NUR 160 Exam 2, HONDROS
How to read an ABG - Correct Answer ✔️✔️1. Determine if
values are high, low, or normal
2. Draw the appropriate arrows next to each value
3. Decide if two values are the same, or if two values are apposite
(same=metabolic, opposite=respiratory)
4. Look at only Ph, if low acidosis, if high alkalosis
UTI signs and symptoms - Correct Answer ✔️✔️Burning,
frequency, urgency, foul smell, sediment, abdominal pain, chills,
fever, darkness, confusion
Hypovolemic Shock sign sand symptoms - Correct Answer ✔️✔
️decreased BP, Increased HR, restlessness, decreased urine output
normal urine output - Correct Answer ✔️✔️15mL/kidney/hr,
so 30mL/hour, 200mL per 8 hrs. if 40mL < call MD
,Nursing Interventions for hypovolemic shock - Correct Answer ✔
️✔️monitor vitals, behavior, output, assess pt, notify MD, raise
legs, push fluids, give meds as prescribed, pt may need O2 and they
may need to be tipped on head
evisceration - Correct Answer ✔️✔️when an organ is sticking
up out of a wound that has opened
Dehiscense - Correct Answer ✔️✔️When a wound has opened
up, most often d/t force (cough)
What to do for dehiscense - Correct Answer ✔️✔️put pillow
on abdomen when coughing, semi-high fowler's, cover with sterile,
moist dressing and notify MD
Pain meds - Correct Answer ✔️✔️start low, go slow
Physiological signs of pain - Correct Answer ✔️✔️Red,
sweating,crying, irritated, fetal position
, How to help with pt pain - Correct Answer ✔️✔️try non-
pharmacological interventions first, when nothing works-ask
someone else, go through chain of command
at risk for urinary retention - Correct Answer ✔️✔️post-
surgical, men with large prostates, TBI, stroke, paralyzed
Nursing interventions for urinary retention - Correct Answer ✔️
✔️i&o, push fluids, run water, stick hands in warm water, bladder
scan-see how much is in there (if at or more than 200, call someone),
pt will need straight cath at that point, when straight cathed, if you
get to 1000, clamp it off and go back later.
DVT signs and symptoms - Correct Answer ✔️✔️unilateral
swelling, redness, hot, painful, pulseless, cannot move toes or very
little, pale below where clot is
Prevention of DVT - Correct Answer ✔️✔️early and frequent
ambulation, TED hose
How to read an ABG - Correct Answer ✔️✔️1. Determine if
values are high, low, or normal
2. Draw the appropriate arrows next to each value
3. Decide if two values are the same, or if two values are apposite
(same=metabolic, opposite=respiratory)
4. Look at only Ph, if low acidosis, if high alkalosis
UTI signs and symptoms - Correct Answer ✔️✔️Burning,
frequency, urgency, foul smell, sediment, abdominal pain, chills,
fever, darkness, confusion
Hypovolemic Shock sign sand symptoms - Correct Answer ✔️✔
️decreased BP, Increased HR, restlessness, decreased urine output
normal urine output - Correct Answer ✔️✔️15mL/kidney/hr,
so 30mL/hour, 200mL per 8 hrs. if 40mL < call MD
,Nursing Interventions for hypovolemic shock - Correct Answer ✔
️✔️monitor vitals, behavior, output, assess pt, notify MD, raise
legs, push fluids, give meds as prescribed, pt may need O2 and they
may need to be tipped on head
evisceration - Correct Answer ✔️✔️when an organ is sticking
up out of a wound that has opened
Dehiscense - Correct Answer ✔️✔️When a wound has opened
up, most often d/t force (cough)
What to do for dehiscense - Correct Answer ✔️✔️put pillow
on abdomen when coughing, semi-high fowler's, cover with sterile,
moist dressing and notify MD
Pain meds - Correct Answer ✔️✔️start low, go slow
Physiological signs of pain - Correct Answer ✔️✔️Red,
sweating,crying, irritated, fetal position
, How to help with pt pain - Correct Answer ✔️✔️try non-
pharmacological interventions first, when nothing works-ask
someone else, go through chain of command
at risk for urinary retention - Correct Answer ✔️✔️post-
surgical, men with large prostates, TBI, stroke, paralyzed
Nursing interventions for urinary retention - Correct Answer ✔️
✔️i&o, push fluids, run water, stick hands in warm water, bladder
scan-see how much is in there (if at or more than 200, call someone),
pt will need straight cath at that point, when straight cathed, if you
get to 1000, clamp it off and go back later.
DVT signs and symptoms - Correct Answer ✔️✔️unilateral
swelling, redness, hot, painful, pulseless, cannot move toes or very
little, pale below where clot is
Prevention of DVT - Correct Answer ✔️✔️early and frequent
ambulation, TED hose
