Nur 160 Exam #1 with complete
solution
A .patient .with .glaucoma .would .likely .have .which .of .the .following .IOP .readings? .- .(correct .answer) .-
48mmHG .really .high
normal .range: .12-20mmHg
Putting .on .sunscreen .is .an .example .of .which .type .of .prevention? .- .(correct .answer) .-Primary
Which .of .the .following .foods .should .a .patient .with .leukemia .avoid? .- .(correct .answer) .-
Carrot .Sticks- .Fresh .fruits .and .veggies
What .is .a .major .disadvantage .to .morphine .use? .- .(correct .answer) .-Potential .for .drug .dependency
You .suspect .your .patient .has .Small .Bowel .Obstruction, .what .orders .would .you .expect .from .the .phys
ician? .- .(correct .answer) .-Maintain .high .fowlers .position
Palpate .abdomen .every .2 .hours
Insert .NG .but .leave .it .clamped
Which .assessment .finding .would .be .considered .objective? .- .(correct .answer) .-
Purulent .Drainage- .anything .you .can .measure
Correct .order .for .drawing .up .insulin? .- .(correct .answer) .-clear, .cloudy, .cloudy, .clear
if .a .patient .is .immobile .post .op, .what .are .they .at .high .risk .for? .- .(correct .answer) .-
What .are .some .signs .and .symptoms .of .DVT? .- .(correct .answer) .-Swelling, .cramps, .reddness
The .nurse .is .assessing .a .post .op .patient. .Which .of .the .following .is .considered .subjective? .- .
(correct .answer) .-Pain-subjective .data
What .intervention .is .the .most .important .in .a .patient .with .visual .impairment? .- .(correct .answer) .-
Keep .walk .way .clear
,which .statement .about .culture .is .true? .- .(correct .answer) .-culture .needs .to .be .considered .in .care
nurses .are .mandated .to .report .abuse .- .(correct .answer) .-
true- .should .be .reported .to .the .social .worker
what .is .the .normal .side .effect .of .Latanoprost .eye .drops? .- .(correct .answer) .-burning
what .assessment .finding .could .indicate .infection .during .post .op? .- .(correct .answer) .-foul .odor
What .assessment .finding .is .included .in .the .Glasgow .coma .scale? .- .(correct .answer) .-
Patient .winces .during .sternal .rub
Subjective .data .- .(correct .answer) .-anything .the .patient .says .it .is
objective .data .- .(correct .answer) .-
anything .that .can .be .observed .and .measured .from .the .nurses .perspective
Surgical .Pre-Op .check .list? .- .(correct .answer) .-
Med: .Ativan, .valium, .versed, .morphine, .zantax, .Zofran, .heparin, .coumadin. .NO .ibprophen .or .blood .t
hinners
Informed .consent, .ID .a=band, .blood .transfusion .consent, .allergies .identified, .allergies .list, .height, .we
ight, .removal .of .nail .polish, .makeup, .jewelry, .skin .prep, .anti .antibolism .stocking's, .npo .
(2 .hours .prior), .lab .results, .ECG, .vital .sheet, .voided .Cather, .mode .of .transfer, .med .list
Surgical .Postop .list? .- .(correct .answer) .-Incentive .spirometer(every .two .hours ., .help .keeps .lungs .well
.inflated .while .healing), .coughing, .turning, .deep .breathing, .mobility(prevents .blood .clots .and .parasati
sis), .splint
raise .head .to .45 .degrees
Latex .allergy .considereations? .- .(correct .answer) .-1. .Screening .for .latex .allergy .risk
2. .Identified .to .all .staff .involved
3. .Allergy .bracelet .placement4. .What .kind .of .reaction?
Infection .control? .- .(correct .answer) .-wash .your .hands
wet .to .dry .dressing .change .- .(correct .answer) .-
benign .- .(correct .answer) .-mild, .not .cancerous
malignant .- .(correct .answer) .-cancerous
Living .will .vs. .healthcare .power .of .atternoy .- .(correct .answer) .-
, black .box .warning .- .(correct .answer) .-Life .threatening .affects, .warnings
glaucoma .symptoms .- .(correct .answer) .-tunnel .vision, .halos, .loss .of .periphreal .vision
Morphine .side .effects .- .(correct .answer) .-depressed .breathing
order .for .inspecting .abdomen .- .(correct .answer) .-inspect, .auscultate, .palpate
when .teaching .diabetes .what .is .one .thing .you .want .to .teach .them? .- .(correct .answer) .-
avoid .heating .pads, .wear .shoes, .heated .blankets, .don't .cut .their .own .nails, .dry .location, .check .feet .
daily
orthopenic .position .- .(correct .answer) .-crossed .arms .on .side .table
if .there .is .an .abnormal .finding .during .an .assessment .what .do .you .do? .- .(correct .answer) .-
further .assessment .(focused .assessment)
Neurological .focused .assessment .- .(correct .answer) .-Glasgow .coma .scale
level .of .consciousness(1-person,2-person .and .place, .3-person, .place, .and .time, .4-person, .place, .time,
.and .purpose)
motor .function(smile, .frown, .puff .cheeks)ROM
PERLA(pupils, .equal, .round, .reactive, .light, .accommodation)
cardiac .focused .assessment .- .(correct .answer) .-60-100
caratoid .pulse( .never .press .hard .or .use .both .hands. .used .for .unconsious .pts)
brachial(fore .arm)
radial(inner .wrist. .common .pulse)
Apical( .5th .innercostal .space)listen .60 .sec
Femoral(thigh)
popitiel(behind .knee)
posterior .tibial(ankle)
Dorsal .pedis(top .of .foot)
slow .- .(correct .answer) .-brady .cardia
fast .- .(correct .answer) .-tachy .cardia
Respiratory .Focused .Assessment .- .(correct .answer) .-12-20
solution
A .patient .with .glaucoma .would .likely .have .which .of .the .following .IOP .readings? .- .(correct .answer) .-
48mmHG .really .high
normal .range: .12-20mmHg
Putting .on .sunscreen .is .an .example .of .which .type .of .prevention? .- .(correct .answer) .-Primary
Which .of .the .following .foods .should .a .patient .with .leukemia .avoid? .- .(correct .answer) .-
Carrot .Sticks- .Fresh .fruits .and .veggies
What .is .a .major .disadvantage .to .morphine .use? .- .(correct .answer) .-Potential .for .drug .dependency
You .suspect .your .patient .has .Small .Bowel .Obstruction, .what .orders .would .you .expect .from .the .phys
ician? .- .(correct .answer) .-Maintain .high .fowlers .position
Palpate .abdomen .every .2 .hours
Insert .NG .but .leave .it .clamped
Which .assessment .finding .would .be .considered .objective? .- .(correct .answer) .-
Purulent .Drainage- .anything .you .can .measure
Correct .order .for .drawing .up .insulin? .- .(correct .answer) .-clear, .cloudy, .cloudy, .clear
if .a .patient .is .immobile .post .op, .what .are .they .at .high .risk .for? .- .(correct .answer) .-
What .are .some .signs .and .symptoms .of .DVT? .- .(correct .answer) .-Swelling, .cramps, .reddness
The .nurse .is .assessing .a .post .op .patient. .Which .of .the .following .is .considered .subjective? .- .
(correct .answer) .-Pain-subjective .data
What .intervention .is .the .most .important .in .a .patient .with .visual .impairment? .- .(correct .answer) .-
Keep .walk .way .clear
,which .statement .about .culture .is .true? .- .(correct .answer) .-culture .needs .to .be .considered .in .care
nurses .are .mandated .to .report .abuse .- .(correct .answer) .-
true- .should .be .reported .to .the .social .worker
what .is .the .normal .side .effect .of .Latanoprost .eye .drops? .- .(correct .answer) .-burning
what .assessment .finding .could .indicate .infection .during .post .op? .- .(correct .answer) .-foul .odor
What .assessment .finding .is .included .in .the .Glasgow .coma .scale? .- .(correct .answer) .-
Patient .winces .during .sternal .rub
Subjective .data .- .(correct .answer) .-anything .the .patient .says .it .is
objective .data .- .(correct .answer) .-
anything .that .can .be .observed .and .measured .from .the .nurses .perspective
Surgical .Pre-Op .check .list? .- .(correct .answer) .-
Med: .Ativan, .valium, .versed, .morphine, .zantax, .Zofran, .heparin, .coumadin. .NO .ibprophen .or .blood .t
hinners
Informed .consent, .ID .a=band, .blood .transfusion .consent, .allergies .identified, .allergies .list, .height, .we
ight, .removal .of .nail .polish, .makeup, .jewelry, .skin .prep, .anti .antibolism .stocking's, .npo .
(2 .hours .prior), .lab .results, .ECG, .vital .sheet, .voided .Cather, .mode .of .transfer, .med .list
Surgical .Postop .list? .- .(correct .answer) .-Incentive .spirometer(every .two .hours ., .help .keeps .lungs .well
.inflated .while .healing), .coughing, .turning, .deep .breathing, .mobility(prevents .blood .clots .and .parasati
sis), .splint
raise .head .to .45 .degrees
Latex .allergy .considereations? .- .(correct .answer) .-1. .Screening .for .latex .allergy .risk
2. .Identified .to .all .staff .involved
3. .Allergy .bracelet .placement4. .What .kind .of .reaction?
Infection .control? .- .(correct .answer) .-wash .your .hands
wet .to .dry .dressing .change .- .(correct .answer) .-
benign .- .(correct .answer) .-mild, .not .cancerous
malignant .- .(correct .answer) .-cancerous
Living .will .vs. .healthcare .power .of .atternoy .- .(correct .answer) .-
, black .box .warning .- .(correct .answer) .-Life .threatening .affects, .warnings
glaucoma .symptoms .- .(correct .answer) .-tunnel .vision, .halos, .loss .of .periphreal .vision
Morphine .side .effects .- .(correct .answer) .-depressed .breathing
order .for .inspecting .abdomen .- .(correct .answer) .-inspect, .auscultate, .palpate
when .teaching .diabetes .what .is .one .thing .you .want .to .teach .them? .- .(correct .answer) .-
avoid .heating .pads, .wear .shoes, .heated .blankets, .don't .cut .their .own .nails, .dry .location, .check .feet .
daily
orthopenic .position .- .(correct .answer) .-crossed .arms .on .side .table
if .there .is .an .abnormal .finding .during .an .assessment .what .do .you .do? .- .(correct .answer) .-
further .assessment .(focused .assessment)
Neurological .focused .assessment .- .(correct .answer) .-Glasgow .coma .scale
level .of .consciousness(1-person,2-person .and .place, .3-person, .place, .and .time, .4-person, .place, .time,
.and .purpose)
motor .function(smile, .frown, .puff .cheeks)ROM
PERLA(pupils, .equal, .round, .reactive, .light, .accommodation)
cardiac .focused .assessment .- .(correct .answer) .-60-100
caratoid .pulse( .never .press .hard .or .use .both .hands. .used .for .unconsious .pts)
brachial(fore .arm)
radial(inner .wrist. .common .pulse)
Apical( .5th .innercostal .space)listen .60 .sec
Femoral(thigh)
popitiel(behind .knee)
posterior .tibial(ankle)
Dorsal .pedis(top .of .foot)
slow .- .(correct .answer) .-brady .cardia
fast .- .(correct .answer) .-tachy .cardia
Respiratory .Focused .Assessment .- .(correct .answer) .-12-20
