive organs Cervical cancer Transmission during childbirth to child Question: Symptoms of Chlamydia Answer: Lower ABD pain/peri area Menstrual disorder Painful urination Fatigue Discharge Conjunctiva Question: Gonorrhea Answer: A bacterial STD that usually affects mucous membranes Infection in the genital also rectum and throat Question: Symtpoms of gonorrhea Answer: Men: no symptoms sometimes, drainage from penis, swollen testes Women: UTI like s/s Question: Lice/Pediculosis Answer: See eggs or bug in hair Clean and disinfect Heat treatments